No office rate
Choose 51595 for a continent reservoir constructed from intestine or colon; 51590 describes a ureteroileal conduit.
On this page
CMS RVU26D · Effective 2026-10-01
51595 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1915.41
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 51595: Complete cystectomy with continent diversion
Reports complete bladder removal with construction of a continent urinary reservoir from intestine or colon, such as an Indiana pouch.
A urologist removes the bladder and creates a continent urinary reservoir using intestine or colon, redirecting the ureters into the reservoir. Examples include an Indiana pouch or Kock pouch, which stores urine and is emptied by catheterization through a stoma. This major operation is typically performed in a hospital operating room for conditions such as bladder cancer when complete removal and continent urinary diversion are planned.
Report this code when the operation includes both complete cystectomy and the continent intestinal diversion; an ileal conduit is a different reconstruction. The operative report should support the extent of bladder removal and describe the reservoir and urinary connections. 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 others at 50%. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51595
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU40.29 · 70%
- Practice expense (office) RVU12.35 · 21%
- Malpractice RVU5.29 · 9%
1.7K
Medicare services in 2024 · #2586 by national volume
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.
51595 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
51596 includes bilateral pelvic lymphadenectomy with the complete cystectomy and continent diversion. 51595 describes the continent diversion without that added lymphadenectomy.
No office rate
51580 describes urinary diversion through ureterosigmoidostomy or ureterocolostomy. 51595 describes a continent reservoir made from intestine or colon.
The same code, a different location
How does Chico compare?
51595 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Modesto
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Napa
California · 51595
Office
Unavailable
Facility
$2063.94
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 51595
Office
Unavailable
Facility
$1981.06
No comparable office rate is available.
Redding
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Rest Of California
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 51595
Office
Unavailable
Facility
$1972.76
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 51595
Office
Unavailable
Facility
$1968.61
No comparable office rate is available.
Salinas
California · 51595
Office
Unavailable
Facility
$1960.23
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 51595
Office
Unavailable
Facility
$1975.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 51595
Office
Unavailable
Facility
$2136.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 51595
Office
Unavailable
Facility
$2130.29
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 51595
Office
Unavailable
Facility
$2183.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 51595
Office
Unavailable
Facility
$2158.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 51595
Office
Unavailable
Facility
$1933.14
No comparable office rate is available.
Santa Cruz-Watsonville
California · 51595
Office
Unavailable
Facility
$1969.88
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 51595
Office
Unavailable
Facility
$1959.09
No comparable office rate is available.
Santa Rosa-Petaluma
California · 51595
Office
Unavailable
Facility
$1987.35
No comparable office rate is available.
Stockton
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Vallejo
California · 51595
Office
Unavailable
Facility
$2055.28
No comparable office rate is available.
Visalia
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Yuba City
California · 51595
Office
Unavailable
Facility
$1915.41
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 51595
Office
Unavailable
Facility
$2100.97
No comparable office rate is available.
Miami
Florida · 51595
Office
Unavailable
Facility
$2221.99
No comparable office rate is available.
Chicago
Illinois · 51595
Office
Unavailable
Facility
$2175.21
No comparable office rate is available.
Manhattan
New York · 51595
Office
Unavailable
Facility
$2191.41
No comparable office rate is available.
Alaska*
Alaska · 51595
Office
Unavailable
Facility
$2555.25
No comparable office rate is available.
Alabama
Alabama · 51595
Office
Unavailable
Facility
$1806.67
No comparable office rate is available.
Arkansas
Arkansas · 51595
Office
Unavailable
Facility
$1791.06
No comparable office rate is available.
Arizona
Arizona · 51595
Office
Unavailable
Facility
$1896.68
No comparable office rate is available.
Colorado
Colorado · 51595
Office
Unavailable
Facility
$1938.77
No comparable office rate is available.
Connecticut
Connecticut · 51595
Office
Unavailable
Facility
$2030.70
No comparable office rate is available.
Delaware
Delaware · 51595
Office
Unavailable
Facility
$1918.85
No comparable office rate is available.
Fort Lauderdale
Florida · 51595
Office
Unavailable
Facility
$2083.04
No comparable office rate is available.
Rest Of Florida
Florida · 51595
Office
Unavailable
Facility
$2005.64
No comparable office rate is available.
Atlanta
Georgia · 51595
Office
Unavailable
Facility
$1981.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 51595
Office
Unavailable
Facility
$1924.29
No comparable office rate is available.
Hawaii, Guam
Hawaii · 51595
Office
Unavailable
Facility
$1917.04
No comparable office rate is available.
