CPT code 51715: Urethral bulking, bladder neck or urethra2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $348.38 for 51715 in the office and $176.50 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 51715 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 51715 covers

A urologist or urogynecologist uses a cystoscope to place bulking material beneath the lining of the urethra and/or bladder neck. The added volume helps the outlet close more effectively. The procedure is used for stress urinary incontinence associated with inadequate urethral sphincter closure, including cases in which a patient and clinician select an injection approach rather than a sling operation. It is commonly performed in an ambulatory or office-based setting, depending on the technique and clinical circumstances.

Report one unit for the endoscopic injection service, not a separate unit for each deposit of material. The record should identify the incontinence indication, injection site, material, and endoscopic procedure performed. Cystoscopic access and visualization are part of the injection service; do not separately report routine diagnostic cystoscopy for that same work. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are reduced to 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Puerto Rico compares for 51715

Across 109 of 109 payment localities, the office rate for 51715 runs from $308.58 in Arkansas to $443.06 in San Benito County, CA. Puerto Rico pays $348.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

51715 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 51715 in every payment locality

How the 51715 rate is calculated

Each of 51715’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.

Payment rules and modifiers for 51715

The CMS indicators that decide how 51715 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 51715

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

How 51715 has changed in Puerto Rico

Price 51715 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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

Open CMS sourceHow we calculate rates