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See a sample rate comparisonCPT 51703 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.
Insert Bladder Cath Complex, Insertion Of Temporary Indwelling Bladder Catheter Complicated Eg Altered Anatomy Fractured Catheter Balloon
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service AG - Primary physician |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51703 |
| Medicaid Fee Schedule | View Medicaid rates for 51703 |
National average reimbursement for CPT 51703 by major payers:
$180.93
$185.86
$205.16
$235.08
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CPT 51703
5 of 25 sample ratesHigher to lower in this preview
Tenet Hospitals Limited, The Hospitals Of Providence Memorial Campus
$1,652.00Published rateLongleaf Surgery Center, LLC
Longleaf Surgery Center LLC
$574.00Published rateColumbus Orthopedic Outpatient
$197.00Published rateJohn B Sledge, III, Md,Apmc
John B Sledge III Mdapmc
$124.63Published rateLaurel Ambulatory Surgical Center
$43.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 51703 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51703 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 51703 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 |
| 51701-CPT | Low | Insrt Of Non-Indwelli Bladder Cathet (Eg Straight Catheteriz, Insertion Of Non-Indwelling Bladder Catheter (Eg Straight Catheteriza |
| 51702-CPT | Low | Insrt Of Temp Indwelli Bladder Cathet; Smple (Eg Foley), Insertion Of Temporary Indwelling Bladder Catheter; Simple (Eg Foley) |
| 51703-CPT | Low | Insert Bladder Cath Complex, Insertion Of Temporary Indwelling Bladder Catheter Complicated Eg Altered Anatomy Fractured Catheter Balloon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51703. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51703 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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