No office rate
Use 52301 for endoscopic incision of a ureterocele through the urethra. Use 51535 when the ureterocele is treated by excision through cystotomy.
On this page
CMS RVU26D · Effective 2026-10-01
51535 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$709.94
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urologic surgery
About 51535: Ureterocele excision through cystotomy
Reports surgical treatment of a ureterocele through a bladder incision, rather than endoscopic incision of the ureterocele through the urethra.
A urologist uses a surgical bladder opening to expose and excise a ureterocele, a dilation of the distal ureter that protrudes into the bladder. This approach may be used when the ureterocele requires operative treatment, such as for urinary obstruction or recurrent infection. The service is generally performed in an operating room, with the operative report identifying the ureterocele and the surgical approach.
Report the code for the cystotomy-based excision, not for endoscopic incision through the urethra. Document the treated side or sides, the ureterocele, and the work performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51535
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.55 · 64%
- Practice expense (office) RVU5.80 · 28%
- Malpractice RVU1.74 · 8%
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.
51535 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
51520 addresses a bladder lesion through cystotomy. This code is for a ureterocele, a lesion involving the distal ureter at the bladder.
No office rate
51525 is for excision of a bladder diverticulum through cystotomy. It does not describe excision of a ureterocele.
No office rate
51530 describes cystotomy treatment of bladder tumor(s). Choose this code for ureterocele excision instead when that is the operative target.
The same code, a different location
How does Austin compare?
51535 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 51535
Office
Unavailable
Facility
$688.91
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 51535
Office
Unavailable
Facility
$738.91
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 51535
Office
Unavailable
Facility
$769.91
No comparable office rate is available.
Miami
Florida · 51535
Office
Unavailable
Facility
$801.23
No comparable office rate is available.
Chicago
Illinois · 51535
Office
Unavailable
Facility
$783.82
No comparable office rate is available.
Manhattan
New York · 51535
Office
Unavailable
Facility
$798.83
No comparable office rate is available.
Alaska*
Alaska · 51535
Office
Unavailable
Facility
$917.21
No comparable office rate is available.
Alabama
Alabama · 51535
Office
Unavailable
Facility
$654.99
No comparable office rate is available.
Arkansas
Arkansas · 51535
Office
Unavailable
Facility
$648.92
No comparable office rate is available.
Arizona
Arizona · 51535
Office
Unavailable
Facility
$690.05
No comparable office rate is available.
Bakersfield
California · 51535
Office
Unavailable
Facility
$708.90
No comparable office rate is available.
Chico
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
El Centro
California · 51535
Office
Unavailable
Facility
$704.04
No comparable office rate is available.
Fresno
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Hanford-Corcoran
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Madera
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Merced
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Modesto
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Napa
California · 51535
Office
Unavailable
Facility
$765.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 51535
Office
Unavailable
Facility
$730.44
No comparable office rate is available.
Redding
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Rest Of California
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 51535
Office
Unavailable
Facility
$722.63
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 51535
Office
Unavailable
Facility
$725.33
No comparable office rate is available.
Salinas
California · 51535
Office
Unavailable
Facility
$722.29
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 51535
Office
Unavailable
Facility
$729.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 51535
Office
Unavailable
Facility
$795.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 51535
Office
Unavailable
Facility
$793.43
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 51535
Office
Unavailable
Facility
$812.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 51535
Office
Unavailable
Facility
$804.79
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 51535
Office
Unavailable
Facility
$712.08
No comparable office rate is available.
Santa Cruz-Watsonville
California · 51535
Office
Unavailable
Facility
$728.61
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 51535
Office
Unavailable
Facility
$722.29
No comparable office rate is available.
Santa Rosa-Petaluma
California · 51535
Office
Unavailable
Facility
$735.21
No comparable office rate is available.
Stockton
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Vallejo
California · 51535
Office
Unavailable
Facility
$763.10
No comparable office rate is available.
Visalia
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Yuba City
California · 51535
Office
Unavailable
Facility
$703.75
No comparable office rate is available.
Colorado
Colorado · 51535
Office
Unavailable
Facility
$709.53
No comparable office rate is available.
Connecticut
Connecticut · 51535
Office
Unavailable
Facility
$740.60
No comparable office rate is available.
Delaware
Delaware · 51535
Office
Unavailable
Facility
$698.49
No comparable office rate is available.
Fort Lauderdale
Florida · 51535
Office
Unavailable
Facility
$753.90
No comparable office rate is available.
Rest Of Florida
Florida · 51535
Office
Unavailable
Facility
$725.13
No comparable office rate is available.
Atlanta
Georgia · 51535
Office
Unavailable
Facility
$720.56
No comparable office rate is available.
