Billing code 59160: Uterine curettageMedicare rate & RVUs
Postpartum uterine curettage removes retained placental or pregnancy tissue after delivery when a separate procedure is needed to clear the uterine cavity.
Medicare pays $263.53 for 59160 nationally in the office and $167.67 in a hospital or facility. Local office rates run $229.05–$323.86.
Medicare rate · 59160
Uterine curettage
Swap in your local Medicare rate.
- Work RVUs
- 2.69
- Total RVUs
- 7.89
- Global days
- 010
National rate · 2026
$263.53
Office setting, before claim adjustments.
See every locality for 59160 → · 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.
On this page 10 sections
What 59160 covers
An obstetrician or gynecologist performs this procedure after childbirth to remove tissue remaining in the uterus, such as retained placental tissue. It may be needed when retained tissue contributes to postpartum bleeding or prevents the uterus from clearing normally. The service is generally performed in a hospital or other procedural setting, rather than as routine postpartum care.
Report 59160 for curettage after delivery, not for uterine evacuation related to an abortion or a nonobstetric indication. Documentation should establish the delivery, the reason for the procedure, and the treatment performed. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are 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 reduction. Modifier 50 is not appropriate for this single uterine procedure. An assistant is paid only when medical necessity is documented; 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 59160 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$229.05 to $323.86
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $232.84 | $148.97 |
| Alaska* | $304.81 | $202.72 |
| Arizona | $254.87 | $161.98 |
| Arkansas | $229.05 | $146.70 |
| Atlanta | $271.96 | $174.56 |
| Austin | $268.79 | $167.37 |
| Bakersfield | $267.76 | $162.70 |
| Baltimore/Surr. Cntys | $282.42 | $179.56 |
| Beaumont | $248.45 | $161.22 |
| Brazoria | $256.56 | $161.56 |
| Chicago | $302.52 | $206.18 |
| Chico | $265.46 | $160.40 |
| Colorado | $267.50 | $165.51 |
| Connecticut | $282.57 | $179.33 |
| Dallas | $259.64 | $164.16 |
| Dc + Md/Va Suburbs | $297.41 | $184.49 |
| Delaware | $259.31 | $164.60 |
| Detroit | $278.41 | $185.90 |
| East St. Louis | $281.43 | $193.24 |
| El Centro | $265.61 | $160.54 |
| Fort Lauderdale | $288.89 | $191.79 |
| Fort Worth | $258.57 | $164.05 |
| Fresno | $265.46 | $160.40 |
| Galveston | $258.24 | $163.05 |
| Hanford-Corcoran | $265.46 | $160.40 |
| Hawaii, Guam | $271.11 | $162.12 |
| Houston | $274.17 | $178.98 |
| Idaho | $236.65 | $148.46 |
| Indiana | $238.04 | $149.18 |
| Iowa | $233.72 | $146.01 |
| Kansas | $235.24 | $148.58 |
| Kentucky | $245.01 | $159.79 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $283.92 | $170.52 |
| Madera | $265.46 | $160.40 |
| Manhattan | $309.74 | $198.35 |
| Merced | $265.46 | $160.40 |
| Metropolitan Boston | $292.08 | $177.62 |
| Metropolitan Kansas City | $254.04 | $164.03 |
| Metropolitan Philadelphia | $276.69 | $176.90 |
| Metropolitan St. Louis | $256.65 | $165.39 |
| Miami | $313.89 | $214.10 |
| Minnesota | $247.27 | $148.63 |
| Mississippi | $235.85 | $153.31 |
| Modesto | $265.46 | $160.40 |
| Montana** | $263.47 | $167.61 |
| Napa | $300.89 | $174.54 |
| Nebraska | $234.32 | $145.84 |
| Nevada** | $258.82 | $162.87 |
| New Hampshire | $265.83 | $166.04 |
| New Mexico | $257.37 | $169.47 |
| New Orleans | $258.95 | $168.75 |
| North Carolina | $243.35 | $153.92 |
| North Dakota** | $246.27 | $150.41 |
| Northern Nj | $294.31 | $183.11 |
| Nyc Suburbs/Long Island | $321.52 | $207.54 |
| Ohio | $251.18 | $163.66 |
| Oklahoma | $241.58 | $155.97 |
| Oxnard-Thousand Oaks-Ventura | $281.42 | $168.11 |
| Portland | $273.59 | $167.08 |
| Poughkpsie/N Nyc Suburbs | $287.42 | $182.45 |
| Puerto Rico | $264.69 | $167.77 |
| Queens | $308.45 | $195.14 |
| Redding | $265.46 | $160.40 |
| Rest Of California | $265.46 | $160.40 |
| Rest Of Florida | $271.79 | $180.14 |
| Rest Of Georgia | $253.49 | $167.99 |
| Rest Of Illinois | $267.31 | $179.79 |
| Rest Of Louisiana | $245.68 | $160.84 |
| Rest Of Maine | $240.98 | $152.79 |
| Rest Of Maryland | $263.78 | $166.77 |
| Rest Of Massachusetts | $266.74 | $165.80 |
| Rest Of Michigan | $254.70 | $167.18 |
| Rest Of Missouri | $242.82 | $160.19 |
| Rest Of New Jersey | $283.25 | $178.57 |
| Rest Of New York | $247.67 | $156.60 |
| Rest Of Oregon | $254.32 | $158.85 |
| Rest Of Pennsylvania | $250.08 | $162.08 |
| Rest Of Texas | $253.34 | $162.37 |
| Rest Of Washington | $265.42 | $164.48 |
| Rhode Island | $266.87 | $167.85 |
