No office rate
51550 is for partial bladder excision without ureteral reimplantation. Choose 51565 when the operation also reimplants one or both ureters.
On this page
CMS RVU26D · Effective 2026-10-01
51565 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1145.01
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 51565: Partial bladder excision with ureteral reimplantation
Reports partial bladder removal with reimplantation of one or both ureters into the remaining bladder, such as for a lesion involving a ureteral opening.
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.
CMS billing rules for 51565
- 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 adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- 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 RVU23.09 · 67%
- Practice expense (office) RVU8.40 · 24%
- Malpractice RVU2.97 · 9%
44
Medicare services in 2024 · #5437 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.
51565 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
51555 describes complicated partial bladder excision without ureteral reimplantation; 51565 includes reimplantation as part of the operation.
No office rate
50780 represents ureteral reimplantation without the partial bladder excision captured by 51565.
No office rate
51570 describes complete bladder removal. 51565 is for an operation that removes only part of the bladder and reimplants ureteral drainage.
The same code, a different location
How does Merced compare?
51565 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
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
Madera
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Modesto
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Napa
California · 51565
Office
Unavailable
Facility
$1240.00
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 51565
Office
Unavailable
Facility
$1186.25
No comparable office rate is available.
Redding
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Rest Of California
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 51565
Office
Unavailable
Facility
$1177.23
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 51565
Office
Unavailable
Facility
$1178.46
No comparable office rate is available.
Salinas
California · 51565
Office
Unavailable
Facility
$1173.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 51565
Office
Unavailable
Facility
$1183.69
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 51565
Office
Unavailable
Facility
$1285.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 51565
Office
Unavailable
Facility
$1282.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 51565
Office
Unavailable
Facility
$1313.81
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 51565
Office
Unavailable
Facility
$1300.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 51565
Office
Unavailable
Facility
$1157.08
No comparable office rate is available.
Santa Cruz-Watsonville
California · 51565
Office
Unavailable
Facility
$1181.48
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 51565
Office
Unavailable
Facility
$1173.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 51565
Office
Unavailable
Facility
$1192.07
No comparable office rate is available.
Stockton
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Vallejo
California · 51565
Office
Unavailable
Facility
$1235.14
No comparable office rate is available.
Visalia
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Yuba City
California · 51565
Office
Unavailable
Facility
$1145.01
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 51565
Office
Unavailable
Facility
$1253.79
No comparable office rate is available.
Miami
Florida · 51565
Office
Unavailable
Facility
$1314.18
No comparable office rate is available.
Chicago
Illinois · 51565
Office
Unavailable
Facility
$1286.26
No comparable office rate is available.
Manhattan
New York · 51565
Office
Unavailable
Facility
$1303.94
No comparable office rate is available.
Alaska*
Alaska · 51565
Office
Unavailable
Facility
$1510.30
No comparable office rate is available.
Alabama
Alabama · 51565
Office
Unavailable
Facility
$1072.87
No comparable office rate is available.
Arkansas
Arkansas · 51565
Office
Unavailable
Facility
$1063.32
No comparable office rate is available.
Arizona
Arizona · 51565
Office
Unavailable
Facility
$1128.01
No comparable office rate is available.
Colorado
Colorado · 51565
Office
Unavailable
Facility
$1156.48
No comparable office rate is available.
Connecticut
Connecticut · 51565
Office
Unavailable
Facility
$1208.86
No comparable office rate is available.
Delaware
Delaware · 51565
Office
Unavailable
Facility
$1141.47
No comparable office rate is available.
Fort Lauderdale
Florida · 51565
Office
Unavailable
Facility
$1234.80
No comparable office rate is available.
Rest Of Florida
Florida · 51565
Office
Unavailable
Facility
$1188.55
No comparable office rate is available.
Atlanta
Georgia · 51565
Office
Unavailable
Facility
$1177.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 51565
Office
Unavailable
Facility
$1139.74
No comparable office rate is available.
Hawaii, Guam
Hawaii · 51565
Office
Unavailable
Facility
$1147.67
No comparable office rate is available.
Iowa
Iowa · 51565
Office
Unavailable
Facility
$1067.33
No comparable office rate is available.
