51725 is the simple pressure study; 51726 is used for complex cystometrogram testing with calibrated electronic equipment.
On this page
CMS RVU26D · Effective 2026-10-01
51725 Cystometrogram Medicare reimbursement rates in Georgia
Reports simple bladder pressure testing during filling to assess bladder sensation, capacity, and pressure behavior in patients with lower urinary tract symptoms. Compare 51725 office and facility rates across CMS payment localities in Georgia.
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 51725 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$184.28–$202.17
2 of 2 localities have a supported rate.
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.
Urology diagnostics
About 51725: Simple bladder pressure study
Reports simple bladder pressure testing during filling to assess bladder sensation, capacity, and pressure behavior in patients with lower urinary tract symptoms.
A simple cystometrogram records bladder pressure as the bladder is filled, helping assess sensations of filling, capacity, and pressure behavior. A urologist or other qualified clinician commonly performs the test in an office or outpatient setting, using a bladder catheter and a simple pressure-measuring setup. It can support evaluation of symptoms such as urinary retention or incontinence when bladder function needs assessment.
Choose this code for the simple study, not a more extensive cystometrogram that adds complex pressure measurements or other testing. Documentation should identify the clinical indication, method, pressure findings, and relevant filling observations. The global service includes same-day preoperative and postoperative care; modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. In a same-session multiple-procedure setting, the highest-valued procedure is paid in full and other procedures receive the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 51725
- 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 RVU1.47 · 25%
- Practice expense (office) RVU4.27 · 72%
- Malpractice RVU0.20 · 3%
9.9K
Medicare services in 2024 · #1471 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.
51725 compared with similar codes
Office rates for Georgia, from the same CMS release.
51727 includes voiding-pressure studies in addition to cystometrogram testing; 51725 describes the simple filling-pressure study.
51736 measures urine flow. It does not substitute for the pressure recording during bladder filling reported with 51725.
51798 estimates bladder volume by ultrasound, commonly for residual urine assessment; 51725 records pressure as the bladder fills.
Compare 51725 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$202.17
Facility
Unavailable
Rest Of Georgia →
Office / nonfacility
$184.28
Facility
Unavailable
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51725 billing questions
When should 51725 be selected instead of 51726?
Use 51725 for a simple bladder pressure study during filling. Use 51726 when the service includes complex cystometrogram testing with calibrated electronic equipment.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 reports the interpretation, and modifier TC reports the equipment and staff; an unmodified claim represents the global service.
Is modifier 50 appropriate for this code?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What documentation supports reporting 51725?
Document the clinical indication, the simple pressure-measurement method, and relevant pressure and filling observations, including the patient's reported sensations when recorded.
How is 51725 paid when other procedures occur in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure 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 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.
