51721 Ins trurl ablt trnsdc thr us
What 51721 is
CMS fee schedule short descriptor: Ins trurl ablt trnsdc thr us.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 51721 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 3.95 | 12.46 | 0.49 | 16.90 | $564.48 |
| Facility (hospital, ASC) | 3.95 | 1.31 | 0.49 | 5.75 | $192.06 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 51721 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 51721? These codes are bundled into it
51721 is a Column 1 code in 149 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00910 | Anes transurethral px nos | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | 1 - modifier may bypass | Check pair |
12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | 1 - modifier may bypass | Check pair |
12018 | Rpr f/e/e/n/l/m >30.0 cm | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
12041 | Intmd rpr n-hf/genit 2.5cm/< | 1 - modifier may bypass | Check pair |
12042 | Intmd rpr n-hf/genit2.6-7.5 | 1 - modifier may bypass | Check pair |
12044 | Intmd rpr n-hf/genit7.6-12.5 | 1 - modifier may bypass | Check pair |
12045 | Intmd rpr n-hf/genit12.6-20 | 1 - modifier may bypass | Check pair |
12051 | Intmd rpr face/mm 2.5 cm/< | 1 - modifier may bypass | Check pair |
12052 | Intmd rpr face/mm 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12053 | Intmd rpr face/mm 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12054 | Intmd rpr face/mm 7.6-12.5cm | 1 - modifier may bypass | Check pair |
13100 | Cmplx rpr trunk 1.1-2.5 cm | 1 - modifier may bypass | Check pair |
13101 | Cmplx rpr trunk 2.6-7.5 cm | 1 - modifier may bypass | Check pair |
Showing 30 of 149 column 2 codes. Use the pair checker for any specific combination.
51721 is bundled into these codes
51721 appears as a Column 2 code in 100 active edits. Reported with one of these Column 1 codes on the same date of service, 51721 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0596T | Temp fml iu vlv-pmp 1st insj | 0 | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 0 | Check pair |
0600T | Ablt ire 1+ o/t lv/prst8 prq | 1 | Check pair |
0601T | Abltj ire 1+tumors open | 1 | Check pair |
0655T | Tprnl focal abltj mal prst8 | 0 | Check pair |
0694T | 3d vol img&rcnstj brst/ax | 1 | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 | Check pair |
0714T | Tpla b9 prst8 hyprplsa<50ml | 0 | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 | Check pair |
12036 | Intmd rpr s/a/t/ext 20.1-30 | 1 | Check pair |
12037 | Intmd rpr s/tr/ext >30.0 cm | 1 | Check pair |
12046 | Intmd rpr n-hf/genit20.1-30 | 1 | Check pair |
12047 | Intmd rpr n-hf/genit >30.0cm | 1 | Check pair |
12055 | Intmd rpr face/mm 12.6-20 cm | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.