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See a sample rate comparisonCPT 51610 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.Proced.For Retrograde Urethrocyst
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51610 |
| Medicaid Fee Schedule | View Medicaid rates for 51610 |
National average reimbursement for CPT 51610 by major payers:
$142.22
$163.74
$184.86
$123.58
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CPT 51610
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center, Memorial Hermann Surgery Center, The Woodlands
Memorial Hermann Surgery Center
$2,079.00Published rateRose Ambulatory Surgery Center Lp
$1,096.00Published rateSelect Physicians Surgery Centers
Select Physicians Surgery Center, LLC
$531.00Published rateAscent Surgery Center LLC
$200.00Published rateIntegris Ddsi Endoscopy Centers LLC
$67.00Published rate
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See a sample payer proposalCPT 51610 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51610 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 51610 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 51610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51610 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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