CPT code 51992: Urinary sling, laparoscopic approach2026 Medicare rate & RVUs in Kentucky
Report this procedure for laparoscopic sling placement to support the urethra in a patient undergoing surgical treatment for stress urinary incontinence.
In Kentucky, Medicare pays $719.47 for 51992 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 51992 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 51992 covers
A surgeon places and secures a sling through a laparoscopic approach to support the urethra and treat stress urinary incontinence. Urologists and urogynecologists may perform the operation in a hospital or other facility equipped for laparoscopic surgery. The operative report should establish the laparoscopic approach, the sling procedure, and the indication; a different laparoscopic suspension technique may call for a different code.
Report 51992 for the laparoscopic sling operation, rather than for a sling placed by another approach or for urethral suspension without the sling operation. The procedure has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. 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.
How Kentucky compares for 51992
Across 109 of 109 payment localities, the facility rate for 51992 runs from $682.19 in Arkansas to $964.85 in Alaska. Kentucky pays $719.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Kentucky · this page$719.47
- Los Angeles, CA · California$773.09+$53.62
- Washington, DC area · District of Columbia$814.17+$94.70
- Miami, FL · Florida$875.55+$156.08
- Chicago, IL · Illinois$853.76+$134.29
- Manhattan, NY · New York$853.69+$134.22
- Alaska · Alaska$964.85+$245.38
Other areas in Kentucky first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $689.17 |
| ArkansasArkansas | — | $682.19 |
| ArizonaArizona | — | $729.40 |
| Bakersfield, CACalifornia | — | $742.17 |
| Chico, CACalifornia | — | $735.40 |
| El Centro, CACalifornia | — | $735.80 |
| Fresno, CACalifornia | — | $735.40 |
| Hanford, CACalifornia | — | $735.40 |
| Madera, CACalifornia | — | $735.40 |
| Merced, CACalifornia | — | $735.40 |
| Modesto, CACalifornia | — | $735.40 |
| Napa, CACalifornia | — | $796.01 |
| Oxnard, CACalifornia | — | $763.35 |
| Redding, CACalifornia | — | $735.40 |
| Rest of CaliforniaCalifornia | — | $735.40 |
| Riverside, CACalifornia | — | $761.08 |
| Sacramento, CACalifornia | — | $756.84 |
| Salinas, CACalifornia | — | $753.69 |
| San Diego, CACalifornia | — | $760.44 |
| Marin County, CACalifornia | — | $824.42 |
| San Francisco, CACalifornia | — | $821.72 |
| San Benito County, CACalifornia | — | $843.65 |
| Santa Clara County, CACalifornia | — | $832.60 |
| San Luis Obispo, CACalifornia | — | $743.25 |
| Santa Cruz, CACalifornia | — | $759.08 |
| Santa Maria, CACalifornia | — | $753.51 |
| Santa Rosa, CACalifornia | — | $765.81 |
| Stockton, CACalifornia | — | $735.40 |
| Vallejo, CACalifornia | — | $792.12 |
| Visalia, CACalifornia | — | $735.40 |
| Yuba City, CACalifornia | — | $735.40 |
| ColoradoColorado | — | $746.61 |
| ConnecticutConnecticut | — | $786.96 |
| DelawareDelaware | — | $738.71 |
| Fort Lauderdale, FLFlorida | — | $813.12 |
| Rest of FloridaFlorida | — | $778.46 |
| Atlanta, GAGeorgia | — | $766.86 |
| Rest of GeorgiaGeorgia | — | $742.04 |
| Hawaii, Guam, HIHawaii | — | $738.07 |
| IowaIowa | — | $683.05 |
| IdahoIdaho | — | $690.00 |
| East St. Louis, ILIllinois | — | $812.50 |
| Rest of IllinoisIllinois | — | $775.37 |
| Suburban Chicago, ILIllinois | — | $816.20 |
| IndianaIndiana | — | $692.31 |
| KansasKansas | — | $689.54 |
| New Orleans, LALouisiana | — | $746.54 |
| Rest of LouisianaLouisiana | — | $722.16 |
| Metropolitan Boston, MAMassachusetts | — | $793.07 |
| Rest of MassachusettsMassachusetts | — | $747.81 |
| Baltimore area, MDMaryland | — | $786.44 |
| Rest of MarylandMaryland | — | $747.03 |
| Rest of MaineMaine | — | $701.85 |
| Southern Maine, MEMaine | — | $715.53 |
| Detroit, MIMichigan | — | $794.65 |
| Rest of MichiganMichigan | — | $740.87 |
| MinnesotaMinnesota | — | $695.84 |
