CPT code 51728: Urodynamic study, with voiding pressure2026 Medicare rate & RVUs in New Mexico

Reports complex bladder pressure testing during filling and voiding when evaluation of urinary symptoms includes a voiding pressure study.

CMS RVU26DEffective Oct 1, 2026One payment locality78.3K Medicare services in 2024

In New Mexico, Medicare pays $316.53 for 51728 in the office.

$316.53Office (non-facility)
Not available in this settingHospital or facility
−6.0%vs the national office rate ($336.68)

Check a contract rate as a % of Medicare · 51728 nationwide

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

We’ll open 51728 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 51728 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 51728 covers

This urodynamic test records bladder pressure as the bladder fills and during voiding, helping assess how the bladder stores and empties urine. Urologists and urogynecologists commonly order it for patients with urinary retention, incontinence, suspected outlet obstruction, or neurogenic bladder. Testing is generally performed in an office or facility with catheter-based pressure measurement and recording equipment.

Report 51728 when the completed study includes complex cystometry and voiding pressure assessment; a filling-only complex study or one that also includes a urethral pressure profile may call for a different code. The record should support the study performed and its interpretation. The global service includes the professional interpretation and technical work; modifier 26 identifies interpretation, and modifier TC identifies equipment and staff. This has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued is paid in full and others are subject to the standard 50% reduction. 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 New Mexico compares for 51728

Across 109 of 109 payment localities, the office rate for 51728 runs from $296.38 in Arkansas to $455.99 in San Benito County, CA. New Mexico pays $316.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

51728 in New Mexico vs other payment areas
  1. New Mexico · this page$316.53
  2. Los Angeles, CA · California$384.71+$68.18
  3. Washington, DC area · District of Columbia$387.60+$71.07
  4. Miami, FL · Florida$358.60+$42.07
  5. Chicago, IL · Illinois$347.98+$31.45
  6. Manhattan, NY · New York$387.60+$71.07
  7. Alaska · Alaska$384.72+$68.19

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

51728 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$300.93—
ArkansasArkansas$296.38—
ArizonaArizona$327.55—
Bakersfield, CACalifornia$360.13—
Chico, CACalifornia$359.45—
El Centro, CACalifornia$359.49—
Fresno, CACalifornia$359.45—
Hanford, CACalifornia$359.45—

51728 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.

$296.38

$407.72

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
51728 office rate range by state
State / territoryOffice rate rangeLocalities
AK$384.721
AL$300.931
AR$296.381
AZ$327.551
CA$359.45–$455.9929
CO$352.571
CT$359.661
DC$387.601
DE$333.161
FL$328.91–$358.603
GA$309.96–$342.532
GU$369.281
HI$369.281
IA$310.111
ID$311.971
IL$318.15–$349.874
IN$313.891
KS$308.031
KY$307.141
LA$306.41–$322.312
MA$350.10–$389.242
MD$339.89–$387.603
ME$313.06–$331.622
MI$314.96–$332.602
MN$339.061
MO$300.54–$324.193
MS$298.551
MT$336.671
NC$316.571
ND$332.321
NE$312.051
NH$346.441
NJ$364.11–$383.202
NM$316.531
NV$335.711
NY$321.47–$396.625
OH$314.071
OK$307.171
OR$333.46–$364.822
PA$314.91–$350.022
PR$339.441
RI$345.791
SC$315.781
SD$331.801
TN$309.571
TX$312.71–$351.098
UT$320.301
VA$330.09–$387.602
VI$339.441
VT$330.451
WA$349.63–$397.922
WI$320.651
WV$305.721
WY$334.771

See 51728 in every payment locality

How the 51728 rate is calculated

Each of 51728’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 · 51728

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.06

2.06 RVUs× 1.000 GPCI

Practice expense7.80

7.80 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

10.0800

Conversion factor

$33.4009

Medicare rate

$336.68

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,063

Code
51728
Physician work
2.06
Practice expense
7.80
Malpractice
0.22

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 51728 in New Mexico
ComponentRVULocality factorAdjusted
Physician work2.06× 1.0002.0600
Practice expense7.80× 0.9177.1526
Malpractice0.22× 1.2010.2642
Total RVUs9.4768
Conversion factor× 33.4009

Office rate, New Mexico$316.53

Office: (2.06 × 1 + 7.8 × 0.917 + 0.22 × 1.201) × $33.4009 = $316.53

Open 51728 in the RVU calculator

Payment rules and modifiers for 51728

The CMS indicators that decide how 51728 is paid alongside other services.

CMS payment indicators · 51728

Urodynamic study, with voiding pressure

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

51728 without 26 · national office

$336.68

Urodynamic study, with voiding pressure

51728-26 · Professional component

$104.21

Pays only the interpretation and report.

