51900 Repair bladder/vagina lesion
Also known as: vesicovaginal fistula repair, bladder-vagina fistula closure
Surgical closure of a fistula connecting the bladder and vagina, which causes continuous urine leakage and vaginal irritation. The procedure repairs the abnormal connection through transvaginal or abdominal approach.
In Plain Language
fixing a connection between bladder and vagina; stopping urine leakage into vagina
Clinical Context
Common complication of gynecologic or obstetric surgery, pelvic trauma, or radiation. Results in continuous incontinence and recurrent urinary tract infections if untreated.
RVU Breakdown
| Work RVU | 14.26 |
| Total RVU | 14.26 |
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 14.26, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 51900?
CPT 51900 (Repair bladder/vagina lesion) is a Surgery code. Surgical closure of a fistula connecting the bladder and vagina, which causes continuous urine leakage and vaginal irritation. The procedure repairs the abnormal connection through transvaginal or abdominal approach.
What is the wRVU value for CPT 51900?
The work RVU for CPT 51900 is 14.26. This code is primarily used by Urology, Gynecologic Surgery. It has a 90-day global period.
When is CPT 51900 used?
Common complication of gynecologic or obstetric surgery, pelvic trauma, or radiation. Results in continuous incontinence and recurrent urinary tract infections if untreated.
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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.