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CMS RVU26D · Effective 2026-10-01

51100 in Visalia

Office / nonfacility

$77.95

Base rate per service

Facility setting

$33.28

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.

Urology procedure

About 51100: Percutaneous bladder needle aspiration

Reports suprapubic needle aspiration of the bladder, commonly to obtain urine when urethral catheterization is unsuitable or cannot be performed.

A clinician punctures the bladder through the lower abdominal wall with a needle and aspirates its contents, commonly urine for a specimen when urethral catheterization is unsuitable or cannot be performed. Urologists and other physicians may perform the procedure in an office, emergency department, or hospital setting. The distinguishing feature is needle aspiration without placement of a suprapubic drainage catheter; a catheter or trocar approach belongs to a different code.

Report 51100 for the needle aspiration itself. Documentation should identify the percutaneous needle approach and the reason for the procedure, such as obtaining urine when urethral access is not suitable. The service has a 0-day global period, so same-day preoperative and postoperative care is included. 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. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 51100

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.76 · 34%
  • Practice expense (office) RVU1.38 · 62%
  • Malpractice RVU0.09 · 4%

30

Medicare services in 2024 · #5675 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.

51100 compared with similar codes

Office rates for Visalia, from the same CMS release.

51101

Bladder drainage

Trocar or intracatheter aspiration

$165.91

Choose 51100 for needle aspiration without catheter placement. 51101 represents drainage through a trocar or catheter approach.

51102

Bladder drainage

Suprapubic catheter insertion

$251.19

51100 is needle aspiration; 51102 is used when a suprapubic catheter is inserted for drainage.

51701

Bladder catheterization

In-and-out catheter

$47.18

51701 describes non-indwelling catheterization through the urethra. 51100 is percutaneous needle aspiration through the lower abdominal wall.

The same code, a different location

How does Visalia compare?

In Bakersfield, the office rate for 51100 is $78.22—$0.27 higher than the $77.95 rate in Visalia. Both use the same code, release and participation basis.

51100 across payment areas

Same release and payment basis · bars start at $0

  1. Visalia · This locality

    $77.95

  2. Bakersfield

    $78.22

    $0.27 higher than Visalia

  3. Chico

    $77.95

    The same base rate than Visalia

  4. El Centro

    $77.96

    $0.01 higher than Visalia

  5. Fresno

    $77.95

    The same base rate than Visalia

  6. Hanford-Corcoran

    $77.95

    The same base rate than Visalia

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $82.95

    $5.00 higher than Visalia

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 51100 ranges from $66.53 in Arkansas to $96.25 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Merced

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Modesto

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Napa

    California · 51100

    Office

    $89.26

    Facility

    $35.55

    $11.31 higher than Visalia for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 51100

    Office

    $82.45

    Facility

    $34.29

    $4.50 higher than Visalia for the office setting.

  • Redding

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Rest Of California

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 51100

    Office

    $78.92

    Facility

    $34.26

    $0.97 higher than Visalia for the office setting.

  • Sacramento-Roseville-Folsom

    California · 51100

    Office

    $81.52

    Facility

    $34.13

    $3.57 higher than Visalia for the office setting.

  • Salinas

    California · 51100

    Office

    $81.20

    Facility

    $33.98

    $3.25 higher than Visalia for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 51100

    Office

    $82.90

    Facility

    $34.17

    $4.95 higher than Visalia for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 51100

    Office

    $94.17

    Facility

    $36.71

    $16.22 higher than Visalia for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 51100

    Office

    $94.07

    Facility

    $36.61

    $16.12 higher than Visalia for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 51100

    Office

    $96.25

    Facility

    $37.49

    $18.30 higher than Visalia for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 51100

    Office

    $95.84

    Facility

    $37.08

    $17.89 higher than Visalia for the office setting.

  • San Luis Obispo-Paso Robles

    California · 51100

    Office

    $79.93

    Facility

    $33.51

    $1.98 higher than Visalia for the office setting.

  • Santa Cruz-Watsonville

    California · 51100

    Office

    $83.53

    Facility

    $34.02

    $5.58 higher than Visalia for the office setting.

