$68.70
Choose 51784 for non-needle electromyography of anal or urinary sphincter muscle activity. Choose 51792 when the documented service is urinary reflex response testing.
On this page
CMS RVU26D · Effective 2026-10-01
51792 Urinary reflex study Medicare reimbursement rates in Colorado
Reports a diagnostic study of reflex pathways involved in urinary control, typically when evaluating suspected neurologic impairment affecting bladder or urethral function. Compare 51792 office and facility rates across CMS payment localities in Colorado.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 51792 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$259.33
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urodynamic testing
About 51792: Urinary reflex response study
Reports a diagnostic study of reflex pathways involved in urinary control, typically when evaluating suspected neurologic impairment affecting bladder or urethral function.
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.
CMS billing rules for 51792
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.07 · 14%
- Practice expense (office) RVU6.14 · 83%
- Malpractice RVU0.19 · 3%
5.5K
Medicare services in 2024 · #1813 by national volume
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.
51792 compared with similar codes
Office rates for Colorado, from the same CMS release.
$410.17
51785 reports needle electromyography of anal or urinary sphincter muscle activity; 51792 reports a urinary reflex study, not needle muscle testing.
$283.71
51726 reports complex cystometry, which measures bladder pressure and filling function. 51792 is selected for reflex response testing.
$15.77
51741 reports complex uroflowmetry, measuring urine flow during voiding. It is not a study of urinary reflex pathways.
Compare 51792 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
$259.33
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 51792 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,081
- Code
- 51792
- Physician work
- 1.07
- Practice expense
- 6.14
- Malpractice
- 0.19
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.07 | × 1.012 | 1.0828 |
| Practice expense | 6.14 | × 1.064 | 6.5330 |
| Malpractice | 0.19 | × 0.781 | 0.1484 |
| Total RVUs | 7.7642 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$259.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.07 | 1.012 |
| Practice expense | 6.14 | 1.064 |
| Malpractice | 0.19 | 0.781 |
(1.07 × 1.012 + 6.14 × 1.064 + 0.19 × 0.781) × $33.4009 = $259.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
51792 billing questions
How is 51792 different from cystometry?
51792 evaluates a urinary reflex response. Cystometry codes such as 51726 measure bladder pressure during filling and related testing.
Can the professional and technical portions be billed separately?
Yes. Report modifier 26 for the professional interpretation or TC for the technical equipment and staff; without either modifier, the claim represents the global service.
Is modifier 50 appropriate?
No. CMS identifies modifier 50 as inappropriate for this service's descriptor and anatomy.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
How does the multiple procedure rule affect payment?
When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction.
What documentation supports reporting 51792?
Document the clinical reason for reflex testing, the reflex study performed, and the recorded response and interpretation. The record should distinguish the study from pressure testing, urine-flow measurement, and sphincter EMG.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,07851785,,Anal/urinary muscle study,A,,1.49,9.75,,9.75,NA,0.51,11.75,11.75,1,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,07951785,26,Anal/urinary muscle study,A,,1.49,0.83,,0.83,,0.48,2.80,2.80,1,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08051785,TC,Anal/urinary muscle study,A,,0.00,8.92,,8.92,NA,0.03,8.95,8.95,1,XXX,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
6,08151792,,Urinary reflex study,A,,1.07,6.14,,6.14,NA,0.19,7.40,7.40,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08251792,26,Urinary reflex study,A,,1.07,0.45,,0.45,,0.16,1.68,1.68,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08351792,TC,Urinary reflex study,A,,0.00,5.69,,5.69,NA,0.03,5.72,5.72,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,08451797,,Intraabdominal pressure test,A,,0.78,3.79,,3.79,NA,0.07,4.64,4.64,1,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899