CPT code 51841: Bladder suspension, complicated repair2026 Medicare rate & RVUs

Medicare pays $718.45 for 51841 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 51841 covers

CPT 51841 describes a complicated anterior suspension of the bladder neck or urethra, rather than a straightforward primary suspension. A typical indication is stress urinary incontinence when prior surgery or other operative complexity makes the suspension a secondary or complicated repair. A urologist or urogynecologic surgeon generally performs the operation in a hospital or other surgical facility, using sutures to support the bladder neck or urethra.

Choose this code when the operative report supports the complicated level, including the reason the repair is secondary or more involved; a simple anterior suspension is reported with 51840. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 51841 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

51841 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 51841 rate is calculated

Each of 51841’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 51841

51841 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

51841 compared with similar codes

How to choose

51840Bladder suspensionAbdominal approach

51840 is for a simple anterior suspension. Choose 51841 when the operative report supports a complicated repair, including a secondary repair.

51845Bladder neck repairRetropubic abdominal suspension

51845 describes a related retropubic operation for stress urinary incontinence. Select based on the actual operative procedure, not the shared indication alone.

57288Sling procedureStress-incontinence sling

57288 is used for a sling operation for stress urinary incontinence; 51841 describes a complicated anterior bladder or urethral suspension.

Codes related to 51841

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates