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CPT code 51595: Bladder removal, continent intestinal reservoir2026 Medicare rate & RVUs

Reports complete bladder removal with construction of a continent urinary reservoir from intestine or colon, such as an Indiana pouch.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.7K Medicare services in 2024

Medicare pays $1,934.91 for 51595 nationally in a facility.

Medicare rate · 51595

Bladder removal, continent intestinal reservoir

Office or facility?

Work RVUs
40.29
Total RVUs
57.93
Global days
090

National rate · 2026

$1,934.91

Facility setting, before claim adjustments.

See every locality for 51595 →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 51595 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 51595 covers

A urologist removes the bladder and creates a continent urinary reservoir using intestine or colon, redirecting the ureters into the reservoir. Examples include an Indiana pouch or Kock pouch, which stores urine and is emptied by catheterization through a stoma. This major operation is typically performed in a hospital operating room for conditions such as bladder cancer when complete removal and continent urinary diversion are planned.

Report this code when the operation includes both complete cystectomy and the continent intestinal diversion; an ileal conduit is a different reconstruction. The operative report should support the extent of bladder removal and describe the reservoir and urinary connections. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. The code is priced as bilateral, so modifier 50 does not increase payment. 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 51595 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

51595 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,806.67
AlaskaUnavailable$2,555.25
ArizonaUnavailable$1,896.68
ArkansasUnavailable$1,791.06
Atlanta, GAUnavailable$1,981.07
Austin, TXUnavailable$1,941.39
Bakersfield, CAUnavailable$1,931.00
Baltimore area, MDUnavailable$2,028.43
Beaumont, TXUnavailable$1,885.24
Brazoria, TXUnavailable$1,903.10

51595 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
51595 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 51595 rate is calculated

Each of 51595’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 · 51595

RVUs × geographic indexes × conversion factor

Office or facility?

Work40.29

40.29 RVUs× 1.000 GPCI

Practice expense12.35

12.35 RVUs× 1.000 GPCI

Malpractice5.29

5.29 RVUs× 1.000 GPCI

Adjusted RVUs

57.9300

Conversion factor

$33.4009

Medicare rate

$1,934.91

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

Payment rules and modifiers for 51595

51595 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 51595

Bladder removal, continent intestinal reservoir

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)2Already bilateral by definition: paid once at 100%.
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 · 51595

Bladder removal, continent intestinal reservoir

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

51595 without 51 · national facility

$1,934.91

Bladder removal, continent intestinal reservoir

51595-51 · Second procedure: 50%

$967.46

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

51595 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 51595

    Bladder removal, continent intestinal reservoir40.29 wRVU

    Not priced

  • 51590

    Bladder removal, cutaneous urinary diversion35.42 wRVU

    Not priced

  • 51596

    Bladder removal, continent urinary diversion43.15 wRVU

    Not priced

  • 51580

    Complete cystectomy, ureterostomy or ureterosigmoidostomy34.49 wRVU

    Not priced

How to choose

51590Bladder removalCutaneous urinary diversion
Choose 51595 for a continent reservoir constructed from intestine or colon; 51590 describes a ureteroileal conduit.
51596Bladder removalContinent urinary diversion
51596 includes bilateral pelvic lymphadenectomy with the complete cystectomy and continent diversion. 51595 describes the continent diversion without that added lymphadenectomy.
51580Complete cystectomyUreterostomy or ureterosigmoidostomy
51580 describes urinary diversion through ureterosigmoidostomy or ureterocolostomy. 51595 describes a continent reservoir made from intestine or colon.

Codes related to 51595

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

Codes related to 51595
CodeHow it relatesNational office range
Same family
51596Bladder removal, continent urinary diversionAdds bilateral pelvic lymphadenectomy to complete cystectomy with continent intestinal diversion.No office rate
Used instead
51590Bladder removal, cutaneous urinary diversionComplete cystectomy with a ureteroileal conduit rather than a continent reservoir.No office rate
51580Complete cystectomy, ureterostomy or ureterosigmoidostomyComplete cystectomy with ureterosigmoidostomy or ureterocolostomy rather than a continent reservoir.No office rate
51570Cystectomy, complete excision, separate procedureComplete cystectomy without the continent intestinal diversion described by 51595.No office rate

51595 billing questions

How does 51595 differ from 51590?

51595 describes a continent reservoir made from intestine or colon, emptied by catheterization. 51590 describes a ureteroileal conduit rather than a continent reservoir.

When should 51596 be considered instead?

Use 51596 when the complete cystectomy and continent intestinal diversion are accompanied by bilateral pelvic lymphadenectomy. The operative report should document the lymphadenectomy.

Can the reservoir construction be billed separately from 51595?

The continent diversion is part of the service represented by 51595. The code describes the complete cystectomy together with that reconstruction.

Does modifier 50 increase payment for 51595?

No. CMS prices this code as bilateral, and modifier 50 does not increase payment.

What documentation supports reporting 51595?

The operative report should establish complete bladder removal and identify the intestinal or colonic continent reservoir and its urinary connections. It should distinguish the reconstruction from an ileal conduit.

How are assistant and co-surgeon services handled?

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 51595PPRRVU2026_Oct_nonQPP.csv, line 6,039 (RVU26D)

Open CMS sourceHow we calculate rates

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