# CPT 51840: Anterior vesicourethropexy for stress incontinence

Medicare CPT 51840 pays $622.26 in a non-facility setting and $622.26 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $567.97 in Arkansas to $795.71 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/51840-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $622.26 |
| National facility | $622.26 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $795.71 | $795.71 |
| District of Columbia | $683.59 | $683.59 |
| New York | $682.24 | $682.24 |
| Florida | $674.46 | $674.46 |
| New Jersey | $670.72 | $670.72 |
| Illinois | $666.48 | $666.48 |
| Connecticut | $656.32 | $656.32 |
| Washington | $650.12 | $650.12 |
| Massachusetts | $648.70 | $648.70 |
| California | $646.84 | $646.84 |
| Maryland | $639.69 | $639.69 |
| Michigan | $632.39 | $632.39 |
| Rhode Island | $629.94 | $629.94 |
| Colorado | $627.43 | $627.43 |
| Hawaii | $626.43 | $626.43 |
| Pennsylvania | $625.29 | $625.29 |
| Georgia | $624.42 | $624.42 |
| Puerto Rico | $623.62 | $623.62 |
| Virgin Islands | $623.62 | $623.62 |
| New Hampshire | $623.56 | $623.56 |
| Montana | $622.15 | $622.15 |
| Oregon | $620.75 | $620.75 |
| West Virginia | $619.82 | $619.82 |
| Texas | $617.36 | $617.36 |
| New Mexico | $616.79 | $616.79 |
| Delaware | $616.24 | $616.24 |
| Nevada | $613.36 | $613.36 |
| Arizona | $608.29 | $608.29 |
| Wyoming | $608.10 | $608.10 |
| Louisiana | $607.62 | $607.62 |
| Ohio | $605.49 | $605.49 |
| Missouri | $605.13 | $605.13 |
| Utah | $604.84 | $604.84 |
| Virginia | $602.89 | $602.89 |
| South Carolina | $599.06 | $599.06 |
| Kentucky | $595.68 | $595.68 |
| Vermont | $593.39 | $593.39 |
| Maine | $593.13 | $593.13 |
| North Dakota | $589.92 | $589.92 |
| Minnesota | $589.66 | $589.66 |
| North Carolina | $589.36 | $589.36 |
| Oklahoma | $588.96 | $588.96 |
| South Dakota | $586.11 | $586.11 |
| Mississippi | $580.56 | $580.56 |
| Indiana | $579.84 | $579.84 |
| Tennessee | $579.06 | $579.06 |
| Idaho | $577.75 | $577.75 |
| Wisconsin | $576.28 | $576.28 |
| Kansas | $576.27 | $576.27 |
| Alabama | $573.91 | $573.91 |
| Nebraska | $573.17 | $573.17 |
| Iowa | $572.62 | $572.62 |
| Arkansas | $567.97 | $567.97 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule

Commercial negotiated rates for 51840 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules