No office rate
Choose 51880 to close an established cystostomy drainage opening. Choose 51860 for repair of a bladder wound when the repair is not closure of that opening.
On this page
CMS RVU26D · Effective 2026-10-01
51880 Cystostomy closure Medicare reimbursement rates in Delaware
Reports surgical closure of an established cystostomy opening when the bladder no longer needs drainage through that route. Compare 51880 office and facility rates across CMS payment localities in Delaware.
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 51880 in Delaware?
Delaware 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
$425.44
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Urology surgery
About 51880: Closure of an Established Cystostomy
Reports surgical closure of an established cystostomy opening when the bladder no longer needs drainage through that route.
A urologist closes an existing opening between the bladder and the skin after urinary drainage through that route is no longer needed. The opening may have been created for suprapubic bladder drainage or as a vesicostomy. This service addresses closure of the established drainage opening, rather than repair of a new bladder injury. It is generally performed in an operating room or other surgical setting.
Report 51880 when the procedure is directed at closing the cystostomy. The operative note should identify the existing opening, why it is being closed, and the work performed. 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 other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51880
- 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 RVU7.67 · 60%
- Practice expense (office) RVU4.08 · 32%
- Malpractice RVU1.11 · 9%
98
Medicare services in 2024 · #4900 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.
51880 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
51865 represents complex repair of a bladder wound; 51880 is for closure of an established cystostomy.
No office rate
51800 describes reconstructive surgery involving the bladder and/or urethra. It is not the code for closing an established cystostomy opening.
Compare 51880 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
Delaware →
Office / nonfacility
Unavailable
Facility
$425.44
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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 51880 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,095
- Code
- 51880
- Physician work
- 7.67
- Practice expense
- 4.08
- Malpractice
- 1.11
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.67 | × 1.005 | 7.7083 |
| Practice expense | 4.08 | × 0.988 | 4.0310 |
| Malpractice | 1.11 | × 0.899 | 0.9979 |
| Total RVUs | 12.7373 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$425.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.67 | 1.005 |
| Practice expense | 4.08 | 0.988 |
| Malpractice | 1.11 | 0.899 |
(7.67 × 1.005 + 4.08 × 0.988 + 1.11 × 0.899) × $33.4009 = $425.44
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.
51880 billing questions
How is 51880 different from a bladder wound repair?
Use 51880 for closure of an established cystostomy drainage opening. Codes 51860 and 51865 address repair of a bladder wound, with the applicable code depending on the wound repair.
Can 51880 be reported with another procedure in the same session?
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. The operative record should support each reported service.
Should modifier 50 be appended for closure of a cystostomy?
No. Bilateral adjustment does not apply to this code; modifier 50 is inappropriate for the procedure.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be made for 51880. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What documentation supports reporting 51880?
Document the established cystostomy opening, the reason it no longer needs to remain open, and the closure performed. The record should distinguish stoma closure from repair of a bladder injury.
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.
6,09251845,,Repair bladder neck,A,,9.90,4.70,NA,4.70,,1.28,15.88,15.88,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09351860,,Repair of bladder wound,A,,12.29,6.14,NA,6.14,,1.99,20.42,20.42,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09451865,,Repair of bladder wound,A,,15.41,6.63,NA,6.63,,2.21,24.25,24.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09551880,,Repair of bladder opening,A,,7.67,4.08,NA,4.08,,1.11,12.86,12.86,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09651900,,Repair bladder/vagina lesion,A,,14.26,6.22,NA,6.22,,1.83,22.31,22.31,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09751920,,Close bladder-uterus fistula,A,,13.07,5.99,NA,5.99,,1.68,20.74,20.74,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09851925,,Hysterectomy/bladder repair,A,,17.09,8.22,NA,8.22,,3.00,28.31,28.31,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503