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See a sample rate comparisonCPT 51797 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Bladder Pressure Study, Bladder Pressure Studies Determine The Amount Of Pressure It Takes To Pass Urine. This Type Of Testing Is Helpful To Diagnose Conditions Such As A Blockage In The Urinary System And Urinary Incontinence.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 51797 |
| Medicaid Fee Schedule | View Medicaid rates for 51797 |
National average reimbursement for CPT 51797 by major payers:
$217.91
$216.96
$247.78
$286.08
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CPT 51797
5 of 25 sample ratesHigher to lower in this preview
Forest Ambulatory Surgical Associates LLC, Forest Surgery Center
Forest Ambulatory Surgical Associates, Lp
$1,814.00Published rateEndoscopy Center Of Dayton Ltd
$574.00Published rateNj Vein & Cosmetic Surgery Center, PA
Nj Vein Cosmetic Surgery Center PA
$261.00Published rateGhs Services, LLC, Gastro South Endoscopy Center
Ghs Services LLC
$127.00Published rateJennifer Lampert
Deaconess Hospital Inc
$33.47Published rate
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See a sample payer proposalCPT 51797 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51797 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 51797 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 51784-CPT | Low | Electromyograph Studie (Emg) Of Anal Or Urethral Sphincter, Electromyography Studies (Emg) Of Anal Or Urethral Sphincter Other Th |
| 51785-CPT | Moderate | Needle Electromyograph Studie (Emg) Of Anal Or Urethral Sphincter, Needle Electromyography Studies (Emg) Of Anal Or Urethral Sphincter A |
| 51792-CPT | Moderate | Muscle Stimulation Reflex Test, This Procedure Applies Electrical Stimulation To A Muscle Involved In Bodily Functions. This Test Is Used To Measure Nerve Response. |
| 51797-CPT | Moderate | Bladder Pressure Study, Bladder Pressure Studies Determine The Amount Of Pressure It Takes To Pass Urine. This Type Of Testing Is Helpful To Diagnose Conditions Such As A Blockage In The Urinary System And Urinary Incontinence. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51797. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51797 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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