$354.86
Both codes describe anal or urinary sphincter electromyography. Choose 51784 for a nonneedle technique and 51785 when needle electrodes are used.
On this page
CMS RVU26D · Effective 2026-10-01
51784 Sphincter EMG Medicare reimbursement rates in Kentucky
Nonneedle electromyography records anal or urinary sphincter muscle activity, commonly during evaluation of urinary incontinence, voiding dysfunction, or pelvic floor coordination. Compare 51784 office and facility rates across CMS payment localities in Kentucky.
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 51784 in Kentucky?
Kentucky 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
$61.87
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 51784: Nonneedle sphincter muscle electromyography
Nonneedle electromyography records anal or urinary sphincter muscle activity, commonly during evaluation of urinary incontinence, voiding dysfunction, or pelvic floor coordination.
This test records electrical activity from the anal or urinary sphincter muscles without needle electrodes. In urology and urogynecology practices, a clinician or trained staff member typically places surface electrodes near the perineum or anal sphincter and records muscle activity during rest, contraction, or voiding. It can help assess sphincter coordination in patients with urinary incontinence, difficulty emptying the bladder, or suspected pelvic floor dysfunction, often as part of a broader urodynamic evaluation.
Report the study when nonneedle sphincter electromyography is performed; use the needle-study code when needle electrodes are used. Documentation should identify the muscle area studied, the nonneedle technique, the test findings, and the interpretation. CMS allows billing for the professional interpretation with modifier 26, the equipment and staff portion with modifier TC, or the global service without either modifier. 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.
CMS billing rules for 51784
- 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 RVU0.73 · 37%
- Practice expense (office) RVU1.18 · 59%
- Malpractice RVU0.08 · 4%
131.3K
Medicare services in 2024 · #485 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.
51784 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$247.15
51726 measures bladder pressure and capacity during complex cystometry; 51784 records sphincter muscle electrical activity.
$14.32
51741 measures urinary flow and its pattern. It does not represent the sphincter electromyography service reported with 51784.
Compare 51784 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
Kentucky →
Office / nonfacility
$61.87
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 51784 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
6,075
- Code
- 51784
- Physician work
- 0.73
- Practice expense
- 1.18
- Malpractice
- 0.08
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.000 | 0.7300 |
| Practice expense | 1.18 | × 0.889 | 1.0490 |
| Malpractice | 0.08 | × 0.915 | 0.0732 |
| Total RVUs | 1.8522 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$61.87
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.73 | 1 |
| Practice expense | 1.18 | 0.889 |
| Malpractice | 0.08 | 0.915 |
(0.73 × 1 + 1.18 × 0.889 + 0.08 × 0.915) × $33.4009 = $61.87
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.
51784 billing questions
How does this differ from 51785?
This code is for sphincter electromyography performed without needle electrodes. Use 51785 when the study uses needle electrodes.
Can this be reported with cystometry?
It is commonly performed as part of a urodynamic evaluation that also includes cystometry. Document the electromyography service separately, and apply the CMS multiple procedure reduction when multiple procedures are performed in the same session.
Which modifiers identify the professional and technical portions?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the equipment and staff portion. Report without either modifier for the global service.
What documentation supports reporting this study?
Record the sphincter area assessed, the nonneedle electrode technique, the patient's relevant activity during testing, and the findings and interpretation.
Does the multiple procedure reduction affect this code?
When it 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.
6,07251741,,Electro-uroflowmetry first,A,,0.17,0.26,,0.26,NA,0.03,0.46,0.46,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,07351741,26,Electro-uroflowmetry first,A,,0.17,0.07,,0.07,,0.02,0.26,0.26,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,07451741,TC,Electro-uroflowmetry first,A,,0.00,0.19,,0.19,NA,0.01,0.20,0.20,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,07551784,,Anal/urinary muscle study,A,,0.73,1.18,,1.18,NA,0.08,1.99,1.99,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,07651784,26,Anal/urinary muscle study,A,,0.73,0.31,,0.31,,0.07,1.11,1.11,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,07751784,TC,Anal/urinary muscle study,A,,0.00,0.87,,0.87,NA,0.01,0.88,0.88,1,XXX,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
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
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631