No office rate
Use 51992 for laparoscopic sling placement. Use 51990 for laparoscopic urethral suspension when the operative procedure is suspension rather than sling placement.
On this page
CMS RVU26D · Effective 2026-10-01
51992 Urinary sling Medicare reimbursement rates in Nebraska
Report this procedure for laparoscopic sling placement to support the urethra in a patient undergoing surgical treatment for stress urinary incontinence. Compare 51992 office and facility rates across CMS payment localities in Nebraska.
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 51992 in Nebraska?
Nebraska 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
$683.00
1 of 1 localities have a supported rate.
Payment area: Nebraska
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.
Urology surgery
About 51992: Laparoscopic sling for stress incontinence
Report this procedure for laparoscopic sling placement to support the urethra in a patient undergoing surgical treatment for stress urinary incontinence.
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.
CMS billing rules for 51992
- 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 RVU14.50 · 65%
- Practice expense (office) RVU5.47 · 24%
- Malpractice RVU2.38 · 11%
104
Medicare services in 2024 · #4854 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.
51992 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Both address sling surgery for stress incontinence, but 51992 identifies a laparoscopic operation; 57288 is used for the sling operation performed by a different approach.
No office rate
57287 describes removal or revision of a previously placed sling. It is not the code for a new laparoscopic sling operation.
Compare 51992 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$683.00
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 51992 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,103
- Code
- 51992
- Physician work
- 14.50
- Practice expense
- 5.47
- Malpractice
- 2.38
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.50 | × 1.000 | 14.5000 |
| Practice expense | 5.47 | × 0.923 | 5.0488 |
| Malpractice | 2.38 | × 0.378 | 0.8996 |
| Total RVUs | 20.4485 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$683.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.5 | 1 |
| Practice expense | 5.47 | 0.923 |
| Malpractice | 2.38 | 0.378 |
(14.5 × 1 + 5.47 × 0.923 + 2.38 × 0.378) × $33.4009 = $683.00
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.
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 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.
6,10051960,,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
6,10652001,,Cysto w/irrg&evac mlt clots,A,,5.30,6.58,,1.59,,0.68,12.56,7.57,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068