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See a sample rate comparisonCPT 51555 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Cystectomy Partial; Complic (Eg Postradiation Previ Surg, Cystectomy Partial; Complicated (Eg Postradiation Previous Surgery
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 80 - Assistant surgeon 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 51555 |
| Medicaid Fee Schedule | View Medicaid rates for 51555 |
National average reimbursement for CPT 51555 by major payers:
$1,549.84
$1,701.10
$1,766.50
$2,051.07
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CPT 51555
5 of 25 sample ratesHigher to lower in this preview
Eagle Highlands Surgery Center, LLC, Meridian South Surgery Center
$7,400.00Published rateMonocacy Surgery Center LLC
Monocacy Surgery Center
$1,064.00Published rateGarden Grove Surgical Center Inc
$800.00Published rateNorthern Arizona Healthcare Orthopedic Surgery Center, LLC
$525.00Published rateBarnet Dulaney Perkins Eye Center, PC, American Vision Partners
Barnet Dulaney Perkins Eye Center PLLC
$100.00Published rate
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See a sample payer proposalCPT 51555 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51555 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 51555 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 51520-CPT | Moderate | Cystotomy; For Smple Xcision Of Vesical Nck (Sepa Proc), Cystotomy; For Simple Excision Of Vesical Neck (Separate Procedure) |
| 51525-CPT | High | Cystotomy; For Xcision Of Bladder Dverticulum Sngle Or Multi, Cystotomy; For Excision Of Bladder Diverticulum Single Or Multiple (S |
| 51530-CPT | Moderate | Cystotomy;For Excis-Bladder Tumor |
| 51555-CPT | High | Cystectomy Partial; Complic (Eg Postradiation Previ Surg, Cystectomy Partial; Complicated (Eg Postradiation Previous Surgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51555 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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