  • Santa Maria-Santa Barbara

    California · 51100

    Office

    $81.45

    Facility

    $33.94

    $3.50 higher than Visalia for the office setting.

  • Santa Rosa-Petaluma

    California · 51100

    Office

    $84.36

    Facility

    $34.32

    $6.41 higher than Visalia for the office setting.

  • Stockton

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Vallejo

    California · 51100

    Office

    $89.11

    Facility

    $35.41

    $11.16 higher than Visalia for the office setting.

  • Yuba City

    California · 51100

    Office

    $77.95

    Facility

    $33.28

    The same base rate than Visalia for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 51100

    Office

    $84.40

    Facility

    $36.40

    $6.45 higher than Visalia for the office setting.

  • Miami

    Florida · 51100

    Office

    $80.97

    Facility

    $38.55

    $3.02 higher than Visalia for the office setting.

  • Chicago

    Illinois · 51100

    Office

    $78.79

    Facility

    $37.83

    $0.84 higher than Visalia for the office setting.

  • Manhattan

    New York · 51100

    Office

    $85.34

    Facility

    $37.99

    $7.39 higher than Visalia for the office setting.

  • Alaska*

    Alaska · 51100

    Office

    $88.82

    Facility

    $45.42

    $10.87 higher than Visalia for the office setting.

  • Alabama

    Alabama · 51100

    Office

    $67.42

    Facility

    $31.76

    $10.53 lower than Visalia for the office setting.

  • Arkansas

    Arkansas · 51100

    Office

    $66.53

    Facility

    $31.52

    $11.42 lower than Visalia for the office setting.

  • Arizona

    Arizona · 51100

    Office

    $72.62

    Facility

    $33.14

    $5.33 lower than Visalia for the office setting.

  • Colorado

    Colorado · 51100

    Office

    $77.08

    Facility

    $33.72

    $0.87 lower than Visalia for the office setting.

  • Connecticut

    Connecticut · 51100

    Office

    $79.17

    Facility

    $35.29

    $1.22 higher than Visalia for the office setting.

  • Delaware

    Delaware · 51100

    Office

    $73.75

    Facility

    $33.49

    $4.20 lower than Visalia for the office setting.

  • Fort Lauderdale

    Florida · 51100

    Office

    $77.51

    Facility

    $36.23

    $0.44 lower than Visalia for the office setting.

  • Rest Of Florida

    Florida · 51100

    Office

    $73.97

    Facility

    $35.01

    $3.98 lower than Visalia for the office setting.

  • Atlanta

    Georgia · 51100

    Office

    $75.90

    Facility

    $34.50

    $2.05 lower than Visalia for the office setting.

  • Rest Of Georgia

    Georgia · 51100

    Office

    $70.08

    Facility

    $33.73

    $7.87 lower than Visalia for the office setting.

  • Hawaii, Guam

    Hawaii · 51100

    Office

    $79.53

    Facility

    $33.20

    $1.58 higher than Visalia for the office setting.

  • Iowa

    Iowa · 51100

    Office

    $68.75

    Facility

    $31.47

    $9.20 lower than Visalia for the office setting.

  • Idaho

    Idaho · 51100

    Office

    $69.21

    Facility

    $31.72

    $8.74 lower than Visalia for the office setting.

  • East St. Louis

    Illinois · 51100

    Office

    $73.84

    Facility

    $36.36

    $4.11 lower than Visalia for the office setting.

  • Rest Of Illinois

    Illinois · 51100

    Office

    $72.17

    Facility

    $34.96

    $5.78 lower than Visalia for the office setting.

  • Suburban Chicago

    Illinois · 51100

    Office

    $78.23

    Facility

    $36.38

    $0.28 higher than Visalia for the office setting.

  • Indiana

    Indiana · 51100

    Office

    $69.57

    Facility

    $31.80

    $8.38 lower than Visalia for the office setting.

  • Kansas

    Kansas · 51100

    Office

    $68.57

    Facility

    $31.73

    $9.38 lower than Visalia for the office setting.

  • Kentucky

    Kentucky · 51100

    Office

    $69.11

    Facility

    $32.89

    $8.84 lower than Visalia for the office setting.

