51736 is the simple flow study; 51741 is the more complex electronically measured uroflowmetry service.
On this page
CMS RVU26D · Effective 2026-10-01
51736 Uroflowmetry Medicare reimbursement rates in Guam
Reports a simple urinary flow study that records flow during voiding to help evaluate lower urinary tract symptoms and voiding dysfunction. Compare 51736 office and facility rates across CMS payment localities in Guam.
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 51736 in Guam?
Guam 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
$15.37
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Urology diagnostics
About 51736: Simple urinary flow measurement
Reports a simple urinary flow study that records flow during voiding to help evaluate lower urinary tract symptoms and voiding dysfunction.
The patient voids into a flow-measuring device, which records urinary flow for clinical review. Urologists and urogynecologists commonly use the study when evaluating symptoms such as a weak stream, hesitancy, or suspected impaired bladder emptying. The service can be performed in an office or outpatient setting by the physician or trained staff, with the findings interpreted and reported by the qualified professional.
Report 51736 for the simple flow study, rather than the more involved electronic uroflowmetry represented by 51741. Documentation should identify the clinical reason for testing, the flow study performed, its results, and the interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and an unmodified claim represents the global service. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction.
CMS billing rules for 51736
- 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.
Where the value comes from
- Work RVU0.17 · 39%
- Practice expense (office) RVU0.24 · 55%
- Malpractice RVU0.03 · 7%
7.2K
Medicare services in 2024 · #1643 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.
51736 compared with similar codes
Office rates for Guam, from the same CMS release.
51725 measures bladder pressure during filling and emptying. 51736 records urinary flow during voiding.
51798 measures postvoid residual urine by ultrasound; 51736 records flow while the patient voids.
Compare 51736 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
Hawaii, Guam →
Office / nonfacility
$15.37
Facility
Unavailable
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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 51736 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,069
- Code
- 51736
- Physician work
- 0.17
- Practice expense
- 0.24
- Malpractice
- 0.03
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.24 | × 1.137 | 0.2729 |
| Malpractice | 0.03 | × 0.579 | 0.0174 |
| Total RVUs | 0.4603 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$15.37
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.24 | 1.137 |
| Malpractice | 0.03 | 0.579 |
(0.17 × 1 + 0.24 × 1.137 + 0.03 × 0.579) × $33.4009 = $15.37
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.
51736 billing questions
How does 51736 differ from 51741?
51736 represents a simple urinary flow study. Use 51741 for the more complex, electronically measured uroflowmetry service.
Can 51736 be reported with a cystometrogram?
A flow study and a cystometrogram measure different aspects of urinary function and may be performed during the same evaluation. Document each test performed and its findings.
When should modifier 26 or TC be appended?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 51736?
Record the reason for testing, that a simple flow study was performed, the resulting flow data, and the professional interpretation.
How does the multiple-procedure reduction affect 51736?
When 51736 is performed with other procedures in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
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.
