2025 CPT code 45800
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Digestive System Feed
Closure of rectovesical fistula
Modifiers may be applicable; refer to current CPT guidelines.
Medical necessity must be established by documenting the clinical indications for the procedure, such as infection, incontinence, or other related complications.
The surgeon performs an abdominal incision, exposes the rectum, mobilizes the rectum and colon, dissects the fistula, debrides the bladder and rectum, closes the defect with sutures, irrigates the site, and closes the incision.
In simple words: This procedure closes an abnormal opening between the rectum and the bladder through an incision in the abdomen.
Surgical closure of an abnormal connection between the rectum and the urinary bladder (rectovesical fistula). This involves an abdominal incision, dissection of the fistula, and closure of the defect in the rectum and bladder.
Example 1: A patient presents with recurrent urinary tract infections and fecaluria. Imaging reveals a rectovesical fistula. Code 45800 is used for the surgical closure of the fistula., A patient develops a rectovesical fistula following radiation therapy for prostate cancer.The fistula is surgically closed using an abdominal approach, and code 45800 is reported., A patient with Crohn's disease develops a rectovesical fistula.Code 45800 is reported for the surgical repair.
Documentation should include operative report detailing the procedure, pre- and postoperative diagnoses, and any complications encountered.
- Specialties:General Surgery, Urology, Colorectal Surgery
- Place of Service:Inpatient Hospital