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See a sample rate comparisonCPT 51596 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 Create Pouch, Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation Of Urinary Ducts (Ureters) To Small And/Or Large Bowel With Creation Of Urinary Opening Open Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 19 - Off 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 51596 |
| Medicaid Fee Schedule | View Medicaid rates for 51596 |
National average reimbursement for CPT 51596 by major payers:
$2,839.49
$3,167.72
$3,384.29
$3,833.52
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CPT 51596
5 of 25 sample ratesHigher to lower in this preview
University Of Kansas Hospital
University Of Kansas Hospital Authority
$4,251.00Published rateLeonardtown Surgery Center LLC
Leonardtown Surgery Center, LLC
$1,064.00Published rateBrainerd Lakes Surgery Center L L C
Brainerd Lakes Surgery Center, LLC
$780.00Published ratePalmetto Endoscopy Center
$350.00Published rateAdvanced Laser & Surgicenter Of Arizona, PC
$100.00Published rate
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See a sample payer proposalCPT 51596 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51596 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 51596 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 |
|---|---|---|
| 51570-CPT | High | Cystectomy Total |
| 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 |
| 51596-CPT | High | Remove Bladder Create Pouch, Removal Of Bladder And Lymph Nodes On Both Sides Of Pelvis With Transplantation Of Urinary Ducts (Ureters) To Small And/Or Large Bowel With Creation Of Urinary Opening Open Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51596 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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