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CPT code 59320: Cervical cerclage, vaginal approach2026 Medicare rate & RVUs

Reports placement of a vaginal cervical stitch during pregnancy when mechanical support is needed for cervical insufficiency and risk of pregnancy loss or preterm birth.

CMS RVU26DEffective Oct 1, 2026109 payment localities41 Medicare services in 2024

Medicare pays $137.28 for 59320 nationally in a facility.

Medicare rate · 59320

Cervical cerclage, vaginal approach

Office or facility?

Work RVUs
2.42
Total RVUs
4.11
Global days
000

National rate · 2026

$137.28

Facility setting, before claim adjustments.

See every locality for 59320 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 59320 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59320 covers

An obstetrician-gynecologist places a reinforcing suture around the cervix through the vagina during pregnancy when cervical insufficiency creates concern for pregnancy loss or preterm birth. The procedure is typically performed in an operating room or procedure setting, often with anesthesia. This code identifies the vaginal route, rather than abdominal placement.

Report 59320 for vaginal placement; documentation should identify the pregnancy, clinical indication, route, and cerclage performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If another procedure is performed in the same session, the highest-valued procedure is paid in full and the others are reduced to 50%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 59320 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59320 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$122.07
AlaskaUnavailable$167.80
ArizonaUnavailable$132.55
ArkansasUnavailable$120.24
Atlanta, GAUnavailable$143.30
Austin, TXUnavailable$136.17
Bakersfield, CAUnavailable$131.38
Baltimore area, MDUnavailable$147.02
Beaumont, TXUnavailable$132.70
Brazoria, TXUnavailable$131.85

59320 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
59320 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 59320 rate is calculated

Each of 59320’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 59320

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.42

2.42 RVUs× 1.000 GPCI

Practice expense0.90

0.90 RVUs× 1.000 GPCI

Malpractice0.79

0.79 RVUs× 1.000 GPCI

Adjusted RVUs

4.1100

Conversion factor

$33.4009

Medicare rate

$137.28

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 59320

The CMS indicators that decide how 59320 is paid alongside other services.

CMS payment indicators · 59320

Cervical cerclage, vaginal approach

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59320 without 51 · national facility

$137.28

Cervical cerclage, vaginal approach

59320-51 · Second procedure: 50%

$68.64

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

59320 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59320

    Cervical cerclage, vaginal approach2.42 wRVU

    Not priced

  • 59325

    Cervical revision, abdominal approach3.96 wRVU

    Not priced

  • 59871

    Cerclage removal, nonlocal anesthesia2.08 wRVU

    Not priced

  • 59300

    Obstetric repair, by nonattending physician2.35 wRVU

    $225.46

How to choose

59325Cervical revisionAbdominal approach
This code is for vaginal cerclage placement during pregnancy; 59325 identifies abdominal placement.
59871Cerclage removalNonlocal anesthesia
59871 describes removal of a cerclage suture under anesthesia, not placement of the vaginal cerclage.
59300Obstetric repairBy nonattending physician
59300 concerns episiotomy or vaginal repair, not placement of a reinforcing suture around the cervix during pregnancy.

Codes related to 59320

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 59320
CodeHow it relatesNational office range
Used instead
59325Cervical revision, abdominal approachUse for pregnancy cerclage placed by an abdominal approach rather than vaginally.No office rate

59320 billing questions

How does 59320 differ from 59325?

59320 is for vaginal placement of the cerclage. Use 59325 when the cerclage is placed through an abdominal approach.

What documentation supports 59320?

Document the pregnancy, the clinical reason for cervical support, the vaginal approach, and that the cerclage was placed.

Is same-day care included?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

How is 59320 paid with another procedure in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are reduced to 50%.

Can an assistant surgeon be reported?

Assistant-at-surgery payment is allowed only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted.

Is cerclage removal included in 59320?

59320 describes placement. Removal is a separate service when performed; 59871 describes cerclage suture removal under anesthesia.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 59320PPRRVU2026_Oct_nonQPP.csv, line 6,652 (RVU26D)

Open CMS sourceHow we calculate rates

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