| Metropolitan Kansas City, MOMissouri | — | $733.54 |
| Metropolitan St. Louis, MOMissouri | — | $737.90 |
| Rest of MissouriMissouri | — | $719.23 |
| MississippiMississippi | — | $700.37 |
| MontanaMontana | — | $746.35 |
| North CarolinaNorth Carolina | — | $705.57 |
| North DakotaNorth Dakota | — | $699.29 |
| NebraskaNebraska | — | $683.00 |
| New HampshireNew Hampshire | — | $744.06 |
| Northern New JerseyNew Jersey | — | $811.66 |
| Rest of New JerseyNew Jersey | — | $790.40 |
| New MexicoNew Mexico | — | $747.32 |
| NevadaNevada | — | $733.42 |
| NYC suburbs and Long Island, NYNew York | — | $880.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $802.35 |
| Queens, NYNew York | — | $845.89 |
| Rest of New YorkNew York | — | $713.77 |
| OhioOhio | — | $731.25 |
| OklahomaOklahoma | — | $709.23 |
| Portland, OROregon | — | $754.19 |
| Rest of OregonOregon | — | $722.17 |
| Metropolitan Philadelphia, PAPennsylvania | — | $778.06 |
| Rest of PennsylvaniaPennsylvania | — | $727.16 |
| Puerto RicoPuerto Rico | — | $747.33 |
| Rhode IslandRhode Island | — | $753.16 |
| South CarolinaSouth Carolina | — | $720.70 |
| South DakotaSouth Dakota | — | $693.73 |
| TennesseeTennessee | — | $693.08 |
| Austin, TXTexas | — | $749.01 |
| Beaumont, TXTexas | — | $724.42 |
| Brazoria, TXTexas | — | $731.25 |
| Dallas, TXTexas | — | $738.85 |
| Fort Worth, TXTexas | — | $738.06 |
| Galveston, TXTexas | — | $735.43 |
| Houston, TXTexas | — | $779.00 |
| Rest of TexasTexas | — | $729.48 |
| UtahUtah | — | $727.44 |
| VirginiaVirginia | — | $720.03 |
| Virgin Islands, VIUnited States Virgin Islands | — | $747.33 |
| VermontVermont | — | $705.41 |
| Rest of WashingtonWashington | — | $743.49 |
| King County, WAWashington | — | $797.65 |
| WisconsinWisconsin | — | $683.83 |
| West VirginiaWest Virginia | — | $756.84 |
| WyomingWyoming | — | $725.84 |
51992 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 51992 rate is calculated
Each of 51992’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.
How the rate is built · 51992
RVUs × geographic indexes × conversion factor
Work14.50
14.50 RVUs× 1.000 GPCI
Practice expense5.47
5.47 RVUs× 1.000 GPCI
Malpractice2.38
2.38 RVUs× 1.000 GPCI
Adjusted RVUs
22.3500
Conversion factor
$33.4009
Medicare rate
$746.51
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Kentucky inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,103
- Code
- 51992
- Physician work
- 14.50
- Practice expense
- 5.47
- Malpractice
- 2.38
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.50 | × 1.000 | 14.5000 |
| Practice expense | 5.47 | × 0.889 | 4.8628 |
| Malpractice | 2.38 | × 0.915 | 2.1777 |
| Total RVUs | 21.5405 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$719.47
Facility: (14.5 × 1 + 5.47 × 0.889 + 2.38 × 0.915) × $33.4009 = $719.47
Payment rules and modifiers for 51992
51992 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 51992
Urinary sling, laparoscopic approach
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 51992
Urinary sling, laparoscopic approach
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
51992 without 51 · national facility
$746.51
Urinary sling, laparoscopic approach
51992-51 · Second procedure: 50%
$373.26
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 51992 has changed in Kentucky
51992 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $719.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $719.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $719.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $719.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $773.60 | RVU25D |
| 2025-07-01 | Not available in this setting | $773.60 | RVU25C |
| 2025-04-01 | Not available in this setting | $773.60 | RVU25B |
| 2025-01-01 | Not available in this setting | $773.60 | RVU25A |
| 2024-10-01 | Not available in this setting | $795.27 | RVU24D |
| 2024-07-01 | Not available in this setting | $795.27 | RVU24C |
| 2024-04-01 | Not available in this setting | $795.27 | RVU24B |
