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CPT code 59525: Cesarean hysterectomy, hysterectomy after cesarean2026 Medicare rate & RVUs

Reports subtotal or total hysterectomy performed after cesarean delivery during the same operative episode, as an add-on to the cesarean procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities14 Medicare services in 2024

Medicare pays $426.20 for 59525 nationally in a facility.

Medicare rate · 59525

Cesarean hysterectomy, hysterectomy after cesarean

Office or facility?

Work RVUs
8.32
Total RVUs
12.76
Global days
ZZZ

National rate · 2026

$426.20

Facility setting, before claim adjustments.

See every locality for 59525 →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 59525 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 59525 covers

Code 59525 captures removal of the uterus, either subtotal or total, performed after delivery by cesarean in the same operative setting. An obstetrician-gynecologist or other surgeon may perform this additional operation when the uterus must be removed, such as with placenta accreta spectrum or hemorrhage that cannot be controlled while preserving the uterus. It is not for a cesarean delivery alone or a hysterectomy performed as a separate later operation.

Report 59525 only with the primary cesarean procedure; eligible cesarean codes include 59510, 59514, and 59515. The operative report should establish the cesarean delivery, subsequent hysterectomy, extent of uterine removal, and clinical reason. CMS classifies 59525 as an add-on code: submit it with the primary cesarean code, with payment assigned within that procedure's global period.

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 59525 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

59525 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$380.10
AlaskaUnavailable$528.94
ArizonaUnavailable$411.52
ArkansasUnavailable$374.61
Atlanta, GAUnavailable$445.90
Austin, TXUnavailable$420.01
Bakersfield, CAUnavailable$402.28
Baltimore area, MDUnavailable$456.09
Beaumont, TXUnavailable$414.54
Brazoria, TXUnavailable$408.27

59525 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
59525 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 59525 rate is calculated

Each of 59525’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 · 59525

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.32

8.32 RVUs× 1.000 GPCI

Practice expense1.77

1.77 RVUs× 1.000 GPCI

Malpractice2.67

2.67 RVUs× 1.000 GPCI

Adjusted RVUs

12.7600

Conversion factor

$33.4009

Medicare rate

$426.20

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

Payment rules and modifiers for 59525

The CMS indicators that decide how 59525 is paid alongside other services.

CMS payment indicators · 59525

Cesarean hysterectomy, hysterectomy after cesarean

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

59525 without 80 · national facility

$426.20

Cesarean hysterectomy, hysterectomy after cesarean

59525-80 · Assistant: 16%

$68.19

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

59525 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59525

    Cesarean hysterectomy, hysterectomy after cesarean8.32 wRVU

    Not priced

  • 59514

    Cesarean delivery, delivery only16.13 wRVU

    Not priced

  • 59510

    Cesarean care, antepartum through postpartum41.05 wRVU

    Not priced

  • 58150

    Hysterectomy, abdominal, cervix removed16.88 wRVU

    Not priced

How to choose

59514Cesarean deliveryDelivery only
59514 reports the cesarean delivery only; 59525 reports the additional hysterectomy and must accompany a primary cesarean code.
59510Cesarean careAntepartum through postpartum
59510 is a primary cesarean procedure that includes antepartum and postpartum care; 59525 separately identifies the hysterectomy performed after cesarean delivery.
58150HysterectomyAbdominal, cervix removed
58150 describes an abdominal hysterectomy outside this cesarean-specific add-on context. Use 59525 for hysterectomy performed after cesarean delivery.

Codes related to 59525

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

Codes related to 59525
CodeHow it relatesNational office range
Primary code
59510Cesarean care, antepartum through postpartumPrimary cesarean procedure that may be reported with this hysterectomy add-on.No office rate
59514Cesarean delivery, delivery onlyCesarean delivery-only primary procedure that may be reported with this add-on.No office rate
59515Cesarean delivery, includes postpartum carePrimary cesarean procedure that may be reported with this hysterectomy add-on.No office rate

59525 billing questions

Which cesarean codes can accompany 59525?

Report it with the primary cesarean procedure, such as 59510, 59514, or 59515. The record must support both the cesarean and the additional hysterectomy.

Can 59525 be billed by itself?

No. CMS identifies it as an add-on code that must be billed with a primary procedure.

Does 59525 include subtotal and total hysterectomy?

Yes. It covers either extent when the hysterectomy follows cesarean delivery; document whether the uterus was removed in whole or in part.

What documentation supports reporting 59525?

The operative report should describe the cesarean delivery, the subsequent hysterectomy, its extent, and the clinical reason for removing the uterus.

Can this code represent a hysterectomy performed later?

No. It is for hysterectomy performed after cesarean delivery in the same operative setting, not a separate later hysterectomy.

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 59525PPRRVU2026_Oct_nonQPP.csv, line 6,666 (RVU26D)

Open CMS sourceHow we calculate rates

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