CPT code 51840 represents a simple anterior vesicourethropexy or urethropexy performed to elevate and fix the bladder neck and urethra and restore the urethrovesical angle for treatment of urinary incontinence. This surgical code is relevant nationally as a component of the continuum of care for stress urinary incontinence and pelvic floor dysfunction; accurate coding affects clinical documentation, facility and professional reimbursement, and quality measurement. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise clinical context for the procedure, the typical site of service, and the service type. The publication outlines payer coverage patterns and benchmarks where available, and highlights billing considerations and common modifiers used with this surgical service. The report also summarizes policy updates and documentation expectations that affect coding and claims processing for urethropexy procedures. This overview is intended to inform clinicians, coding professionals, and health plan administrators seeking a national perspective on coding, billing, and policy implications for CPT code 51840.