No office rate
Choose 51990 for laparoscopic urethral suspension, commonly a Burch-type colposuspension; choose 51992 for a laparoscopic sling operation.
On this page
CMS RVU26D · Effective 2026-10-01
51990 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$650.89
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urogynecology surgery
About 51990: Laparoscopic urethral suspension
Laparoscopic urethral suspension treats stress urinary incontinence by elevating periurethral support tissues and is reported when that operation is performed.
51990 describes laparoscopic suspension of urethral support tissues to treat stress urinary incontinence, commonly using a Burch-type colposuspension. Through abdominal ports, the surgeon places sutures in tissue beside the urethra and secures it to pelvic support structures, elevating support at the bladder neck. Urologists and urogynecologists typically perform the procedure in an operating room under anesthesia for patients with leakage during coughing, exertion, or sneezing.
Select this code for laparoscopic urethral suspension, not a laparoscopic graft or synthetic sling operation (51992). The operative report should establish the laparoscopic approach, suspension technique, and tissues fixed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When other procedures occur in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Do not use modifier 50; this is a single suspension service, not a paired-side procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51990
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.03 · 65%
- Practice expense (office) RVU5.35 · 27%
- Malpractice RVU1.71 · 9%
2.4K
Medicare services in 2024 · #2339 by national volume
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.
51990 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Both address stress urinary incontinence with suspension or sling support, but 57288 describes a sling operation performed by a nonlaparoscopic approach.
$326.47
51715 describes urethral bulking by injection, not laparoscopic elevation and fixation of urethral support tissues.
The same code, a different location
How does Beaumont compare?
51990 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 51990
Office
Unavailable
Facility
$656.37
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 51990
Office
Unavailable
Facility
$702.38
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 51990
Office
Unavailable
Facility
$732.79
No comparable office rate is available.
Miami
Florida · 51990
Office
Unavailable
Facility
$765.68
No comparable office rate is available.
Chicago
Illinois · 51990
Office
Unavailable
Facility
$748.93
No comparable office rate is available.
Manhattan
New York · 51990
Office
Unavailable
Facility
$761.30
No comparable office rate is available.
Alaska*
Alaska · 51990
Office
Unavailable
Facility
$874.60
No comparable office rate is available.
Alabama
Alabama · 51990
Office
Unavailable
Facility
$623.90
No comparable office rate is available.
Arkansas
Arkansas · 51990
Office
Unavailable
Facility
$618.13
No comparable office rate is available.
Arizona
Arizona · 51990
Office
Unavailable
Facility
$657.26
No comparable office rate is available.
Bakersfield
California · 51990
Office
Unavailable
Facility
$674.12
No comparable office rate is available.
Chico
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
El Centro
California · 51990
Office
Unavailable
Facility
$669.36
No comparable office rate is available.
Fresno
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Hanford-Corcoran
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Madera
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Merced
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Modesto
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Napa
California · 51990
Office
Unavailable
Facility
$727.17
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 51990
Office
Unavailable
Facility
$694.20
No comparable office rate is available.
Redding
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Rest Of California
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 51990
Office
Unavailable
Facility
$687.62
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 51990
Office
Unavailable
Facility
$689.32
No comparable office rate is available.
Salinas
California · 51990
Office
Unavailable
Facility
$686.43
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 51990
Office
Unavailable
Facility
$692.95
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 51990
Office
Unavailable
Facility
$754.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 51990
Office
Unavailable
Facility
$752.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 51990
Office
Unavailable
Facility
$771.38
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 51990
Office
Unavailable
Facility
$763.44
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 51990
Office
Unavailable
Facility
$676.76
No comparable office rate is available.
Santa Cruz-Watsonville
California · 51990
Office
Unavailable
Facility
$692.08
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 51990
Office
Unavailable
Facility
$686.37
No comparable office rate is available.
Santa Rosa-Petaluma
California · 51990
Office
Unavailable
Facility
$698.32
No comparable office rate is available.
Stockton
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Vallejo
California · 51990
Office
Unavailable
Facility
$724.37
No comparable office rate is available.
Visalia
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Yuba City
California · 51990
Office
Unavailable
Facility
$669.08
No comparable office rate is available.
Colorado
Colorado · 51990
Office
Unavailable
Facility
$675.17
No comparable office rate is available.
