CPT code 51797: Abdominal pressure test, urodynamic add-on measurement2026 Medicare rate & RVUs in South Dakota

Measures intra-abdominal pressure during urodynamic testing, typically alongside complex cystometrogram studies that assess bladder pressure during filling and voiding.

CMS RVU26DEffective Oct 1, 2026One payment locality96.4K Medicare services in 2024

In South Dakota, Medicare pays $153.43 for 51797 in the office.

$153.43Office (non-facility)
Not available in this settingHospital or facility
−1.0%vs the national office rate ($154.98)

Check a contract rate as a % of Medicare · 51797 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 51797 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 51797 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 51797 covers

This add-on captures intra-abdominal pressure during urodynamic evaluation, commonly through a rectal pressure catheter or balloon while bladder pressure is recorded. Comparing abdominal and bladder pressure helps the clinician assess detrusor pressure during filling and voiding. Urologists and other clinicians who perform urodynamic studies use it in office or facility settings for patients evaluated for urinary retention, incontinence, or other lower urinary tract symptoms.

Report 51797 only with a primary procedure, commonly 51728 or 51729, when the abdominal-pressure measurement is performed; it is not a stand-alone service. The record should identify the measurement method, include the pressure data, and support its role in the study. CMS treats payment for this add-on as within the primary procedure's global period. The service may be billed globally without a modifier or split between interpretation (modifier 26) and equipment and staff (modifier TC); CMS separately prices both component modifiers.

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 South Dakota compares for 51797

Across 109 of 109 payment localities, the office rate for 51797 runs from $136.00 in Arkansas to $212.71 in San Benito County, CA. South Dakota pays $153.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

51797 in South Dakota vs other payment areas
  1. South Dakota · this page$153.43
  2. Los Angeles, CA · California$178.43+$25.00
  3. Washington, DC area · District of Columbia$179.18+$25.75
  4. Miami, FL · Florida$163.75+$10.32
  5. Chicago, IL · Illinois$158.82+$5.39
  6. Manhattan, NY · New York$178.53+$25.10
  7. Alaska · Alaska$175.19+$21.76

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

51797 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$138.14—
ArkansasArkansas$136.00—
ArizonaArizona$150.72—
Bakersfield, CACalifornia$166.71—
Chico, CACalifornia$166.49—
El Centro, CACalifornia$166.50—
Fresno, CACalifornia$166.49—
Hanford, CACalifornia$166.49—

51797 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.

$136.00

$189.60

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

View every state and territory as a table
51797 office rate range by state
State / territoryOffice rate rangeLocalities
AK$175.191
AL$138.141
AR$136.001
AZ$150.721
CA$166.49–$212.7129
CO$162.881
CT$165.741
DC$179.181
DE$153.361
FL$150.59–$163.753
GA$141.76–$157.552
GU$171.341
HI$171.341
IA$142.811
ID$143.621
IL$145.28–$160.394
IN$144.541
KS$141.671
KY$140.731
LA$140.32–$147.832
MA$161.63–$180.352
MD$156.57–$179.183
ME$143.97–$152.982
MI$144.27–$152.152
MN$157.011
MO$137.45–$148.913
MS$136.771
MT$154.981
NC$145.651
ND$153.591
NE$143.781
NH$159.881
NJ$167.90–$177.032
NM$144.941
NV$154.721
NY$147.96–$182.585
OH$143.991
OK$140.911
OR$153.78–$168.852
PA$144.47–$161.092
PR$156.341
RI$159.401
SC$145.011
SD$153.431
TN$142.381
TX$143.42–$162.118
UT$147.151
VA$152.14–$179.182
VI$156.341
VT$152.561
WA$161.47–$184.592
WI$148.051
WV$139.401
WY$154.371

See 51797 in every payment locality

How the 51797 rate is calculated

Each of 51797’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 · 51797

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense3.79

3.79 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.6400

Conversion factor

$33.4009

Medicare rate

$154.98

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,084

Code
51797
Physician work
0.78
Practice expense
3.79
Malpractice
0.07

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 51797 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense3.79× 1.0003.7900
Malpractice0.07× 0.3360.0235
Total RVUs4.5935
Conversion factor× 33.4009

Office rate, South Dakota$153.43

Office: (0.78 × 1 + 3.79 × 1 + 0.07 × 0.336) × $33.4009 = $153.43

Open 51797 in the RVU calculator

Payment rules and modifiers for 51797

The CMS indicators that decide how 51797 is paid alongside other services.

CMS payment indicators · 51797

Abdominal pressure test, urodynamic add-on measurement

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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

51797 without 26 · national office

$154.98

Abdominal pressure test, urodynamic add-on measurement

51797-26 · Professional component

$39.41

Pays only the interpretation and report.

When to use modifier 26

How 51797 has changed in South Dakota

51797 · Office / nonfacility

$153.43

Effective 2026-10-01

The base rate is $6.26 lower than on 2025-10-01, moving from $159.69 to $153.43 (3.9%).

