50526 Close nephrovisceral fistula
Also known as: complex fistula closure, extensive fistula repair, complicated fistula closure
Surgical closure of a complex nephrovisceral fistula requiring extensive dissection and reconstruction.
In Plain Language
surgical closure of complex kidney to organ opening; complex fistula repair
Clinical Context
Used for large, infected, or adherent fistulas with significant inflammatory reaction or involvement of multiple structures.
RVU Breakdown
| Work RVU | 25.65 |
| Total RVU | 25.65 |
Est. Medicare Payment
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 25.65, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50526?
CPT 50526 (Close nephrovisceral fistula) is a Surgery code. Surgical closure of a complex nephrovisceral fistula requiring extensive dissection and reconstruction.
What is the wRVU value for CPT 50526?
The work RVU for CPT 50526 is 25.65. This code is primarily used by Urology, General Surgery. It has a 90-day global period.
When is CPT 50526 used?
Used for large, infected, or adherent fistulas with significant inflammatory reaction or involvement of multiple structures.
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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.