No office rate
This code addresses bladder-neck and adjoining urethral reconstruction. Compare the operative extent documented for 51820, which describes a different urinary-tract reconstruction.
On this page
CMS RVU26D · Effective 2026-10-01
51800 Bladder outlet reconstruction Medicare reimbursement rates in Oklahoma
Reports reconstructive surgery reshaping the bladder neck and adjoining urethral outlet, including a wedge resection when performed as part of the repair. Compare 51800 office and facility rates across CMS payment localities in Oklahoma.
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 51800 in Oklahoma?
Oklahoma 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
$888.23
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 51800: Cystourethral outlet reconstruction
Reports reconstructive surgery reshaping the bladder neck and adjoining urethral outlet, including a wedge resection when performed as part of the repair.
A urologist uses this code for reconstructive surgery at the bladder neck and adjoining urethral outlet, which may include removing a wedge of bladder-neck tissue. The procedure is performed in an operating room to correct an outlet abnormality requiring reconstruction, rather than to suspend the bladder neck for support or simply close a bladder wound.
Select the code from the operative report’s description of the reconstructed anatomy and technique. Documentation should identify the indication, the bladder-neck and urethral work performed, and any wedge resection. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures 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 not appropriate for this code. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51800
- 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 RVU18.42 · 66%
- Practice expense (office) RVU7.09 · 25%
- Malpractice RVU2.37 · 9%
70
Medicare services in 2024 · #5147 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.
51800 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
Use 51800 for reconstructive work at the bladder outlet; 51840 describes a bladder-neck suspension intended to provide support.
No office rate
51841 is a suspension procedure with a sling. Choose 51800 when the operative report describes reconstruction of the outlet rather than sling-based support.
No office rate
51860 is for repair of a bladder wound. It is not the same as reconstructing the bladder neck and adjoining urethral outlet.
Compare 51800 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$888.23
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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 51800 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
6,088
- Code
- 51800
- Physician work
- 18.42
- Practice expense
- 7.09
- Malpractice
- 2.37
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.42 | × 1.000 | 18.4200 |
| Practice expense | 7.09 | × 0.893 | 6.3314 |
| Malpractice | 2.37 | × 0.777 | 1.8415 |
| Total RVUs | 26.5929 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$888.23
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.42 | 1 |
| Practice expense | 7.09 | 0.893 |
| Malpractice | 2.37 | 0.777 |
(18.42 × 1 + 7.09 × 0.893 + 2.37 × 0.777) × $33.4009 = $888.23
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.
51800 billing questions
How is this different from bladder-neck suspension?
This code describes reconstruction of the bladder-neck and adjoining urethral outlet. A suspension code is considered when the operative objective is to support the bladder neck or urethra, such as for stress urinary incontinence.
What documentation supports reporting this code?
The operative report should describe the outlet abnormality, the anatomy reconstructed, and the surgical steps, including whether a bladder-neck wedge was removed. The documented work should establish reconstruction rather than suspension or wound closure.
Are related postoperative visits included?
Yes. Medicare’s 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used?
No. The procedure is not treated as bilateral for payment adjustment, and modifier 50 is not appropriate.
How are other procedures in the same session paid?
When 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.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. 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.
6,08551797,26,Intraabdominal pressure test,A,,0.78,0.33,,0.33,,0.07,1.18,1.18,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08651797,TC,Intraabdominal pressure test,A,,0.00,3.46,,3.46,NA,0.00,3.46,3.46,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,08751798,,Us urine capacity measure,A,,0.00,0.36,,0.36,NA,0.02,0.38,0.38,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08851800,,Revision of bladder/urethra,A,,18.42,7.09,NA,7.09,,2.37,27.88,27.88,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08951820,,Revision of urinary tract,A,,19.10,7.62,NA,7.62,,2.47,29.19,29.19,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09051840,,Attach bladder/urethra,A,,11.08,5.92,NA,5.92,,1.63,18.63,18.63,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09151841,,Attach bladder/urethra,A,,13.34,6.46,NA,6.46,,1.71,21.51,21.51,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193