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See a sample rate comparisonCPT 50951 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 50951 |
| Medicaid Fee Schedule | View Medicaid rates for 50951 |
National average reimbursement for CPT 50951 by major payers:
$506.75
$509.34
$522.66
$502.74
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CPT 50951
5 of 25 sample ratesHigher to lower in this preview
Summit Ambulatory Surgical Center, LLC
$1,158.00Published rateDigestivecare, LLC, Digestivecare Endoscopy Unit
Digestive Care, Inc.
$934.00Published ratePerformance Health Surgicenter, LLC
Performance Health Surgicenter LLC
$587.00Published rateNorthwest Ent Surgery Center, LLC
Northwest Ent Surgery Center LLC
$439.00Published rateUrology Health Surgery Center, LLC
Urology Health Surgery Center LLC
$300.00Published rate
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See a sample payer proposalCPT 50951 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 50951 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 50951 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 |
|---|---|---|
| 50947-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
| 50948-CPT | High | Surgery To Move Urinary Tract, Surgery Using A Scope (Laparoscope) To Move One Of The Ureters (Upper Urinary Tract From Kidneys To Bladder). The Procedure May Include Inserting A Support Device (Stent) To Help Keep The Ureter Open. |
| 50951-CPT | Moderate | Urinary Tract Scope Exam, An Exam Of The Upper Portion Of The Urinary Tract. The Procedure Uses A Scope (Endoscope) Inserted Into An Existing Surgical Opening For Draining Urine (Ureterostomy). |
| 50953-CPT | Moderate | Endoscopy Of Ureter, Ureteral Endoscopy Through Established Ureterostomy With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Ureteral Catheterization With Or Without Dilation Of Ureter |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 50951. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 50951 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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