No office rate
Choose 51925 when hysterectomy accompanies abdominal closure of the vesicouterine fistula. Choose 51920 when the fistula is closed without hysterectomy.
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CMS RVU26D · Effective 2026-10-01
51925 Fistula repair Medicare reimbursement rates in Oregon
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. Compare 51925 office and facility rates across CMS payment localities in Oregon.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 51925 in Oregon?
Oregon has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$914.72–$959.54
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urologic surgery
About 51925: Abdominal vesicouterine fistula closure with hysterectomy
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.
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.
CMS billing rules for 51925
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU17.09 · 60%
- Practice expense (office) RVU8.22 · 29%
- Malpractice RVU3.00 · 11%
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.
51925 compared with similar codes
Office rates for Oregon, from the same CMS release.
No office rate
51900 concerns a vesicovaginal fistula, connecting the bladder and vagina. 51925 is for a bladder-to-uterus fistula closed with hysterectomy.
No office rate
58150 describes abdominal hysterectomy without the vesicouterine fistula closure represented by 51925. When both are performed as the 51925 service, the hysterectomy is included.
Compare 51925 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Portland →
Office / nonfacility
Unavailable
Facility
$959.54
Rest Of Oregon →
Office / nonfacility
Unavailable
Facility
$914.72
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,09551880,,Repair of bladder opening,A,,7.67,4.08,NA,4.08,,1.11,12.86,12.86,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09651900,,Repair bladder/vagina lesion,A,,14.26,6.22,NA,6.22,,1.83,22.31,22.31,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09751920,,Close bladder-uterus fistula,A,,13.07,5.99,NA,5.99,,1.68,20.74,20.74,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09851925,,Hysterectomy/bladder repair,A,,17.09,8.22,NA,8.22,,3.00,28.31,28.31,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,09951940,,Correction of bladder defect,A,,29.89,9.88,NA,9.88,,3.85,43.62,43.62,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10051960,,Revision of bladder & bowel,A,,24.77,9.08,NA,9.08,,3.18,37.03,37.03,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10151980,,Construct bladder opening,A,,12.26,5.54,NA,5.54,,1.57,19.37,19.37,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00