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See a sample rate comparisonCPT 51595 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.
Remove Bladder Revise Tract, Cystectomy Complete With Ureteroileal Conduit Or Sigmoid Bladder Including Intestine Anastomosis With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes
| 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 22 - Increased Procedural Services GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 51595 |
| Medicaid Fee Schedule | View Medicaid rates for 51595 |
National average reimbursement for CPT 51595 by major payers:
$2,796.40
$2,948.99
$3,184.67
$3,553.52
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CPT 51595
5 of 25 sample ratesHigher to lower in this preview
Northern Virginia Surgery Center LLC
$4,165.00Published rateWestminster Surgery Center
Westminster Surgery Center LLC
$1,274.00Published rateDcr Surgery Center, LLC
Dcr Surgery Center LLC
$725.00Published rateGengastro LLC, Endoscopy Center For Digestive Health
Gengastro LLC
$476.00Published rateAdvanced Surgery Center Of Arizona, LLP, Advanced Surgery Center Of Arizona
$100.00Published rate
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See a sample payer proposalCPT 51595 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51595 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 51595 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 |
|---|---|---|
| 51580-CPT | High | Surgery To Remove Bladder, Surgery To Remove The Entire Bladder And Connect The Ureters (Tubes That Carry Urine From The Kidney To The Bladder) To The Skin Or Colon. |
| 51585-CPT | High | Removal Of Bladder Nodes, Cystectomy Complete With Ureterosigmoidostomy Or Ureterocutaneous Transplantations With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes |
| 51590-CPT | High | Surgery To Remove Bladder, Surgery To Remove The Entire Bladder. Includes Connection Of The Ureters (Tubes That Carry Urine From The Kidney To The Bladder) To A Segment Of Intestine With An Opening Into The Skin. |
| 51595-CPT | High | Remove Bladder Revise Tract, Cystectomy Complete With Ureteroileal Conduit Or Sigmoid Bladder Including Intestine Anastomosis With Bilateral Pelvic Lymphadenectomy Including External Iliac Hypogastric And Obturator Nodes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51595 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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