| 2024-03-09 | Not available in this setting | $795.27 | RVU24AR |
| 2024-01-01 | Not available in this setting | $782.29 | RVU24A |
| 2023-10-01 | Not available in this setting | $796.85 | RVU23D |
| 2023-07-01 | Not available in this setting | $796.85 | RVU23C |
| 2023-04-01 | Not available in this setting | $796.85 | RVU23B |
| 2023-01-01 | Not available in this setting | $796.85 | RVU23A |
| 2022-10-01 | Not available in this setting | $805.46 | RVU22D |
| 2022-07-01 | Not available in this setting | $805.46 | RVU22C |
| 2022-04-01 | Not available in this setting | $805.46 | RVU22B |
| 2022-01-01 | Not available in this setting | $805.46 | RVU22A |
| 2021-10-01 | Not available in this setting | $808.09 | RVU21D |
| 2021-07-01 | Not available in this setting | $808.09 | RVU21C |
| 2021-04-01 | Not available in this setting | $808.09 | RVU21B |
| 2021-01-01 | Not available in this setting | $808.09 | RVU21A |
| 2020-10-01 | Not available in this setting | $830.19 | RVU20D |
| 2020-07-01 | Not available in this setting | $830.19 | RVU20C |
| 2020-04-01 | Not available in this setting | $830.19 | RVU20B |
| 2020-01-01 | Not available in this setting | $830.19 | RVU20A |
| 2019-10-01 | Not available in this setting | $822.22 | RVU19D |
| 2019-07-01 | Not available in this setting | $822.22 | RVU19C |
| 2019-04-01 | Not available in this setting | $822.22 | RVU19B |
| 2019-01-01 | Not available in this setting | $822.22 | RVU19A |
| 2018-10-01 | Not available in this setting | $824.46 | RVU18D |
| 2018-07-01 | Not available in this setting | $824.46 | RVU18C |
| 2018-04-01 | Not available in this setting | $824.46 | RVU18B |
| 2018-01-01 | Not available in this setting | $824.46 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $823.50 | RVU17D |
| 2017-07-01 | Not available in this setting | $823.50 | RVU17C |
| 2017-04-01 | Not available in this setting | $823.50 | RVU17B |
| 2017-01-01 | Not available in this setting | $823.50 | RVU17A |
| 2016-10-01 | Not available in this setting | $817.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $817.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $817.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $817.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $820.90 | RVU15D |
| 2015-07-01 | Not available in this setting | $820.90 | RVU15C |
| 2015-04-01 | Not available in this setting | $816.82 | RVU15B |
| 2015-01-01 | Not available in this setting | $816.82 | RVU15A |
| 2014-10-01 | Not available in this setting | $826.34 | RVU14D |
| 2014-07-01 | Not available in this setting | $826.34 | RVU14C |
| 2014-04-01 | Not available in this setting | $826.34 | RVU14B |
| 2014-01-01 | Not available in this setting | $826.34 | RVU14A |
| 2013-10-01 | Not available in this setting | $805.38 | RVU13D |
| 2013-07-01 | Not available in this setting | $805.38 | RVU13C |
| 2013-04-01 | Not available in this setting | $805.38 | RVU13B |
| 2013-01-01 | Not available in this setting | $805.38 | RVU13AR |
Where the Kentucky rate applies
Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.
- Adairville
- Ages
- Albany
- Alexandria
- Allen
- Allensville
- Anchorage
- Annville
51992 billing questions
How does 51992 differ from 51990?
51992 describes laparoscopic sling placement for stress incontinence. 51990 describes laparoscopic urethral suspension, a distinct operation rather than sling placement.
When would 57288 be used instead?
57288 describes a sling operation for stress incontinence performed by an approach other than the laparoscopic procedure represented by 51992. Select based on the documented operative approach.
Does the 90-day global include postoperative visits?
Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.
Can modifier 50 be reported for bilateral surgery?
No. Modifier 50 is inappropriate for this code under the CMS bilateral adjustment rule.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.
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
Show the CMS file lines behind this rate
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