CPT 51721
Global 000 ActiveIns trurl ablt trnsdc thr us
CPT 51721 Billing & Documentation Guide
CPT code 51721 (Ins trurl ablt trnsdc thr us) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.95, a non-facility practice expense RVU of 12.46, and a malpractice RVU of 0.49, a total non-facility RVU of 16.9 and facility RVU of 5.75. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $582.97, though rates vary from $497.86 to $755.34 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 51721, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 51721 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 51721 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 51721
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.95 | 3.95 |
| Practice Expense RVU | 12.46 | 1.31 |
| Malpractice RVU | 0.49 | 0.49 |
| Total RVU | 16.9 | 5.75 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 51721
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $637.99 | $197.31 | $599.08 - $755.34 | 29 |
| Florida | $581.36 | $207.69 | $554.4 - $606.56 | 3 |
| Georgia | $548.75 | $193.45 | $522.67 - $574.82 | 2 |
| Illinois | $565.8 | $205.95 | $537.48 - $589.27 | 4 |
| Michigan | $545.76 | $196.06 | $530.38 - $561.14 | 2 |
| North Carolina | $530.68 | $183.22 | $530.68 - $530.68 | 1 |
| New York | $624.73 | $209.25 | $538.81 - $665.6 | 5 |
| Ohio | $528.4 | $188.38 | $528.4 - $528.4 | 1 |
| Pennsylvania | $558.26 | $193.48 | $529.45 - $587.07 | 2 |
| Texas | $557.58 | $190.94 | $525.86 - $587.01 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 51721
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 51721 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00910 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0421T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0619T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 51721
What does CPT code 51721 mean? +
CPT code 51721 represents: Ins trurl ablt trnsdc thr us. It's in the Surgery (Urinary/Reproductive) category with a global period of 000.
What is the Medicare reimbursement for CPT 51721? +
The 2026 Medicare national average non-facility payment for CPT 51721 is $582.97. Rates range from $497.86 to $755.34 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 51721? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 51721? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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