$589.95
Use 0596T for initial device insertion. Use 0597T when replacing a previously placed temporary intraurethral valve-pump.
On this page
CMS RVU26D · Effective 2026-10-01
0596T Intraurethral pump Medicare reimbursement rates in Vermont
Reports placement of a temporary pump-equipped intraurethral device to help a woman with urinary retention empty her bladder. Compare 0596T office and facility rates across CMS payment localities in Vermont.
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 0596T in Vermont?
Vermont 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
$1997.26
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$108.81
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Urology
About 0596T: Temporary female intraurethral pump insertion
Reports placement of a temporary pump-equipped intraurethral device to help a woman with urinary retention empty her bladder.
This Category III service covers insertion of a temporary, pump-equipped device through the female urethra, with the device positioned to support bladder emptying. The patient can operate the pump to allow urine to drain. Urologists and urogynecologists typically perform the insertion for women who need ongoing bladder-emptying assistance, such as patients with urinary retention who cannot manage their bladder with their usual method. The service may be performed in an office or facility setting.
Report 0596T for the initial insertion, not for later replacement; 0597T describes replacement. Documentation should identify the urinary retention or other bladder-emptying problem, the device inserted, and the insertion performed. The 0-day global period includes same-day preoperative and postoperative care. When other 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. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 0596T
- 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 RVU2.37 · 4%
- Practice expense (office) RVU57.93 · 96%
- Malpractice RVU0.15 · 0%
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.
0596T compared with similar codes
Office rates for Vermont, from the same CMS release.
$44.00
51701 describes simple non-indwelling catheterization, not placement of a pump-equipped intraurethral device for ongoing bladder emptying.
$63.84
51702 is for simple placement of an indwelling bladder catheter. It does not describe insertion of the temporary intraurethral valve-pump.
Compare 0596T 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
Vermont →
Office / nonfacility
$1997.26
Facility
$108.81
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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 0596T in Vermont.
PPRRVU2026_Oct_nonQPP.csv
549
- Code
- 0596T
- Physician work
- 2.37
- Practice expense
- 57.93
- Malpractice
- 0.15
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.37 | × 1.000 | 2.3700 |
| Practice expense | 57.93 | × 0.990 | 57.3507 |
| Malpractice | 0.15 | × 0.506 | 0.0759 |
| Total RVUs | 59.7966 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$1997.26
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1 |
| Practice expense | 57.93 | 0.99 |
| Malpractice | 0.15 | 0.506 |
(2.37 × 1 + 57.93 × 0.99 + 0.15 × 0.506) × $33.4009 = $1997.26
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.37 | 1 |
| Practice expense | 0.82 | 0.99 |
| Malpractice | 0.15 | 0.506 |
(2.37 × 1 + 0.82 × 0.99 + 0.15 × 0.506) × $33.4009 = $108.81
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.
0596T billing questions
How is 0596T different from 0597T?
0596T is for initial insertion of the temporary intraurethral valve-pump. Use 0597T when an existing device is replaced.
Is this the same as straight catheterization?
No. 0596T describes placement of a pump-equipped intraurethral device intended to support bladder emptying. A straight catheter is used for catheterization rather than placement of this device.
What documentation supports 0596T?
Document the bladder-emptying problem, the device inserted, and the insertion. The record should make clear that this was initial placement rather than replacement.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How does the multiple-procedure reduction affect this code?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.
Can an assistant, co-surgeon, or surgical team be billed?
Assistant-at-surgery payment is restricted for this code. 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.
5460592T,,Hlth&wb coaching indiv f-up,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5470593T,,Hlth&wb coaching group,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5480594T,,Osteot hum xtrnl lngth dev,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5490596T,,Temp fml iu vlv-pmp 1st insj,A,,2.37,57.93,,0.82,,0.15,60.45,3.34,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5500597T,,Temp fml iu valve-pmp rplcmt,A,,1.02,16.78,,0.52,,0.06,17.86,1.60,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5510598T,,R-t fluor wound img 1st site,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5520599T,,R-t fluor wound img ea addl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817