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Billing code 51565: Bladder surgeryMedicare rate & RVUs

Reports partial bladder removal with reimplantation of one or both ureters into the remaining bladder, such as for a lesion involving a ureteral opening.

CMS RVU26DEffective Oct 1, 2026109 payment localities44 Medicare services in 2024

Medicare pays $1,151.00 for 51565 nationally in a facility.

Medicare rate · 51565

Bladder surgery

Swap in your local Medicare rate.

Work RVUs
23.09
Total RVUs
34.46
Global days
090

National rate · 2026

$1,151.00

Facility setting, before claim adjustments.

See every locality for 51565 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 51565 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 51565 covers

This operation removes part of the bladder and relocates one or both ureteral openings into the bladder that remains. Urologists perform it when the excised bladder segment includes a ureteral insertion or when ureteral drainage must be restored after the bladder resection. A typical situation is selected bladder tumor surgery involving a ureteral orifice. The procedure is performed in an operating room under anesthesia.

Report this code when both partial bladder excision and ureteral reimplantation are performed; documentation should identify the bladder segment removed and the ureter or ureters reimplanted. Medicare treats it as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 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 51565 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

51565 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,072.87
Alaska*Unavailable$1,510.30
ArizonaUnavailable$1,128.01
ArkansasUnavailable$1,063.32
AtlantaUnavailable$1,177.74
AustinUnavailable$1,157.50
BakersfieldUnavailable$1,153.80
Baltimore/Surr. CntysUnavailable$1,207.33
BeaumontUnavailable$1,118.70
BrazoriaUnavailable$1,132.82

51565 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
51565 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 51565 rate is calculated

Each of 51565’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 · 51565

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 23.09Practice expense 8.40Malpractice 2.97

34.4600 adjusted RVUs×$33.4009 conversion factor=$1,151.00

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 51565

51565 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 51565

Bladder surgery

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 · 51565

Bladder surgery

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

51565 without 51 · national facility

$1,151.00

Bladder surgery

51565-51 · Second procedure: 50%

$575.50

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

51565 compared with similar codes

Compare codes

51565 vs 51550 vs 51555 vs 50780 vs 51570: national Medicare rates

Swap in your local Medicare rate.

  • 51565
    Bladder surgery · 23.09 wRVU
    —
  • 51550
    Partial cystectomy · 16.8 wRVU
    —
  • 51555
    Partial cystectomy · 22.6 wRVU
    —
  • 50780
    Ureter reimplantation · 19.45 wRVU
    —
  • 51570
    Cystectomy · 26.77 wRVU
    —

How to choose

51550Partial cystectomy
51550 is for partial bladder excision without ureteral reimplantation. Choose 51565 when the operation also reimplants one or both ureters.
51555Partial cystectomy
51555 describes complicated partial bladder excision without ureteral reimplantation; 51565 includes reimplantation as part of the operation.
50780Ureter reimplantation
50780 represents ureteral reimplantation without the partial bladder excision captured by 51565.
51570Cystectomy
51570 describes complete bladder removal. 51565 is for an operation that removes only part of the bladder and reimplants ureteral drainage.

Codes related to 51565

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

Codes related to 51565
CodeHow it relatesNational office range
Same family
51550Partial cystectomyPartial bladder excision without the ureteral reimplantation included in 51565.No office rate
51555Partial cystectomyComplicated partial bladder excision without ureteral reimplantation.No office rate
Used instead
50780Ureter reimplantationUreteral reimplantation without the partial bladder excision reported with 51565.No office rate
51570CystectomyComplete bladder removal when the operation requires more than partial excision.No office rate
51580Complete cystectomyComplete bladder removal with urinary diversion rather than partial excision and reimplantation.No office rate

51565 billing questions

When should I report this instead of 51550 or 51555?

Use 51565 when the partial bladder excision includes reimplantation of one or both ureters. Codes 51550 and 51555 describe partial bladder excision without that reimplantation.

Can the ureteral reimplantation be billed separately?

The reimplantation is part of the service represented by 51565. Do not separately report the same reimplantation as though it were an independent service.

Should modifier 50 be used when both ureters are reimplanted?

No. CMS identifies bilateral adjustment as inappropriate for this code, including when the operative work involves both ureters.

What documentation supports reporting 51565?

The operative report should describe the partial bladder resection and identify the ureter or ureters reimplanted into the remaining bladder.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and related postoperative care during the 90-day period are included in the global surgery payment.

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 51565PPRRVU2026_Oct_nonQPP.csv, line 6,033 (RVU26D)

Open CMS sourceHow we calculate rates

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