2025 CPT code 51726
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Complex cystometrogram using calibrated electronic equipment to measure bladder capacity, pressure, and function.
Modifiers 26 (professional component), 51 (multiple procedures) are applicable depending on the scenario.
Medical necessity for a complex cystometrogram is established when a patient presents with symptoms suggestive of urinary dysfunction, such as incontinence, frequency, urgency, hesitancy, or poor stream, and other less invasive methods fail to provide sufficient information.The test helps guide diagnosis and management of various bladder disorders.
The physician or qualified healthcare professional performs the procedure, including inserting the catheter, filling the bladder, and interpreting the results obtained from the calibrated electronic equipment.They are responsible for providing all necessary instruments, supplies, and medications.
In simple words: This test measures how well your bladder holds and releases urine. A small tube is put into your bladder, and a machine measures the pressure and capacity of your bladder. This helps diagnose bladder problems.
A complex cystometrogram (CMG) involves the use of calibrated electronic equipment to measure bladder capacity, pressure, and the function of the detrusor muscle.A catheter is inserted into the bladder, and the bladder is filled to assess storage pressures and the ability of the bladder to contract and empty. This procedure helps diagnose various urinary disorders, including incontinence and other bladder dysfunction.
Example 1: A patient presents with urinary frequency and urgency. A complex cystometrogram is performed to assess bladder function and rule out overactive bladder., A patient with suspected neurogenic bladder undergoes a complex cystometrogram to evaluate bladder storage capacity, contractility, and voiding pressures. This helps determine the extent of bladder dysfunction and guide management., Post-prostatectomy, a patient experiences urinary incontinence.A complex cystometrogram helps evaluate the impact of the surgery on bladder function, identify any sphincter dysfunction, and guide rehabilitation strategies.
* Pre-procedure assessment including patient history, physical exam findings, and relevant diagnostic tests (e.g., urinalysis).* Detailed procedural notes including type of equipment used (calibrated electronic equipment), measurements obtained (bladder capacity, pressure, and voiding pressures), and any complications encountered.* Post-procedure assessment, including patient's response to the procedure and any necessary follow-up care.
** Always refer to the most current CPT codebook and coding guidelines for the most accurate and updated information.The information provided here is for informational purposes only and should not be considered medical advice.
- Revenue Code: P6C
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Urology
- Place of Service:Office, Hospital (Inpatient/Outpatient), Ambulatory Surgical Center