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CPT code 51580: Complete cystectomy, ureterostomy or ureterosigmoidostomy2026 Medicare rate & RVUs

Report complete bladder removal when the surgeon diverts the ureters through a cutaneous ureterostomy or into the sigmoid colon.

CMS RVU26DEffective Oct 1, 2026109 payment localities18 Medicare services in 2024

Medicare pays $1,683.41 for 51580 nationally in a facility.

Medicare rate · 51580

Complete cystectomy, ureterostomy or ureterosigmoidostomy

Office or facility?

Work RVUs
34.49
Total RVUs
50.40
Global days
090

National rate · 2026

$1,683.41

Facility setting, before claim adjustments.

See every locality for 51580 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 51580 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 51580 covers

A urologist removes the entire bladder and routes the ureters either to the skin as a ureterostomy or into the sigmoid colon as a ureterosigmoidostomy. The operation is generally performed in a hospital operating room, commonly for bladder cancer requiring cystectomy and urinary diversion. The operative report should identify the extent of bladder removal and the specific route used for each ureter.

Choose this code for the ureterostomy or ureterosigmoidostomy approach, rather than a bowel conduit or continent reservoir. The diversion is part of the reported operative service. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 services may be paid; 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 51580 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

51580 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,571.15
AlaskaUnavailable$2,217.72
ArizonaUnavailable$1,650.17
ArkansasUnavailable$1,557.46
Atlanta, GAUnavailable$1,722.80
Austin, TXUnavailable$1,691.02
Bakersfield, CAUnavailable$1,684.09
Baltimore area, MDUnavailable$1,764.95
Beaumont, TXUnavailable$1,638.40
Brazoria, TXUnavailable$1,656.55

51580 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
51580 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 51580 rate is calculated

Each of 51580’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.

How the rate is built · 51580

RVUs × geographic indexes × conversion factor

Office or facility?

Work34.49

34.49 RVUs× 1.000 GPCI

Practice expense11.47

11.47 RVUs× 1.000 GPCI

Malpractice4.44

4.44 RVUs× 1.000 GPCI

Adjusted RVUs

50.4000

Conversion factor

$33.4009

Medicare rate

$1,683.41

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 51580

51580 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 51580

Complete cystectomy, ureterostomy or ureterosigmoidostomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 51580

Complete cystectomy, ureterostomy or ureterosigmoidostomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

51580 without 51 · national facility

$1,683.41

Complete cystectomy, ureterostomy or ureterosigmoidostomy

51580-51 · Second procedure: 50%

$841.71

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

51580 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 51580

    Complete cystectomy, ureterostomy or ureterosigmoidostomy34.49 wRVU

    Not priced

  • 51590

    Bladder removal, cutaneous urinary diversion35.42 wRVU

    Not priced

  • 51585

    Cystectomy, nodes and ureteral diversion38.65 wRVU

    Not priced

  • 51596

    Bladder removal, continent urinary diversion43.15 wRVU

    Not priced

How to choose

51590Bladder removalCutaneous urinary diversion
Use 51580 for ureterostomy or ureterosigmoidostomy. Use 51590 when the urinary diversion is an ileal conduit or sigmoid bladder.
51585CystectomyNodes and ureteral diversion
Both include complete cystectomy with ureterostomy or ureterosigmoidostomy; 51585 also includes bilateral pelvic lymphadenectomy.
51596Bladder removalContinent urinary diversion
Use 51596 for a continent urinary diversion. This code describes ureterostomy or ureterosigmoidostomy instead.

Codes related to 51580

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

Codes related to 51580
CodeHow it relatesNational office range
Same family
51570Cystectomy, complete excision, separate procedureComplete bladder removal without the ureterostomy or ureterosigmoidostomy approach specified here.No office rate
51575Bladder removal, with bilateral node dissectionAdds bilateral pelvic lymphadenectomy to complete cystectomy.No office rate
51585Cystectomy, nodes and ureteral diversionPairs the same ureteral diversion approaches with bilateral pelvic lymphadenectomy.No office rate
51595Bladder removal, continent intestinal reservoirAdds bilateral pelvic lymphadenectomy to cystectomy with ileal conduit or sigmoid bladder diversion.No office rate
Used instead
51590Bladder removal, cutaneous urinary diversionUsed when complete cystectomy includes an ileal conduit or sigmoid bladder diversion.No office rate
51596Bladder removal, continent urinary diversionDescribes complete cystectomy with a continent urinary diversion.No office rate

51580 billing questions

How does this differ from 51590?

This code describes diversion by ureterostomy or ureterosigmoidostomy. Choose 51590 when the surgeon creates an ileal conduit or sigmoid bladder.

Is the urinary diversion separately reported?

The ureterostomy or ureterosigmoidostomy is part of this complete cystectomy service. The documented diversion method determines whether this code or a different cystectomy-with-diversion code applies.

Should modifier 50 be appended for bilateral ureteral diversion?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor and anatomy do not support modifier 50.

What documentation supports code selection?

The operative report should establish complete bladder removal and specify whether the ureters were brought to the skin or implanted into the sigmoid colon.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 51580PPRRVU2026_Oct_nonQPP.csv, line 6,036 (RVU26D)

Open CMS sourceHow we calculate rates

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