| Riverside-San Bernardino-Ontario | $274.76 | $169.70 |
| Sacramento-Roseville-Folsom | $276.86 | $165.37 |
| Salinas | $275.83 | $164.73 |
| San Diego-Chula Vista-Carlsbad | $281.27 | $166.62 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $315.64 | $180.48 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $314.66 | $179.49 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $323.86 | $185.63 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $319.82 | $181.59 |
| San Luis Obispo-Paso Robles | $271.68 | $162.50 |
| Santa Cruz-Watsonville | $283.03 | $166.56 |
| Santa Maria-Santa Barbara | $276.57 | $164.80 |
| Santa Rosa-Petaluma | $285.72 | $168.00 |
| Seattle (King Cnty) | $295.54 | $177.92 |
| South Carolina | $248.18 | $159.61 |
| South Dakota** | $244.24 | $148.38 |
| Southern Maine | $251.51 | $156.51 |
| Stockton | $265.46 | $160.40 |
| Suburban Chicago | $290.50 | $192.05 |
| Tennessee | $236.92 | $149.78 |
| Utah | $251.89 | $161.78 |
| Vallejo | $299.46 | $173.12 |
| Vermont | $247.73 | $152.83 |
| Virgin Islands | $264.69 | $167.77 |
| Virginia | $252.53 | $158.30 |
| Visalia | $265.46 | $160.40 |
| West Virginia | $257.11 | $173.81 |
| Wisconsin | $237.35 | $145.52 |
| Wyoming** | $255.98 | $160.12 |
| Yuba City | $265.46 | $160.40 |
59160 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.
$229.05
$304.81
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $304.81 | 1 |
| AL | $232.84 | 1 |
| AR | $229.05 | 1 |
| AZ | $254.87 | 1 |
| CA | $265.46–$323.86 | 29 |
| CO | $267.50 | 1 |
| CT | $282.57 | 1 |
| DC | $297.41 | 1 |
| DE | $259.31 | 1 |
| FL | $271.79–$313.89 | 3 |
| GA | $253.49–$271.96 | 2 |
| GU | $271.11 | 1 |
| HI | $271.11 | 1 |
| IA | $233.72 | 1 |
| ID | $236.65 | 1 |
| IL | $267.31–$302.52 | 4 |
| IN | $238.04 | 1 |
| KS | $235.24 | 1 |
| KY | $245.01 | 1 |
| LA | $245.68–$258.95 | 2 |
| MA | $266.74–$292.08 | 2 |
| MD | $263.78–$297.41 | 3 |
| ME | $240.98–$251.51 | 2 |
| MI | $254.70–$278.41 | 2 |
| MN | $247.27 | 1 |
| MO | $242.82–$256.65 | 3 |
| MS | $235.85 | 1 |
| MT | $263.47 | 1 |
| NC | $243.35 | 1 |
| ND | $246.27 | 1 |
| NE | $234.32 | 1 |
| NH | $265.83 | 1 |
| NJ | $283.25–$294.31 | 2 |
| NM | $257.37 | 1 |
| NV | $258.82 | 1 |
| NY | $247.67–$321.52 | 5 |
| OH | $251.18 | 1 |
| OK | $241.58 | 1 |
| OR | $254.32–$273.59 | 2 |
| PA | $250.08–$276.69 | 2 |
| PR | $264.69 | 1 |
| RI | $266.87 | 1 |
| SC | $248.18 | 1 |
| SD | $244.24 | 1 |
| TN | $236.92 | 1 |
| TX | $248.45–$274.17 | 8 |
| UT | $251.89 | 1 |
| VA | $252.53–$297.41 | 2 |
| VI | $264.69 | 1 |
| VT | $247.73 | 1 |
| WA | $265.42–$295.54 | 2 |
| WI | $237.35 | 1 |
| WV | $257.11 | 1 |
| WY | $255.98 | 1 |
How the 59160 rate is calculated
Each of 59160’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 · 59160
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.69Practice expense 4.33Malpractice 0.87
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 59160
59160 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59160
Uterine curettage
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 59160
Uterine curettage
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59160 without 51 · national office
$263.53
Uterine curettage
59160-51 · Second procedure: 50%
$131.77
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%).
59160 compared with similar codes
Compare codes
59160 vs 58120 vs 59812 vs 59820: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 58120Dilation and curettage
- This code is for uterine curettage in a nonobstetric setting. Use 59160 when the procedure follows delivery and addresses tissue remaining after childbirth.
- 59812Miscarriage treatment
- This code treats an incomplete abortion. Use 59160 when the uterine evacuation is performed after delivery, not to manage an abortion.
- 59820Miscarriage care
- This code addresses a missed abortion. 59160 is specific to curettage after delivery.
59160 billing questions
How is 59160 distinguished from a nonobstetric D&C?
Use 59160 when curettage is performed after delivery to remove tissue remaining in the uterus. A nonobstetric uterine evacuation is considered under a different code, such as 58120.
What documentation supports reporting 59160?
Document that delivery occurred, the clinical reason for postpartum curettage, and the procedure performed. Include relevant findings, such as tissue remaining in the uterine cavity, when present.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's global package.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this single uterine procedure.
When can an assistant be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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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