No office rate
51570 describes complete bladder removal without bilateral pelvic lymphadenectomy. Choose 51575 when the operative report documents the bilateral node dissection.
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CMS RVU26D · Effective 2026-10-01
51575 Bladder removal Medicare reimbursement rates in Texas
Reports complete bladder removal with bilateral pelvic lymph-node dissection, typically during surgery for bladder cancer when the documented reconstruction matches this code. Compare 51575 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 51575 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 51575 pays more and less in Texas
Urology surgery
About 51575: Complete cystectomy with bilateral pelvic lymphadenectomy
Reports complete bladder removal with bilateral pelvic lymph-node dissection, typically during surgery for bladder cancer when the documented reconstruction matches this code.
A urologic surgeon removes the bladder and dissects pelvic lymph nodes on both sides, including the external iliac, hypogastric, and obturator groups. This operation is commonly performed for bladder cancer in a facility setting. The code distinguishes this combination of bladder removal and bilateral node dissection from cystectomy codes that also include a specified urinary diversion or reconstruction.
Report the code when the operative note supports complete bladder removal and bilateral dissection of the specified pelvic node groups. Documentation should identify the extent of the cystectomy, the nodes dissected, and any urinary diversion performed so the appropriate cystectomy code can be selected. Medicare assigns 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. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51575
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU33.33 · 69%
- Practice expense (office) RVU10.57 · 22%
- Malpractice RVU4.28 · 9%
61
Medicare services in 2024 · #5230 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.
51575 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
51585 includes bilateral pelvic lymphadenectomy plus ureterosigmoidostomy or ureterostomy. Use 51575 when that specified diversion is not part of the reported procedure.
No office rate
51595 includes bilateral pelvic lymphadenectomy and an ileal conduit or sigmoid bladder reconstruction. Use 51575 when the procedure does not include that reconstruction.
Compare 51575 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 $1615.66 |
| Beaumont | Office Unavailable | Facility $1567.33 |
| Brazoria | Office Unavailable | Facility $1583.53 |
| Dallas | Office Unavailable | Facility $1597.56 |
| Fort Worth | Office Unavailable | Facility $1595.89 |
| Galveston | Office Unavailable | Facility $1591.10 |
| Houston | Office Unavailable | Facility $1669.44 |
| Rest Of Texas | Office Unavailable | Facility $1577.38 |
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51575 billing questions
When should 51575 be selected instead of 51570?
Use 51575 when the complete cystectomy includes bilateral pelvic lymph-node dissection. Code 51570 describes complete bladder removal without that bilateral node dissection.
Does 51575 include urinary diversion?
The distinguishing work in 51575 is complete bladder removal with bilateral pelvic node dissection. When the operation includes a specified diversion, select the cystectomy code that represents that reconstruction.
Should modifier 50 be appended for the bilateral node dissection?
The code is already priced as bilateral, and modifier 50 does not increase payment.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
How is 51575 affected when other procedures occur in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
6,03251555,,Partial removal of bladder,A,,22.60,8.10,NA,8.10,,3.11,33.81,33.81,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,03351565,,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