CPT 51705 Fee Schedule
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.
| 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 • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51705 |
National average reimbursement for CPT 51705 by major payers:

$121.58

$132.61

$148.08

$166.71
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 51705 | ||||||
United | 51705 | $75.73 | 1225394398 - INGER REYNOLDS | 350593390 - DEACONESS HOSPITAL INC | TN | Certified Registered Nurse Anesthetist (367500000X) |
United | 51705 | $75.73 | 1275145369 - AMY SULLIVAN | 350593390 - DEACONESS HOSPITAL INC | IN | Nurse Practitioner (363L00000X) |
United | 51705 | $625.59 | 1750547105 - SHARI GOLDFARB | 133278578 - (NY) WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC | NY | Hematology & Oncology Physician (207RH0003X) |
United | 51705 | $71.67 | 1255478004 - CHRISTOPHER RAIO | 112050523 - ST FRANCIS HOSPITAL | NY | Emergency Medicine Physician (207P00000X) |
United | 51705 | $121.12 | 1215410873 - MACY BOSSHARD | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physician Assistant (363A00000X) |
United | 51705 | $133.95 | 1891771176 - CHRISTOPHER DREW | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physical Therapist (225100000X) |
United | 51705 | $290.29 | 1376655043 - ASIM KHOKHAR | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | Gastroenterology Physician (207RG0100X) |
United | 51705 | $87.58 | 1114029485 - RONG-BAO LU | 463321096 | NY | Family Medicine Physician (207Q00000X) |
United | 51705 | $133.95 | 1114926292 - JEFFREY BERG | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 51705 | $453.20 | 1134678451 - DEAGLAN MCHUGH | 133278578 - (NY) WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC | NY | Hematology & Oncology Physician (207RH0003X) |
United | 51705 | $121.12 | 1861855900 - ABBAS NAQVI | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | FL | Orthopaedic Surgery Physician (207X00000X) |
United | 51705 | $202.99 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 51705 | $121.12 | 1053764811 - DANIELLE EGANHOUSE | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Physician Assistant (363A00000X) |
United | 51705 | $342.20 | 1376655043 - ASIM KHOKHAR | 112558775 - (NY) STONY BROOK INTERNISTS P C | NY | Gastroenterology Physician (207RG0100X) |
United | 51705 | $86.05 | 1487147500 - OLAWUNMI FOLARIN | 237221763 - THE UNITY HOSPITAL OF ROCHESTER | NY | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 51705 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51705 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 51705 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51705. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51705 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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