CPT code 51703: Bladder catheter, complicated insertion2026 Medicare rate & RVUs
Report this service for difficult placement of a temporary indwelling bladder catheter, such as when obstruction or altered anatomy complicates insertion.
Medicare pays $154.31 for 51703 nationally in the office and $67.47 in a hospital or facility. Local office rates run $137.11–$200.91.
Medicare rate · 51703
Bladder catheter, complicated insertion
- Work RVUs
- 1.43
- Total RVUs
- 4.62
- Global days
- 000
National rate · 2026
$154.31
Office setting, before claim adjustments.
See every locality for 51703 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 51703 covers
This service covers placement of a temporary indwelling catheter when insertion is complicated, rather than routine catheterization. Situations may include urethral obstruction, stricture, or altered anatomy from prior surgery. Urologists and other qualified clinicians may perform it in an office, emergency department, or hospital when a standard catheter placement is difficult. The documentation should explain the reason for difficulty and the work involved in achieving placement.
Report the complicated insertion instead of a simple catheter-placement code when the documented circumstances support the added complexity. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery 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.
Where 51703 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$137.11 to $200.91
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $139.03 | $63.05 |
| Alaska | $181.86 | $89.37 |
| Arizona | $150.29 | $66.14 |
| Arkansas | $137.11 | $62.51 |
| Atlanta, GA | $157.33 | $69.10 |
| Austin, TX | $159.50 | $67.62 |
| Bakersfield, CA | $162.36 | $67.18 |
| Baltimore area, MD | $163.90 | $70.71 |
| Beaumont, TX | $144.84 | $65.82 |
| Brazoria, TX | $152.40 | $66.34 |
| Chicago, IL | $163.37 | $76.09 |
| Chico, CA | $161.80 | $66.62 |
| Colorado | $159.91 | $67.51 |
| Connecticut | $164.32 | $70.79 |
| Dallas, TX | $153.44 | $66.95 |
| Delaware | $152.71 | $66.91 |
| Detroit, MI | $155.16 | $71.36 |
| East St. Louis, IL | $152.73 | $72.84 |
| El Centro, CA | $161.83 | $66.65 |
| Fort Lauderdale, FL | $160.74 | $72.77 |
| Fort Worth, TX | $152.52 | $66.89 |
| Fresno, CA | $161.80 | $66.62 |
| Galveston, TX | $152.90 | $66.67 |
| Hanford, CA | $161.80 | $66.62 |
| Hawaii, Guam, HI | $165.37 | $66.63 |
| Houston, TX | $156.38 | $70.14 |
| Idaho | $142.95 | $63.06 |
| Indiana | $143.74 | $63.23 |
| Iowa | $141.97 | $62.51 |
| Kansas | $141.54 | $63.04 |
| Kentucky | $142.65 | $65.45 |
| King County, WA | $178.28 | $71.73 |
| Los Angeles, CA | $172.48 | $69.74 |
| Madera, CA | $161.80 | $66.62 |
| Manhattan, NY | $177.32 | $76.41 |
| Marin County, CA | $196.50 | $74.05 |
| Merced, CA | $161.80 | $66.62 |
| Metropolitan Boston, MA | $175.01 | $71.32 |
| Metropolitan Kansas City, MO | $148.05 | $66.51 |
| Metropolitan Philadelphia, PA | $160.51 | $70.10 |
| Metropolitan St. Louis, MO | $149.52 | $66.84 |
| Miami, FL | $168.12 | $77.72 |
| Minnesota | $152.75 | $63.39 |
| Mississippi | $138.73 | $63.96 |
| Modesto, CA | $161.80 | $66.62 |
| Montana | $154.30 | $67.46 |
| Napa, CA | $186.06 | $71.61 |
| Nebraska | $142.65 | $62.49 |
| Nevada | $153.35 | $66.42 |
| New Hampshire | $157.63 | $67.22 |
| New Mexico | $147.27 | $67.64 |
| New Orleans, LA | $149.26 | $67.54 |
| North Carolina | $145.31 | $64.28 |
| North Dakota | $150.54 | $63.70 |
| Northern New Jersey | $173.79 | $73.05 |
| NYC suburbs and Long Island, NY | $181.75 | $78.49 |
| Ohio | $145.65 | $66.36 |
| Oklahoma | $142.18 | $64.63 |
| Oxnard, CA | $171.49 | $68.85 |
| Portland, OR | $164.57 | $68.09 |
| Poughkeepsie and northern NYC suburbs, NY | $167.31 | $72.22 |
| Puerto Rico | $155.32 | $67.52 |
| Queens, NY | $178.41 | $75.76 |
| Redding, CA | $161.80 | $66.62 |
| Rest of California | $161.80 | $66.62 |
| Rest of Florida | $153.10 | $70.07 |
| Rest of Georgia | $144.71 | $67.25 |
| Rest of Illinois | $149.17 | $69.88 |
| Rest of Louisiana | $142.52 | $65.67 |
| Rest of Maine | $143.90 | $64.00 |
| Rest of Maryland | $155.47 | $67.59 |
| Rest of Massachusetts | $159.10 | $67.65 |
| Rest of Michigan | $146.41 | $67.13 |
| Rest of Missouri | $140.32 | $65.46 |
| Rest of New Jersey | $166.06 | $71.23 |
| Rest of New York | $147.42 | $64.92 |
| Rest of Oregon | $152.03 | $65.53 |
| Rest of Pennsylvania | $145.75 | $66.03 |
| Rest of Texas | $148.59 | $66.17 |
| Rest of Washington | $158.73 | $67.28 |
| Rhode Island | $157.84 | $68.13 |
| Riverside, CA | $163.86 | $68.68 |
| Sacramento, CA | $169.42 | $68.42 |
| Salinas, CA | $168.78 | $68.13 |
| San Benito County, CA | $200.91 | $75.68 |
| San Diego, CA | $172.48 | $68.61 |
| San Francisco, CA | $196.28 | $73.84 |
| San Luis Obispo, CA | $166.11 | $67.19 |
| Santa Clara County, CA | $200.03 | $74.80 |
| Santa Cruz, CA | $173.91 | $68.40 |
| Santa Maria, CA | $169.34 | $68.08 |
| Santa Rosa, CA | $175.65 | $69.00 |
| South Carolina | $145.74 | $65.50 |
| South Dakota | $150.10 | $63.26 |
| Southern Maine, ME | $151.07 | $65.01 |
| Stockton, CA | $161.80 | $66.62 |
| Suburban Chicago, IL | $162.25 | $73.06 |
| Tennessee | $142.26 | $63.32 |
| Utah | $147.65 | $66.02 |
| Vallejo, CA | $185.75 | $71.29 |
| Vermont | $150.18 | $64.20 |
| Virgin Islands, VI | $155.32 | $67.52 |
| Virginia | $150.74 | $65.38 |
| Visalia, CA | $161.80 | $66.62 |
| Washington, DC area | $175.44 | $73.14 |
| West Virginia | $143.92 | $68.45 |
| Wisconsin | $145.71 | $62.52 |
| Wyoming | $152.66 | $65.82 |
| Yuba City, CA | $161.80 | $66.62 |
51703 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$137.11
$181.86
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $181.86 | 1 |
| AL | $139.03 | 1 |
| AR | $137.11 | 1 |
| AZ | $150.29 | 1 |
| CA | $161.80–$200.91 | 29 |
| CO | $159.91 | 1 |
| CT | $164.32 | 1 |
| DC | $175.44 | 1 |
| DE | $152.71 | 1 |
| FL | $153.10–$168.12 | 3 |
| GA | $144.71–$157.33 | 2 |
| GU | $165.37 | 1 |
| HI | $165.37 | 1 |
| IA | $141.97 | 1 |
| ID | $142.95 | 1 |
| IL | $149.17–$163.37 | 4 |
| IN | $143.74 | 1 |
| KS | $141.54 | 1 |
| KY | $142.65 | 1 |
| LA | $142.52–$149.26 | 2 |
| MA | $159.10–$175.01 | 2 |
| MD | $155.47–$175.44 | 3 |
| ME | $143.90–$151.07 | 2 |
| MI | $146.41–$155.16 | 2 |
| MN | $152.75 | 1 |
| MO | $140.32–$149.52 | 3 |
| MS | $138.73 | 1 |
| MT | $154.30 | 1 |
| NC | $145.31 | 1 |
| ND | $150.54 | 1 |
| NE | $142.65 | 1 |
| NH | $157.63 | 1 |
| NJ | $166.06–$173.79 | 2 |
| NM | $147.27 | 1 |
| NV | $153.35 | 1 |
| NY | $147.42–$181.75 | 5 |
| OH | $145.65 | 1 |
| OK | $142.18 | 1 |
| OR | $152.03–$164.57 | 2 |
| PA | $145.75–$160.51 | 2 |
| PR | $155.32 | 1 |
| RI | $157.84 | 1 |
| SC | $145.74 | 1 |
| SD | $150.10 | 1 |
| TN | $142.26 | 1 |
| TX | $144.84–$159.50 | 8 |
| UT | $147.65 | 1 |
| VA | $150.74–$175.44 | 2 |
| VI | $155.32 | 1 |
| VT | $150.18 | 1 |
| WA | $158.73–$178.28 | 2 |
| WI | $145.71 | 1 |
| WV | $143.92 | 1 |
| WY | $152.66 | 1 |
How the 51703 rate is calculated
Each of 51703’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 · 51703
RVUs × geographic indexes × conversion factor
Work1.43
1.43 RVUs× 1.000 GPCI
Practice expense3.00
3.00 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
4.6200
Conversion factor
$33.4009
Medicare rate
$154.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 51703
The CMS indicators that decide how 51703 is paid alongside other services.
CMS payment indicators · 51703
Bladder catheter, complicated insertion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
51703 without 51 · national office
$154.31
Bladder catheter, complicated insertion
51703-51 · Second procedure: 50%
$77.16
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%).
51703 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 51701Bladder catheterizationIn-and-out catheter
- 51701 is for simple placement of a non-indwelling catheter, often for residual urine collection. Choose 51703 for complicated placement of a temporary indwelling catheter.
- 51702Bladder catheterTemporary indwelling placement
- 51702 describes simple placement of a temporary indwelling catheter. Report 51703 when documented circumstances make the insertion complicated.
- 51710Tube changeComplicated cystostomy exchange
- 51710 covers complicated change of an existing cystostomy tube. 51703 is for complicated placement of a temporary indwelling bladder catheter.
51703 billing questions
What distinguishes this service from routine Foley placement?
The insertion must be complicated, for example by obstruction or altered anatomy. Routine temporary indwelling catheter placement is reported with 51702.
When is 51701 a better choice?
Use 51701 for simple insertion of a non-indwelling catheter, such as straight catheterization to obtain residual urine. This code describes complicated placement of a temporary indwelling catheter.
What documentation supports complicated insertion?
Document the reason ordinary placement was difficult, such as obstruction or altered anatomy, and the circumstances and work involved in catheter placement.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
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
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