CPT code 59325: Cervical revision, abdominal approach2026 Medicare rate & RVUs in Maryland
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 doesn’t publish an office rate for 59325 in Maryland.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | $230.58 |
| Rest of Maryland | Unavailable | $213.77 |
| Washington, DC area | Unavailable | $234.62 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
59325 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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