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45825 Repair fistula with colostomy

Surgery Global 90d

Also known as: rectourethral fistula repair with colostomy, RUF repair with diversion

Surgical repair of rectourethral fistula with creation of colostomy for fecal diversion.

In Plain Language

surgery to close abnormal rectal-urethral connection with bowel diversion

Clinical Context

Surgical management of complex rectourethral fistula requiring colostomy for fecal diversion and fistula healing.

RVU Breakdown

Work RVU23.57
Total RVU23.57

Est. Medicare Payment

$787.24

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 23.57, this code ranks in the 87th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

Colorectal SurgeryUrologyGeneral Surgery

Frequently Asked Questions

What is CPT code 45825?

CPT 45825 (Repair fistula with colostomy) is a Surgery code. Surgical repair of rectourethral fistula with creation of colostomy for fecal diversion.

What is the wRVU value for CPT 45825?

The work RVU for CPT 45825 is 23.57. This code is primarily used by Colorectal Surgery, Urology, General Surgery. It has a 90-day global period.

When is CPT 45825 used?

Surgical management of complex rectourethral fistula requiring colostomy for fecal diversion and fistula healing.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.