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

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 Dallas, TX, Medicare pays $100.63 for 51705 in the office and $46.74 when it’s performed in a hospital or facility.

$100.63Office (non-facility)
$46.74Hospital or facility
−0.6%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 Dallas, TX
  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 Dallas, TX 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. Dallas, TX pays $100.63. The RVUs are the same everywhere; the geographic indexes change the dollars.

51705 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$100.63
  2. Austin, TX · Texas$104.74+$4.11
  3. Beaumont, TX · Texas$94.82−$5.81
  4. Brazoria, TX · Texas$99.95−$0.68
  5. Fort Worth, TX · Texas$100.00−$0.63
  6. Galveston, TX · Texas$100.28−$0.35
  7. Houston, TX · Texas$102.47+$1.84

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

Every other payment area

51705 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$97.36$46.01
Los Angeles, CACalifornia$113.47$49.46
Washington, DC areaDistrict of Columbia$115.31$51.57
Miami, FLFlorida$110.11$53.79
Chicago, ILIllinois$106.94$52.56
Manhattan, NYNew York$116.42$53.54
AlaskaAlaska$118.51$60.88
AlabamaAlabama$90.99$43.64

51705 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.

$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 Dallas, TX 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

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 51705 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work0.88× 1.0090.8879
Practice expense2.03× 0.9962.0219
Malpractice0.12× 0.8580.1030
Total RVUs3.0128
Conversion factor× 33.4009

Office rate, Dallas, TX$100.63

Office: (0.88 × 1.009 + 2.03 × 0.996 + 0.12 × 0.858) × $33.4009 = $100.63

Facility: (0.88 × 1.009 + 0.41 × 0.996 + 0.12 × 0.858) × $33.4009 = $46.74

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

Codes related to 51705

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

Codes related to 51705
CodeHow it relatesOffice range, Dallas, TX
Same family
51710Tube change, complicated cystostomy exchangeUsed for a complicated cystostomy tube change.$139.84
Used instead
51702Bladder catheter, temporary indwelling placementPlaces an indwelling bladder catheter through the urethra rather than exchanging a suprapubic tube.$65.09
51703Bladder catheter, complicated insertionFor complex bladder catheter insertion, rather than a simple exchange through an established suprapubic tract.$153.44

How 51705 has changed in Dallas, TX

51705 · Office / nonfacility

$100.63

Effective 2026-10-01

The base rate is $5.58 higher than on 2025-10-01, moving from $95.05 to $100.63 (5.9%).

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

    $95.05changed to$100.63

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $97.86changed to$95.05

    • 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

    $96.26changed to$97.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $98.80changed to$96.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.89 changed to 1.92
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877

  5. January 1, 2023

    RVU23A

    $100.34changed to$98.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.87 changed to 1.89
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $100.45changed to$100.34

    • 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

    $98.25changed to$100.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.70 changed to 1.85
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $96.62changed to$98.25

    • 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
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $94.69changed to$96.62

    • 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

    $93.30changed to$94.69

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.59 changed to 1.62
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $92.65changed to$93.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.58 changed to 1.59
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $92.98changed to$92.65

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $92.52changed to$92.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $91.89changed to$92.52

    • 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
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $91.93changed to$91.89

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.69 changed to 1.56
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $91.93

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$100.63$46.74RVU26D
2026-07-01$100.63$46.74RVU26C
2026-04-01$100.63$46.74RVU26B
2026-01-01$100.63$46.74RVU26A
2025-10-01$95.05$50.75RVU25D
2025-07-01$95.05$50.75RVU25C
2025-04-01$95.05$50.75RVU25B
2025-01-01$95.05$50.75RVU25A
2024-10-01$97.86$51.27RVU24D
2024-07-01$97.86$51.27RVU24C
2024-04-01$97.86$51.27RVU24B
2024-03-09$97.86$51.27RVU24AR
2024-01-01$96.26$50.43RVU24A
2023-10-01$98.80$51.24RVU23D
2023-07-01$98.80$51.24RVU23C
2023-04-01$98.80$51.24RVU23B
2023-01-01$98.80$51.24RVU23A
2022-10-01$100.34$51.34RVU22D
2022-07-01$100.34$51.34RVU22C
2022-04-01$100.34$51.34RVU22B
2022-01-01$100.34$51.34RVU22A
2021-10-01$100.45$51.76RVU21D
2021-07-01$100.45$51.76RVU21C
2021-04-01$100.45$51.76RVU21B
2021-01-01$100.45$51.76RVU21A
2020-10-01$98.25$53.71RVU20D
2020-07-01$98.25$53.71RVU20C
2020-04-01$98.25$53.71RVU20B
2020-01-01$98.25$53.71RVU20A
2019-10-01$96.62$53.86RVU19D
2019-07-01$96.62$53.86RVU19C
2019-04-01$96.62$53.86RVU19B
2019-01-01$96.62$53.86RVU19A
2018-10-01$94.69$54.17RVU18D
2018-07-01$94.69$54.17RVU18C
2018-04-01$94.69$54.17RVU18B
2018-01-01$94.69$54.17RVU18AR1
2017-10-01$93.30$53.71RVU17D
2017-07-01$93.30$53.71RVU17C
2017-04-01$93.30$53.71RVU17B
2017-01-01$93.30$53.71RVU17A
2016-10-01$92.65$53.27RVU16D
2016-07-01$92.65$53.27RVU16C
2016-04-01$92.65$53.27RVU16B
2016-01-01$92.65$53.27RVU16A
2015-10-01$92.98$53.46RVU15D
2015-07-01$92.98$53.46RVU15C
2015-04-01$92.52$53.20RVU15B
2015-01-01$92.52$53.20RVU15A
2014-10-01$91.89$53.06RVU14D
2014-07-01$91.89$53.06RVU14C
2014-04-01$91.89$53.06RVU14B
2014-01-01$91.89$53.06RVU14A
2013-10-01$91.93$51.44RVU13D
2013-07-01$91.93$51.44RVU13C
2013-04-01$91.93$51.44RVU13B
2013-01-01$91.93$51.44RVU13AR

Price 51705 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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