2025 CPT code 51728
Complex cystometrogram with voiding pressure studies (i.e., bladder voiding pressure), any technique.
Modifiers are applicable, most commonly 26 (Professional Component) and 51 (Multiple Procedures).
Medical necessity must be established for this procedure.It is typically indicated for conditions such as urinary incontinence, bladder outlet obstruction, overactive bladder, neurogenic bladder dysfunction, and other lower urinary tract symptoms.
Performed by or under the direct supervision of a physician or other qualified healthcare professional. This includes providing all necessary instruments, equipment, supplies, and medications. If the physician only interprets the results or operates the equipment, modifier 26 (Professional Component) should be used.
In simple words: This procedure measures the pressure inside your bladder as it fills and empties. It helps doctors figure out why you might have problems like leaking urine, a sudden urge to pee, or trouble emptying your bladder completely.A small tube is placed into your bladder to fill it with water while the pressure is measured. Then, you'll be asked to pee while the pressure is still being checked.
This code represents a complex cystometrogram, a diagnostic procedure used to evaluate bladder function. It involves calibrated electronic equipment and includes voiding pressure studies to assess bladder voiding pressure during urination. The procedure helps diagnose conditions like overactive bladder, stress incontinence, or urinary obstruction.A catheter is inserted transurethrally to fill the bladder with sterile water while simultaneously measuring rectal pressure using a manometer. Bladder pressure is recorded to detect spontaneous contractions (bladder spasms). During voiding, bladder pressure is also measured to identify any pressure drops indicative of obstruction.
Example 1: A 60-year-old female presents with urinary incontinence. To evaluate her bladder function and determine the cause of incontinence, a complex cystometrogram with voiding pressure studies (51728) is performed., A 50-year-old male experiences difficulty initiating urination and a weak urinary stream. Code 51728 is used to assess for potential bladder outlet obstruction, as voiding pressure studies can help determine if there is a blockage affecting urine flow., A 45-year-old male reports frequent urination and urgency. 51728 is performed to evaluate for an overactive bladder as it helps to determine bladder capacity, pressure changes during bladder filling, and the type of bladder contractions present.
Documentation should include the medical necessity for the procedure, patient history, physical exam findings, results of the cystometrogram and voiding pressure studies, including pressure measurements, and interpretation of the findings.If other procedures are performed during the same session, proper modifier use (e.g., 51 for multiple procedures) must be documented.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Specialties:Urology, Urogynecology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center