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See a sample rate comparisonCPT 51999 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Bladder Procedure With Scope, A Bladder Procedure Using A Scope (Laparoscope).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 62 - Co-Surgeons |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 51999 |
| Medicaid Fee Schedule | View Medicaid rates for 51999 |
National average reimbursement for CPT 51999 by major payers:
$1,197.16
$596.77
$2,721.51
$12,666.45
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CPT 51999
5 of 25 sample ratesHigher to lower in this preview
Columbia North Hills Hospital Subsidiary Lp, Medical City North Hills
Columbia North Hills Hospital Subsidiary Lp
$13,828.00Published rateSurgery Center Of Scottsdale, LLC, Mountain View Surgery Center Of Scottsdale
Surgery Center Of Scottsdale LLC
$5,249.00Published rateEastside Endoscopy Center LLC
$3,200.00Published rateVentura Endoscopy Center LLC
$2,314.00Published rateProgressive Laser Surgical Institute Ltd
$1,450.00Published rate
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See a sample payer proposalCPT 51999 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51999 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 51999 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 |
|---|---|---|
| 51999-CPT | High | Bladder Procedure With Scope, A Bladder Procedure Using A Scope (Laparoscope). |
| 52000-CPT | Moderate | Cystourethroscopy (Separate Procedure) |
| 52001-CPT | Moderate | Remove Clots From Bladder, An Exam Of The Bladder Using A Scope (Cystourethroscope). The Procedure Is Done To Remove Clots Blocking Urine Flow. |
| 52005-CPT | Moderate | Cystoscopy Ureter Catheter, Cystourethroscopy With Ureteral Catheterization With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51999 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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