When to use modifier 26

How 51728 has changed in New Mexico

51728 · Office / nonfacility

$316.53

Effective 2026-10-01

The base rate is $10.14 higher than on 2025-10-01, moving from $306.39 to $316.53 (3.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $306.39changed to$316.53

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.11 changed to 2.06
    • Practice expense RVU 7.85 changed to 7.80
    • Malpractice RVU 0.20 changed to 0.22
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $338.06changed to$306.39

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.59 changed to 7.85
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $332.54changed to$338.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $343.30changed to$332.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.62 changed to 8.59
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $353.12changed to$343.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.76 changed to 8.62
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $351.79changed to$353.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.65 changed to 8.76
    • Malpractice RVU 0.19 changed to 0.21

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $336.86changed to$351.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.69 changed to 8.65
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $325.22changed to$336.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 7.25 changed to 7.69
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $309.95changed to$325.22

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.80 changed to 7.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $303.50changed to$309.95

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.65 changed to 6.80
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $300.28changed to$303.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 6.59 changed to 6.65
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $300.62changed to$300.28

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 6.58 changed to 6.59
    • Malpractice RVU 0.18 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $299.12changed to$300.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $295.97changed to$299.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 6.49 changed to 6.58
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $298.88changed to$295.97

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 7.08 changed to 6.49
    • Malpractice RVU 0.19 changed to 0.18
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $298.88

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$316.53Not available in this settingRVU26D
2026-07-01$316.53Not available in this settingRVU26C
2026-04-01$316.53Not available in this settingRVU26B
2026-01-01$316.53Not available in this settingRVU26A
2025-10-01$306.39Not available in this settingRVU25D
2025-07-01$306.39Not available in this settingRVU25C
2025-04-01$306.39Not available in this settingRVU25B
2025-01-01$306.39Not available in this settingRVU25A
2024-10-01$338.06Not available in this settingRVU24D
2024-07-01$338.06Not available in this settingRVU24C
2024-04-01$338.06Not available in this settingRVU24B
2024-03-09$338.06Not available in this settingRVU24AR
2024-01-01$332.54Not available in this settingRVU24A
2023-10-01$343.30Not available in this settingRVU23D
2023-07-01$343.30Not available in this settingRVU23C
2023-04-01$343.30Not available in this settingRVU23B
2023-01-01$343.30Not available in this settingRVU23A
2022-10-01$353.12Not available in this settingRVU22D
2022-07-01$353.12Not available in this settingRVU22C
2022-04-01$353.12Not available in this settingRVU22B
2022-01-01$353.12Not available in this settingRVU22A
2021-10-01$351.79Not available in this settingRVU21D
2021-07-01$351.79Not available in this settingRVU21C
2021-04-01$351.79Not available in this settingRVU21B
2021-01-01$351.79Not available in this settingRVU21A
2020-10-01$336.86Not available in this settingRVU20D
2020-07-01$336.86Not available in this settingRVU20C
2020-04-01$336.86Not available in this settingRVU20B
2020-01-01$336.86Not available in this settingRVU20A
2019-10-01$325.22Not available in this settingRVU19D
2019-07-01$325.22Not available in this settingRVU19C
2019-04-01$325.22Not available in this settingRVU19B
2019-01-01$325.22Not available in this settingRVU19A
2018-10-01$309.95Not available in this settingRVU18D
2018-07-01$309.95Not available in this settingRVU18C
2018-04-01$309.95Not available in this settingRVU18B
2018-01-01$309.95Not available in this settingRVU18AR1
2017-10-01$303.50Not available in this settingRVU17D
2017-07-01$303.50Not available in this settingRVU17C
2017-04-01$303.50Not available in this settingRVU17B
2017-01-01$303.50Not available in this settingRVU17A
2016-10-01$300.28Not available in this settingRVU16D
2016-07-01$300.28Not available in this settingRVU16C
2016-04-01$300.28Not available in this settingRVU16B
2016-01-01$300.28Not available in this settingRVU16A
2015-10-01$300.62Not available in this settingRVU15D
2015-07-01$300.62Not available in this settingRVU15C
2015-04-01$299.12Not available in this settingRVU15B
2015-01-01$299.12Not available in this settingRVU15A
2014-10-01$295.97Not available in this settingRVU14D
2014-07-01$295.97Not available in this settingRVU14C
2014-04-01$295.97Not available in this settingRVU14B
2014-01-01$295.97Not available in this settingRVU14A
2013-10-01$298.88Not available in this settingRVU13D
2013-07-01$298.88Not available in this settingRVU13C
2013-04-01$298.88Not available in this settingRVU13B
2013-01-01$298.88Not available in this settingRVU13AR

Price 51728 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

51728 billing questions

When should 51728 be selected instead of 51726?

Use 51728 when the complex cystometric study includes assessment of voiding pressure. A complex filling study without that voiding-pressure component is distinguished by 51726.

How does 51728 differ from 51729?

51729 includes a urethral pressure profile in addition to complex cystometry and voiding pressure assessment. Use 51728 when the documented study includes voiding pressure but not that additional profile.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion, including equipment and staff. Without either modifier, the code represents the global service.

Can 51797 be reported with 51728?

51797 is an add-on for a separately performed intra-abdominal voiding pressure study and may be reported with 51728 when that additional study is performed and documented.

What documentation supports reporting 51728?

Document the complex cystometric testing, the voiding pressure assessment performed, and the interpretation or findings. The record should distinguish the service from filling-only cystometry and from a study that includes a urethral pressure profile.

How does the multiple-procedure reduction affect 51728?

When it is one of multiple procedures performed in the same session, the highest-valued procedure is paid in full and the other procedure or procedures are subject to the standard 50% reduction.

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
RVUs for 51728PPRRVU2026_Oct_nonQPP.csv, line 6,063 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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