S523

Vaginal approach

Fee

ComponentValue
Provider fee$848.90
Assistant, listing; PDF p. 7296 basic units
Anaesthesia, listing; PDF p. 7296 basic units
Assistant, listing; PDF p. 7446 basic units
Anaesthesia, listing; PDF p. 7446 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 729 / T9

- vaginal approach ................................................................ 6 848.90 6

PDF page 744 / V4

Vesicovaginal.......................................................................... 6 848.90 6
Passages mentioning S523

PDF page 729 / T9

DESTRUCTION
# S521 Litholapaxy and removal of fragments....................................                               231.35    6
# E792    - when performed laparoscopically, to S521.........add 25%
       SUTURE
    Closure of fistula
# S522 External, suprapubic ...............................................................     6 279.65                7
      Vesicovaginal
# S523 - vaginal approach ................................................................      6 848.90                6
# S524 - transvesical approach (with or without omental flap) .........                         6 583.60                6
# S525 Vesicorectal or vesicosigmoid.................................................           6 479.10                7
# E792    - when performed laparoscopically, to S522, S524 or S525
            ........................................................................... add 25%
      Note:
      Closure of fistula - see also Operations on the Female Genital System, page V4.

PDF page 744 / V4

FEMALE GENITAL SURGICAL PROCEDURES
VAGINA
                                                                                                        Asst          Surg         Anae
# E862         - when performed laparoscopically, to S760, S813 or S761
                 ........................................................................... add 25%
# S724 Perineorrhaphy (not eligible for payment with delivery or other
         vaginal surgery procedures)...............................................                        8         127.35           8
# S725 Colpocleisis (LeFort or modification) ......................................                        8         300.35           8
# S726 Construction of artificial vagina (see General Preamble GP12)                                       6          I.C             6
    Closure of fistula
# S523 Vesicovaginal..........................................................................             6         848.90           6
# S231 Rectovaginal (any repair)........................................................                   6         338.55           6
# S729 Ureterovaginal ........................................................................             6         560.95           6
# S709 Urethrovaginal ........................................................................             6         374.85           6
    Retropubic Urethropexy
# S549 Primary procedure ..................................................................                6         419.75           6
# S546 Repeat procedure for failed retropubic or vaginal surgery for
          stress incontinence.............................................................                 6         532.00           7
# E862    - when performed laparoscopically, to S549 or S546
            ........................................................................... add 25%
# S815 Tension free vaginal tape mid-urethral sling by any method/
          approach ............................................................................ 6 421.65 6
      Payment rules:
      Cystoscopy (Z606) is not eligible for payment with S815 unless the cystoscopy is rendered for
      suspicion of disease.
Fee master record

Master, record 5530. Record Layout PDF, page 1.

S52320260401999999990000848900000000774600000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00008489000 / 848.9
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00000957600 / 95.76
non anaesthetist00000957600 / 95.76
Explanation

AI-generated. Unreviewed.

This code is for closing a vesicovaginal fistula using a vaginal approach. It is listed under the closure of fistula and vesicovaginal headings.

Watch out for

The description specifies vaginal approach.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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