CPT code 51565 denotes a urologic reconstructive surgery in which a diseased or injured bladder segment adjacent to a ureter is removed and the ureter is reimplanted into the bladder at a new entry site. This procedure restores ureterovesical continuity and addresses conditions such as localized bladder injury, focal disease near the ureteral orifice, or complications from prior surgery. It is performed in appropriate surgical settings, typically in a hospital operating room or an ambulatory surgery center, by urologic surgeons.

Nationally, this code matters for surgical case mix, access to reconstructive urologic care, and payment policy for complex inpatient and outpatient urologic procedures. Key payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and an outline of common billing modifiers used with this code. The publication presents benchmarking information, payer coverage considerations, and recent policy updates affecting reimbursement and documentation expectations. Clinical context explains indications and operative intent to help nonclinical stakeholders understand service complexity and resource implications. Data limitations: Data not available in the input where payer-specific rates, associated taxonomies, and ICD-10 mappings would normally be reported.