$133.45–$141.33
Both concern changing an existing cystostomy tube. Choose 51705 for a simple exchange and 51710 when the exchange is complicated.
On this page
CMS RVU26D · Effective 2026-10-01
51705 Catheter exchange Medicare reimbursement rates in Michigan
Reports a routine exchange of an existing suprapubic bladder tube through an established tract when the change is simple. Compare 51705 office and facility rates across CMS payment localities in Michigan.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 51705 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$95.82–$101.58
2 of 2 localities have a supported rate.
Facility setting
$46.42–$49.37
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology
About 51705: Simple suprapubic catheter exchange
Reports a routine exchange of an existing suprapubic bladder tube through an established tract when the change is simple.
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.
CMS billing rules for 51705
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.88 · 29%
- Practice expense (office) RVU2.03 · 67%
- Malpractice RVU0.12 · 4%
163.2K
Medicare services in 2024 · #429 by national volume
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.
51705 compared with similar codes
Office rates for Michigan, from the same CMS release.
$61.70–$65.43
51702 places an indwelling catheter through the urethra; 51705 exchanges an existing tube through a suprapubic cystostomy tract.
$146.41–$155.16
51703 describes complex catheter insertion. It is not the code for a straightforward exchange of an established suprapubic tube.
Compare 51705 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Detroit →
Office / nonfacility
$101.58
Facility
$49.37
Rest Of Michigan →
Office / nonfacility
$95.82
Facility
$46.42
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,04651701,,Insert bladder catheter,A,,0.49,0.80,,0.10,,0.07,1.36,0.66,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04751702,,Insert temp bladder cath,A,,0.49,1.40,,0.12,,0.07,1.96,0.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04851703,,Insert bladder cath complex,A,,1.43,3.00,,0.40,,0.19,4.62,2.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04951705,,Change of bladder tube,A,,0.88,2.03,,0.41,,0.12,3.03,1.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05051710,,Change of bladder tube,A,,1.32,2.72,,0.70,,0.17,4.21,2.19,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05151715,,Endoscopic injection/implant,A,,3.64,6.20,,1.11,,0.53,10.37,5.28,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05251720,,Treatment of bladder lesion,A,,0.85,1.79,,0.18,,0.11,2.75,1.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00