CPT code 51999: Bladder procedure, laparoscopic, unlisted2026 Medicare rate & RVUs in Missouri
Reports an unlisted laparoscopic operation involving the bladder when no specific CPT code describes the procedure performed.
CMS doesn’t publish an office rate for 51999 in Missouri.
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
On this page 9 sections
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.
Where 51999 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
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.
How the rate is built · 51999
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 51999
The CMS indicators that decide how 51999 is paid alongside other services.
CMS payment indicators · 51999
Bladder procedure, laparoscopic, unlisted
| Rule | CMS value | What it means |
|---|---|---|
| Global period | YYY | The Medicare contractor sets the global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
51999 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 51920Fistula repairBladder-to-uterus connection
- 51920 describes closure of a bladder-to-uterus fistula. Use 51999 only when that specific procedure does not describe the laparoscopic bladder operation.
- 51925Fistula repairWith hysterectomy
- 51925 describes a defined hysterectomy and bladder-repair service. It is not interchangeable with an unlisted laparoscopic bladder operation.
- 51990Urethral suspensionLaparoscopic approach
- 51990 identifies laparoscopic urethral suspension; 51999 is for an unlisted laparoscopic operation involving the bladder.
51999 billing questions
Can 51999 be used for any laparoscopic pelvic procedure?
No. It is for an unlisted laparoscopic operation involving the bladder, not a procedure at another pelvic or urinary site.
How does 51999 differ from 51920?
51920 describes closure of a bladder-to-uterus fistula. Use 51999 only when that specific listed procedure does not describe the laparoscopic bladder operation performed.
How does Medicare price this code?
It has carrier-priced status. CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.
Who sets the global period?
The Medicare contractor sets the global period for this code.
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
Fee sheets · Coming soon
Put 51999 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist