CPT code 51605: Bladder study prep, before contrast imaging2026 Medicare rate & RVUs in Washington, DC area
Reports preparatory work for bladder radiography, distinct from the contrast-injection service used to perform cystography or urethrocystography.
In Washington, DC area, Medicare pays $38.59 for 51605 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 51605 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 51605 covers
CPT 51605 covers preparation for a bladder radiographic examination. It is associated with cystography and related studies in which contrast is introduced into the urinary tract for imaging. Urologists and radiologists may perform or oversee this work in an imaging department, hospital, or office setting. The service is preparation, not the radiographic interpretation or the contrast-injection procedure itself.
Report 51605 when the record supports that the preparation service was performed for the bladder study; document the intended examination and the work completed. Use 51600 for bladder contrast injection with catheterization, or 51610 for retrograde urethrocystography injection, as appropriate. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this service.
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 Washington, DC area compares for 51605
Across 109 of 109 payment localities, the facility rate for 51605 runs from $32.24 in Arkansas to $45.16 in Alaska. Washington, DC area pays $38.59. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$38.59
- Los Angeles, CA · California$37.33−$1.26
- Miami, FL · Florida$39.14+$0.55
- Chicago, IL · Illinois$38.30−$0.29
- Manhattan, NY · New York$39.71+$1.12
- Alaska · Alaska$45.16+$6.57
- Alabama · Alabama$32.55−$6.04
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $32.24 |
| ArizonaArizona | — | $34.36 |
| Bakersfield, CACalifornia | — | $35.70 |
| Chico, CACalifornia | — | $35.49 |
| El Centro, CACalifornia | — | $35.50 |
| Fresno, CACalifornia | — | $35.49 |
| Hanford, CACalifornia | — | $35.49 |
| Madera, CACalifornia | — | $35.49 |
| Merced, CACalifornia | — | $35.49 |
| Modesto, CACalifornia | — | $35.49 |
| Napa, CACalifornia | — | $39.05 |
| Oxnard, CACalifornia | — | $36.96 |
| Redding, CACalifornia | — | $35.49 |
| Rest of CaliforniaCalifornia | — | $35.49 |
| Riverside, CACalifornia | — | $36.25 |
| Sacramento, CACalifornia | — | $36.69 |
| Salinas, CACalifornia | — | $36.54 |
| San Diego, CACalifornia | — | $36.98 |
| Marin County, CACalifornia | — | $40.70 |
| San Francisco, CACalifornia | — | $40.62 |
| San Benito County, CACalifornia | — | $41.58 |
| Santa Clara County, CACalifornia | — | $41.25 |
| San Luis Obispo, CACalifornia | — | $36.01 |
| Santa Cruz, CACalifornia | — | $37.01 |
| Santa Maria, CACalifornia | — | $36.56 |
| Santa Rosa, CACalifornia | — | $37.35 |
| Stockton, CACalifornia | — | $35.49 |
| Vallejo, CACalifornia | — | $38.93 |
| Visalia, CACalifornia | — | $35.49 |
| Yuba City, CACalifornia | — | $35.49 |
| ColoradoColorado | — | $35.58 |
| ConnecticutConnecticut | — | $36.90 |
| DelawareDelaware | — | $34.79 |
| Fort Lauderdale, FLFlorida | — | $37.12 |
| Rest of FloridaFlorida | — | $35.72 |
| Atlanta, GAGeorgia | — | $35.80 |
| Rest of GeorgiaGeorgia | — | $34.22 |
| Hawaii, Guam, HIHawaii | — | $35.73 |
| IowaIowa | — | $32.64 |
| IdahoIdaho | — | $32.88 |
| East St. Louis, ILIllinois | — | $36.48 |
| Rest of IllinoisIllinois | — | $35.34 |
| Suburban Chicago, ILIllinois | — | $37.35 |
| IndianaIndiana | — | $32.99 |
| KansasKansas | — | $32.76 |
| KentuckyKentucky | — | $33.54 |
| New Orleans, LALouisiana | — | $34.68 |
| Rest of LouisianaLouisiana | — | $33.59 |
| Metropolitan Boston, MAMassachusetts | — | $38.00 |
| Rest of MassachusettsMassachusetts | — | $35.56 |
| Baltimore area, MDMaryland | — | $36.83 |
| Rest of MarylandMaryland | — | $35.23 |
| Rest of MaineMaine | — | $33.23 |
| Southern Maine, MEMaine | — | $34.10 |
| Detroit, MIMichigan | — | $36.25 |
| Rest of MichiganMichigan | — | $34.33 |
| MinnesotaMinnesota | — | $33.77 |
| Metropolitan Kansas City, MOMissouri | — | $34.28 |
| Metropolitan St. Louis, MOMissouri | — | $34.50 |
| Rest of MissouriMissouri | — | $33.35 |
| MississippiMississippi | — | $32.79 |
| MontanaMontana | — | $35.07 |
| North CarolinaNorth Carolina | — | $33.42 |
| North DakotaNorth Dakota | — | $33.68 |
| NebraskaNebraska | — | $32.69 |
| New HampshireNew Hampshire | — | $35.27 |
| Northern New JerseyNew Jersey | — | $38.46 |
| Rest of New JerseyNew Jersey | — | $37.23 |
| New MexicoNew Mexico | — | $34.54 |
| NevadaNevada | — | $34.69 |
| NYC suburbs and Long Island, NYNew York | — | $40.67 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $37.64 |
| Queens, NYNew York | — | $39.62 |
| Rest of New YorkNew York | — | $33.78 |
| OhioOhio | — | $34.04 |
| OklahomaOklahoma | — | $33.26 |
| Portland, OROregon | — | $36.14 |
| Rest of OregonOregon | — | $34.33 |
| Metropolitan Philadelphia, PAPennsylvania | — | $36.39 |
| Rest of PennsylvaniaPennsylvania | — | $33.96 |
| Puerto RicoPuerto Rico | — | $35.17 |
| Rhode IslandRhode Island | — | $35.61 |
| South CarolinaSouth Carolina | — | $33.81 |
| South DakotaSouth Dakota | — | $33.52 |
| TennesseeTennessee | — | $32.89 |
| Austin, TXTexas | — | $35.54 |
| Beaumont, TXTexas | — | $33.82 |
| Brazoria, TXTexas | — | $34.61 |
| Dallas, TXTexas | — | $34.88 |
| Fort Worth, TXTexas | — | $34.79 |
| Galveston, TXTexas | — | $34.75 |
| Houston, TXTexas | — | $36.03 |
| Rest of TexasTexas | — | $34.23 |
| UtahUtah | — | $34.11 |
| VirginiaVirginia | — | $34.18 |
| Virgin Islands, VIUnited States Virgin Islands | — | $35.17 |
| VermontVermont | — | $33.80 |
| Rest of WashingtonWashington | — | $35.42 |
| King County, WAWashington | — | $38.41 |
| WisconsinWisconsin | — | $32.95 |
| West VirginiaWest Virginia | — | $34.50 |
| WyomingWyoming | — | $34.46 |
51605 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 51605 rate is calculated
Each of 51605’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 · 51605
RVUs × geographic indexes × conversion factor
Work0.62
0.62 RVUs× 1.000 GPCI
Practice expense0.36
0.36 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.0500
Conversion factor
$33.4009
Medicare rate
$35.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,043
- Code
- 51605
- Physician work
- 0.62
- Practice expense
- 0.36
- Malpractice
- 0.07
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.62 | × 1.054 | 0.6535 |
| Practice expense | 0.36 | × 1.178 | 0.4241 |
| Malpractice | 0.07 | × 1.113 | 0.0779 |
| Total RVUs | 1.1555 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$38.59
Facility: (0.62 × 1.054 + 0.36 × 1.178 + 0.07 × 1.113) × $33.4009 = $38.59
Payment rules and modifiers for 51605
The CMS indicators that decide how 51605 is paid alongside other services.
CMS payment indicators · 51605
Bladder study prep, before contrast imaging
| 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
51605 without 51 · national facility
$35.07
Bladder study prep, before contrast imaging
51605-51 · Second procedure: 50%
$17.54
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%).
How 51605 has changed in Washington, DC area
51605 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $38.59 | RVU26D |
| 2026-07-01 | Not available in this setting | $38.59 | RVU26C |
| 2026-04-01 | Not available in this setting | $38.59 | RVU26B |
| 2026-01-01 | Not available in this setting | $38.59 | RVU26A |
| 2025-10-01 | Not available in this setting | $41.49 | RVU25D |
| 2025-07-01 | Not available in this setting | $41.49 | RVU25C |
| 2025-04-01 | Not available in this setting | $41.49 | RVU25B |
| 2025-01-01 | Not available in this setting | $41.49 | RVU25A |
| 2024-10-01 | Not available in this setting | $42.69 | RVU24D |
| 2024-07-01 | Not available in this setting | $42.69 | RVU24C |
| 2024-04-01 | Not available in this setting | $42.69 | RVU24B |
| 2024-03-09 | Not available in this setting | $42.69 | RVU24AR |
| 2024-01-01 | Not available in this setting | $41.99 | RVU24A |
| 2023-10-01 | Not available in this setting | $43.11 | RVU23D |
| 2023-07-01 | Not available in this setting | $43.11 | RVU23C |
| 2023-04-01 | Not available in this setting | $43.11 | RVU23B |
| 2023-01-01 | Not available in this setting | $43.11 | RVU23A |
| 2022-10-01 | Not available in this setting | $44.48 | RVU22D |
| 2022-07-01 | Not available in this setting | $44.48 | RVU22C |
| 2022-04-01 | Not available in this setting | $44.48 | RVU22B |
| 2022-01-01 | Not available in this setting | $44.48 | RVU22A |
| 2021-10-01 | Not available in this setting | $44.42 | RVU21D |
| 2021-07-01 | Not available in this setting | $44.42 | RVU21C |
| 2021-04-01 | Not available in this setting | $44.42 | RVU21B |
| 2021-01-01 | Not available in this setting | $44.42 | RVU21A |
| 2020-10-01 | Not available in this setting | $45.56 | RVU20D |
| 2020-07-01 | Not available in this setting | $45.56 | RVU20C |
| 2020-04-01 | Not available in this setting | $45.56 | RVU20B |
| 2020-01-01 | Not available in this setting | $45.56 | RVU20A |
| 2019-10-01 | Not available in this setting | $44.65 | RVU19D |
| 2019-07-01 | Not available in this setting | $44.65 | RVU19C |
| 2019-04-01 | Not available in this setting | $44.65 | RVU19B |
| 2019-01-01 | Not available in this setting | $44.65 | RVU19A |
| 2018-10-01 | Not available in this setting | $45.04 | RVU18D |
| 2018-07-01 | Not available in this setting | $45.04 | RVU18C |
| 2018-04-01 | Not available in this setting | $45.04 | RVU18B |
| 2018-01-01 | Not available in this setting | $45.04 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $44.56 | RVU17D |
| 2017-07-01 | Not available in this setting | $44.56 | RVU17C |
| 2017-04-01 | Not available in this setting | $44.56 | RVU17B |
| 2017-01-01 | Not available in this setting | $44.56 | RVU17A |
| 2016-10-01 | Not available in this setting | $44.12 | RVU16D |
| 2016-07-01 | Not available in this setting | $44.12 | RVU16C |
| 2016-04-01 | Not available in this setting | $44.12 | RVU16B |
| 2016-01-01 | Not available in this setting | $44.12 | RVU16A |
| 2015-10-01 | Not available in this setting | $43.82 | RVU15D |
| 2015-07-01 | Not available in this setting | $43.82 | RVU15C |
| 2015-04-01 | Not available in this setting | $43.60 | RVU15B |
| 2015-01-01 | Not available in this setting | $43.60 | RVU15A |
| 2014-10-01 | Not available in this setting | $43.02 | RVU14D |
| 2014-07-01 | Not available in this setting | $43.02 | RVU14C |
| 2014-04-01 | Not available in this setting | $43.02 | RVU14B |
| 2014-01-01 | Not available in this setting | $43.02 | RVU14A |
| 2013-10-01 | Not available in this setting | $41.88 | RVU13D |
| 2013-07-01 | Not available in this setting | $41.88 | RVU13C |
| 2013-04-01 | Not available in this setting | $41.88 | RVU13B |
| 2013-01-01 | Not available in this setting | $41.88 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
51605 billing questions
How is 51605 different from 51600?
51605 describes preparation for bladder radiography. CPT 51600 is the bladder contrast-injection procedure, including catheterization.
Should 51605 be reported with the imaging interpretation?
The preparation service and the radiologist's interpretation describe different work. For example, 74430 reports cystography interpretation; document the preparation performed separately.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure rule affect 51605?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard reduction.
What should the record support?
Document the bladder examination being prepared for and the preparation work performed. The record should distinguish that work from contrast injection and image interpretation.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 51605, and co-surgeons and team surgery are not permitted.
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
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