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CPT code 59350: Uterine repair, after placental delivery2026 Medicare rate & RVUs

Reports surgical repair of a uterine injury identified after placental delivery, such as a uterine rupture requiring repair beyond routine delivery closure.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $246.16 for 59350 nationally in a facility.

Medicare rate · 59350

Uterine repair, after placental delivery

Office or facility?

Work RVUs
4.82
Total RVUs
7.37
Global days
000

National rate · 2026

$246.16

Facility setting, before claim adjustments.

See every locality for 59350 →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 59350 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 59350 covers

This service covers surgical repair of a uterine defect recognized after the placenta is delivered, including a uterine rupture that requires closure. An obstetrician or other qualified surgeon typically performs it in the operating room or delivery suite during the delivery encounter. Routine closure of a cesarean uterine incision is part of the cesarean service; this code describes a distinct uterine repair, not that routine step.

The operative report should identify the injury, its location and extent, the repair performed, and why the work was separate from routine delivery closure. CMS assigns 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. An assistant at surgery may be paid. Modifier 50 is not appropriate for this single uterus repair; 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 59350 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

59350 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$219.73
AlaskaUnavailable$305.93
ArizonaUnavailable$237.75
ArkansasUnavailable$216.58
Atlanta, GAUnavailable$257.46
Austin, TXUnavailable$242.64
Bakersfield, CAUnavailable$232.51
Baltimore area, MDUnavailable$263.34
Beaumont, TXUnavailable$239.47
Brazoria, TXUnavailable$235.90

59350 rates by state

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

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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
59350 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 59350 rate is calculated

Each of 59350’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 · 59350

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.82

4.82 RVUs× 1.000 GPCI

Practice expense1.02

1.02 RVUs× 1.000 GPCI

Malpractice1.53

1.53 RVUs× 1.000 GPCI

Adjusted RVUs

7.3700

Conversion factor

$33.4009

Medicare rate

$246.16

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

Payment rules and modifiers for 59350

The CMS indicators that decide how 59350 is paid alongside other services.

CMS payment indicators · 59350

Uterine repair, after placental delivery

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)2Paid.
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

59350 without 51 · national facility

$246.16

Uterine repair, after placental delivery

59350-51 · Second procedure: 50%

$123.08

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

59350 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59350

    Uterine repair, after placental delivery4.82 wRVU

    Not priced

  • 59300

    Obstetric repair, by nonattending physician2.35 wRVU

    $225.46

  • 59320

    Cervical cerclage, vaginal approach2.42 wRVU

    Not priced

  • 59325

    Cervical revision, abdominal approach3.96 wRVU

    Not priced

How to choose

59300Obstetric repairBy nonattending physician
59300 concerns episiotomy or vaginal repair. This code is for repair of a uterine injury after placental delivery.
59320Cervical cerclageVaginal approach
59320 is a cervical procedure performed during pregnancy; this code repairs a uterine injury after placental delivery.
59325Cervical revisionAbdominal approach
59325 is an abdominal cervical procedure during pregnancy. It does not describe repair of a uterine injury after placental delivery.

Codes related to 59350

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

Codes related to 59350
CodeHow it relatesNational office range
Often billed with
59409Vaginal delivery, delivery onlyVaginal delivery service that may occur in the same encounter as a distinct uterine repair.No office rate
59514Cesarean delivery, delivery onlyCesarean delivery service that may occur in the same encounter as a distinct uterine repair.No office rate
59300Obstetric repair, by nonattending physicianRepairs a separate vaginal or perineal injury when one is treated during the same delivery encounter.$196.00–$276.05

59350 billing questions

How is this different from routine closure during a cesarean delivery?

Routine closure of the cesarean uterine incision is part of the cesarean service. Report this code for a distinct uterine injury repair, with the operative note documenting the defect and additional repair.

Can it be reported with a delivery code?

It may be reported for a distinct uterine repair performed during the delivery encounter. Documentation should distinguish the repair from the delivery service and its routine closure work.

What documentation supports the repair?

Document the uterine injury's location and extent, the repair technique, and the clinical reason the work was separate from routine delivery closure.

Can an assistant surgeon be reported?

CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.

Does this code have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

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 59350PPRRVU2026_Oct_nonQPP.csv, line 6,654 (RVU26D)

Open CMS sourceHow we calculate rates

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