51845 Bladder neck repair Medicare reimbursement rates in Oregon

Code 51845 represents an abdominal retropubic operation that supports the urethrovesical junction and bladder neck, commonly through a Burch colposuspension or Marshall-Marchetti-Krantz procedure. Urologists, urogynecologists, or gynecologists typically perform it in an operating room for stress urinary incontinence when the operative plan calls for retropubic suspension. It describes support of the junction, not direct closure of a bladder wound.

Choose the code from the operation documented, including the abdominal retropubic approach and the repair or suspension performed; the diagnosis alone is not enough. This major surgery has a 90-day global period that includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Modifier 50 is not used to report this repair as bilateral. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.