  • New Orleans

    Louisiana · 51100

    Office

    $72.17

    Facility

    $33.83

    $5.78 lower than Visalia for the office setting.

  • Rest Of Louisiana

    Louisiana · 51100

    Office

    $69.06

    Facility

    $32.99

    $8.89 lower than Visalia for the office setting.

  • Metropolitan Boston

    Massachusetts · 51100

    Office

    $84.14

    Facility

    $35.48

    $6.19 higher than Visalia for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 51100

    Office

    $76.72

    Facility

    $33.81

    $1.23 lower than Visalia for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 51100

    Office

    $78.97

    Facility

    $35.24

    $1.02 higher than Visalia for the office setting.

  • Rest Of Maryland

    Maryland · 51100

    Office

    $75.04

    Facility

    $33.81

    $2.91 lower than Visalia for the office setting.

  • Rest Of Maine

    Maine · 51100

    Office

    $69.66

    Facility

    $32.17

    $8.29 lower than Visalia for the office setting.

  • Southern Maine

    Maine · 51100

    Office

    $72.96

    Facility

    $32.58

    $4.99 lower than Visalia for the office setting.

  • Detroit

    Michigan · 51100

    Office

    $74.93

    Facility

    $35.61

    $3.02 lower than Visalia for the office setting.

  • Rest Of Michigan

    Michigan · 51100

    Office

    $70.86

    Facility

    $33.66

    $7.09 lower than Visalia for the office setting.

  • Minnesota

    Minnesota · 51100

    Office

    $73.70

    Facility

    $31.77

    $4.25 lower than Visalia for the office setting.

  • Metropolitan Kansas City

    Missouri · 51100

    Office

    $71.60

    Facility

    $33.34

    $6.35 lower than Visalia for the office setting.

  • Metropolitan St. Louis

    Missouri · 51100

    Office

    $72.28

    Facility

    $33.48

    $5.67 lower than Visalia for the office setting.

  • Rest Of Missouri

    Missouri · 51100

    Office

    $68.04

    Facility

    $32.92

    $9.91 lower than Visalia for the office setting.

  • Mississippi

    Mississippi · 51100

    Office

    $67.29

    Facility

    $32.21

    $10.66 lower than Visalia for the office setting.

  • Montana**

    Montana · 51100

    Office

    $74.48

    Facility

    $33.73

    $3.47 lower than Visalia for the office setting.

  • North Carolina

    North Carolina · 51100

    Office

    $70.31

    Facility

    $32.29

    $7.64 lower than Visalia for the office setting.

  • North Dakota**

    North Dakota · 51100

    Office

    $72.70

    Facility

    $31.95

    $5.25 lower than Visalia for the office setting.

  • Nebraska

    Nebraska · 51100

    Office

    $69.07

    Facility

    $31.45

    $8.88 lower than Visalia for the office setting.

  • New Hampshire

    New Hampshire · 51100

    Office

    $76.00

    Facility

    $33.58

    $1.95 lower than Visalia for the office setting.

  • Northern Nj

    New Jersey · 51100

    Office

    $83.66

    Facility

    $36.39

    $5.71 higher than Visalia for the office setting.

  • Rest Of New Jersey

    New Jersey · 51100

    Office

    $80.03

    Facility

    $35.53

    $2.08 higher than Visalia for the office setting.

  • New Mexico

    New Mexico · 51100

    Office

    $71.26

    Facility

    $33.90

    $6.69 lower than Visalia for the office setting.

  • Nevada**

    Nevada · 51100

    Office

    $74.03

    Facility

    $33.24

    $3.92 lower than Visalia for the office setting.

  • Nyc Suburbs/Long Island

    New York · 51100

    Office

    $87.40

    Facility

    $38.95

    $9.45 higher than Visalia for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 51100

    Office

    $80.64

    Facility

    $36.02

    $2.69 higher than Visalia for the office setting.

  • Queens

    New York · 51100

    Office

    $85.83

    Facility

    $37.66

    $7.88 higher than Visalia for the office setting.

  • Rest Of New York

    New York · 51100

    Office

    $71.29

    Facility

    $32.57

    $6.66 lower than Visalia for the office setting.