Iowa
Iowa · 51595
Office
Unavailable
Facility
$1793.31
No comparable office rate is available.
Idaho
Idaho · 51595
Office
Unavailable
Facility
$1808.80
No comparable office rate is available.
East St. Louis
Illinois · 51595
Office
Unavailable
Facility
$2081.08
No comparable office rate is available.
Rest Of Illinois
Illinois · 51595
Office
Unavailable
Facility
$1998.50
No comparable office rate is available.
Suburban Chicago
Illinois · 51595
Office
Unavailable
Facility
$2091.88
No comparable office rate is available.
Indiana
Indiana · 51595
Office
Unavailable
Facility
$1813.98
No comparable office rate is available.
Kansas
Kansas · 51595
Office
Unavailable
Facility
$1807.68
No comparable office rate is available.
Kentucky
Kentucky · 51595
Office
Unavailable
Facility
$1874.11
No comparable office rate is available.
New Orleans
Louisiana · 51595
Office
Unavailable
Facility
$1934.61
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 51595
Office
Unavailable
Facility
$1880.06
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 51595
Office
Unavailable
Facility
$2050.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 51595
Office
Unavailable
Facility
$1942.44
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 51595
Office
Unavailable
Facility
$2028.43
No comparable office rate is available.
Rest Of Maryland
Maryland · 51595
Office
Unavailable
Facility
$1938.83
No comparable office rate is available.
Rest Of Maine
Maine · 51595
Office
Unavailable
Facility
$1835.12
No comparable office rate is available.
Southern Maine
Maine · 51595
Office
Unavailable
Facility
$1866.00
No comparable office rate is available.
Detroit
Michigan · 51595
Office
Unavailable
Facility
$2041.69
No comparable office rate is available.
Rest Of Michigan
Michigan · 51595
Office
Unavailable
Facility
$1921.82
No comparable office rate is available.
Minnesota
Minnesota · 51595
Office
Unavailable
Facility
$1822.49
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 51595
Office
Unavailable
Facility
$1905.69
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 51595
Office
Unavailable
Facility
$1915.47
No comparable office rate is available.
Rest Of Missouri
Missouri · 51595
Office
Unavailable
Facility
$1873.40
No comparable office rate is available.
Mississippi
Mississippi · 51595
Office
Unavailable
Facility
$1831.46
No comparable office rate is available.
Montana**
Montana · 51595
Office
Unavailable
Facility
$1934.56
No comparable office rate is available.
North Carolina
North Carolina · 51595
Office
Unavailable
Facility
$1843.49
No comparable office rate is available.
North Dakota**
North Dakota · 51595
Office
Unavailable
Facility
$1829.96
No comparable office rate is available.
Nebraska
Nebraska · 51595
Office
Unavailable
Facility
$1793.25
No comparable office rate is available.
New Hampshire
New Hampshire · 51595
Office
Unavailable
Facility
$1929.74
No comparable office rate is available.
Northern Nj
New Jersey · 51595
Office
Unavailable
Facility
$2097.71
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 51595
Office
Unavailable
Facility
$2043.83
No comparable office rate is available.
New Mexico
New Mexico · 51595
Office
Unavailable
Facility
$1936.19
No comparable office rate is available.
Nevada**
Nevada · 51595
Office
Unavailable
Facility
$1905.82
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 51595
Office
Unavailable
Facility
$2250.43
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 51595
Office
Unavailable
Facility
$2071.76
No comparable office rate is available.
Queens
New York · 51595
Office
Unavailable
Facility
$2174.21
No comparable office rate is available.
Rest Of New York
New York · 51595
Office
Unavailable
Facility
$1861.81
No comparable office rate is available.
Ohio
Ohio · 51595
Office
Unavailable
Facility
$1900.44
No comparable office rate is available.
Oklahoma
Oklahoma · 51595
Office
Unavailable
Facility
$1851.37
No comparable office rate is available.
Portland
Oregon · 51595
Office
Unavailable
Facility
$1957.00
No comparable office rate is available.
Rest Of Oregon
Oregon · 51595
Office
Unavailable
Facility
$1880.79
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 51595
Office
Unavailable
Facility
$2010.15
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 51595
Office
Unavailable
Facility
$1891.37
No comparable office rate is available.
Puerto Rico
Puerto Rico · 51595
Office
Unavailable
Facility
$1936.80
No comparable office rate is available.
Rhode Island
Rhode Island · 51595
Office
Unavailable
Facility
$1955.01
No comparable office rate is available.
South Carolina
South Carolina · 51595
Office
Unavailable
Facility
$1877.06
No comparable office rate is available.
