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See a sample rate comparisonCPT 51798 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 Function Test, A Bladder Function Test Using A Simple Ultrasound Device To Measure The Amount Of Urine Remaining In The Bladder After Urination (Checking Ability To Void). Alternatively The Device Is Also Used To Measure Total Bladder Capacity (Ability To Hold Urine).
| 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 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 51798 |
| Medicaid Fee Schedule | View Medicaid rates for 51798 |
National average reimbursement for CPT 51798 by major payers:
$18.24
$19.32
$22.16
$21.71
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CPT 51798
5 of 25 sample ratesHigher to lower in this preview
Surgery Center, LLC
The Surgery Center, LLC
$1,511.00Published rateMinnesota Valley Surgery Center LLC
$350.00Published rateAxion Spine Outpatient Surgery Center
$164.00Published rateKerrville Ambulatory Surgery Center, LLC
Kerrville Ambulatory Surgery Center LLC
$115.00Published ratePlastic Surgery Specialists, PC, North Arundel Plastic Surgery Specialists
Plastic Surgery Specialists, P.C.
$44.00Published rate
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See a sample payer proposalCPT 51798 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 51798 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 51798 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 |
|---|---|---|
| 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. |
| 51798-CPT | Low | Bladder Function Test, A Bladder Function Test Using A Simple Ultrasound Device To Measure The Amount Of Urine Remaining In The Bladder After Urination (Checking Ability To Void). Alternatively The Device Is Also Used To Measure Total Bladder Capacity (Ability To Hold Urine). |
| 51800-CPT | High | Revision Of Bladder Urethra, Cystoplasty Or Cystourethroplasty Plastic Operation On Bladder And Or Vesical Neck Anterior Y Plasty Vesical Fundus Resection Any Procedure With Or Without Wedge Resection Of Posterior Vesical Neck |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 51798. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 51798 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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