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CPT code 51700: Bladder irrigation, simple lavage or instillation2026 Medicare rate & RVUs in Oklahoma

Report simple bladder irrigation when a clinician lavages the bladder or instills fluid, such as to clear clots through a urinary catheter.

CMS RVU26DEffective Oct 1, 2026One payment locality173.3K Medicare services in 2024

In Oklahoma, Medicare pays $71.63 for 51700 in the office and $25.10 when it’s performed in a hospital or facility.

$71.63Office (non-facility)
$25.10Hospital or facility
−8.4%vs the national office rate ($78.16)

Check a contract rate as a % of Medicare · 51700 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 51700 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 51700 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 51700 covers

This service involves flushing the bladder with fluid or instilling fluid through a urinary catheter. A urologist or another clinician may perform it in an office or facility to clear blood clots or debris, or to address a catheter that is not draining because of material in the bladder. The work is irrigation itself, rather than catheter placement alone.

Document the reason for irrigation, the method or catheter used, and the service performed, including the material flushed or instilled and the patient’s response when relevant. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When it is performed in the same session as other procedures, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Oklahoma compares for 51700

Across 109 of 109 payment localities, the office rate for 51700 runs from $69.11 in Arkansas to $104.04 in San Benito County, CA. Oklahoma pays $71.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

51700 in Oklahoma vs other payment areas
  1. Oklahoma · this page$71.63
  2. Los Angeles, CA · California$88.45+$16.82
  3. Washington, DC area · District of Columbia$89.47+$17.84
  4. Miami, FL · Florida$84.03+$12.40
  5. Chicago, IL · Illinois$81.60+$9.97
  6. Manhattan, NY · New York$89.88+$18.25
  7. Alaska · Alaska$90.61+$18.98

Other areas in Oklahoma first, then benchmark localities. Bars start at $0.

Every other payment area

51700 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$70.13$24.54
ArkansasArkansas$69.11$24.35
ArizonaArizona$76.08$25.59
Bakersfield, CACalifornia$83.01$25.90
Chico, CACalifornia$82.80$25.69
El Centro, CACalifornia$82.81$25.70
Fresno, CACalifornia$82.80$25.69
Hanford, CACalifornia$82.80$25.69

51700 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$69.11

$93.42

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
51700 office rate range by state
State / territoryOffice rate rangeLocalities
AK$90.611
AL$70.131
AR$69.111
AZ$76.081
CA$82.80–$104.0429
CO$81.471
CT$83.361
DC$89.471
DE$77.351
FL$76.87–$84.033
GA$72.55–$79.582
GU$84.861
HI$84.861
IA$71.981
ID$72.441
IL$74.59–$81.624
IN$72.861
KS$71.611
KY$71.731
LA$71.61–$75.172
MA$80.97–$89.592
MD$78.84–$89.473
ME$72.79–$76.792
MI$73.58–$77.802
MN$78.141
MO$70.35–$75.473
MS$69.751
MT$78.151
NC$73.551
ND$76.771
NE$72.381
NH$80.171
NJ$84.34–$88.542
NM$73.971
NV$77.821
NY$74.66–$92.035
OH$73.291
OK$71.631
OR$77.24–$84.102
PA$73.43–$81.262
PR$78.741
RI$80.131
SC$73.541
SD$76.611
TN$71.971
TX$72.94–$81.198
UT$74.551
VA$76.52–$89.472
VI$78.741
VT$76.441
WA$80.83–$91.452
WI$74.181
WV$71.811
WY$77.551

See 51700 in every payment locality

How the 51700 rate is calculated

Each of 51700’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 51700

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense1.68

1.68 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

2.3400

Conversion factor

$33.4009

Medicare rate

$78.16

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,045

Code
51700
Physician work
0.59
Practice expense
1.68
Malpractice
0.07

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office calculation for 51700 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense1.68× 0.8931.5002
Malpractice0.07× 0.7770.0544
Total RVUs2.1446
Conversion factor× 33.4009

Office rate, Oklahoma$71.63

Office: (0.59 × 1 + 1.68 × 0.893 + 0.07 × 0.777) × $33.4009 = $71.63

Facility: (0.59 × 1 + 0.12 × 0.893 + 0.07 × 0.777) × $33.4009 = $25.10

Open 51700 in the RVU calculator

Payment rules and modifiers for 51700

The CMS indicators that decide how 51700 is paid alongside other services.

CMS payment indicators · 51700

Bladder irrigation, simple lavage or instillation

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

51700 without 51 · national office

$78.16

Bladder irrigation, simple lavage or instillation

51700-51 · Second procedure: 50%

$39.08

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 51700

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 51700
CodeHow it relatesOffice range, Oklahoma
Used instead
51701Bladder catheterization, in-and-out catheterUse for non-indwelling catheter insertion when placement, rather than bladder irrigation, is the service.$42.04
51702Bladder catheter, temporary indwelling placementUse for temporary indwelling catheter insertion when placement is the documented service.$59.94
51703Bladder catheter, complicated insertionUse for complex catheter insertion rather than simple bladder lavage.$142.18
51720Bladder instillation, antineoplastic agentDistinguish therapeutic bladder treatment instillation from simple lavage or irrigation.$84.64

How 51700 has changed in Oklahoma

51700 · Office / nonfacility

$71.63

Effective 2026-10-01

The base rate is $4.27 higher than on 2025-10-01, moving from $67.36 to $71.63 (6.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $67.36changed to$71.63

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 1.60 changed to 1.68
    • Practice expense GPCI 0.891 changed to 0.893
    • Malpractice GPCI 0.813 changed to 0.777

