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CMS RVU26D · Effective 2026-10-01

51600 Bladder injection Medicare reimbursement rates in Wyoming

Reports contrast instillation into the bladder for cystography or voiding urethrocystography, separate from the radiographic imaging service when separately coded. Compare 51600 office and facility rates across CMS payment localities in Wyoming.

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 51600 in Wyoming?

Wyoming 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

$206.64

1 of 1 localities have a supported rate.

Payment area: Wyoming**

One mapped payment locality.

Facility setting

$36.63

1 of 1 localities have a supported rate.

Payment area: Wyoming**

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.

Find 51600 in your payment locality →

Diagnostic radiology

About 51600: Bladder contrast injection for cystography

Reports contrast instillation into the bladder for cystography or voiding urethrocystography, separate from the radiographic imaging service when separately coded.

CPT 51600 represents placing contrast into the bladder for a cystographic examination or a study that images the bladder during voiding. The contrast is typically introduced through a urinary catheter. Radiologists and urologists commonly perform the injection in hospital imaging departments and outpatient radiology settings. The code identifies the contrast-injection service, not the resulting images or their interpretation.

Report 51600 when the clinician performs the bladder contrast injection; documentation should identify the study and confirm that contrast was instilled into the bladder. Report the applicable imaging service separately when performed and supported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 51600

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 RVU0.86 · 14%
  • Practice expense (office) RVU5.26 · 85%
  • Malpractice RVU0.09 · 1%

18.4K

Medicare services in 2024 · #1180 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.

51600 compared with similar codes

Office rates for Wyoming, from the same CMS release.

51610

Bladder injection

For x-ray imaging

$127.22

Use 51600 for contrast injection into the bladder for cystography or a voiding study; 51610 is for retrograde urethrocystography.

51605

Bladder study prep

Before contrast imaging

No office rate

51605 describes bladder preparation for an X-ray examination. Choose 51600 when the documented service is contrast injection for cystography or a voiding study.

74430

Bladder imaging

Retrograde contrast

$41.49

74430 represents cystographic imaging and interpretation, while 51600 represents the bladder contrast injection.

74455

Voiding study

Urethra and bladder

$105.29

74455 represents imaging and interpretation for a voiding urethrocystographic study; 51600 represents the contrast injection.

Compare 51600 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

Office and facility base rates · shared scale starting at $0

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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 51600 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

6,042

Code
51600
Physician work
0.86
Practice expense
5.26
Malpractice
0.09

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 51600 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.86× 1.0000.8600
Practice expense5.26× 1.0005.2600
Malpractice0.09× 0.7400.0666
Total RVUs6.1866
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$206.64

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.861
Practice expense5.261
Malpractice0.090.74

(0.86 × 1 + 5.26 × 1 + 0.09 × 0.74) × $33.4009 = $206.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.861
Practice expense0.171
Malpractice0.090.74

(0.86 × 1 + 0.17 × 1 + 0.09 × 0.74) × $33.4009 = $36.63

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.

51600 billing questions

How is 51600 different from 51610?

51600 is for contrast injection into the bladder for cystography or a voiding study. 51610 is for injection used in retrograde urethrocystography.

Can the imaging service be reported separately?

Yes. The injection and the radiographic imaging or interpretation are distinct services; report the applicable imaging code when that service is performed and documented.

Should modifier 50 be used for a bilateral study?

No. Bilateral adjustment does not apply to 51600, and modifier 50 is inappropriate.

What documentation supports 51600?

Document the cystographic or voiding study and that contrast was instilled into the bladder. The record should distinguish the injection from the imaging service.

How does the multiple-procedure reduction affect 51600?

For procedures performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

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.

RVUs for 51600PPRRVU2026_Oct_nonQPP.csv, line 6,042 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)