No office rate
51840 is for a simple anterior suspension. Choose 51841 when the operative report supports a complicated repair, including a secondary repair.
On this page
CMS RVU26D · Effective 2026-10-01
51841 Bladder suspension Medicare reimbursement rates in Kansas
Reports a complicated anterior bladder or urethral suspension, such as a secondary repair performed for stress urinary incontinence. Compare 51841 office and facility rates across CMS payment localities in Kansas.
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.
What does Medicare pay for 51841 in Kansas?
Kansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$669.41
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urologic surgery
About 51841: Complicated vesicourethropexy or urethropexy
Reports a complicated anterior bladder or urethral suspension, such as a secondary repair performed for stress urinary incontinence.
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.
CMS billing rules for 51841
- 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 RVU13.34 · 62%
- Practice expense (office) RVU6.46 · 30%
- Malpractice RVU1.71 · 8%
35
Medicare services in 2024 · #5569 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.
51841 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
51845 describes a related retropubic operation for stress urinary incontinence. Select based on the actual operative procedure, not the shared indication alone.
No office rate
57288 is used for a sling operation for stress urinary incontinence; 51841 describes a complicated anterior bladder or urethral suspension.
Compare 51841 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Kansas →
Office / nonfacility
Unavailable
Facility
$669.41
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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 51841 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
6,091
- Code
- 51841
- Physician work
- 13.34
- Practice expense
- 6.46
- Malpractice
- 1.71
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.34 | × 1.000 | 13.3400 |
| Practice expense | 6.46 | × 0.904 | 5.8398 |
| Malpractice | 1.71 | × 0.504 | 0.8618 |
| Total RVUs | 20.0417 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$669.41
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.34 | 1 |
| Practice expense | 6.46 | 0.904 |
| Malpractice | 1.71 | 0.504 |
(13.34 × 1 + 6.46 × 0.904 + 1.71 × 0.504) × $33.4009 = $669.41
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.
51841 billing questions
How do I choose between 51840 and 51841?
Use 51840 for a simple anterior suspension. Report 51841 when the operative documentation supports a complicated repair, such as a secondary repair.
What documentation supports 51841?
The operative report should describe the suspension and explain the circumstances supporting the complicated level, including prior repair when applicable.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
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.
6,08851800,,Revision of bladder/urethra,A,,18.42,7.09,NA,7.09,,2.37,27.88,27.88,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,08951820,,Revision of urinary tract,A,,19.10,7.62,NA,7.62,,2.47,29.19,29.19,0,090,0.08,0.83,0.09,2,2,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09051840,,Attach bladder/urethra,A,,11.08,5.92,NA,5.92,,1.63,18.63,18.63,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09151841,,Attach bladder/urethra,A,,13.34,6.46,NA,6.46,,1.71,21.51,21.51,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09251845,,Repair bladder neck,A,,9.90,4.70,NA,4.70,,1.28,15.88,15.88,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09351860,,Repair of bladder wound,A,,12.29,6.14,NA,6.14,,1.99,20.42,20.42,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09451865,,Repair of bladder wound,A,,15.41,6.63,NA,6.63,,2.21,24.25,24.25,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958