Idaho
Idaho · 51565
Office
Unavailable
Facility
$1076.27
No comparable office rate is available.
East St. Louis
Illinois · 51565
Office
Unavailable
Facility
$1229.14
No comparable office rate is available.
Rest Of Illinois
Illinois · 51565
Office
Unavailable
Facility
$1182.44
No comparable office rate is available.
Suburban Chicago
Illinois · 51565
Office
Unavailable
Facility
$1240.55
No comparable office rate is available.
Indiana
Indiana · 51565
Office
Unavailable
Facility
$1079.52
No comparable office rate is available.
Kansas
Kansas · 51565
Office
Unavailable
Facility
$1074.86
No comparable office rate is available.
Kentucky
Kentucky · 51565
Office
Unavailable
Facility
$1111.42
No comparable office rate is available.
New Orleans
Louisiana · 51565
Office
Unavailable
Facility
$1147.93
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 51565
Office
Unavailable
Facility
$1114.56
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 51565
Office
Unavailable
Facility
$1226.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 51565
Office
Unavailable
Facility
$1158.07
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 51565
Office
Unavailable
Facility
$1207.33
No comparable office rate is available.
Rest Of Maryland
Maryland · 51565
Office
Unavailable
Facility
$1153.94
No comparable office rate is available.
Rest Of Maine
Maine · 51565
Office
Unavailable
Facility
$1091.05
No comparable office rate is available.
Southern Maine
Maine · 51565
Office
Unavailable
Facility
$1111.86
No comparable office rate is available.
Detroit
Michigan · 51565
Office
Unavailable
Facility
$1209.23
No comparable office rate is available.
Rest Of Michigan
Michigan · 51565
Office
Unavailable
Facility
$1139.38
No comparable office rate is available.
Minnesota
Minnesota · 51565
Office
Unavailable
Facility
$1089.29
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 51565
Office
Unavailable
Facility
$1131.60
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 51565
Office
Unavailable
Facility
$1137.73
No comparable office rate is available.
Rest Of Missouri
Missouri · 51565
Office
Unavailable
Facility
$1109.70
No comparable office rate is available.
Mississippi
Mississippi · 51565
Office
Unavailable
Facility
$1086.10
No comparable office rate is available.
Montana**
Montana · 51565
Office
Unavailable
Facility
$1150.80
No comparable office rate is available.
North Carolina
North Carolina · 51565
Office
Unavailable
Facility
$1096.39
No comparable office rate is available.
North Dakota**
North Dakota · 51565
Office
Unavailable
Facility
$1092.07
No comparable office rate is available.
Nebraska
Nebraska · 51565
Office
Unavailable
Facility
$1067.69
No comparable office rate is available.
New Hampshire
New Hampshire · 51565
Office
Unavailable
Facility
$1150.10
No comparable office rate is available.
Northern Nj
New Jersey · 51565
Office
Unavailable
Facility
$1251.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 51565
Office
Unavailable
Facility
$1217.28
No comparable office rate is available.
New Mexico
New Mexico · 51565
Office
Unavailable
Facility
$1147.65
No comparable office rate is available.
Nevada**
Nevada · 51565
Office
Unavailable
Facility
$1134.71
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 51565
Office
Unavailable
Facility
$1338.40
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 51565
Office
Unavailable
Facility
$1233.19
No comparable office rate is available.
Queens
New York · 51565
Office
Unavailable
Facility
$1295.26
No comparable office rate is available.
Rest Of New York
New York · 51565
Office
Unavailable
Facility
$1107.50
No comparable office rate is available.
Ohio
Ohio · 51565
Office
Unavailable
Facility
$1127.38
No comparable office rate is available.
Oklahoma
Oklahoma · 51565
Office
Unavailable
Facility
$1098.85
No comparable office rate is available.
Portland
Oregon · 51565
Office
Unavailable
Facility
$1169.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 51565
Office
Unavailable
Facility
$1120.41
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 51565
Office
Unavailable
Facility
$1195.53
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 51565
Office
Unavailable
Facility
$1122.53
No comparable office rate is available.
Puerto Rico
Puerto Rico · 51565
Office
Unavailable
Facility
$1152.59
No comparable office rate is available.
