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

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, 2026One payment locality

In West Virginia, Medicare pays $263.73 for 59350 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$263.73Hospital or facility

Check a contract rate as a % of Medicare · 59350 nationwide

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

We’ll open 59350 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 59350 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How West Virginia compares for 59350

Across 109 of 109 payment localities, the facility rate for 59350 runs from $209.37 in Wisconsin to $325.70 in Miami, FL. West Virginia pays $263.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

59350 in West Virginia vs other payment areas
  1. West Virginia · this page$263.73
  2. Los Angeles, CA · California$241.83−$21.90
  3. Washington, DC area · District of Columbia$266.70+$2.97
  4. Miami, FL · Florida$325.70+$61.97
  5. Chicago, IL · Illinois$313.64+$49.91
  6. Manhattan, NY · New York$291.93+$28.20
  7. Alaska · Alaska$305.93+$42.20

Other areas in West Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

59350 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$219.73
ArkansasArkansas—$216.58
ArizonaArizona—$237.75
Bakersfield, CACalifornia—$232.51
Chico, CACalifornia—$228.46
El Centro, CACalifornia—$228.72
Fresno, CACalifornia—$228.46
Hanford, CACalifornia—$228.46

59350 rates by state

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

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

See 59350 in every payment locality

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.

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,654

Code
59350
Physician work
4.82
Practice expense
1.02
Malpractice
1.53

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Facility calculation for 59350 in West Virginia
ComponentRVULocality factorAdjusted
Physician work4.82× 1.0004.8200
Practice expense1.02× 0.8690.8864
Malpractice1.53× 1.4312.1894
Total RVUs7.8958
Conversion factor× 33.4009

Facility rate, West Virginia$263.73

Facility: (4.82 × 1 + 1.02 × 0.869 + 1.53 × 1.431) × $33.4009 = $263.73

Open 59350 in the RVU calculator

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

How 59350 has changed in West Virginia

59350 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$263.73RVU26D
2026-07-01Not available in this setting$263.73RVU26C
2026-04-01Not available in this setting$263.73RVU26B
2026-01-01Not available in this setting$263.73RVU26A
2025-10-01Not available in this setting$277.45RVU25D
2025-07-01Not available in this setting$277.45RVU25C
2025-04-01Not available in this setting$277.45RVU25B
2025-01-01Not available in this setting$277.45RVU25A
2024-10-01Not available in this setting$286.40RVU24D
2024-07-01Not available in this setting$286.40RVU24C
2024-04-01Not available in this setting$286.40RVU24B
2024-03-09Not available in this setting$286.40RVU24AR
2024-01-01Not available in this setting$281.73RVU24A
2023-10-01Not available in this setting$286.99RVU23D
2023-07-01Not available in this setting$286.99RVU23C
2023-04-01Not available in this setting$286.99RVU23B
2023-01-01Not available in this setting$286.99RVU23A
2022-10-01Not available in this setting$284.64RVU22D
2022-07-01Not available in this setting$284.64RVU22C
2022-04-01Not available in this setting$284.64RVU22B
2022-01-01Not available in this setting$284.64RVU22A
2021-10-01Not available in this setting$286.76RVU21D
2021-07-01Not available in this setting$286.76RVU21C
2021-04-01Not available in this setting$286.76RVU21B
2021-01-01Not available in this setting$286.76RVU21A
2020-10-01Not available in this setting$297.02RVU20D
2020-07-01Not available in this setting$297.02RVU20C
2020-04-01Not available in this setting$297.02RVU20B
2020-01-01Not available in this setting$297.02RVU20A
2019-10-01Not available in this setting$294.95RVU19D
2019-07-01Not available in this setting$294.95RVU19C
2019-04-01Not available in this setting$294.95RVU19B
2019-01-01Not available in this setting$294.95RVU19A
2018-10-01Not available in this setting$296.02RVU18D
2018-07-01Not available in this setting$296.02RVU18C
2018-04-01Not available in this setting$296.02RVU18B
2018-01-01Not available in this setting$296.02RVU18AR1
2017-10-01Not available in this setting$284.93RVU17D
2017-07-01Not available in this setting$284.93RVU17C
2017-04-01Not available in this setting$284.93RVU17B
2017-01-01Not available in this setting$284.93RVU17A
2016-10-01Not available in this setting$272.80RVU16D
2016-07-01Not available in this setting$272.80RVU16C
2016-04-01Not available in this setting$272.80RVU16B
2016-01-01Not available in this setting$272.80RVU16A
2015-10-01Not available in this setting$296.44RVU15D
2015-07-01Not available in this setting$296.44RVU15C
2015-04-01Not available in this setting$294.96RVU15B
2015-01-01Not available in this setting$294.96RVU15A
2014-10-01Not available in this setting$295.08RVU14D
2014-07-01Not available in this setting$295.08RVU14C
2014-04-01Not available in this setting$295.08RVU14B
2014-01-01Not available in this setting$295.08RVU14A
2013-10-01Not available in this setting$286.89RVU13D
2013-07-01Not available in this setting$286.89RVU13C
2013-04-01Not available in this setting$286.89RVU13B
2013-01-01Not available in this setting$286.89RVU13AR

Price 59350 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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