Billing code 51595: Bladder removalMedicare rate & RVUs in Oregon
Reports complete bladder removal with construction of a continent urinary reservoir from intestine or colon, such as an Indiana pouch.
CMS doesn’t publish an office rate for 51595 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 51595 covers
A urologist removes the bladder and creates a continent urinary reservoir using intestine or colon, redirecting the ureters into the reservoir. Examples include an Indiana pouch or Kock pouch, which stores urine and is emptied by catheterization through a stoma. This major operation is typically performed in a hospital operating room for conditions such as bladder cancer when complete removal and continent urinary diversion are planned.
Report this code when the operation includes both complete cystectomy and the continent intestinal diversion; an ileal conduit is a different reconstruction. The operative report should support the extent of bladder removal and describe the reservoir and urinary connections. 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 others at 50%. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
Where 51595 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,957.00 |
| Rest Of Oregon | Unavailable | $1,880.79 |
How the 51595 rate is calculated
Each of 51595’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 51595
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 40.29Practice expense 12.35Malpractice 5.29
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 51595
51595 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 51595
Bladder removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 51595
Bladder removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
51595 without 51 · national facility
$1,934.91
Bladder removal
51595-51 · Second procedure: 50%
$967.46
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
51595 compared with similar codes
Compare codes
51595 vs 51590 vs 51596 vs 51580: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 51590Bladder removal
- Choose 51595 for a continent reservoir constructed from intestine or colon; 51590 describes a ureteroileal conduit.
- 51596Bladder removal
- 51596 includes bilateral pelvic lymphadenectomy with the complete cystectomy and continent diversion. 51595 describes the continent diversion without that added lymphadenectomy.
- 51580Complete cystectomy
- 51580 describes urinary diversion through ureterosigmoidostomy or ureterocolostomy. 51595 describes a continent reservoir made from intestine or colon.
51595 billing questions
How does 51595 differ from 51590?
51595 describes a continent reservoir made from intestine or colon, emptied by catheterization. 51590 describes a ureteroileal conduit rather than a continent reservoir.
When should 51596 be considered instead?
Use 51596 when the complete cystectomy and continent intestinal diversion are accompanied by bilateral pelvic lymphadenectomy. The operative report should document the lymphadenectomy.
Can the reservoir construction be billed separately from 51595?
The continent diversion is part of the service represented by 51595. The code describes the complete cystectomy together with that reconstruction.
Does modifier 50 increase payment for 51595?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 51595?
The operative report should establish complete bladder removal and identify the intestinal or colonic continent reservoir and its urinary connections. It should distinguish the reconstruction from an ileal conduit.
How are assistant and co-surgeon services handled?
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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