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 Bladder removal Medicare reimbursement rates in Colorado
Reports complete bladder removal with construction of a continent urinary reservoir from intestine or colon, such as an Indiana pouch. Compare 51595 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 51595 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1938.77
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Colorado, 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.
Compare 51595 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1938.77
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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 51595 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,039
- Code
- 51595
- Physician work
- 40.29
- Practice expense
- 12.35
- Malpractice
- 5.29
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 40.29 | × 1.012 | 40.7735 |
| Practice expense | 12.35 | × 1.064 | 13.1404 |
| Malpractice | 5.29 | × 0.781 | 4.1315 |
| Total RVUs | 58.0454 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1938.77
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 40.29 | 1.012 |
| Practice expense | 12.35 | 1.064 |
| Malpractice | 5.29 | 0.781 |
(40.29 × 1.012 + 12.35 × 1.064 + 5.29 × 0.781) × $33.4009 = $1938.77
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.
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899