51920 Close bladder-uterus fistula
Also known as: vesicotuterine fistula repair, bladder-uterus fistula closure
Surgical closure of a fistula connecting the bladder and uterus through an abdominal approach, typically combined with appropriate tissue repair to restore anatomic integrity.
In Plain Language
closing a connection between bladder and uterus; fixing a bladder-uterus leak
Clinical Context
Rare complication of hysterectomy, cesarean section, or other pelvic surgery. Presents with pneumaturia and fecal material in urine if bladder-bowel fistula also present.
RVU Breakdown
| Work RVU | 13.07 |
| Total RVU | 13.07 |
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 13.07, this code ranks in the 68th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 51920?
CPT 51920 (Close bladder-uterus fistula) is a Surgery code. Surgical closure of a fistula connecting the bladder and uterus through an abdominal approach, typically combined with appropriate tissue repair to restore anatomic integrity.
What is the wRVU value for CPT 51920?
The work RVU for CPT 51920 is 13.07. This code is primarily used by Urology, Gynecologic Surgery, General Surgery. It has a 90-day global period.
When is CPT 51920 used?
Rare complication of hysterectomy, cesarean section, or other pelvic surgery. Presents with pneumaturia and fecal material in urine if bladder-bowel fistula also present.
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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.