2025 CPT code 51992
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Laparoscopic surgical sling operation for stress urinary incontinence using fascia or synthetic material.
Modifiers may be applicable depending on the specifics of the procedure (e.g., 59 for distinct procedural service, 22 for increased procedural services, 51 for multiple procedures). Consult the CPT manual and payer guidelines for appropriate modifier usage.
Medical necessity is established through documentation of significant stress urinary incontinence symptoms causing distress and impacting quality of life, despite conservative management attempts.Documentation of failed or unsuitable conservative measures is crucial for justifying the surgical intervention.
The urogynecologist or urologist performs the procedure, including prepping the patient, making incisions, placing the sling, and closing the incisions. Anesthesiologists or CRNAs may be involved in anesthesia and patient monitoring.
In simple words: This surgery uses a small camera and instruments inserted through tiny cuts to lift the urethra and prevent urine leakage.A small piece of tissue or a special material is used to support the urethra. This fixes stress incontinence (accidental urine loss).
This CPT code encompasses the laparoscopic surgical suspension of the urethra to treat stress urinary incontinence.A sling graft, either synthetic or harvested from the patient's own tissue (fascia or vaginal muscle), is placed at the urethra-bladder junction. The procedure is performed using a laparoscope, which allows for minimal incisions and visualization of the internal structures.A catheter is typically placed in the bladder, and the sling is secured with sutures.Bleeding is controlled, and incisions are closed.
Example 1: A 55-year-old female patient experiences stress incontinence following childbirth.Laparoscopic sling placement using a synthetic mesh is performed to alleviate symptoms., A 62-year-old female patient with recurrent stress incontinence after previous failed sling surgery undergoes a laparoscopic revision using autologous rectus fascia., A 48-year-old female patient with severe stress incontinence requiring a minimally invasive approach is treated with a laparoscopic sling procedure utilizing a biologic graft.
Complete history and physical examination documenting stress incontinence symptoms, prior treatments, and patient preferences. Operative report detailing the type of sling used (synthetic, fascia, biologic), location of placement, and surgical technique.Preoperative and postoperative assessment of urinary function (e.g., voiding diary, urodynamic studies).Imaging studies as deemed necessary.
** Always refer to the most up-to-date CPT codebook and payer guidelines for the most accurate and current information.This information is for educational purposes only and should not be considered medical or legal advice.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: The relative value units (RVUs) for this code vary depending on the year and the payer.Check the most recent national physician fee schedule for current values.
- Global Days: The global period for this procedure is not specified in the available data; consult the payer's guidelines for details.
- Payment Status: Active
- Modifier TC rule: There is no clear evidence from the provided text to determine if a Technical Component (TC) modifier is applicable.Further research into the specific CPT guidelines is necessary.
- Fee Schedule: Historical fee schedules vary considerably based on year and payer. Consult relevant fee schedules for specific historical data.
- Specialties:Urogynecology, Urology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Office