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CPT code 59325: Cervical revision, abdominal approach2026 Medicare rate & RVUs

Reports abdominal surgical revision of the cervix, such as correction for cervical stenosis or incompetence, when the operative approach and work support this service.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $215.44 for 59325 nationally in a facility.

Medicare rate · 59325

Cervical revision, abdominal approach

Office or facility?

Work RVUs
3.96
Total RVUs
6.45
Global days
000

National rate · 2026

$215.44

Facility setting, before claim adjustments.

See every locality for 59325 →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 59325 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 59325 covers

59325 describes operative revision of the cervix through an abdominal approach, including surgery addressing cervical stenosis or incompetence. An obstetrician-gynecologist or maternal-fetal medicine surgeon may perform it in an operating room. The abdominal route distinguishes this service from a vaginal cervical procedure; it is not the code for a routine vaginal cerclage during pregnancy.

Report the code when the operative documentation identifies the cervical problem, abdominal approach, and revision performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented 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 59325 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

59325 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$191.93
AlaskaUnavailable$265.17
ArizonaUnavailable$208.06
ArkansasUnavailable$189.12
Atlanta, GAUnavailable$225.01
Austin, TXUnavailable$213.23
Bakersfield, CAUnavailable$205.27
Baltimore area, MDUnavailable$230.58
Beaumont, TXUnavailable$208.76
Brazoria, TXUnavailable$206.79

59325 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

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
59325 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 59325 rate is calculated

Each of 59325’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 · 59325

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.96

3.96 RVUs× 1.000 GPCI

Practice expense1.22

1.22 RVUs× 1.000 GPCI

Malpractice1.27

1.27 RVUs× 1.000 GPCI

Adjusted RVUs

6.4500

Conversion factor

$33.4009

Medicare rate

$215.44

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

Payment rules and modifiers for 59325

The CMS indicators that decide how 59325 is paid alongside other services.

CMS payment indicators · 59325

Cervical revision, abdominal 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

59325 without 51 · national facility

$215.44

Cervical revision, abdominal approach

59325-51 · Second procedure: 50%

$107.72

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

59325 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59325

    Cervical revision, abdominal approach3.96 wRVU

    Not priced

  • 59320

    Cervical cerclage, vaginal approach2.42 wRVU

    Not priced

  • 59350

    Uterine repair, after placental delivery4.82 wRVU

    Not priced

  • 59300

    Obstetric repair, by nonattending physician2.35 wRVU

    $225.46

How to choose

59320Cervical cerclageVaginal approach
Use 59320 for vaginal cerclage during pregnancy. Use 59325 for cervical revision performed through an abdominal approach.
59350Uterine repairAfter placental delivery
59350 reports repair of the uterus; 59325 is limited to revision of the cervix through an abdominal approach.
59300Obstetric repairBy nonattending physician
59300 concerns episiotomy or vaginal repair, not abdominal revision of the cervix.

Codes related to 59325

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

Codes related to 59325
CodeHow it relatesNational office range
Used instead
59320Cervical cerclage, vaginal approachVaginal cerclage during pregnancy is a different cervical procedure and approach.No office rate

59325 billing questions

How is 59325 different from 59320?

59325 is abdominal cervical revision, including work for stenosis or incompetence. 59320 describes vaginal cerclage during pregnancy.

What documentation supports 59325?

Document the cervical condition, the abdominal approach, and the specific revision performed. The operative report should make clear that the work involved the cervix rather than the uterus or vagina.

Is same-day postoperative care separately reported?

No. The 0-day global period includes same-day preoperative and postoperative care.

Can modifier 50 be used, and may an assistant be paid?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is allowed only when medical necessity is documented.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Co-surgeons and team surgery are not permitted.

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 59325PPRRVU2026_Oct_nonQPP.csv, line 6,653 (RVU26D)

Open CMS sourceHow we calculate rates

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