CPT code 59525: Cesarean hysterectomy, hysterectomy after cesarean2026 Medicare rate & RVUs in Minnesota
Reports subtotal or total hysterectomy performed after cesarean delivery during the same operative episode, as an add-on to the cesarean procedure.
In Minnesota, Medicare pays $365.13 for 59525 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59525 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How Minnesota compares for 59525
Across 109 of 109 payment localities, the facility rate for 59525 runs from $362.00 in Wisconsin to $564.98 in Miami, FL. Minnesota pays $365.13. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Minnesota · this page$365.13
- Los Angeles, CA · California$418.44+$53.31
- Washington, DC area · District of Columbia$461.80+$96.67
- Miami, FL · Florida$564.98+$199.85
- Chicago, IL · Illinois$543.92+$178.79
- Manhattan, NY · New York$505.82+$140.69
- Alaska · Alaska$528.94+$163.81
Other areas in Minnesota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $380.10 |
| ArkansasArkansas | — | $374.61 |
| ArizonaArizona | — | $411.52 |
| Bakersfield, CACalifornia | — | $402.28 |
| Chico, CACalifornia | — | $395.22 |
| El Centro, CACalifornia | — | $395.66 |
| Fresno, CACalifornia | — | $395.22 |
| Hanford, CACalifornia | — | $395.22 |
| Madera, CACalifornia | — | $395.22 |
| Merced, CACalifornia | — | $395.22 |
| Modesto, CACalifornia | — | $395.22 |
| Napa, CACalifornia | — | $418.63 |
| Oxnard, CACalifornia | — | $411.12 |
| Redding, CACalifornia | — | $395.22 |
| Rest of CaliforniaCalifornia | — | $395.22 |
| Riverside, CACalifornia | — | $423.76 |
| Sacramento, CACalifornia | — | $404.46 |
| Salinas, CACalifornia | — | $402.83 |
| San Diego, CACalifornia | — | $405.28 |
| Marin County, CACalifornia | — | $428.59 |
| San Francisco, CACalifornia | — | $425.56 |
| San Benito County, CACalifornia | — | $441.52 |
| Santa Clara County, CACalifornia | — | $429.12 |
| San Luis Obispo, CACalifornia | — | $397.76 |
| Santa Cruz, CACalifornia | — | $403.36 |
| Santa Maria, CACalifornia | — | $402.41 |
| Santa Rosa, CACalifornia | — | $406.63 |
| Stockton, CACalifornia | — | $395.22 |
| Vallejo, CACalifornia | — | $414.26 |
| Visalia, CACalifornia | — | $395.22 |
| Yuba City, CACalifornia | — | $395.22 |
| ColoradoColorado | — | $413.78 |
| ConnecticutConnecticut | — | $455.03 |
| DelawareDelaware | — | $417.87 |
| Fort Lauderdale, FLFlorida | — | $499.02 |
| Rest of FloridaFlorida | — | $468.45 |
| Atlanta, GAGeorgia | — | $445.90 |
| Rest of GeorgiaGeorgia | — | $436.93 |
| Hawaii, Guam, HIHawaii | — | $396.75 |
| IowaIowa | — | $367.39 |
| IdahoIdaho | — | $374.47 |
| East St. Louis, ILIllinois | — | $511.89 |
| Rest of IllinoisIllinois | — | $471.26 |
| Suburban Chicago, ILIllinois | — | $498.58 |
| IndianaIndiana | — | $376.04 |
| KansasKansas | — | $376.29 |
| KentuckyKentucky | — | $412.05 |
| New Orleans, LALouisiana | — | $434.84 |
| Rest of LouisianaLouisiana | — | $415.65 |
| Metropolitan Boston, MAMassachusetts | — | $439.25 |
| Rest of MassachusettsMassachusetts | — | $415.67 |
| Baltimore area, MDMaryland | — | $456.09 |
| Rest of MarylandMaryland | — | $422.37 |
| Rest of MaineMaine | — | $387.76 |
| Southern Maine, MEMaine | — | $392.76 |
| Detroit, MIMichigan | — | $485.30 |
| Rest of MichiganMichigan | — | $432.56 |
| Metropolitan Kansas City, MOMissouri | — | $420.54 |
| Metropolitan St. Louis, MOMissouri | — | $423.54 |
| Rest of MissouriMissouri | — | $415.72 |
| MississippiMississippi | — | $394.70 |
| MontanaMontana | — | $426.02 |
| North CarolinaNorth Carolina | — | $390.04 |
| North DakotaNorth Dakota | — | $373.22 |
| NebraskaNebraska | — | $366.17 |
| New HampshireNew Hampshire | — | $417.47 |
| Northern New JerseyNew Jersey | — | $459.23 |
| Rest of New JerseyNew Jersey | — | $451.40 |
| New MexicoNew Mexico | — | $439.21 |
| NevadaNevada | — | $411.36 |
| NYC suburbs and Long Island, NYNew York | — | $531.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $463.05 |
| Queens, NYNew York | — | $494.16 |
| Rest of New YorkNew York | — | $396.75 |
| OhioOhio | — | $421.77 |
| OklahomaOklahoma | — | $399.98 |
| Portland, OROregon | — | $414.37 |
| Rest of OregonOregon | — | $399.47 |
| Metropolitan Philadelphia, PAPennsylvania | — | $450.83 |
| Rest of PennsylvaniaPennsylvania | — | $416.44 |
| Puerto RicoPuerto Rico | — | $425.51 |
| Rhode IslandRhode Island | — | $423.79 |
| South CarolinaSouth Carolina | — | $408.33 |
| South DakotaSouth Dakota | — | $366.98 |
| TennesseeTennessee | — | $379.53 |
| Austin, TXTexas | — | $420.01 |
| Beaumont, TXTexas | — | $414.54 |
| Brazoria, TXTexas | — | $408.27 |
| Dallas, TXTexas | — | $415.80 |
| Fort Worth, TXTexas | — | $416.36 |
| Galveston, TXTexas | — | $412.67 |
| Houston, TXTexas | — | $461.54 |