  • Ohio

    Ohio · 51100

    Office

    $70.50

    Facility

    $33.29

    $7.45 lower than Visalia for the office setting.

  • Oklahoma

    Oklahoma · 51100

    Office

    $68.88

    Facility

    $32.49

    $9.07 lower than Visalia for the office setting.

  • Portland

    Oregon · 51100

    Office

    $79.24

    Facility

    $33.96

    $1.29 higher than Visalia for the office setting.

  • Rest Of Oregon

    Oregon · 51100

    Office

    $73.41

    Facility

    $32.82

    $4.54 lower than Visalia for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 51100

    Office

    $77.41

    Facility

    $34.99

    $0.54 lower than Visalia for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 51100

    Office

    $70.54

    Facility

    $33.13

    $7.41 lower than Visalia for the office setting.

  • Puerto Rico

    Puerto Rico · 51100

    Office

    $74.95

    Facility

    $33.75

    $3.00 lower than Visalia for the office setting.

  • Rhode Island

    Rhode Island · 51100

    Office

    $76.16

    Facility

    $34.07

    $1.79 lower than Visalia for the office setting.

  • South Carolina

    South Carolina · 51100

    Office

    $70.53

    Facility

    $32.88

    $7.42 lower than Visalia for the office setting.

  • South Dakota**

    South Dakota · 51100

    Office

    $72.49

    Facility

    $31.74

    $5.46 lower than Visalia for the office setting.

  • Tennessee

    Tennessee · 51100

    Office

    $68.90

    Facility

    $31.86

    $9.05 lower than Visalia for the office setting.

  • Austin

    Texas · 51100

    Office

    $76.87

    Facility

    $33.75

    $1.08 lower than Visalia for the office setting.

  • Beaumont

    Texas · 51100

    Office

    $70.12

    Facility

    $33.04

    $7.83 lower than Visalia for the office setting.

  • Brazoria

    Texas · 51100

    Office

    $73.61

    Facility

    $33.23

    $4.34 lower than Visalia for the office setting.

  • Dallas

    Texas · 51100

    Office

    $74.10

    Facility

    $33.52

    $3.85 lower than Visalia for the office setting.

  • Fort Worth

    Texas · 51100

    Office

    $73.68

    Facility

    $33.50

    $4.27 lower than Visalia for the office setting.

  • Galveston

    Texas · 51100

    Office

    $73.85

    Facility

    $33.38

    $4.10 lower than Visalia for the office setting.

  • Houston

    Texas · 51100

    Office

    $75.49

    Facility

    $35.03

    $2.46 lower than Visalia for the office setting.

  • Rest Of Texas

    Texas · 51100

    Office

    $71.84

    Facility

    $33.17

    $6.11 lower than Visalia for the office setting.

  • Utah

    Utah · 51100

    Office

    $71.41

    Facility

    $33.11

    $6.54 lower than Visalia for the office setting.

  • Virginia

    Virginia · 51100

    Office

    $72.82

    Facility

    $32.76

    $5.13 lower than Visalia for the office setting.

  • Virgin Islands

    United States Virgin Islands · 51100

    Office

    $74.95

    Facility

    $33.75

    $3.00 lower than Visalia for the office setting.

  • Vermont

    Vermont · 51100

    Office

    $72.54

    Facility

    $32.20

    $5.41 lower than Visalia for the office setting.

  • Rest Of Washington

    Washington · 51100

    Office

    $76.54

    Facility

    $33.63

    $1.41 lower than Visalia for the office setting.

  • Seattle (King Cnty)

    Washington · 51100

    Office

    $85.67

    Facility

    $35.67

    $7.72 higher than Visalia for the office setting.

  • Wisconsin

    Wisconsin · 51100

    Office

    $70.47

    Facility

    $31.43

    $7.48 lower than Visalia for the office setting.

  • West Virginia

    West Virginia · 51100

    Office

    $69.74

    Facility

    $34.33

    $8.21 lower than Visalia for the office setting.

  • Wyoming**

    Wyoming · 51100

    Office

    $73.70

    Facility

    $32.95

    $4.25 lower than Visalia for the office setting.

