• The UroCuff test measures urine flow and pressure without requiring a catheter.
• A cuff is applied externally, making the procedure less invasive and more comfortable for the patient.
• Surface EMG may also be optionally placed (perianal and/or abdominal).

Primary Coding Option

Primary Code*: There are three options for the primary billing code. The appropriate code should be selected based on payer preference:

1. 51728 -52

   51728: Complex cystometrogram (i.e., calibrated electronic equipment); with voiding pressure studies (i.e., bladder voiding pressure), any technique
   Modifier -52: Indicates a reduced service, as the full CMG is not performed.

2. 55899

   55899:Unlisted procedure, male genital system

3. 53899

   53899:Unlisted procedure, urinary system

Additional Code Options if Performed:

• 51784: Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique.
  Bill only if the optional perianal EMG is performed.
• 51741: Complex uroflowmetry (e.g., calibrated electronic equipment)

Always verify coding and billing guidelines with your specific payer, as policies and coverage determinations can vary by insurer and are subject to change.

51798: Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging.

Be cautious when billing PVR imaging as part of the UroCuff or urodynamics:

• PVR is only billable if it is medically necessary and well-documented.
• Ensure the documentation states the PVR was done without catheterization and clearly supports the clinical need.
• Denials are increasing for artificially filled bladder PVRs, especially from Aetna. Document that the PVR was done with a natural bladder fill versus an artificial fill.