CPT code 51792: Urinary reflex study, reflex response testing2026 Medicare rate & RVUs in Iowa

In Iowa, Medicare pays $225.91 for 51792 in the office.

Check a contract rate as a % of Medicare · 51792 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 51792 covers

A urinary reflex study evaluates the reflex response involved in urinary control, rather than simply measuring urine flow or bladder filling pressure. The clinician stimulates a relevant reflex pathway and records the physiologic response to assess neuromuscular function. Urologists and other clinicians evaluating urinary dysfunction may order the test when neurologic involvement is suspected; it is commonly performed in an office urodynamics setting by trained staff, with physician interpretation.

Select this service when the documented test is a urinary reflex study, not a cystometrogram, uroflow measurement, or sphincter electromyography study. The record should identify the reflex testing performed, the clinical indication, and the findings supporting the interpretation. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. The service may be billed globally or split into professional interpretation with modifier 26 and technical equipment and staff with modifier TC. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment requires documented medical necessity, and 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 Iowa compares for 51792

Across 109 of 109 payment localities, the office rate for 51792 runs from $215.17 in Arkansas to $338.80 in San Benito County, CA. Iowa pays $225.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

51792 rates by state

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

See 51792 in every payment locality

How the 51792 rate is calculated

Each of 51792’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 51792

The CMS indicators that decide how 51792 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 51792

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

How 51792 has changed in Iowa

Price 51792 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

• Ackley
• Ackworth
• Adair
• Adel
• Afton
• Agency
• Ainsworth
• Akron

Browse all communities in Iowa

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