No office rate
Choose 51080 for operative drainage of a bladder abscess. Choose 51040 when the documented service is cystotomy with drainage rather than drainage of an abscess.
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CMS RVU26D · Effective 2026-10-01
51080 Bladder abscess drainage Medicare reimbursement rates in Texas
Operative drainage of an abscess involving the bladder, reported when a surgeon opens and drains the infected collection rather than performing routine bladder drainage. Compare 51080 office and facility rates across CMS payment localities in Texas.
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 51080 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 51080 pays more and less in Texas
Urology surgery
About 51080: Operative drainage of bladder abscess
Operative drainage of an abscess involving the bladder, reported when a surgeon opens and drains the infected collection rather than performing routine bladder drainage.
A urologist or other surgeon uses this code for operative drainage of a localized abscess involving the bladder. The procedure addresses an infected collection, not routine emptying of the bladder or drainage of urine. The operative report should identify the abscess and describe the drainage performed. The service is generally provided in an operating-room setting when surgical access is needed to drain the collection.
Report the code when the documented procedure is drainage of a bladder abscess; a cystotomy performed for urinary drainage is a different service. The record should support the abscess diagnosis, its relationship to the bladder, and the operative work. This major surgery code includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single-organ procedure. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51080
- 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 RVU6.54 · 58%
- Practice expense (office) RVU3.96 · 35%
- Malpractice RVU0.84 · 7%
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.
51080 compared with similar codes
Office rates for Texas, from the same CMS release.
$70.12–$76.87
51100 describes needle aspiration of the bladder. It is not the operative abscess-drainage service reported with 51080.
Compare 51080 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $383.68 |
| Beaumont | Office Unavailable | Facility $364.87 |
| Brazoria | Office Unavailable | Facility $373.15 |
| Dallas | Office Unavailable | Facility $376.22 |
| Fort Worth | Office Unavailable | Facility $375.26 |
| Galveston | Office Unavailable | Facility $374.76 |
| Houston | Office Unavailable | Facility $390.14 |
| Rest Of Texas | Office Unavailable | Facility $369.30 |
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51080 billing questions
How is this different from 51040?
51080 is for operative drainage of a bladder abscess. Code 51040 describes cystotomy with drainage and is used for that distinct bladder-drainage service, not simply because an abscess is present.
Can modifier 50 be used for drainage on both sides?
No. Modifier 50 is inappropriate for this single bladder procedure.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery services may be paid for this procedure. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting 51080?
Document the bladder abscess, its relationship to the bladder, and the operative steps used to drain the collection.
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.
6,01951050,,Removal of bladder stone,A,,7.77,4.21,NA,4.21,,1.01,12.99,12.99,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02051060,,Removal of ureter stone,A,,9.70,5.01,NA,5.01,,1.25,15.96,15.96,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,02151065,,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