See how rates vary across the country

51100 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$66.53

$88.82

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$88.821
AL$67.421
AR$66.531
AZ$72.621
CA$77.95–$96.2529
CO$77.081
CT$79.171
DC$84.401
DE$73.751
FL$73.97–$80.973
GA$70.08–$75.902
GU$79.531
HI$79.531
IA$68.751
ID$69.211
IL$72.17–$78.794
IN$69.571
KS$68.571
KY$69.111
LA$69.06–$72.172
MA$76.72–$84.142
MD$75.04–$84.403
ME$69.66–$72.962
MI$70.86–$74.932
MN$73.701
MO$68.04–$72.283
MS$67.291
MT$74.481
NC$70.311
ND$72.701
NE$69.071
NH$76.001
NJ$80.03–$83.662
NM$71.261
NV$74.031
NY$71.29–$87.405
OH$70.501
OK$68.881
OR$73.41–$79.242
PA$70.54–$77.412
PR$74.951
RI$76.161
SC$70.531
SD$72.491
TN$68.901
TX$70.12–$76.878
UT$71.411
VA$72.82–$84.402
VI$74.951
VT$72.541
WA$76.54–$85.672
WI$70.471
WV$69.741
WY$73.701

Explore 51100 on the national rate map →

Where does this rate apply?

Visalia is a Medicare payment area. Our Census mapping connects it to 70 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 51100 in Visalia, the physician’s office rate is $77.95 and the facility-setting rate is $33.28: a difference of $44.67.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 51100 in Visalia. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$85.75

$77.95 × 110% = $85.75

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.

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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 51100 in Visalia.

PPRRVU2026_Oct_nonQPP.csv

6,023

Code
51100
Physician work
0.76
Practice expense
1.38
Malpractice
0.09

GPCI2026.csv

34

Locality
Visalia
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 51100 in Visalia
ComponentRVULocality factorAdjusted
Physician work0.76× 1.0170.7729
Practice expense1.38× 1.0961.5125
Malpractice0.09× 0.5360.0482
Total RVUs2.3336
Conversion factor× 33.4009

Office / nonfacility rate, Visalia$77.95

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 51100 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.761.017
Practice expense1.381.096
Malpractice0.090.536

(0.76 × 1.017 + 1.38 × 1.096 + 0.09 × 0.536) × $33.4009 = $77.95

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.761.017
Practice expense0.161.096
Malpractice0.090.536

(0.76 × 1.017 + 0.16 × 1.096 + 0.09 × 0.536) × $33.4009 = $33.28

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

51100 · Office / nonfacility

$77.95

Effective 2026-10-01

The base rate is $3.89 higher than on 2025-10-01, moving from $74.06 to $77.95 (5.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $74.06changed to$77.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.78 changed to 0.76
    • Practice expense RVU 1.32 changed to 1.38
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $74.06

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$77.95$33.28RVU26D
2026-07-01$77.95$33.28RVU26C
2026-04-01$77.95$33.28RVU26B
2026-01-01$77.95$33.28RVU26A
2025-10-01$74.06$37.29RVU25D
2025-07-01$74.06$37.29RVU25C
2025-04-01$74.06$37.29RVU25B
2025-01-01$74.06$37.29RVU25A

51100 billing questions

How is 51100 different from 51101?

51100 is needle aspiration without catheter placement. 51101 describes bladder drainage using a trocar or catheter approach.

Does 51100 include placement of a suprapubic catheter?

No. It covers needle aspiration; when a suprapubic catheter is inserted, consider 51102 instead.

Can 51100 be billed with a catheterization code?

A separate urethral catheterization should reflect a distinct service, not merely another way of describing the bladder access used for the aspiration. 51701 describes non-indwelling urethral catheterization, rather than percutaneous needle aspiration.

Should modifier 50 be appended?

No. The bladder procedure is not reported bilaterally, and the CMS bilateral adjustment does not apply.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 51100. Co-surgeons and team surgery are 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.

RVUs for 51100PPRRVU2026_Oct_nonQPP.csv, line 6,023 (RVU26D)
Geographic factors for VisaliaGPCI2026.csv, line 34 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet