CPT code 51705: Catheter exchange, simple cystostomy tube change2026 Medicare rate & RVUs in Colorado

Reports a routine exchange of an existing suprapubic bladder tube through an established tract when the change is simple.

CMS RVU26DEffective Oct 1, 2026One payment locality163.2K Medicare services in 2024

In Colorado, Medicare pays $105.02 for 51705 in the office and $47.45 when it’s performed in a hospital or facility.

$105.02Office (non-facility)
$47.45Hospital or facility
+3.8%vs the national office rate ($101.20)

Check a contract rate as a % of Medicare · 51705 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 51705 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 51705 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 51705 covers

This service covers replacing an existing cystostomy tube through an established suprapubic tract, rather than creating a new tract or placing a urethral catheter. A urologist or other qualified practitioner commonly performs the exchange in an office, clinic, or facility for a patient who requires ongoing bladder drainage. The procedure is simple when the existing tract allows a straightforward tube exchange without circumstances that make the change complicated.

Report one service for the exchange, supported by documentation identifying the existing tube, its removal and replacement, and the clinical circumstances showing a simple change. Use 51710 when the cystostomy tube change is complicated. The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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.

How Colorado compares for 51705

Across 109 of 109 payment localities, the office rate for 51705 runs from $89.70 in Arkansas to $132.55 in San Benito County, CA. Colorado pays $105.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

51705 in Colorado vs other payment areas
  1. Colorado · this page$105.02
  2. Los Angeles, CA · California$113.47+$8.45
  3. Washington, DC area · District of Columbia$115.31+$10.29
  4. Miami, FL · Florida$110.11+$5.09
  5. Chicago, IL · Illinois$106.94+$1.92
  6. Manhattan, NY · New York$116.42+$11.40
  7. Alaska · Alaska$118.51+$13.49

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

Every other payment area

51705 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$90.99$43.64
ArkansasArkansas$89.70$43.22
ArizonaArizona$98.53$46.09
Bakersfield, CACalifornia$106.71$47.40
Chico, CACalifornia$106.35$47.05
El Centro, CACalifornia$106.37$47.07
Fresno, CACalifornia$106.35$47.05
Hanford, CACalifornia$106.35$47.05

51705 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.

$89.70

$119.45

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

View every state and territory as a table
51705 office rate range by state
State / territoryOffice rate rangeLocalities
AK$118.511
AL$90.991
AR$89.701
AZ$98.531
CA$106.35–$132.5529
CO$105.021
CT$107.861
DC$115.311
DE$100.131
FL$100.24–$110.113
GA$94.65–$103.182
GU$108.811
HI$108.811
IA$93.021
ID$93.671
IL$97.56–$106.944
IN$94.191
KS$92.711
KY$93.341
LA$93.24–$97.752
MA$104.45–$115.122
MD$101.98–$115.313
ME$94.27–$99.122
MI$95.82–$101.582
MN$100.351
MO$91.74–$97.963
MS$90.731
MT$101.201
NC$95.211
ND$98.821
NE$93.491
NH$103.481
NJ$109.01–$114.182
NM$96.381
NV$100.601
NY$96.62–$119.345
OH$95.341
OK$93.061
OR$99.74–$108.182
PA$95.42–$105.292
PR$101.891
RI$103.571
SC$95.451
SD$98.541
TN$93.181
TX$94.82–$104.748
UT$96.731
VA$98.87–$115.312
VI$101.891
VT$98.551
WA$104.22–$117.332
WI$95.581
WV$94.051
WY$100.161

See 51705 in every payment locality

How the 51705 rate is calculated

Each of 51705’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 · 51705

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.88

0.88 RVUs× 1.000 GPCI

Practice expense2.03

2.03 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

3.0300

Conversion factor

$33.4009

Medicare rate

$101.20

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,049

Code
51705
Physician work
0.88
Practice expense
2.03
Malpractice
0.12

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Office calculation for 51705 in Colorado
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0120.8906
Practice expense2.03× 1.0642.1599
Malpractice0.12× 0.7810.0937
Total RVUs3.1442
Conversion factor× 33.4009

Office rate, Colorado$105.02

Office: (0.88 × 1.012 + 2.03 × 1.064 + 0.12 × 0.781) × $33.4009 = $105.02

Facility: (0.88 × 1.012 + 0.41 × 1.064 + 0.12 × 0.781) × $33.4009 = $47.45

Open 51705 in the RVU calculator

Payment rules and modifiers for 51705

The CMS indicators that decide how 51705 is paid alongside other services.

CMS payment indicators · 51705

Catheter exchange, simple cystostomy tube change

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

51705 without 51 · national office

$101.20

Catheter exchange, simple cystostomy tube change

51705-51 · Second procedure: 50%

$50.60

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

How 51705 has changed in Colorado

51705 · Office / nonfacility

$105.02

Effective 2026-10-01

The base rate is $7.41 higher than on 2025-10-01, moving from $97.61 to $105.02 (7.6%).

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

    $97.61changed to$105.02

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.90 changed to 0.88
    • Practice expense RVU 1.91 changed to 2.03
    • Work GPCI 1.008 changed to 1.012
    • Practice expense GPCI 1.053 changed to 1.064
    • Malpractice GPCI 0.827 changed to 0.781

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $100.53changed to$97.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.92 changed to 1.91
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $98.89changed to$100.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $100.87changed to$98.89

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.89 changed to 1.92
    • Work GPCI 1.005 changed to 1.008
    • Practice expense GPCI 1.050 changed to 1.053
    • Malpractice GPCI 0.797 changed to 0.827
  5. January 1, 2023

    RVU23A

    $101.85changed to$100.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.87 changed to 1.89
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.047 changed to 1.050
    • Malpractice GPCI 0.767 changed to 0.797

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.97changed to$101.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.85 changed to 1.87

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $99.45changed to$101.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.70 changed to 1.85
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.033 changed to 1.047
    • Malpractice GPCI 0.905 changed to 0.767

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $97.46changed to$99.45

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.67 changed to 1.70
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 1.018 changed to 1.033
    • Malpractice GPCI 1.042 changed to 0.905

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $95.52changed to$97.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.62 changed to 1.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $94.04changed to$95.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.59 changed to 1.62
    • Practice expense GPCI 1.015 changed to 1.018
    • Malpractice GPCI 1.066 changed to 1.042

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $93.32changed to$94.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.58 changed to 1.59
    • Practice expense GPCI 1.011 changed to 1.015
    • Malpractice GPCI 1.090 changed to 1.066

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $93.66changed to$93.32

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $93.19changed to$93.66

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $91.73changed to$93.19

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.56 changed to 1.58
    • Malpractice RVU 0.09 changed to 0.10
    • Practice expense GPCI 1.008 changed to 1.011
    • Malpractice GPCI 0.981 changed to 1.090

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $91.02changed to$91.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.69 changed to 1.56
    • Practice expense GPCI 1.004 changed to 1.008
    • Malpractice GPCI 0.872 changed to 0.981

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $91.02

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$105.02$47.45RVU26D
2026-07-01$105.02$47.45RVU26C
2026-04-01$105.02$47.45RVU26B
2026-01-01$105.02$47.45RVU26A
2025-10-01$97.61$51.29RVU25D
2025-07-01$97.61$51.29RVU25C
2025-04-01$97.61$51.29RVU25B
2025-01-01$97.61$51.29RVU25A
2024-10-01$100.53$51.80RVU24D
2024-07-01$100.53$51.80RVU24C
2024-04-01$100.53$51.80RVU24B
2024-03-09$100.53$51.80RVU24AR
2024-01-01$98.89$50.96RVU24A
2023-10-01$100.87$51.77RVU23D
2023-07-01$100.87$51.77RVU23C
2023-04-01$100.87$51.77RVU23B
2023-01-01$100.87$51.77RVU23A
2022-10-01$101.85$51.85RVU22D
2022-07-01$101.85$51.85RVU22C
2022-04-01$101.85$51.85RVU22B
2022-01-01$101.85$51.85RVU22A
2021-10-01$101.97$52.28RVU21D
2021-07-01$101.97$52.28RVU21C
2021-04-01$101.97$52.28RVU21B
2021-01-01$101.97$52.28RVU21A
2020-10-01$99.45$54.34RVU20D
2020-07-01$99.45$54.34RVU20C
2020-04-01$99.45$54.34RVU20B
2020-01-01$99.45$54.34RVU20A
2019-10-01$97.46$54.53RVU19D
2019-07-01$97.46$54.53RVU19C
2019-04-01$97.46$54.53RVU19B
2019-01-01$97.46$54.53RVU19A
2018-10-01$95.52$54.84RVU18D
2018-07-01$95.52$54.84RVU18C
2018-04-01$95.52$54.84RVU18B
2018-01-01$95.52$54.84RVU18AR1
2017-10-01$94.04$54.34RVU17D
2017-07-01$94.04$54.34RVU17C
2017-04-01$94.04$54.34RVU17B
2017-01-01$94.04$54.34RVU17A
2016-10-01$93.32$53.86RVU16D
2016-07-01$93.32$53.86RVU16C
2016-04-01$93.32$53.86RVU16B
2016-01-01$93.32$53.86RVU16A
2015-10-01$93.66$54.06RVU15D
2015-07-01$93.66$54.06RVU15C
2015-04-01$93.19$53.79RVU15B
2015-01-01$93.19$53.79RVU15A
2014-10-01$91.73$53.10RVU14D
2014-07-01$91.73$53.10RVU14C
2014-04-01$91.73$53.10RVU14B
2014-01-01$91.73$53.10RVU14A
2013-10-01$91.02$51.05RVU13D
2013-07-01$91.02$51.05RVU13C
2013-04-01$91.02$51.05RVU13B
2013-01-01$91.02$51.05RVU13AR

Price 51705 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

51705 billing questions

When should 51705 be chosen over 51710?

Use 51705 for a straightforward exchange through an established suprapubic tract. Use 51710 when the documented tube change is complicated.

Does 51705 cover both removal and replacement of the tube?

Yes. The service is the exchange of the existing cystostomy tube, including removing the old tube and placing its replacement.

What documentation supports 51705?

Document the existing suprapubic tube, its removal and replacement, and why the exchange was a simple change through the established tract.

Should modifier 50 be reported for bilateral tubes?

No. Modifier 50 is inappropriate for this service.

Can an assistant or co-surgeon be billed for 51705?

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

How many units should be reported for one tube exchange?

Report one service for the exchange; do not separately count removal and replacement as separate units.

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 51705PPRRVU2026_Oct_nonQPP.csv, line 6,049 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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