No office rate
51841 is for a complicated abdominal suspension, such as a secondary repair. 51840 describes the standard abdominal suspension service.
On this page
CMS RVU26D · Effective 2026-10-01
51840 Bladder suspension Medicare reimbursement rates in Missouri
Reports abdominal suspension of the bladder neck or urethra, commonly for female stress urinary incontinence associated with loss of urethral support. Compare 51840 office and facility rates across CMS payment localities in Missouri.
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 51840 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$593.56–$612.88
3 of 3 localities have a supported rate.
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.
Where 51840 pays more and less in Missouri
Urology surgery
About 51840: Abdominal bladder and urethral suspension
Reports abdominal suspension of the bladder neck or urethra, commonly for female stress urinary incontinence associated with loss of urethral support.
A urologist or urogynecologist performs this operation through an abdominal approach to support the bladder neck or urethra. Common techniques include Burch colposuspension and Marshall-Marchetti-Krantz repair, used for stress urinary incontinence related to inadequate urethral support. The service is generally performed in an operating room, rather than as an office procedure.
Choose this code when the operative report documents the abdominal suspension technique and the work is not described as complicated; a complicated or secondary repair is distinguished by code 51841. Document the indication, surgical approach, and structures supported. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 51840
- 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 RVU11.08 · 59%
- Practice expense (office) RVU5.92 · 32%
- Malpractice RVU1.63 · 9%
153
Medicare services in 2024 · #4548 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.
51840 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Both involve abdominal support of the urethral or bladder-neck region, but 51845 describes a different urethral-suspension procedure. Follow the operative method documented.
No office rate
57288 reports a sling operation for stress incontinence. 51840 applies to abdominal suspension techniques such as Burch or Marshall-Marchetti-Krantz.
Compare 51840 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$608.94
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$612.88
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$593.56
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51840 billing questions
When should 51841 be used instead?
Use 51841 when the abdominal suspension is documented as complicated, such as a secondary repair. The operative report should support that distinction.
How does 51840 differ from a sling operation?
51840 describes abdominal bladder-neck or urethral suspension, such as a Burch or Marshall-Marchetti-Krantz procedure. A sling operation uses a sling to support the urethra and is reported with the code that matches its approach.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What documentation supports reporting 51840?
Document the stress-incontinence indication, abdominal approach, suspension technique, and structures supported. The operative details should also establish whether the repair was complicated or secondary.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation, while team-surgery payment 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 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.
6,08751798,,Us urine capacity measure,A,,0.00,0.36,,0.36,NA,0.02,0.38,0.38,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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