No office rate
Use 51580 for ureterostomy or ureterosigmoidostomy. Use 51590 when the urinary diversion is an ileal conduit or sigmoid bladder.
On this page
CMS RVU26D · Effective 2026-10-01
51580 Complete cystectomy Medicare reimbursement rates in New Mexico
Report complete bladder removal when the surgeon diverts the ureters through a cutaneous ureterostomy or into the sigmoid colon. Compare 51580 office and facility rates across CMS payment localities in New Mexico.
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 51580 in New Mexico?
New Mexico 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
$1681.42
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 51580: Complete cystectomy with ureteral diversion
Report complete bladder removal when the surgeon diverts the ureters through a cutaneous ureterostomy or into the sigmoid colon.
A urologist removes the entire bladder and routes the ureters either to the skin as a ureterostomy or into the sigmoid colon as a ureterosigmoidostomy. The operation is generally performed in a hospital operating room, commonly for bladder cancer requiring cystectomy and urinary diversion. The operative report should identify the extent of bladder removal and the specific route used for each ureter.
Choose this code for the ureterostomy or ureterosigmoidostomy approach, rather than a bowel conduit or continent reservoir. The diversion is part of the reported operative service. This major surgery 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. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51580
- 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 RVU34.49 · 68%
- Practice expense (office) RVU11.47 · 23%
- Malpractice RVU4.44 · 9%
18
Medicare services in 2024 · #5982 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.
51580 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
Both include complete cystectomy with ureterostomy or ureterosigmoidostomy; 51585 also includes bilateral pelvic lymphadenectomy.
No office rate
Use 51596 for a continent urinary diversion. This code describes ureterostomy or ureterosigmoidostomy instead.
Compare 51580 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$1681.42
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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 51580 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
6,036
- Code
- 51580
- Physician work
- 34.49
- Practice expense
- 11.47
- Malpractice
- 4.44
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.49 | × 1.000 | 34.4900 |
| Practice expense | 11.47 | × 0.917 | 10.5180 |
| Malpractice | 4.44 | × 1.201 | 5.3324 |
| Total RVUs | 50.3404 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1681.42
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 34.49 | 1 |
| Practice expense | 11.47 | 0.917 |
| Malpractice | 4.44 | 1.201 |
(34.49 × 1 + 11.47 × 0.917 + 4.44 × 1.201) × $33.4009 = $1681.42
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.
51580 billing questions
How does this differ from 51590?
This code describes diversion by ureterostomy or ureterosigmoidostomy. Choose 51590 when the surgeon creates an ileal conduit or sigmoid bladder.
Is the urinary diversion separately reported?
The ureterostomy or ureterosigmoidostomy is part of this complete cystectomy service. The documented diversion method determines whether this code or a different cystectomy-with-diversion code applies.
Should modifier 50 be appended for bilateral ureteral diversion?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor and anatomy do not support modifier 50.
What documentation supports code selection?
The operative report should establish complete bladder removal and specify whether the ureters were brought to the skin or implanted into the sigmoid colon.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
Can an assistant or co-surgeon be reported?
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.
6,03351565,,Revise bladder & ureter(s),A,,23.09,8.40,NA,8.40,,2.97,34.46,34.46,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03451570,,Removal of bladder,A,,26.77,8.83,NA,8.83,,3.45,39.05,39.05,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03551575,,Removal of bladder & nodes,A,,33.33,10.57,NA,10.57,,4.28,48.18,48.18,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03651580,,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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210