CPT code 51727: Urodynamic testing, with urethral pressure profile2026 Medicare rate & RVUs

Medicare pays $331.00 for 51727 nationally in the office. Local office rates run $291.05–$446.59.

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

What 51727 covers

This urodynamic study measures bladder pressure as the bladder fills and includes urethral pressure profile measurements. A catheter-based setup and pressure transducers collect the measurements; urologists and urogynecologists commonly perform or supervise the study in office or facility settings. It may help assess urinary incontinence, difficulty voiding, or other lower urinary tract symptoms when pressure measurements are needed to characterize function.

Select 51727 when the documented study includes complex cystometry and urethral pressure profile testing. The record should support the procedures performed and the resulting interpretation; use 51726 for complex cystometry without the profile, 51728 when voiding pressure studies are included, and 51729 when both additional study types are performed. Medicare recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others are subject to the stated reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; 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.

Where 51727 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

51727 rates by state

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

How the 51727 rate is calculated

Each of 51727’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 51727

The CMS indicators that decide how 51727 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

51727 compared with similar codes

How to choose

51726CystometrogramElectronic pressure-volume testing

Choose 51726 for complex cystometry alone. Choose 51727 when the same study also includes a urethral pressure profile.

51728Urodynamic studyWith voiding pressure

51728 includes voiding pressure studies with complex cystometry; 51727 includes a urethral pressure profile instead.

51729Urodynamic studyVoiding and urethral pressures

51729 includes both voiding pressure studies and a urethral pressure profile. 51727 includes the profile without the voiding-pressure combination.

51725CystometrogramSimple filling-phase study

51725 represents simple cystometry. 51727 is the complex study that includes urethral pressure profile testing.

Codes related to 51727

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

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