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $70.19changed to$67.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.62 changed to 1.60
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $69.04changed to$70.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $70.53changed to$69.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.60 changed to 1.62
    • Practice expense GPCI 0.886 changed to 0.891
    • Malpractice GPCI 0.798 changed to 0.813

  5. January 1, 2023

    RVU23A

    $71.98changed to$70.53

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.881 changed to 0.886
    • Malpractice GPCI 0.782 changed to 0.798

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $73.50changed to$71.98

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.63 changed to 1.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $70.84changed to$73.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.45 changed to 1.63
    • Practice expense GPCI 0.886 changed to 0.881
    • Malpractice GPCI 0.868 changed to 0.782

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $70.57changed to$70.84

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.46 changed to 1.45
    • Malpractice RVU 0.06 changed to 0.09
    • Practice expense GPCI 0.891 changed to 0.886
    • Malpractice GPCI 0.954 changed to 0.868

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $70.17changed to$70.57

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.45 changed to 1.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $68.10changed to$70.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.41 changed to 1.45
    • Practice expense GPCI 0.882 changed to 0.891
    • Malpractice GPCI 0.900 changed to 0.954

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $77.62changed to$68.10

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 0.88 changed to 0.60
    • Practice expense RVU 1.38 changed to 1.41
    • Malpractice RVU 0.10 changed to 0.06
    • Practice expense GPCI 0.872 changed to 0.882
    • Malpractice GPCI 0.845 changed to 0.900

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $77.90changed to$77.62

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $77.51changed to$77.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $75.88changed to$77.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.36 changed to 1.38
    • Malpractice RVU 0.08 changed to 0.10
    • Practice expense GPCI 0.864 changed to 0.872
    • Malpractice GPCI 0.790 changed to 0.845

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $75.04changed to$75.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.48 changed to 1.36
    • Practice expense GPCI 0.856 changed to 0.864
    • Malpractice GPCI 0.734 changed to 0.790

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $75.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$71.63$25.10RVU26D
2026-07-01$71.63$25.10RVU26C
2026-04-01$71.63$25.10RVU26B
2026-01-01$71.63$25.10RVU26A
2025-10-01$67.36$27.59RVU25D
2025-07-01$67.36$27.59RVU25C
2025-04-01$67.36$27.59RVU25B
2025-01-01$67.36$27.59RVU25A
2024-10-01$70.19$28.37RVU24D
2024-07-01$70.19$28.37RVU24C
2024-04-01$70.19$28.37RVU24B
2024-03-09$70.19$28.37RVU24AR
2024-01-01$69.04$27.90RVU24A
2023-10-01$70.53$28.80RVU23D
2023-07-01$70.53$28.80RVU23C
2023-04-01$70.53$28.80RVU23B
2023-01-01$70.53$28.80RVU23A
2022-10-01$71.98$29.60RVU22D
2022-07-01$71.98$29.60RVU22C
2022-04-01$71.98$29.60RVU22B
2022-01-01$71.98$29.60RVU22A
2021-10-01$73.50$29.85RVU21D
2021-07-01$73.50$29.85RVU21C
2021-04-01$73.50$29.85RVU21B
2021-01-01$73.50$29.85RVU21A
2020-10-01$70.84$31.19RVU20D
2020-07-01$70.84$31.19RVU20C
2020-04-01$70.84$31.19RVU20B
2020-01-01$70.84$31.19RVU20A
2019-10-01$70.57$30.43RVU19D
2019-07-01$70.57$30.43RVU19C
2019-04-01$70.57$30.43RVU19B
2019-01-01$70.57$30.43RVU19A
2018-10-01$70.17$30.72RVU18D
2018-07-01$70.17$30.72RVU18C
2018-04-01$70.17$30.72RVU18B
2018-01-01$70.17$30.72RVU18AR1
2017-10-01$68.10$35.50RVU17D
2017-07-01$68.10$35.50RVU17C
2017-04-01$68.10$35.50RVU17B
2017-01-01$68.10$35.50RVU17A
2016-10-01$77.62$44.21RVU16D
2016-07-01$77.62$44.21RVU16C
2016-04-01$77.62$44.21RVU16B
2016-01-01$77.62$44.21RVU16A
2015-10-01$77.90$44.37RVU15D
2015-07-01$77.90$44.37RVU15C
2015-04-01$77.51$44.15RVU15B
2015-01-01$77.51$44.15RVU15A
2014-10-01$75.88$43.38RVU14D
2014-07-01$75.88$43.38RVU14C
2014-04-01$75.88$43.38RVU14B
2014-01-01$75.88$43.38RVU14A
2013-10-01$75.04$41.26RVU13D
2013-07-01$75.04$41.26RVU13C
2013-04-01$75.04$41.26RVU13B
2013-01-01$75.04$41.26RVU13AR

Price 51700 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

51700 billing questions

How is irrigation different from bladder catheter insertion?

Irrigation describes flushing or instilling fluid in the bladder; catheter insertion codes describe placing a catheter. Choose based on the service documented, not simply on the presence of a catheter.

Can catheter insertion be reported with irrigation?

The irrigation service does not by itself describe catheter insertion. If both services were performed, document each distinctly and verify that reporting both is supported by applicable coding edits.

Is modifier 50 appropriate for irrigation of both sides?

No. The bladder is not a paired structure for this service, and CMS identifies bilateral adjustment as inappropriate.

What same-session payment rule applies?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are paid at 50%.

Are assistant, co-surgeon, or team-surgery modifiers payable?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

What documentation supports the service?

Record the clinical reason for irrigation, the catheter or method used, what was flushed or instilled, and the patient’s response when relevant.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 51700PPRRVU2026_Oct_nonQPP.csv, line 6,045 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

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