South Dakota**
South Dakota · 51595
Office
Unavailable
Facility
$1817.59
No comparable office rate is available.
Tennessee
Tennessee · 51595
Office
Unavailable
Facility
$1815.57
No comparable office rate is available.
Austin
Texas · 51595
Office
Unavailable
Facility
$1941.39
No comparable office rate is available.
Beaumont
Texas · 51595
Office
Unavailable
Facility
$1885.24
No comparable office rate is available.
Brazoria
Texas · 51595
Office
Unavailable
Facility
$1903.10
No comparable office rate is available.
Dallas
Texas · 51595
Office
Unavailable
Facility
$1920.29
No comparable office rate is available.
Fort Worth
Texas · 51595
Office
Unavailable
Facility
$1918.46
No comparable office rate is available.
Galveston
Texas · 51595
Office
Unavailable
Facility
$1912.40
No comparable office rate is available.
Houston
Texas · 51595
Office
Unavailable
Facility
$2009.23
No comparable office rate is available.
Rest Of Texas
Texas · 51595
Office
Unavailable
Facility
$1896.74
No comparable office rate is available.
Utah
Utah · 51595
Office
Unavailable
Facility
$1892.14
No comparable office rate is available.
Virginia
Virginia · 51595
Office
Unavailable
Facility
$1875.95
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 51595
Office
Unavailable
Facility
$1936.80
No comparable office rate is available.
Vermont
Vermont · 51595
Office
Unavailable
Facility
$1843.50
No comparable office rate is available.
Rest Of Washington
Washington · 51595
Office
Unavailable
Facility
$1932.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · 51595
Office
Unavailable
Facility
$2063.50
No comparable office rate is available.
Wisconsin
Wisconsin · 51595
Office
Unavailable
Facility
$1795.32
No comparable office rate is available.
West Virginia
West Virginia · 51595
Office
Unavailable
Facility
$1957.03
No comparable office rate is available.
Wyoming**
Wyoming · 51595
Office
Unavailable
Facility
$1888.97
No comparable office rate is available.
See how rates vary across the country
51595 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 51595 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2106.95
$1915.41 × 110% = $2106.95
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 51595 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,039
- Code
- 51595
- Physician work
- 40.29
- Practice expense
- 12.35
- Malpractice
- 5.29
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 40.29 | × 1.017 | 40.9749 |
| Practice expense | 12.35 | × 1.096 | 13.5356 |
| Malpractice | 5.29 | × 0.536 | 2.8354 |
| Total RVUs | 57.3460 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1915.41
Open 51595 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 40.29 | 1.017 |
| Practice expense | 12.35 | 1.096 |
| Malpractice | 5.29 | 0.536 |
(40.29 × 1.017 + 12.35 × 1.096 + 5.29 × 0.536) × $33.4009 = $1915.41
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
51595 · 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 | $1915.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $1915.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $1915.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $1915.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $2108.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $2108.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $2108.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $2108.61 | RVU25A |
51595 billing questions
How does 51595 differ from 51590?
51595 describes a continent reservoir made from intestine or colon, emptied by catheterization. 51590 describes a ureteroileal conduit rather than a continent reservoir.
When should 51596 be considered instead?
Use 51596 when the complete cystectomy and continent intestinal diversion are accompanied by bilateral pelvic lymphadenectomy. The operative report should document the lymphadenectomy.
Can the reservoir construction be billed separately from 51595?
The continent diversion is part of the service represented by 51595. The code describes the complete cystectomy together with that reconstruction.
Does modifier 50 increase payment for 51595?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 51595?
The operative report should establish complete bladder removal and identify the intestinal or colonic continent reservoir and its urinary connections. It should distinguish the reconstruction from an ileal conduit.
How are assistant and co-surgeon services handled?
Assistant-at-surgery services may be paid. 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.
6,03651580,,Remove bladder/revise tract,A,,34.49,11.47,NA,11.47,,4.44,50.40,50.40,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03751585,,Removal of bladder & nodes,A,,38.65,12.33,NA,12.33,,4.96,55.94,55.94,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03851590,,Remove bladder/revise tract,A,,35.42,11.12,NA,11.12,,4.71,51.25,51.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03951595,,Remove bladder/revise tract,A,,40.29,12.35,NA,12.35,,5.29,57.93,57.93,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04051596,,Remove bladder/create pouch,A,,43.15,13.68,NA,13.68,,5.69,62.52,62.52,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04151597,,Removal of pelvic structures,A,,41.79,13.56,NA,13.56,,5.73,61.08,61.08,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04251600,,Injection for bladder x-ray,A,,0.86,5.26,,0.17,,0.09,6.21,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536