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

    $159.69changed to$153.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 4.11 changed to 3.79
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $187.09changed to$159.69

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.79 changed to 4.11
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $184.04changed to$187.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $194.14changed to$184.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.90 changed to 4.79
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $203.06changed to$194.14

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.04 changed to 4.90
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $191.24changed to$203.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.66 changed to 5.04
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $164.55changed to$191.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.73 changed to 4.66
    • Malpractice RVU 0.08 changed to 0.06
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $140.81changed to$164.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.08 changed to 3.73
    • Malpractice RVU 0.07 changed to 0.08
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $115.10changed to$140.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.37 changed to 3.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $112.61changed to$115.10

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.31 changed to 2.37
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $111.64changed to$112.61

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.29 changed to 2.31
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $112.04changed to$111.64

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $111.48changed to$112.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $110.15changed to$111.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.25 changed to 2.29
    • Malpractice RVU 0.06 changed to 0.07
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $112.48changed to$110.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.48 changed to 2.25
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $112.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$153.43Not available in this settingRVU26D
2026-07-01$153.43Not available in this settingRVU26C
2026-04-01$153.43Not available in this settingRVU26B
2026-01-01$153.43Not available in this settingRVU26A
2025-10-01$159.69Not available in this settingRVU25D
2025-07-01$159.69Not available in this settingRVU25C
2025-04-01$159.69Not available in this settingRVU25B
2025-01-01$159.69Not available in this settingRVU25A
2024-10-01$187.09Not available in this settingRVU24D
2024-07-01$187.09Not available in this settingRVU24C
2024-04-01$187.09Not available in this settingRVU24B
2024-03-09$187.09Not available in this settingRVU24AR
2024-01-01$184.04Not available in this settingRVU24A
2023-10-01$194.14Not available in this settingRVU23D
2023-07-01$194.14Not available in this settingRVU23C
2023-04-01$194.14Not available in this settingRVU23B
2023-01-01$194.14Not available in this settingRVU23A
2022-10-01$203.06Not available in this settingRVU22D
2022-07-01$203.06Not available in this settingRVU22C
2022-04-01$203.06Not available in this settingRVU22B
2022-01-01$203.06Not available in this settingRVU22A
2021-10-01$191.24Not available in this settingRVU21D
2021-07-01$191.24Not available in this settingRVU21C
2021-04-01$191.24Not available in this settingRVU21B
2021-01-01$191.24Not available in this settingRVU21A
2020-10-01$164.55Not available in this settingRVU20D
2020-07-01$164.55Not available in this settingRVU20C
2020-04-01$164.55Not available in this settingRVU20B
2020-01-01$164.55Not available in this settingRVU20A
2019-10-01$140.81Not available in this settingRVU19D
2019-07-01$140.81Not available in this settingRVU19C
2019-04-01$140.81Not available in this settingRVU19B
2019-01-01$140.81Not available in this settingRVU19A
2018-10-01$115.10Not available in this settingRVU18D
2018-07-01$115.10Not available in this settingRVU18C
2018-04-01$115.10Not available in this settingRVU18B
2018-01-01$115.10Not available in this settingRVU18AR1
2017-10-01$112.61Not available in this settingRVU17D
2017-07-01$112.61Not available in this settingRVU17C
2017-04-01$112.61Not available in this settingRVU17B
2017-01-01$112.61Not available in this settingRVU17A
2016-10-01$111.64Not available in this settingRVU16D
2016-07-01$111.64Not available in this settingRVU16C
2016-04-01$111.64Not available in this settingRVU16B
2016-01-01$111.64Not available in this settingRVU16A
2015-10-01$112.04Not available in this settingRVU15D
2015-07-01$112.04Not available in this settingRVU15C
2015-04-01$111.48Not available in this settingRVU15B
2015-01-01$111.48Not available in this settingRVU15A
2014-10-01$110.15Not available in this settingRVU14D
2014-07-01$110.15Not available in this settingRVU14C
2014-04-01$110.15Not available in this settingRVU14B
2014-01-01$110.15Not available in this settingRVU14A
2013-10-01$112.48Not available in this settingRVU13D
2013-07-01$112.48Not available in this settingRVU13C
2013-04-01$112.48Not available in this settingRVU13B
2013-01-01$112.48Not available in this settingRVU13AR

Price 51797 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

51797 billing questions

Can 51797 be billed by itself?

No. It is an add-on and must be reported with a primary procedure, commonly 51728 or 51729, when intra-abdominal pressure is measured.

How does 51797 differ from 51728?

51728 reports a complex cystometrogram with voiding pressure studies. 51797 is the add-on for the intra-abdominal pressure measurement performed as part of the study.

What documentation supports 51797?

Document the pressure-measurement method, the recorded abdominal-pressure data, and how the measurement relates to the urodynamic study.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the equipment and staff portion. Billing without a modifier represents the global service.

Which primary procedures are commonly paired with 51797?

It is commonly reported with 51728 or 51729 when the study includes intra-abdominal pressure measurement. Select the primary procedure based on the urodynamic services 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

Show the CMS file lines behind this rate
RVUs for 51797PPRRVU2026_Oct_nonQPP.csv, line 6,084 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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