Rest Of Georgia
Georgia · 51535
Office
Unavailable
Facility
$694.66
No comparable office rate is available.
Hawaii, Guam
Hawaii · 51535
Office
Unavailable
Facility
$706.50
No comparable office rate is available.
Iowa
Iowa · 51535
Office
Unavailable
Facility
$652.91
No comparable office rate is available.
Idaho
Idaho · 51535
Office
Unavailable
Facility
$658.30
No comparable office rate is available.
East St. Louis
Illinois · 51535
Office
Unavailable
Facility
$747.86
No comparable office rate is available.
Rest Of Illinois
Illinois · 51535
Office
Unavailable
Facility
$720.29
No comparable office rate is available.
Suburban Chicago
Illinois · 51535
Office
Unavailable
Facility
$757.69
No comparable office rate is available.
Indiana
Indiana · 51535
Office
Unavailable
Facility
$660.41
No comparable office rate is available.
Kansas
Kansas · 51535
Office
Unavailable
Facility
$657.00
No comparable office rate is available.
Kentucky
Kentucky · 51535
Office
Unavailable
Facility
$677.98
No comparable office rate is available.
New Orleans
Louisiana · 51535
Office
Unavailable
Facility
$700.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 51535
Office
Unavailable
Facility
$679.71
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 51535
Office
Unavailable
Facility
$754.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 51535
Office
Unavailable
Facility
$710.14
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 51535
Office
Unavailable
Facility
$739.58
No comparable office rate is available.
Rest Of Maryland
Maryland · 51535
Office
Unavailable
Facility
$706.51
No comparable office rate is available.
Rest Of Maine
Maine · 51535
Office
Unavailable
Facility
$666.96
No comparable office rate is available.
Southern Maine
Maine · 51535
Office
Unavailable
Facility
$681.24
No comparable office rate is available.
Detroit
Michigan · 51535
Office
Unavailable
Facility
$737.51
No comparable office rate is available.
Rest Of Michigan
Michigan · 51535
Office
Unavailable
Facility
$695.07
No comparable office rate is available.
Minnesota
Minnesota · 51535
Office
Unavailable
Facility
$669.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 51535
Office
Unavailable
Facility
$691.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 51535
Office
Unavailable
Facility
$695.24
No comparable office rate is available.
Rest Of Missouri
Missouri · 51535
Office
Unavailable
Facility
$676.18
No comparable office rate is available.
Mississippi
Mississippi · 51535
Office
Unavailable
Facility
$662.33
No comparable office rate is available.
Montana**
Montana · 51535
Office
Unavailable
Facility
$704.31
No comparable office rate is available.
North Carolina
North Carolina · 51535
Office
Unavailable
Facility
$670.46
No comparable office rate is available.
North Dakota**
North Dakota · 51535
Office
Unavailable
Facility
$669.90
No comparable office rate is available.
Nebraska
Nebraska · 51535
Office
Unavailable
Facility
$653.36
No comparable office rate is available.
New Hampshire
New Hampshire · 51535
Office
Unavailable
Facility
$705.10
No comparable office rate is available.
Northern Nj
New Jersey · 51535
Office
Unavailable
Facility
$767.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 51535
Office
Unavailable
Facility
$745.99
No comparable office rate is available.
New Mexico
New Mexico · 51535
Office
Unavailable
Facility
$700.03
No comparable office rate is available.
Nevada**
Nevada · 51535
Office
Unavailable
Facility
$694.91
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 51535
Office
Unavailable
Facility
$819.81
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 51535
Office
Unavailable
Facility
$755.40
No comparable office rate is available.
Queens
New York · 51535
Office
Unavailable
Facility
$794.34
No comparable office rate is available.
Rest Of New York
New York · 51535
Office
Unavailable
Facility
$677.48
No comparable office rate is available.
Ohio
Ohio · 51535
Office
Unavailable
Facility
$688.04
No comparable office rate is available.
Oklahoma
Oklahoma · 51535
Office
Unavailable
Facility
$670.74
No comparable office rate is available.
Portland
Oregon · 51535
Office
Unavailable
Facility
$718.29
No comparable office rate is available.
Rest Of Oregon
Oregon · 51535
Office
Unavailable
Facility
$686.39
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 51535
Office
Unavailable
Facility
$731.73
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 51535
Office
Unavailable
Facility
$685.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 51535
Office
Unavailable
Facility
$705.68
No comparable office rate is available.
Rhode Island
Rhode Island · 51535
Office
Unavailable
Facility
$713.14
No comparable office rate is available.