Connecticut
Connecticut · 51990
Office
Unavailable
Facility
$705.48
No comparable office rate is available.
Delaware
Delaware · 51990
Office
Unavailable
Facility
$665.29
No comparable office rate is available.
Fort Lauderdale
Florida · 51990
Office
Unavailable
Facility
$719.50
No comparable office rate is available.
Rest Of Florida
Florida · 51990
Office
Unavailable
Facility
$691.89
No comparable office rate is available.
Atlanta
Georgia · 51990
Office
Unavailable
Facility
$686.67
No comparable office rate is available.
Rest Of Georgia
Georgia · 51990
Office
Unavailable
Facility
$662.69
No comparable office rate is available.
Hawaii, Guam
Hawaii · 51990
Office
Unavailable
Facility
$671.46
No comparable office rate is available.
Iowa
Iowa · 51990
Office
Unavailable
Facility
$621.39
No comparable office rate is available.
Idaho
Idaho · 51990
Office
Unavailable
Facility
$626.63
No comparable office rate is available.
East St. Louis
Illinois · 51990
Office
Unavailable
Facility
$714.64
No comparable office rate is available.
Rest Of Illinois
Illinois · 51990
Office
Unavailable
Facility
$687.63
No comparable office rate is available.
Suburban Chicago
Illinois · 51990
Office
Unavailable
Facility
$722.99
No comparable office rate is available.
Indiana
Indiana · 51990
Office
Unavailable
Facility
$628.62
No comparable office rate is available.
Kansas
Kansas · 51990
Office
Unavailable
Facility
$625.54
No comparable office rate is available.
Kentucky
Kentucky · 51990
Office
Unavailable
Facility
$646.33
No comparable office rate is available.
New Orleans
Louisiana · 51990
Office
Unavailable
Facility
$668.25
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 51990
Office
Unavailable
Facility
$648.08
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 51990
Office
Unavailable
Facility
$717.25
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 51990
Office
Unavailable
Facility
$675.86
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 51990
Office
Unavailable
Facility
$704.57
No comparable office rate is available.
Rest Of Maryland
Maryland · 51990
Office
Unavailable
Facility
$672.84
No comparable office rate is available.
Rest Of Maine
Maine · 51990
Office
Unavailable
Facility
$635.14
No comparable office rate is available.
Southern Maine
Maine · 51990
Office
Unavailable
Facility
$648.34
No comparable office rate is available.
Detroit
Michigan · 51990
Office
Unavailable
Facility
$703.95
No comparable office rate is available.
Rest Of Michigan
Michigan · 51990
Office
Unavailable
Facility
$662.85
No comparable office rate is available.
Minnesota
Minnesota · 51990
Office
Unavailable
Facility
$636.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 51990
Office
Unavailable
Facility
$658.81
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 51990
Office
Unavailable
Facility
$662.56
No comparable office rate is available.
Rest Of Missouri
Missouri · 51990
Office
Unavailable
Facility
$644.88
No comparable office rate is available.
Mississippi
Mississippi · 51990
Office
Unavailable
Facility
$631.28
No comparable office rate is available.
Montana**
Montana · 51990
Office
Unavailable
Facility
$670.91
No comparable office rate is available.
North Carolina
North Carolina · 51990
Office
Unavailable
Facility
$638.43
No comparable office rate is available.
North Dakota**
North Dakota · 51990
Office
Unavailable
Facility
$637.10
No comparable office rate is available.
Nebraska
Nebraska · 51990
Office
Unavailable
Facility
$621.74
No comparable office rate is available.
New Hampshire
New Hampshire · 51990
Office
Unavailable
Facility
$671.21
No comparable office rate is available.
Northern Nj
New Jersey · 51990
Office
Unavailable
Facility
$730.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 51990
Office
Unavailable
Facility
$710.41
No comparable office rate is available.
New Mexico
New Mexico · 51990
Office
Unavailable
Facility
$667.67
No comparable office rate is available.
Nevada**
Nevada · 51990
Office
Unavailable
Facility
$661.66
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 51990
Office
Unavailable
Facility
$781.60
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 51990
Office
Unavailable
Facility
$719.58
No comparable office rate is available.
Queens
New York · 51990
Office
Unavailable
Facility
$756.65
No comparable office rate is available.
Rest Of New York
New York · 51990
Office
Unavailable
Facility
$645.13
No comparable office rate is available.
