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See a sample rate comparisonCPT 51605 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.
Inject Proc & Placemnt Of Chain For Cntrst &/Or Chain U, Injection Procedure And Placement Of Chain For Contrast And/Or Chain U
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51605 |
| Medicaid Fee Schedule | View Medicaid rates for 51605 |
National average reimbursement for CPT 51605 by major payers:
$55.17
$81.31
$61.62
$69.86
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CPT 51605
5 of 25 sample ratesHigher to lower in this preview
New Port Richey Surgery Center Ltd
$2,965.00Published rateNpi Surgery Center LLC
$962.54Published rateSurgcenter Camelback LLC
$531.00Published rateResurgens Fayette Surgery Center, LLC
Resurgens Fayette Surgery Center LLC
$136.00Published rateKnoxville Eye Surgery Center LLC, Tennessee Valley Eye Center
Knoxville Eye Surgery Center, LLC; Dba Tennessee Valley Eye Center
$50.00Published rate
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See a sample payer proposalCPT 51605 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51605 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 51605 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 |
|---|---|---|
| 51600-CPT | Moderate | Inject Proc For Cystography Or Void Urethrocystography, Injection Procedure For Cystography Or Voiding Urethrocystography |
| 51605-CPT | Low | Inject Proc & Placemnt Of Chain For Cntrst &/Or Chain U, Injection Procedure And Placement Of Chain For Contrast And/Or Chain U |
| 51610-CPT | Low | Inject.Proced.For Retrograde Urethrocyst |
| 51701-CPT | Low | Insrt Of Non-Indwelli Bladder Cathet (Eg Straight Catheteriz, Insertion Of Non-Indwelling Bladder Catheter (Eg Straight Catheteriza |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51605 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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