No office rate
51520 is for excision of a bladder diverticulum. Use 51530 for excision of a bladder tumor through cystotomy.
On this page
CMS RVU26D · Effective 2026-10-01
51530 Bladder tumor excision Medicare reimbursement rates in Indiana
Reports open surgical access to the bladder to excise a tumor, rather than treatment performed through a cystoscope and urethra. Compare 51530 office and facility rates across CMS payment localities in Indiana.
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 51530 in Indiana?
Indiana 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
$652.84
1 of 1 localities have a supported rate.
Payment area: Indiana
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 51530: Open excision of bladder tumor
Reports open surgical access to the bladder to excise a tumor, rather than treatment performed through a cystoscope and urethra.
A urologist opens the bladder through an incision and directly excises a bladder tumor. This is an open operation performed in a surgical facility, with the removed tissue available for pathologic examination. It is distinct from treating a tumor endoscopically through the urethra and bladder using a cystoscope.
Report 51530 when the operative service is excision of a bladder tumor through cystotomy; the operative report should support the approach and tumor excision performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 for this bladder procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 51530
- 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 RVU13.37 · 64%
- Practice expense (office) RVU5.76 · 28%
- Malpractice RVU1.72 · 8%
44
Medicare services in 2024 · #5436 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.
51530 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
51525 addresses bladder diverticulum excision with bladder-neck resection; 51530 addresses tumor excision.
No office rate
51550 describes partial removal of the bladder. 51530 describes tumor excision through cystotomy without coding the service as a partial cystectomy.
No office rate
52235 is for cystoscopic, transurethral treatment of a medium bladder tumor. 51530 uses an open cystotomy approach.
Compare 51530 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
Indiana →
Office / nonfacility
Unavailable
Facility
$652.84
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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 51530 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,029
- Code
- 51530
- Physician work
- 13.37
- Practice expense
- 5.76
- Malpractice
- 1.72
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.37 | × 1.000 | 13.3700 |
| Practice expense | 5.76 | × 0.927 | 5.3395 |
| Malpractice | 1.72 | × 0.486 | 0.8359 |
| Total RVUs | 19.5454 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$652.84
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.37 | 1 |
| Practice expense | 5.76 | 0.927 |
| Malpractice | 1.72 | 0.486 |
(13.37 × 1 + 5.76 × 0.927 + 1.72 × 0.486) × $33.4009 = $652.84
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.
51530 billing questions
How does 51530 differ from transurethral bladder tumor codes?
51530 describes direct excision through an open bladder incision. Codes 52234, 52235, and 52240 describe cystoscopic, transurethral treatment, with the applicable code selected by tumor size.
Does 51530 include treatment performed through a cystoscope?
No. The defining approach is open cystotomy with direct tumor excision; a transurethral procedure is reported with the applicable endoscopic code instead.
What documentation supports reporting 51530?
The operative report should identify the open approach, the bladder tumor, and the excision performed. It should distinguish tumor excision from removal of a diverticulum or partial cystectomy.
Can modifier 50 be reported?
No. Bilateral adjustment is inappropriate for this bladder procedure.
How does the multiple-procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment 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.
6,02651500,,Removal of bladder cyst,A,,10.77,5.23,NA,5.23,,1.37,17.37,17.37,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02751520,,Removal of bladder lesion,A,,9.95,5.06,NA,5.06,,1.29,16.30,16.30,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02851525,,Removal of bladder lesion,A,,15.03,6.12,NA,6.12,,2.00,23.15,23.15,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02951530,,Removal of bladder lesion,A,,13.37,5.76,NA,5.76,,1.72,20.85,20.85,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03051535,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915