South Carolina
South Carolina · 51535
Office
Unavailable
Facility
$680.98
No comparable office rate is available.
South Dakota**
South Dakota · 51535
Office
Unavailable
Facility
$665.83
No comparable office rate is available.
Tennessee
Tennessee · 51535
Office
Unavailable
Facility
$659.89
No comparable office rate is available.
Utah
Utah · 51535
Office
Unavailable
Facility
$686.87
No comparable office rate is available.
Virginia
Virginia · 51535
Office
Unavailable
Facility
$684.05
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 51535
Office
Unavailable
Facility
$705.68
No comparable office rate is available.
Vermont
Vermont · 51535
Office
Unavailable
Facility
$673.78
No comparable office rate is available.
Rest Of Washington
Washington · 51535
Office
Unavailable
Facility
$706.69
No comparable office rate is available.
Seattle (King Cnty)
Washington · 51535
Office
Unavailable
Facility
$760.39
No comparable office rate is available.
Wisconsin
Wisconsin · 51535
Office
Unavailable
Facility
$656.07
No comparable office rate is available.
West Virginia
West Virginia · 51535
Office
Unavailable
Facility
$704.10
No comparable office rate is available.
Wyoming**
Wyoming · 51535
Office
Unavailable
Facility
$689.31
No comparable office rate is available.
See how rates vary across the country
51535 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 51535 in Austin
Multiple payment areas
- 51535 in Barton Creek
- 51535 in Bee Cave
- 51535 in Briarcliff
- 51535 in Cedar Park
Multiple payment areas
- 51535 in Creedmoor
Multiple payment areas
- 51535 in Elgin
Multiple payment areas
- 51535 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 51535 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$780.93
$709.94 × 110% = $780.93
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 51535 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,030
- Code
- 51535
- Physician work
- 13.55
- Practice expense
- 5.80
- Malpractice
- 1.74
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.55 | × 1.002 | 13.5771 |
| Practice expense | 5.80 | × 1.058 | 6.1364 |
| Malpractice | 1.74 | × 0.886 | 1.5416 |
| Total RVUs | 21.2551 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$709.94
Open 51535 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.55 | 1.002 |
| Practice expense | 5.8 | 1.058 |
| Malpractice | 1.74 | 0.886 |
(13.55 × 1.002 + 5.8 × 1.058 + 1.74 × 0.886) × $33.4009 = $709.94
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
51535 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $709.94 | RVU26D |
| 2026-07-01 | Not available in this setting | $709.94 | RVU26C |
| 2026-04-01 | Not available in this setting | $709.94 | RVU26B |
| 2026-01-01 | Not available in this setting | $709.94 | RVU26A |
| 2025-10-01 | Not available in this setting | $765.52 | RVU25D |
| 2025-07-01 | Not available in this setting | $765.52 | RVU25C |
| 2025-04-01 | Not available in this setting | $765.52 | RVU25B |
| 2025-01-01 | Not available in this setting | $765.52 | RVU25A |
51535 billing questions
How does this differ from endoscopic ureterocele treatment?
This code describes excision through a surgical bladder incision. CPT 52301 is the endoscopic alternative for incision of a ureterocele through the urethra.
Can bladder lesion or diverticulum codes be used instead?
No. Select the code that matches the operative target and work: this service treats a ureterocele, while bladder lesion and diverticulum codes describe different procedures.
What documentation supports reporting this code?
The operative report should identify the ureterocele, the side treated, the cystotomy-based approach, and the excision or repair performed.
How is bilateral treatment reported?
For bilateral performance, report modifier 50; CMS pays the bilateral procedure at 150%.
What payment rules apply when other procedures are performed in the same session?
The highest-valued procedure is paid in full and the other procedures are paid at 50%. The 90-day global period includes the day-before preoperative visit and related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,02751520,,Removal of bladder lesion,A,,9.95,5.06,NA,5.06,,1.29,16.30,16.30,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02851525,,Removal of bladder lesion,A,,15.03,6.12,NA,6.12,,2.00,23.15,23.15,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02951530,,Removal of bladder lesion,A,,13.37,5.76,NA,5.76,,1.72,20.85,20.85,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03051535,,Repair of ureter lesion,A,,13.55,5.80,NA,5.80,,1.74,21.09,21.09,0,090,0.08,0.83,0.09,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03151550,,Partial removal of bladder,A,,16.80,6.80,NA,6.80,,2.49,26.09,26.09,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03251555,,Partial removal of bladder,A,,22.60,8.10,NA,8.10,,3.11,33.81,33.81,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03351565,,Revise bladder & ureter(s),A,,23.09,8.40,NA,8.40,,2.97,34.46,34.46,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858