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See a sample rate comparisonCPT 51845 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.
Abdomino-Vaginal Vesical Neck, Abdomino-Vaginal Vesical Neck Suspension With Or Withoutendoscopic Control (Eg Stamey Raz Modified Pereyra)
| 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 AQ - Service in Health Professional Shortage Area |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51845 |
| Medicaid Fee Schedule | View Medicaid rates for 51845 |
National average reimbursement for CPT 51845 by major payers:
$726.84
$790.43
$791.94
$962.99
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CPT 51845
5 of 25 sample ratesHigher to lower in this preview
Inova Loudoun Ambulatory Surgery
$8,387.00Published rateAdvanced Surgery Center Of Sarasota, LLC
Advanced Surgery Center Of Sarasota LLC
$5,354.00Published rateSunset Ridge Surgery Center, LLC
$3,249.00Published rateTimothy P. Carey M.D. Inc. P.S.
Timothy P Carey Md Inc Ps
$2,090.00Published ratePatrick A Conarro Md, D.B.A. Summit Surgical Asc
Patrick A Conarro Md
$697.00Published rate
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See a sample payer proposalCPT 51845 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51845 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 51845 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 |
|---|---|---|
| 51845-CPT | Moderate | Abdomino-Vaginal Vesical Neck, Abdomino-Vaginal Vesical Neck Suspension With Or Withoutendoscopic Control (Eg Stamey Raz Modified Pereyra) |
| 51860-CPT | Moderate | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Smple, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Simple |
| 51865-CPT | High | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Complic, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Complicated |
| 51900-CPT | High | Close Fistula Vesicovaginal Abd |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51845. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51845 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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