FeeBase
Log inGet started
Menu

CPT code 51925: Fistula repair, with hysterectomy2026 Medicare rate & RVUs

Abdominal closure of a bladder-to-uterus fistula performed with hysterectomy, reported when both the fistula repair and uterine removal are part of the operation.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $945.58 for 51925 nationally in a facility.

Medicare rate · 51925

Fistula repair, with hysterectomy

Office or facility?

Work RVUs
17.09
Total RVUs
28.31
Global days
090

National rate · 2026

$945.58

Facility setting, before claim adjustments.

See every locality for 51925 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 51925 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 51925 covers

51925 describes abdominal surgery to close an abnormal tract connecting the bladder and uterus when the operation also removes the uterus. The tract may follow prior uterine surgery, including cesarean delivery; the surgeon separates the bladder from the uterus, closes the communication, and performs hysterectomy. A gynecologic surgeon, urologist, or surgeons working together may perform the operation in a hospital operating room. This service differs from repairing a bladder-vaginal fistula or a bladder defect without a uterine connection.

Report the code when the operative documentation establishes the vesicouterine fistula, abdominal approach, closure, and hysterectomy as part of the operation; the hysterectomy is included in this service. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 51925 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

51925 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$867.77
AlaskaUnavailable$1,203.85
ArizonaUnavailable$922.64
ArkansasUnavailable$858.27
Atlanta, GAUnavailable$971.83
Austin, TXUnavailable$951.22
Bakersfield, CAUnavailable$943.60
Baltimore area, MDUnavailable$998.50
Beaumont, TXUnavailable$913.76
Brazoria, TXUnavailable$925.63

51925 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
51925 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 51925 rate is calculated

Each of 51925’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 51925

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.09

17.09 RVUs× 1.000 GPCI

Practice expense8.22

8.22 RVUs× 1.000 GPCI

Malpractice3.00

3.00 RVUs× 1.000 GPCI

Adjusted RVUs

28.3100

Conversion factor

$33.4009

Medicare rate

$945.58

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 51925

51925 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 51925

Fistula repair, with hysterectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 51925

Fistula repair, with hysterectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

51925 without 51 · national facility

$945.58

Fistula repair, with hysterectomy

51925-51 · Second procedure: 50%

$472.79

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

51925 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 51925

    Fistula repair, with hysterectomy17.09 wRVU

    Not priced

  • 51920

    Fistula repair, bladder-to-uterus connection13.07 wRVU

    Not priced

  • 51900

    Fistula repair, vaginal approach14.26 wRVU

    Not priced

  • 58150

    Hysterectomy, abdominal, cervix removed16.88 wRVU

    Not priced

How to choose

51920Fistula repairBladder-to-uterus connection
Choose 51925 when hysterectomy accompanies abdominal closure of the vesicouterine fistula. Choose 51920 when the fistula is closed without hysterectomy.
51900Fistula repairVaginal approach
51900 concerns a vesicovaginal fistula, connecting the bladder and vagina. 51925 is for a bladder-to-uterus fistula closed with hysterectomy.
58150HysterectomyAbdominal, cervix removed
58150 describes abdominal hysterectomy without the vesicouterine fistula closure represented by 51925. When both are performed as the 51925 service, the hysterectomy is included.

Codes related to 51925

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 51925
CodeHow it relatesNational office range
Same family
51920Fistula repair, bladder-to-uterus connectionAbdominal closure of a vesicouterine fistula without hysterectomy.No office rate
Used instead
51900Fistula repair, vaginal approachFor closure of a vesicovaginal fistula rather than a bladder-to-uterus fistula.No office rate
51940Bladder repair, exstrophy correctionFor correction of a bladder defect when the condition is not a vesicouterine fistula.No office rate

51925 billing questions

How does 51925 differ from 51920?

Both describe abdominal closure of a vesicouterine fistula. Use 51925 when hysterectomy is performed as part of the fistula operation; 51920 describes closure without hysterectomy.

Can the hysterectomy be reported separately?

The hysterectomy is included in 51925 when it is performed as part of the vesicouterine fistula operation. Do not report a separate hysterectomy code for that same work.

Should modifier 50 be appended?

No. CMS specifies that bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What happens when other procedures are performed in the same session?

CMS pays the highest-valued procedure in full and reduces the other procedures to 50%. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 51925PPRRVU2026_Oct_nonQPP.csv, line 6,098 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 51925 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 51925 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist