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CPT code 51880: Cystostomy closure, existing urinary opening2026 Medicare rate & RVUs

Reports surgical closure of an established cystostomy opening when the bladder no longer needs drainage through that route.

CMS RVU26DEffective Oct 1, 2026109 payment localities98 Medicare services in 2024

Medicare pays $429.54 for 51880 nationally in a facility.

Medicare rate · 51880

Cystostomy closure, existing urinary opening

Office or facility?

Work RVUs
7.67
Total RVUs
12.86
Global days
090

National rate · 2026

$429.54

Facility setting, before claim adjustments.

See every locality for 51880 →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 51880 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 51880 covers

A urologist closes an existing opening between the bladder and the skin after urinary drainage through that route is no longer needed. The opening may have been created for suprapubic bladder drainage or as a vesicostomy. This service addresses closure of the established drainage opening, rather than repair of a new bladder injury. It is generally performed in an operating room or other surgical setting.

Report 51880 when the procedure is directed at closing the cystostomy. The operative note should identify the existing opening, why it is being closed, and the work performed. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; 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 51880 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

51880 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$396.41
AlaskaUnavailable$549.84
ArizonaUnavailable$419.97
ArkansasUnavailable$392.34
Atlanta, GAUnavailable$439.94
Austin, TXUnavailable$433.73
Bakersfield, CAUnavailable$432.99
Baltimore area, MDUnavailable$452.37
Beaumont, TXUnavailable$414.64
Brazoria, TXUnavailable$422.20

51880 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
51880 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 51880 rate is calculated

Each of 51880’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 · 51880

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.67

7.67 RVUs× 1.000 GPCI

Practice expense4.08

4.08 RVUs× 1.000 GPCI

Malpractice1.11

1.11 RVUs× 1.000 GPCI

Adjusted RVUs

12.8600

Conversion factor

$33.4009

Medicare rate

$429.54

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

Payment rules and modifiers for 51880

51880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 51880

Cystostomy closure, existing urinary opening

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 · 51880

Cystostomy closure, existing urinary opening

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

51880 without 51 · national facility

$429.54

Cystostomy closure, existing urinary opening

51880-51 · Second procedure: 50%

$214.77

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

51880 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 51880

    Cystostomy closure, existing urinary opening7.67 wRVU

    Not priced

  • 51860

    Bladder repair, simple wound suture12.29 wRVU

    Not priced

  • 51865

    Bladder wound repair, complicated repair15.41 wRVU

    Not priced

  • 51800

    Bladder outlet reconstruction, bladder neck and urethra18.42 wRVU

    Not priced

How to choose

51860Bladder repairSimple wound suture
Choose 51880 to close an established cystostomy drainage opening. Choose 51860 for repair of a bladder wound when the repair is not closure of that opening.
51865Bladder wound repairComplicated repair
51865 represents complex repair of a bladder wound; 51880 is for closure of an established cystostomy.
51800Bladder outlet reconstructionBladder neck and urethra
51800 describes reconstructive surgery involving the bladder and/or urethra. It is not the code for closing an established cystostomy opening.

Codes related to 51880

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

Codes related to 51880
CodeHow it relatesNational office range
Used instead
51860Bladder repair, simple wound sutureBladder wound repair is used for an injury or wound rather than an established cystostomy opening.No office rate
51865Bladder wound repair, complicated repairFor complex bladder wound repair, rather than closure of an established cystostomy.No office rate

51880 billing questions

How is 51880 different from a bladder wound repair?

Use 51880 for closure of an established cystostomy drainage opening. Codes 51860 and 51865 address repair of a bladder wound, with the applicable code depending on the wound repair.

Can 51880 be reported with another procedure in the same session?

If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. The operative record should support each reported service.

Should modifier 50 be appended for closure of a cystostomy?

No. Bilateral adjustment does not apply to this code; modifier 50 is inappropriate for the procedure.

Can an assistant surgeon be reported?

Assistant-at-surgery payment may be made for 51880. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.

What documentation supports reporting 51880?

Document the established cystostomy opening, the reason it no longer needs to remain open, and the closure performed. The record should distinguish stoma closure from repair of a bladder injury.

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 51880PPRRVU2026_Oct_nonQPP.csv, line 6,095 (RVU26D)

Open CMS sourceHow we calculate rates

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