CPT code 51565: Bladder surgery, partial excision with ureteral reimplantation2026 Medicare rate & RVUs

Medicare pays $1,151.00 for 51565 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 51565 covers

This operation removes part of the bladder and relocates one or both ureteral openings into the bladder that remains. Urologists perform it when the excised bladder segment includes a ureteral insertion or when ureteral drainage must be restored after the bladder resection. A typical situation is selected bladder tumor surgery involving a ureteral orifice. The procedure is performed in an operating room under anesthesia.

Report this code when both partial bladder excision and ureteral reimplantation are performed; documentation should identify the bladder segment removed and the ureter or ureters reimplanted. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 51565 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

51565 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 51565 rate is calculated

Each of 51565’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 51565

51565 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

51565 compared with similar codes

How to choose

51550Partial cystectomySimple excision

51550 is for partial bladder excision without ureteral reimplantation. Choose 51565 when the operation also reimplants one or both ureters.

51555Partial cystectomyComplicated procedure

51555 describes complicated partial bladder excision without ureteral reimplantation; 51565 includes reimplantation as part of the operation.

50780Ureter reimplantationDirect bladder anastomosis

50780 represents ureteral reimplantation without the partial bladder excision captured by 51565.

51570CystectomyComplete excision, separate procedure

51570 describes complete bladder removal. 51565 is for an operation that removes only part of the bladder and reimplants ureteral drainage.

Codes related to 51565

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates