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See a sample rate comparisonCPT 51597 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.
Removal Of Pelvic Structures, Pelvic Exenteration Complete For Vesical Prostatic Or Urethral Malignancy With Removal Of Bladder And Ureteral Transplantations With Or Without Hysterectomy And Or Abdominoperineal Resection Of Rectum And Colon And Colostomy Or Any Combination Thereof
| 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 62 - Co-Surgeons GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 51597 |
| Medicaid Fee Schedule | View Medicaid rates for 51597 |
National average reimbursement for CPT 51597 by major payers:
$2,799.30
$3,083.14
$3,261.60
$3,733.96
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CPT 51597
5 of 25 sample ratesHigher to lower in this preview
Rock Hill Surgery Center, LLC, Carolina Surgical Center
Rock Hill Surgery Center LLC
$11,123.00Published rateWest Chester Surgical Suites, LLC
West Chester Surgical Suites LLC
$1,064.00Published rateNorth Suburban Pain And Spine Center LLC
North Suburban Pain & Spine Cent
$843.00Published rateEye Surgery Center Of Chester County, LLC, Vision One Laser & Surgery Center
Eye Surgery Center Of Chester County, LLC
$487.00Published rateZion Ambulatory Center LLC
$48.00Published rate
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See a sample payer proposalCPT 51597 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51597 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 51597 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 |
| 51597-CPT | High | Removal Of Pelvic Structures, Pelvic Exenteration Complete For Vesical Prostatic Or Urethral Malignancy With Removal Of Bladder And Ureteral Transplantations With Or Without Hysterectomy And Or Abdominoperineal Resection Of Rectum And Colon And Colostomy Or Any Combination Thereof |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51597. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51597 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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