51590 Remove bladder/revise tract
Also known as: cystectomy with extensive reconstruction
Removal of bladder with revision of urinary tract including extensive pelvic reconstruction.
In Plain Language
bladder removal with complex surgical reconstruction
Clinical Context
Used for complex cases requiring cystectomy with additional pelvic reconstruction for neighboring organ repair or involvement.
RVU Breakdown
| Work RVU | 35.42 |
| Total RVU | 35.42 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 35.42, this code ranks in the 95th percentile among Surgery codes — 4.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 51590?
CPT 51590 (Remove bladder/revise tract) is a Surgery code. Removal of bladder with revision of urinary tract including extensive pelvic reconstruction.
What is the wRVU value for CPT 51590?
The work RVU for CPT 51590 is 35.42. This code is primarily used by Urology, Oncology, General Surgery. It has a 90-day global period.
When is CPT 51590 used?
Used for complex cases requiring cystectomy with additional pelvic reconstruction for neighboring organ repair or involvement.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.