CPT code 51992 designates a laparoscopic urethral suspension with placement of a sling graft at the bladder‑urethra junction to treat stress urinary incontinence. This minimally invasive pelvic reconstructive procedure provides structural support to the urethra and is used when conservative measures are insufficient. Nationally, the code is relevant to surgical management pathways for urinary incontinence and to facility and professional billing for laparoscopic urogynecologic procedures.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical procedure, expected sites of service, and common billing considerations tied to this laparoscopic sling approach. The publication summarizes benchmark payment context, typical utilization scenarios, and clinical indications tied to stress incontinence treatment. It also highlights coding relationships and common procedural workflows to inform billing and revenue cycle staff, clinicians, and policy analysts.

The content is structured to provide quick reference for coding teams and clinical leaders: a procedural description and service context, payer coverage landscape, and guidance on where to look for supporting documentation and claim constructs. Data not provided in the input—such as associated taxonomies, specific ICD‑10 diagnoses, and related codes—is noted as unavailable where applicable.