Reimbursement Information

The following Medicare reimbursement data is for reference purposes only and is based on the Medicare Physician Fee Schedule as of September 21, 2021. Gemini Medical Technologies assumes no responsibility for its accuracy.

This information is not specific to your MAC Locality or 3rd Party Insurer Fee Schedule. Actual Payment may vary. Review all billing and coding with medical billing professionals.

Reimbursement by Location

Find out the reimbursement amounts for various procedures in your region.

Reimbursement Codes Based on Medicare National Averages

CPT CODE PROCEDURE Professional Technical Global
51726
Complex cystometrogram
$85.84
$228.90
$314.74
51727
Cystometrogram with UPP
$107.47
$271.12
$378.59
51728
Cystometrogram with Voiding Pressure
$105.03
$277.05
$382.08
51729
Cystometrogram with UPP and Voiding Pressure
$128.06
$277.40
$405.46
51741
Electro-uroflowmetry first
$8.72
$5.58
$14.31
51784
Anal/urinary muscle study
$37.69
$29.66
$67.34
51797
Intraabdominal pressure test
$39.78
$152.83
$192.61
51701
Insert Bladder Catheter
NA
NA
$46.76
51798
Ultrasound Bladder Capacity
NA
NA
$10.47

Procedure Reimbursement Codes Based on Medicare National Averages

Complex CMG with EMG and Uroflow

CPT CODE MODIFIER Procedure Reimbursement Allowable Fee
51726
Complex cystometrogram
$314.74
100%
$314.74
51741
-51
Electro-uroflowmetry first
$14.31
50%
$7.15
51784
-51
Anal / urinary muscle study (EMG)
$67.34
50%
$33.67
Total Reimbursement per Patient:
$355.56

Complex CMG with Urethral Pressure Profile Study, EMG and Uroflow

CPT CODE MODIFIER Procedure Reimbursement Allowable Fee
51727
Cystometrogram with UPP
$378.59
100%
$378.59
51741
-51
Electro-uroflowmetry first
$14.31
50%
$7.15
51784
-51
Anal / urinary muscle study (EMG)
$67.34
50%
$33.67
Total Reimbursement per Patient:
$419.41

Complex CMG with Voiding Pressure Study, EMG and Uroflow

CPT CODE MODIFIER Procedure Reimbursement Allowable Fee
51728
Complex cystometrogram
$382.08
100%
$382.08
51741
-51
Complex Uroflowmetry
$14.31
50%
$7.15
51784
-51
Anal / urinary muscle study (EMG)
$67.34
50%
$33.67
51797*
Intraabdominal pressure test
$192.61
100%
$192.61
Total Reimbursement per Patient:
$615.51

Complex CMG with Voiding Pressure Study, Urethral Pressure Profile Study, EMG and Uroflow

CPT CODE MODIFIER Procedure Reimbursement Allowable Fee
51729
Cystometrogram with UPP and Voiding Pressure
$405.46
100%
$405.46
51741
-51
Complex Uroflowmetry
$14.31
50%
$7.15
51784
-51
Anal / urinary muscle study (EMG)
$67.34
50%
$33.67
51797*
Intraabdominal pressure test
$192.61
100%
$192.61
Total Reimbursement per Patient:
$638.89

*Code 51797 can only be billed if also billing either 51728 or 51729. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729.