CPT 51728
Global 000 ActiveCystometrogram w/vp
CPT 51728 Billing & Documentation Guide
CPT code 51728 (Cystometrogram w/vp) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.06, a non-facility practice expense RVU of 7.8, and a malpractice RVU of 0.22, a total non-facility RVU of 10.08 and facility RVU of 10.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $348.4, though rates vary from $296.38 to $455.99 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 51728, 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 51728 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 51728 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 51728
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.06 | 2.06 |
| Practice Expense RVU | 7.8 | 7.8 |
| Malpractice RVU | 0.22 | 0.22 |
| Total RVU | 10.08 | 10.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 51728
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 | $383.53 | $383.53 | $359.45 - $455.99 | 29 |
| Florida | $344.51 | $344.51 | $328.91 - $358.6 | 3 |
| Georgia | $326.25 | $326.25 | $309.96 - $342.53 | 2 |
| Illinois | $334.82 | $334.82 | $318.15 - $349.87 | 4 |
| Michigan | $323.78 | $323.78 | $314.96 - $332.6 | 2 |
| North Carolina | $316.57 | $316.57 | $316.57 - $316.57 | 1 |
| New York | $372.7 | $372.7 | $321.47 - $396.62 | 5 |
| Ohio | $314.07 | $314.07 | $314.07 - $314.07 | 1 |
| Pennsylvania | $332.47 | $332.47 | $314.91 - $350.02 | 2 |
| Texas | $332.5 | $332.5 | $312.71 - $351.09 | 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 51728
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 51728 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 | Standards of medical/surgical practice |
| 0216T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 51728
What does CPT code 51728 mean? +
CPT code 51728 represents: Cystometrogram w/vp. It's in the Surgery (Urinary/Reproductive) category with a global period of 000.
What is the Medicare reimbursement for CPT 51728? +
The 2026 Medicare national average non-facility payment for CPT 51728 is $348.4. Rates range from $296.38 to $455.99 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 51728? +
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 51728? +
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 May 31, 2026.
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