Hello- I made this for my team, I leave this coding for the docs. but this may help.
Also review this link.........
https://www.urologytimes.com/view/how-to-bill-for-remote-uroflow
Urodynamics Common Coding Scenarios
Urodynamics Testing with Urethral Pressure Profile AND Urine Voiding Pressure Studies
| 51729 | Complex CMG w/ UPP/VLPP studies and Voiding Pressure studies |
| 51741-‐51 | Uroflowmetry |
| 51784-‐51 | Electromyography (EMG) Anal/Urinary Muscle Study |
| 51797* | Intra-‐Abdominal Pressure Test |
Urodynamics Testing with Urine Voiding Pressure Studies (No UPP)
| 51728 | Complex Cystometrogram (CMG) w/ Voiding Pressure studies, any technique |
| 51741-‐51 | Uroflowmetry |
| 51784-‐51 | Electromyography (EMG) Anal/Urinary Muscle Study |
| 51797* | Intra-‐Abdominal Pressure Test |
Coding Insight
Report the CPT code with the highest RVU first. In most cases, this will be either 51729, 51728, 51727, or 51726.
Code 51797 is an add-on code. Therefore, it can only be billed in conjunction with either 51728 or 51729 and does not require the -51 modifier.
All other codes are reported with the -51-modifier appended, to designate additional procedures. Typically, this would be attached to a complex uroflowmetry study done at the same time e.g. 51741-51.
If video-urodynamics are performed, code in addition to the above CPT codes: 51600-51 for the instillation of intravesical contrast, 74455 for the VCU radiological studies, and if the patient is unable to void during the study, code CPT 74430, cystogram, three views, instead of 74455.
Urodynamic Testing
| CPT® Codes | Description |
| 51725 | Simple cystometrogram (CMG)(eg, spinal manometer) |
| 51726 | Complex cystometrogram (ie, calibrated electronic equipment) |
| 51727 | Complex cystometrogram (ie, calibrated electronic equipment; with urethral pressure
profile studies (i.e., urethral closure pressure profile), any technique |
| 51728 | Complex cystometrogram (ie, calibrated electronic equipment; with voiding pressure
studies (ie, bladder voiding pressure), any technique |
| 51729 | Complex cystometrogram (ie, calibrated electronic equipment; with voiding pressure
studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique |
| 51736 | Simple uroflowmetry (UFR)(eg, stop-watch flow rate, mechanical uroflowmeter) |
| 51741 | Complex uroflowmetry (eg, calibrated electronic equipment) |
| +51797 | Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal (List
separately in addition to code for primary procedure) |
| 51798 | Measurement of post-voiding residual urine and/or bladder capacity by ultrasound,
non-imaging |
| 51600 | Injection procedure for cystography or voiding urethrocystography |
| 74430 | Cystography, minimum of 3 views, radiological supervision and interpretation |
| 74455 | Urethrocystography, voiding, radiological supervision and interpretation |
ICD-10-CM Diagnosis Codes that Support Medical Necessity
| ICD-10-CM Code | Description |
| E10.69 | Type 1 diabetes mellitus with other specified complications |
| E11.69 | Type 2 diabetes mellitus with other specified complication |
| G20 | Parkinson’s disease |
| G35 | Multiple sclerosis |
| G37.3 | Acute transverse myelitis in demyelinating disease of central nervous system |
| G83.4 | Cauda equina syndrome |
| N30.10-N30.11 | Interstitial cystitis, chronic |
| N30.20-N30.21 | Other chronic cystitis |
| N31.0-N31.9 | Neuromuscular dysfunction of bladder, not elsewhere classified |
| N32.0-N32.89 | Other disorders of bladder |
| N39.0-N39.8 | Other disorders of urinary system |
| N81.0-N81.9 | Female genital prolapse |
| Q05.0-Q05.9 | Spina bifida |
| Q06.0-Q06.9 | Other congenital malformations of spinal cord |
| Q07.00-Q07.9 | Other congenital malformations of nervous system |
| Q42.0-Q42.3 | Congenital absence, atresia and stenosis of large intestine |
| R33.8 | Other retention of urine |
| R33.9 | Retention of urine, unspecified |
| R39.14 | Feeling of incomplete bladder emptying |
| R39.81 | Functional urinary incontinence |
S34.01XA-
S34.9XXS | Injury of lumbar and sacral spinal cord and nerves at abdomen, lower back and
pelvis level |