Ohio
Ohio · 51990
Office
Unavailable
Facility
$655.93
No comparable office rate is available.
Oklahoma
Oklahoma · 51990
Office
Unavailable
Facility
$639.17
No comparable office rate is available.
Portland
Oregon · 51990
Office
Unavailable
Facility
$683.20
No comparable office rate is available.
Rest Of Oregon
Oregon · 51990
Office
Unavailable
Facility
$653.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 51990
Office
Unavailable
Facility
$697.21
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 51990
Office
Unavailable
Facility
$653.23
No comparable office rate is available.
Puerto Rico
Puerto Rico · 51990
Office
Unavailable
Facility
$672.13
No comparable office rate is available.
Rhode Island
Rhode Island · 51990
Office
Unavailable
Facility
$679.02
No comparable office rate is available.
South Carolina
South Carolina · 51990
Office
Unavailable
Facility
$648.88
No comparable office rate is available.
South Dakota**
South Dakota · 51990
Office
Unavailable
Facility
$633.10
No comparable office rate is available.
Tennessee
Tennessee · 51990
Office
Unavailable
Facility
$628.32
No comparable office rate is available.
Utah
Utah · 51990
Office
Unavailable
Facility
$654.48
No comparable office rate is available.
Virginia
Virginia · 51990
Office
Unavailable
Facility
$651.19
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 51990
Office
Unavailable
Facility
$672.13
No comparable office rate is available.
Vermont
Vermont · 51990
Office
Unavailable
Facility
$641.02
No comparable office rate is available.
Rest Of Washington
Washington · 51990
Office
Unavailable
Facility
$672.50
No comparable office rate is available.
Seattle (King Cnty)
Washington · 51990
Office
Unavailable
Facility
$722.90
No comparable office rate is available.
Wisconsin
Wisconsin · 51990
Office
Unavailable
Facility
$623.99
No comparable office rate is available.
West Virginia
West Virginia · 51990
Office
Unavailable
Facility
$672.23
No comparable office rate is available.
Wyoming**
Wyoming · 51990
Office
Unavailable
Facility
$656.17
No comparable office rate is available.
See how rates vary across the country
51990 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 51990 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$715.98
$650.89 × 110% = $715.98
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 51990 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
6,102
- Code
- 51990
- Physician work
- 13.03
- Practice expense
- 5.35
- Malpractice
- 1.71
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.03 | × 1.000 | 13.0300 |
| Practice expense | 5.35 | × 0.910 | 4.8685 |
| Malpractice | 1.71 | × 0.929 | 1.5886 |
| Total RVUs | 19.4871 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$650.89
Open 51990 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.03 | 1 |
| Practice expense | 5.35 | 0.91 |
| Malpractice | 1.71 | 0.929 |
(13.03 × 1 + 5.35 × 0.91 + 1.71 × 0.929) × $33.4009 = $650.89
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
51990 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $650.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $650.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $650.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $650.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $697.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $697.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $697.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $697.70 | RVU25A |
51990 billing questions
How is 51990 different from 51992?
51990 describes laparoscopic urethral suspension, typically a suture-based colposuspension. Use 51992 when the surgeon performs a laparoscopic sling operation.
Are related preoperative and postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care through day 90.
Should modifier 50 be added for bilateral work?
No. Report the suspension as a single service; modifier 50 is inappropriate for this code.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What operative documentation supports 51990?
Document the laparoscopic access, the suspension technique, and the tissues secured to pelvic support structures. The note should make clear that a sling operation was not performed instead.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,09951940,,Correction of bladder defect,A,,29.89,9.88,NA,9.88,,3.85,43.62,43.62,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10051960,,Revision of bladder & bowel,A,,24.77,9.08,NA,9.08,,3.18,37.03,37.03,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10151980,,Construct bladder opening,A,,12.26,5.54,NA,5.54,,1.57,19.37,19.37,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10251990,,Laparo urethral suspension,A,,13.03,5.35,NA,5.35,,1.71,20.09,20.09,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10351992,,Laparo sling operation,A,,14.50,5.47,NA,5.47,,2.38,22.35,22.35,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10451999,,Unlisted laps px bladder,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10552000,,Cystourethroscopy,A,,1.49,4.77,,0.44,,0.20,6.46,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871