Rhode Island
Rhode Island · 51565
Office
Unavailable
Facility
$1164.19
No comparable office rate is available.
South Carolina
South Carolina · 51565
Office
Unavailable
Facility
$1114.79
No comparable office rate is available.
South Dakota**
South Dakota · 51565
Office
Unavailable
Facility
$1085.13
No comparable office rate is available.
Tennessee
Tennessee · 51565
Office
Unavailable
Facility
$1079.53
No comparable office rate is available.
Austin
Texas · 51565
Office
Unavailable
Facility
$1157.50
No comparable office rate is available.
Beaumont
Texas · 51565
Office
Unavailable
Facility
$1118.70
No comparable office rate is available.
Brazoria
Texas · 51565
Office
Unavailable
Facility
$1132.82
No comparable office rate is available.
Dallas
Texas · 51565
Office
Unavailable
Facility
$1142.73
No comparable office rate is available.
Fort Worth
Texas · 51565
Office
Unavailable
Facility
$1141.21
No comparable office rate is available.
Galveston
Texas · 51565
Office
Unavailable
Facility
$1138.14
No comparable office rate is available.
Houston
Texas · 51565
Office
Unavailable
Facility
$1192.50
No comparable office rate is available.
Rest Of Texas
Texas · 51565
Office
Unavailable
Facility
$1127.06
No comparable office rate is available.
Utah
Utah · 51565
Office
Unavailable
Facility
$1124.04
No comparable office rate is available.
Virginia
Virginia · 51565
Office
Unavailable
Facility
$1117.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 51565
Office
Unavailable
Facility
$1152.59
No comparable office rate is available.
Vermont
Vermont · 51565
Office
Unavailable
Facility
$1099.18
No comparable office rate is available.
Rest Of Washington
Washington · 51565
Office
Unavailable
Facility
$1152.18
No comparable office rate is available.
Seattle (King Cnty)
Washington · 51565
Office
Unavailable
Facility
$1235.09
No comparable office rate is available.
Wisconsin
Wisconsin · 51565
Office
Unavailable
Facility
$1070.56
No comparable office rate is available.
West Virginia
West Virginia · 51565
Office
Unavailable
Facility
$1157.00
No comparable office rate is available.
Wyoming**
Wyoming · 51565
Office
Unavailable
Facility
$1125.20
No comparable office rate is available.
See how rates vary across the country
51565 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 51565 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1259.51
$1145.01 × 110% = $1259.51
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 51565 in Merced.
PPRRVU2026_Oct_nonQPP.csv
6,033
- Code
- 51565
- Physician work
- 23.09
- Practice expense
- 8.40
- Malpractice
- 2.97
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.09 | × 1.017 | 23.4825 |
| Practice expense | 8.40 | × 1.096 | 9.2064 |
| Malpractice | 2.97 | × 0.536 | 1.5919 |
| Total RVUs | 34.2809 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1145.01
Open 51565 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.09 | 1.017 |
| Practice expense | 8.4 | 1.096 |
| Malpractice | 2.97 | 0.536 |
(23.09 × 1.017 + 8.4 × 1.096 + 2.97 × 0.536) × $33.4009 = $1145.01
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
51565 · 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 | $1145.01 | RVU26D |
| 2026-07-01 | Not available in this setting | $1145.01 | RVU26C |
| 2026-04-01 | Not available in this setting | $1145.01 | RVU26B |
| 2026-01-01 | Not available in this setting | $1145.01 | RVU26A |
| 2025-10-01 | Not available in this setting | $1252.75 | RVU25D |
| 2025-07-01 | Not available in this setting | $1252.75 | RVU25C |
| 2025-04-01 | Not available in this setting | $1252.75 | RVU25B |
| 2025-01-01 | Not available in this setting | $1252.75 | RVU25A |
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 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.
6,03051535,,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
6,03451570,,Removal of bladder,A,,26.77,8.83,NA,8.83,,3.45,39.05,39.05,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03551575,,Removal of bladder & nodes,A,,33.33,10.57,NA,10.57,,4.28,48.18,48.18,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03651580,,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
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623