CPT code 51999: Bladder procedure, laparoscopic, unlisted2026 Medicare rate & RVUs in Washington, DC area

CMS doesn’t publish a rate for 51999 in Washington, DC area.

Check a contract rate as a % of Medicare · 51999 nationwide

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

What 51999 covers

CPT 51999 is reported for a laparoscopic operation involving the bladder when no listed CPT code describes the procedure performed. It represents an unlisted service, not a defined repair or reconstruction. The procedure must concern the bladder; a laparoscopic pelvic or urinary operation at another site does not fit merely because it is performed in the same region. When a listed code describes the actual operation, that specific code distinguishes the service—for example, a bladder-to-uterus fistula closure or a defined hysterectomy with bladder repair.

Medicare assigns status C, carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The contractor also sets the global period. The code does not name a particular bladder operation, so code selection turns on whether a more specific listed code describes the work.

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 Washington, DC area compares for 51999

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51999 rates by state

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

See 51999 in every payment locality

How the 51999 rate is calculated

Each of 51999’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 51999

The CMS indicators that decide how 51999 is paid alongside other services.

Codes related to 51999

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

How 51999 has changed in Washington, DC area

Price 51999 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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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