$249.66
Choose 51726 for complex cystometry alone. Choose 51727 when the same study also includes a urethral pressure profile.
On this page
CMS RVU26D · Effective 2026-10-01
51727 Urodynamic testing Medicare reimbursement rates in Iowa
Report this study for complex bladder pressure testing performed with a urethral pressure profile to evaluate urinary incontinence or other voiding dysfunction. Compare 51727 office and facility rates across CMS payment localities in Iowa.
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 51727 in Iowa?
Iowa 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
$304.22
1 of 1 localities have a supported rate.
Payment area: Iowa
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 51727: Complex cystometry with urethral pressure profile
Report this study for complex bladder pressure testing performed with a urethral pressure profile to evaluate urinary incontinence or other voiding dysfunction.
This urodynamic study measures bladder pressure as the bladder fills and includes urethral pressure profile measurements. A catheter-based setup and pressure transducers collect the measurements; urologists and urogynecologists commonly perform or supervise the study in office or facility settings. It may help assess urinary incontinence, difficulty voiding, or other lower urinary tract symptoms when pressure measurements are needed to characterize function.
Select 51727 when the documented study includes complex cystometry and urethral pressure profile testing. The record should support the procedures performed and the resulting interpretation; use 51726 for complex cystometry without the profile, 51728 when voiding pressure studies are included, and 51729 when both additional study types are performed. Medicare recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others are subject to the stated reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.
CMS billing rules for 51727
- 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 RVU2.06 · 21%
- Practice expense (office) RVU7.59 · 77%
- Malpractice RVU0.26 · 3%
1.6K
Medicare services in 2024 · #2612 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.
51727 compared with similar codes
Office rates for Iowa, from the same CMS release.
$310.11
51728 includes voiding pressure studies with complex cystometry; 51727 includes a urethral pressure profile instead.
$325.55
51729 includes both voiding pressure studies and a urethral pressure profile. 51727 includes the profile without the voiding-pressure combination.
$182.25
51725 represents simple cystometry. 51727 is the complex study that includes urethral pressure profile testing.
Compare 51727 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
Iowa →
Office / nonfacility
$304.22
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 51727 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,060
- Code
- 51727
- Physician work
- 2.06
- Practice expense
- 7.59
- Malpractice
- 0.26
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.06 | × 1.000 | 2.0600 |
| Practice expense | 7.59 | × 0.915 | 6.9448 |
| Malpractice | 0.26 | × 0.397 | 0.1032 |
| Total RVUs | 9.1081 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$304.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.06 | 1 |
| Practice expense | 7.59 | 0.915 |
| Malpractice | 0.26 | 0.397 |
(2.06 × 1 + 7.59 × 0.915 + 0.26 × 0.397) × $33.4009 = $304.22
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.
51727 billing questions
How does 51727 differ from 51726?
51727 includes a urethral pressure profile with complex cystometry. Use 51726 when complex cystometry is performed without that profile.
When should 51728 or 51729 be selected instead?
Use 51728 when the study includes voiding pressure measurements. Use 51729 when it includes both voiding pressure studies and a urethral pressure profile.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; without either modifier, the claim represents the global service.
Is modifier 50 appropriate for this study?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does Medicare treat multiple procedures in the same session?
The highest-valued procedure is paid in full, and the other procedures are subject to the multiple-procedure reduction specified by CMS.
What same-day care is included in the global service?
The 0-day global period includes same-day preoperative and postoperative care.
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.
6,05751726,,Complex cystometrogram,A,,1.67,6.27,,6.27,NA,0.17,8.11,8.11,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05851726,26,Complex cystometrogram,A,,1.67,0.70,,0.70,,0.15,2.52,2.52,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,05951726,TC,Complex cystometrogram,A,,0.00,5.57,,5.57,NA,0.02,5.59,5.59,1,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,06051727,,Cystometrogram w/up,A,,2.06,7.59,,7.59,NA,0.26,9.91,9.91,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,06151727,26,Cystometrogram w/up,A,,2.06,0.87,,0.87,,0.24,3.17,3.17,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,06251727,TC,Cystometrogram w/up,A,,0.00,6.72,,6.72,NA,0.02,6.74,6.74,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,06351728,,Cystometrogram w/vp,A,,2.06,7.80,,7.80,NA,0.22,10.08,10.08,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136