| Rest of TexasTexas | — | $414.53 |
| UtahUtah | — | $413.55 |
| VirginiaVirginia | — | $398.97 |
| Virgin Islands, VIUnited States Virgin Islands | — | $425.51 |
| VermontVermont | — | $381.55 |
| Rest of WashingtonWashington | — | $411.63 |
| King County, WAWashington | — | $437.19 |
| WisconsinWisconsin | — | $362.00 |
| West VirginiaWest Virginia | — | $456.89 |
| WyomingWyoming | — | $403.01 |
59525 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact Minnesota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,666
- Code
- 59525
- Physician work
- 8.32
- Practice expense
- 1.77
- Malpractice
- 2.67
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.32 | × 1.000 | 8.3200 |
| Practice expense | 1.77 | × 1.029 | 1.8213 |
| Malpractice | 2.67 | × 0.296 | 0.7903 |
| Total RVUs | 10.9316 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$365.13
Facility: (8.32 × 1 + 1.77 × 1.029 + 2.67 × 0.296) × $33.4009 = $365.13
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
How 59525 has changed in Minnesota
59525 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $365.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $365.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $365.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $365.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $410.13 | RVU25D |
| 2025-07-01 | Not available in this setting | $410.13 | RVU25C |
| 2025-04-01 | Not available in this setting | $410.13 | RVU25B |
| 2025-01-01 | Not available in this setting | $410.13 | RVU25A |
| 2024-10-01 | Not available in this setting | $422.36 | RVU24D |
| 2024-07-01 | Not available in this setting | $422.36 | RVU24C |
| 2024-04-01 | Not available in this setting | $422.36 | RVU24B |
| 2024-03-09 | Not available in this setting | $422.36 | RVU24AR |
| 2024-01-01 | Not available in this setting | $415.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $430.84 | RVU23D |
| 2023-07-01 | Not available in this setting | $430.84 | RVU23C |
| 2023-04-01 | Not available in this setting | $430.84 | RVU23B |
| 2023-01-01 | Not available in this setting | $430.84 | RVU23A |
| 2022-10-01 | Not available in this setting | $438.47 | RVU22D |
| 2022-07-01 | Not available in this setting | $438.47 | RVU22C |
| 2022-04-01 | Not available in this setting | $438.47 | RVU22B |
| 2022-01-01 | Not available in this setting | $438.47 | RVU22A |
| 2021-10-01 | Not available in this setting | $441.94 | RVU21D |
| 2021-07-01 | Not available in this setting | $441.94 | RVU21C |
| 2021-04-01 | Not available in this setting | $441.94 | RVU21B |
| 2021-01-01 | Not available in this setting | $441.94 | RVU21A |
| 2020-10-01 | Not available in this setting | $455.72 | RVU20D |
| 2020-07-01 | Not available in this setting | $455.72 | RVU20C |
| 2020-04-01 | Not available in this setting | $455.72 | RVU20B |
| 2020-01-01 | Not available in this setting | $455.72 | RVU20A |
| 2019-10-01 | Not available in this setting | $454.04 | RVU19D |
| 2019-07-01 | Not available in this setting | $454.04 | RVU19C |
| 2019-04-01 | Not available in this setting | $454.04 | RVU19B |
| 2019-01-01 | Not available in this setting | $454.04 | RVU19A |
| 2018-10-01 | Not available in this setting | $455.59 | RVU18D |
| 2018-07-01 | Not available in this setting | $455.59 | RVU18C |
| 2018-04-01 | Not available in this setting | $455.59 | RVU18B |
| 2018-01-01 | Not available in this setting | $455.59 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $456.42 | RVU17D |
| 2017-07-01 | Not available in this setting | $456.42 | RVU17C |
| 2017-04-01 | Not available in this setting | $456.42 | RVU17B |
| 2017-01-01 | Not available in this setting | $456.42 | RVU17A |
| 2016-10-01 | Not available in this setting | $451.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $451.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $451.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $451.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $454.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $454.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $452.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $452.69 | RVU15A |
| 2014-10-01 | Not available in this setting | $453.71 | RVU14D |
| 2014-07-01 | Not available in this setting | $453.71 | RVU14C |
| 2014-04-01 | Not available in this setting | $453.71 | RVU14B |
| 2014-01-01 | Not available in this setting | $453.71 | RVU14A |
| 2013-10-01 | Not available in this setting | $439.30 | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Minnesota rate applies
Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.
- Ada
- Adams
- Adrian
- Afton
- Aitkin
- Akeley
- Albany
- Albert Lea
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
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