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

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

CMS RVU26DEffective Oct 1, 2026One payment locality18 Medicare services in 2024

In Utah, Medicare pays $1,645.29 for 51580 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,645.29Hospital or facility

Check a contract rate as a % of Medicare · 51580 nationwide

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

We’ll open 51580 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 51580 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Utah compares for 51580

Across 109 of 109 payment localities, the facility rate for 51580 runs from $1,557.46 in Arkansas to $2,217.72 in Alaska. Utah pays $1,645.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

51580 in Utah vs other payment areas
  1. Utah · this page$1,645.29
  2. Los Angeles, CA · California$1,750.92+$105.63
  3. Washington, DC area · District of Columbia$1,830.56+$185.27
  4. Miami, FL · Florida$1,925.86+$280.57
  5. Chicago, IL · Illinois$1,885.43+$240.14
  6. Manhattan, NY · New York$1,906.10+$260.81
  7. Alaska · Alaska$2,217.72+$572.43

Other areas in Utah first, then benchmark localities. Bars start at $0.

Every other payment area

51580 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,571.15
ArkansasArkansas—$1,557.46
ArizonaArizona—$1,650.17
Bakersfield, CACalifornia—$1,684.09
Chico, CACalifornia—$1,670.96
El Centro, CACalifornia—$1,671.70
Fresno, CACalifornia—$1,670.96
Hanford, CACalifornia—$1,670.96

51580 rates by state

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

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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

See 51580 in every payment locality

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.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,036

Code
51580
Physician work
34.49
Practice expense
11.47
Malpractice
4.44

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 51580 in Utah
ComponentRVULocality factorAdjusted
Physician work34.49× 1.00034.4900
Practice expense11.47× 0.94010.7818
Malpractice4.44× 0.8983.9871
Total RVUs49.2589
Conversion factor× 33.4009

Facility rate, Utah$1645.29

Facility: (34.49 × 1 + 11.47 × 0.94 + 4.44 × 0.898) × $33.4009 = $1645.29

Open 51580 in the RVU calculator

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

How 51580 has changed in Utah

51580 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,645.29RVU26D
2026-07-01Not available in this setting$1,645.29RVU26C
2026-04-01Not available in this setting$1,645.29RVU26B
2026-01-01Not available in this setting$1,645.29RVU26A
2025-10-01Not available in this setting$1,783.18RVU25D
2025-07-01Not available in this setting$1,783.18RVU25C
2025-04-01Not available in this setting$1,783.18RVU25B
2025-01-01Not available in this setting$1,783.18RVU25A
2024-10-01Not available in this setting$1,824.49RVU24D
2024-07-01Not available in this setting$1,824.49RVU24C
2024-04-01Not available in this setting$1,824.49RVU24B
2024-03-09Not available in this setting$1,824.49RVU24AR
2024-01-01Not available in this setting$1,794.71RVU24A
2023-10-01Not available in this setting$1,825.34RVU23D
2023-07-01Not available in this setting$1,825.34RVU23C
2023-04-01Not available in this setting$1,825.34RVU23B
2023-01-01Not available in this setting$1,825.34RVU23A
2022-10-01Not available in this setting$1,839.70RVU22D
2022-07-01Not available in this setting$1,839.70RVU22C
2022-04-01Not available in this setting$1,839.70RVU22B
2022-01-01Not available in this setting$1,839.70RVU22A
2021-10-01Not available in this setting$1,851.97RVU21D
2021-07-01Not available in this setting$1,851.97RVU21C
2021-04-01Not available in this setting$1,851.97RVU21B
2021-01-01Not available in this setting$1,851.97RVU21A
2020-10-01Not available in this setting$1,930.99RVU20D
2020-07-01Not available in this setting$1,930.99RVU20C
2020-04-01Not available in this setting$1,930.99RVU20B
2020-01-01Not available in this setting$1,930.99RVU20A
2019-10-01Not available in this setting$1,960.45RVU19D
2019-07-01Not available in this setting$1,960.45RVU19C
2019-04-01Not available in this setting$1,955.42RVU19B
2019-01-01Not available in this setting$1,955.42RVU19A
2018-10-01Not available in this setting$1,960.72RVU18D
2018-07-01Not available in this setting$1,960.72RVU18C
2018-04-01Not available in this setting$1,960.72RVU18B
2018-01-01Not available in this setting$1,960.72RVU18AR1
2017-10-01Not available in this setting$1,978.76RVU17D
2017-07-01Not available in this setting$1,978.76RVU17C
2017-04-01Not available in this setting$1,978.76RVU17B
2017-01-01Not available in this setting$1,978.76RVU17A
2016-10-01Not available in this setting$1,933.08RVU16D
2016-07-01Not available in this setting$1,933.08RVU16C
2016-04-01Not available in this setting$1,933.08RVU16B
2016-01-01Not available in this setting$1,933.08RVU16A
2015-10-01Not available in this setting$1,937.74RVU15D
2015-07-01Not available in this setting$1,937.74RVU15C
2015-04-01Not available in this setting$1,928.10RVU15B
2015-01-01Not available in this setting$1,928.10RVU15A
2014-10-01Not available in this setting$1,899.36RVU14D
2014-07-01Not available in this setting$1,899.36RVU14C
2014-04-01Not available in this setting$1,899.36RVU14B
2014-01-01Not available in this setting$1,899.36RVU14A
2013-10-01Not available in this setting$1,826.34RVU13D
2013-07-01Not available in this setting$1,826.34RVU13C
2013-04-01Not available in this setting$1,826.34RVU13B
2013-01-01Not available in this setting$1,826.34RVU13AR

Price 51580 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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