CPT code 51726: Cystometrogram, electronic pressure-volume testing2026 Medicare rate & RVUs in Missouri
Reports calibrated electronic bladder pressure testing during filling to assess bladder sensation, capacity, compliance, and involuntary contractions.
Medicare pays $241.83–$260.84 for 51726 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 51726 covers
Urologists and urogynecologists use a complex cystometrogram to evaluate lower urinary tract symptoms such as urgency, incontinence, or difficulty emptying. A bladder catheter is used to fill the bladder while calibrated electronic equipment records pressure changes and the patient’s sensations during filling. The study may be performed in an office or outpatient facility as part of a urodynamic evaluation.
Report this level when the study uses calibrated electronic equipment; a simple cystometrogram using a simpler manometric method is a different service. The record should support the testing performed and findings, including pressure observations and patient responses. Bill without a modifier for the global service, modifier 26 for interpretation, or modifier TC for equipment and staff. Same-day preoperative and postoperative care is included in the 0-day global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery billing is 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.
Where 51726 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$241.83 to $260.84
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $257.98 | Unavailable |
| Metropolitan St. Louis, MO | $260.84 | Unavailable |
| Rest of Missouri | $241.83 | Unavailable |
How the 51726 rate is calculated
Each of 51726’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 · 51726
RVUs × geographic indexes × conversion factor
Work1.67
1.67 RVUs× 1.000 GPCI
Practice expense6.27
6.27 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
8.1100
Conversion factor
$33.4009
Medicare rate
$270.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 51726
The CMS indicators that decide how 51726 is paid alongside other services.
CMS payment indicators · 51726
Cystometrogram, electronic pressure-volume testing
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
51726 without 26 · national office
$270.88
Cystometrogram, electronic pressure-volume testing
51726-26 · Professional component
$84.17
Pays only the interpretation and report.
51726 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 51725CystometrogramSimple filling-phase study
- 51725 is the simple cystometrogram using a simpler manometric method. Use 51726 when calibrated electronic equipment is used.
- 51727Urodynamic testingWith urethral pressure profile
- 51727 includes urethral pressure profile studies in addition to the complex cystometrogram; 51726 alone is the electronic cystometrogram.
- 51728Urodynamic studyWith voiding pressure
- 51728 adds voiding pressure studies to the complex cystometrogram. Choose 51726 when those additional studies are not performed.
- 51729Urodynamic studyVoiding and urethral pressures
- 51729 combines the complex cystometrogram with both voiding pressure and urethral pressure profile studies; 51726 does not include those additions.
51726 billing questions
When should 51726 be chosen over 51725?
Use 51726 for a cystometrogram performed with calibrated electronic equipment. Code 51725 represents the simple study using a simpler manometric method.
How does 51726 differ from 51727, 51728, and 51729?
Those codes describe a complex cystometrogram combined with additional urethral pressure profile and/or voiding pressure studies. Select the code that matches the testing actually performed.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What happens when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple procedure reduction, with payment at 50%.
What documentation supports reporting 51726?
Document the electronic cystometrogram performed, the pressure observations and patient responses during filling, and the findings used in the interpretation.
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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