$69.66–$72.96
Choose 51100 for needle aspiration of the bladder. Choose 51101 when drainage is performed by trocar or intracatheter.
On this page
CMS RVU26D · Effective 2026-10-01
51101 Bladder drainage Medicare reimbursement rates in Maine
Reports suprapubic bladder decompression by trocar or intracatheter when direct bladder drainage is needed, rather than placement of a suprapubic catheter. Compare 51101 office and facility rates across CMS payment localities in Maine.
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 51101 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$144.86–$153.31
2 of 2 localities have a supported rate.
Facility setting
$42.22–$42.76
2 of 2 localities have a supported rate.
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 procedure
About 51101: Suprapubic bladder drainage by trocar
Reports suprapubic bladder decompression by trocar or intracatheter when direct bladder drainage is needed, rather than placement of a suprapubic catheter.
This service drains the bladder through a suprapubic approach using a trocar or intracatheter. It is typically performed by a urologist or another physician when a patient with urinary retention needs bladder decompression and urethral access is unsuccessful or unsuitable. It may be performed in an office or facility setting. The service represents drainage, not placement of a suprapubic catheter for ongoing drainage.
Report 51101 when the documented technique uses a trocar or intracatheter; needle aspiration is described by 51100, while suprapubic catheter placement is 51102. Documentation should identify the indication, suprapubic approach, and drainage technique. The 0-day global period includes same-day preoperative and postoperative care. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 51101
- 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 RVU0.99 · 21%
- Practice expense (office) RVU3.55 · 76%
- Malpractice RVU0.13 · 3%
71
Medicare services in 2024 · #5135 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.
51101 compared with similar codes
Office rates for Maine, from the same CMS release.
$225.61–$235.81
51101 reports bladder drainage by trocar or intracatheter; 51102 reports insertion of a suprapubic catheter.
$60.84–$64.18
51702 describes temporary bladder catheter placement through the urethra, rather than suprapubic drainage by trocar or intracatheter.
Compare 51101 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$144.86
Facility
$42.22
Southern Maine →
Office / nonfacility
$153.31
Facility
$42.76
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51101 billing questions
How is 51101 distinguished from 51100?
51101 is for bladder drainage by trocar or intracatheter. Use 51100 when the documented technique is needle aspiration.
Does 51101 include placement of a suprapubic catheter?
No. 51101 describes drainage by trocar or intracatheter; 51102 is the related code for suprapubic catheter insertion.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not support modifier 50 for this service.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple procedure reduction.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 51101. 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.
6,02151065,,Remove ureter calculus,A,,9.70,4.92,NA,4.92,,1.25,15.87,15.87,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02251080,,Drainage of bladder abscess,A,,6.54,3.96,NA,3.96,,0.84,11.34,11.34,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02351100,,Drain bladder by needle,A,,0.76,1.38,,0.16,,0.09,2.23,1.01,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02451101,,Drain bladder by trocar/cath,A,,0.99,3.55,,0.21,,0.13,4.67,1.33,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02551102,,Drain bl w/cath insertion,A,,2.63,4.26,,0.81,,0.33,7.22,3.77,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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