CPT code 59350: Uterine repair, after placental delivery2026 Medicare rate & RVUs in Maryland
Reports surgical repair of a uterine injury identified after placental delivery, such as a uterine rupture requiring repair beyond routine delivery closure.
CMS doesn’t publish an office rate for 59350 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 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 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 | $263.34 |
| Rest of Maryland | Unavailable | $243.99 |
| Washington, DC area | Unavailable | $266.70 |
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
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
| 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) | 2 | Paid. |
| 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
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%).
59350 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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