$193.05
51605 is preparation for bladder radiography; 51600 reports bladder contrast injection and includes catheterization.
On this page
CMS RVU26D · Effective 2026-10-01
51605 Bladder study prep Medicare reimbursement rates in Indiana
Reports preparatory work for bladder radiography, distinct from the contrast-injection service used to perform cystography or urethrocystography. Compare 51605 office and facility rates across CMS payment localities in Indiana.
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 51605 in Indiana?
Indiana 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
No supported rate
Facility setting
$32.99
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
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.
Urologic radiology
About 51605: Bladder radiography preparation
Reports preparatory work for bladder radiography, distinct from the contrast-injection service used to perform cystography or urethrocystography.
CPT 51605 covers preparation for a bladder radiographic examination. It is associated with cystography and related studies in which contrast is introduced into the urinary tract for imaging. Urologists and radiologists may perform or oversee this work in an imaging department, hospital, or office setting. The service is preparation, not the radiographic interpretation or the contrast-injection procedure itself.
Report 51605 when the record supports that the preparation service was performed for the bladder study; document the intended examination and the work completed. Use 51600 for bladder contrast injection with catheterization, or 51610 for retrograde urethrocystography injection, as appropriate. The code has a 0-day global period, so same-day preoperative and postoperative care is included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted for this service.
CMS billing rules for 51605
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.62 · 59%
- Practice expense (office) RVU0.36 · 34%
- Malpractice RVU0.07 · 7%
14
Medicare services in 2024 · #6107 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.
51605 compared with similar codes
Office rates for Indiana, from the same CMS release.
$119.62
51610 is the injection procedure for retrograde urethrocystography, not preparation for bladder imaging.
$39.02
74430 reports the radiologic interpretation of cystography; 51605 describes preparation for the bladder examination.
Compare 51605 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
Indiana →
Office / nonfacility
Unavailable
Facility
$32.99
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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 51605 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,043
- Code
- 51605
- Physician work
- 0.62
- Practice expense
- 0.36
- Malpractice
- 0.07
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.62 | × 1.000 | 0.6200 |
| Practice expense | 0.36 | × 0.927 | 0.3337 |
| Malpractice | 0.07 | × 0.486 | 0.0340 |
| Total RVUs | 0.9877 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$32.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.62 | 1 |
| Practice expense | 0.36 | 0.927 |
| Malpractice | 0.07 | 0.486 |
(0.62 × 1 + 0.36 × 0.927 + 0.07 × 0.486) × $33.4009 = $32.99
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.
51605 billing questions
How is 51605 different from 51600?
51605 describes preparation for bladder radiography. CPT 51600 is the bladder contrast-injection procedure, including catheterization.
Should 51605 be reported with the imaging interpretation?
The preparation service and the radiologist's interpretation describe different work. For example, 74430 reports cystography interpretation; document the preparation performed separately.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the multiple-procedure rule affect 51605?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard reduction.
What should the record support?
Document the bladder examination being prepared for and the preparation work performed. The record should distinguish that work from contrast injection and image interpretation.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 51605, and co-surgeons and team surgery are not permitted.
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.
6,04051596,,Remove bladder/create pouch,A,,43.15,13.68,NA,13.68,,5.69,62.52,62.52,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04151597,,Removal of pelvic structures,A,,41.79,13.56,NA,13.56,,5.73,61.08,61.08,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04251600,,Injection for bladder x-ray,A,,0.86,5.26,,0.17,,0.09,6.21,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04351605,,Preparation for bladder xray,A,,0.62,0.36,NA,0.36,,0.07,1.05,1.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04451610,,Injection for bladder x-ray,A,,1.02,2.70,,0.59,,0.12,3.84,1.73,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04551700,,Irrigation of bladder,A,,0.59,1.68,,0.12,,0.07,2.34,0.78,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,04651701,,Insert bladder catheter,A,,0.49,0.80,,0.10,,0.07,1.36,0.66,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915