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See a sample rate comparisonCPT 51525 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.
Cystotomy; For Xcision Of Bladder Dverticulum Sngle Or Multi, Cystotomy; For Excision Of Bladder Diverticulum Single Or Multiple (S
| 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 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 51525 |
| Medicaid Fee Schedule | View Medicaid rates for 51525 |
National average reimbursement for CPT 51525 by major payers:
$1,067.52
$1,154.99
$1,200.45
$1,400.73
Compare published rates across providers.
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CPT 51525
5 of 25 sample ratesHigher to lower in this preview
Desoto Surgicare Partners, Ltd, North Texas Surgery Center
Desoto Surgicare Partners Ltd
$4,600.00Published rateUniversity Center For Ambulatory Surgery, LLC
University Center For Ambulatory Surgery LLC
$3,422.00Published rateCoral Springs Surgi-Center Ltd
Coral Springs Surgicenter Ltd
$2,307.00Published rateSpine And Pain Physicians Surgery Center, LLC
Spine And Pain Physicians Surgery Center LLC
$1,927.00Published ratePasadena Surgery Center LLC, Pasadena Surgery Center
Pasadena Surgery Center LLC
$1,165.00Published rate
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See a sample payer proposalCPT 51525 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51525 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 51525 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 |
|---|---|---|
| 51520-CPT | Moderate | Cystotomy; For Smple Xcision Of Vesical Nck (Sepa Proc), Cystotomy; For Simple Excision Of Vesical Neck (Separate Procedure) |
| 51525-CPT | High | Cystotomy; For Xcision Of Bladder Dverticulum Sngle Or Multi, Cystotomy; For Excision Of Bladder Diverticulum Single Or Multiple (S |
| 51530-CPT | Moderate | Cystotomy;For Excis-Bladder Tumor |
| 51550-CPT | High | Cystectomy Partial Simple |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51525 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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