CPT Code 51925 | Description & Clinical Information

CPT 51925 describes the surgical removal of both a vesicouterine fistula, which is an abnormal connection between the bladder and the uterus, and the uterus itself.

Official Description

The CPT book defines CPT code 51925 as: “Closure of vesicouterine fistula; with hysterectomy”.

Billing Guidelines

To find information about the closure of a vesicoenteric fistula, refer to CPT codes 44660 and 44661.

To find codes for the closure of rectovesical fistula, refer to CPT codes 45800-45805.

Clinical Information

The procedure describes by CPT code 51925 involves the removal of the uterus and cervix due to a vesicouterine fistula. This is a rare condition where a hole forms between the uterus and bladder, leading to urinary incontinence and potential infections.

To begin the procedure, the patient is appropriately prepped and anesthetized to ensure minimal discomfort. A small incision is made at the umbilicus, or navel, to insert a laparoscope. This allows the provider to navigate through the abdomen and identify the vesicouterine fistula under laparoscopic visualization.

Once identified, the provider uses a surgical scissor to dissect the fistula from both ends and remove it completely. This step is crucial in preventing the recurrence of the condition post-surgery.

Next, the provider makes a suprapubic incision and dissects the uterus from the supporting muscles. Stapling the blood vessels is necessary to control bleeding during the removal of the uterus and cervix.

The separation of the uterus and cervix from the surrounding pelvic tissues is a delicate process, requiring the provider’s utmost attention and accuracy to avoid any damage to the surrounding organs. Slowly and carefully, the provider removes the uterus and cervix to ensure a complete and successful procedure.

To end the surgery, the provider stops all bleeding and closes the incision, suturing the soft tissue in layers. The recovery period for this procedure varies from patient to patient, but most will experience discomfort, pain, and vaginal bleeding for several weeks post-surgery.

It is essential to follow post-operative instructions and avoid strenuous activities or lifting heavy objects during the recovery period to prevent any complications. Regular check-ups with the provider are also advised to ensure proper healing and to address any concerns or issues that may arise.

In conclusion, the CPT 51925 procedure involves the delicate and precise removal of the uterus and cervix due to a vesicouterine fistula. It is a complex procedure that requires skilled and experienced medical providers and meticulous attention to detail. Proper pre-operative and post-operative care is crucial for a successful procedure and recovery.

Return to all the CPT codes for repair procedures on the bladder.