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

In Utah, Medicare pays $918.89 for 51925 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 51925 nationwide

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

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.

How Utah compares for 51925

Across 109 of 109 payment localities, the facility rate for 51925 runs from $858.27 in Arkansas to $1,203.85 in Alaska. Utah pays $918.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

51925 rates by state

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

See 51925 in every payment locality

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.

Payment rules and modifiers for 51925

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

What modifiers do to the payment

When to use modifier 51

Codes related to 51925

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

How 51925 has changed in Utah

Price 51925 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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

Open CMS sourceHow we calculate rates