51597 Removal of pelvic structures
Also known as: pelvic exenteration, radical cystectomy with exenteration
Removal of pelvic structures including bladder, radical pelvic exenteration with cystectomy and removal of surrounding pelvic organs.
In Plain Language
extensive removal of pelvic organs
Clinical Context
Performed for advanced cancer involving bladder and neighboring structures. Extensive surgery with significant morbidity.
RVU Breakdown
| Work RVU | 41.79 |
| Total RVU | 41.79 |
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 41.79, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 51597?
CPT 51597 (Removal of pelvic structures) is a Surgery code. Removal of pelvic structures including bladder, radical pelvic exenteration with cystectomy and removal of surrounding pelvic organs.
What is the wRVU value for CPT 51597?
The work RVU for CPT 51597 is 41.79. This code is primarily used by Urology, Gynecologic Oncology, Colorectal Surgery. It has a 90-day global period.
When is CPT 51597 used?
Performed for advanced cancer involving bladder and neighboring structures. Extensive surgery with significant morbidity.
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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.