No office rate
This code is for vaginal cerclage placement during pregnancy; 59325 identifies abdominal placement.
On this page
CMS RVU26D · Effective 2026-10-01
59320 Cervical cerclage Medicare reimbursement rates
Reports placement of a vaginal cervical stitch during pregnancy when mechanical support is needed for cervical insufficiency and risk of pregnancy loss or preterm birth. Compare 59320 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 59320?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 59320 pays more and less
Obstetrics
About 59320: Vaginal cervical cerclage during pregnancy
Reports placement of a vaginal cervical stitch during pregnancy when mechanical support is needed for cervical insufficiency and risk of pregnancy loss or preterm birth.
An obstetrician-gynecologist places a reinforcing suture around the cervix through the vagina during pregnancy when cervical insufficiency creates concern for pregnancy loss or preterm birth. The procedure is typically performed in an operating room or procedure setting, often with anesthesia. This code identifies the vaginal route, rather than abdominal placement.
Report 59320 for vaginal placement; documentation should identify the pregnancy, clinical indication, route, and cerclage performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If another procedure is performed in the same session, the highest-valued procedure is paid in full and the others are reduced to 50%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 59320
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.42 · 59%
- Practice expense (office) RVU0.90 · 22%
- Malpractice RVU0.79 · 19%
41
Medicare services in 2024 · #5488 by national volume
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.
59320 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
59871 describes removal of a cerclage suture under anesthesia, not placement of the vaginal cerclage.
$196.00–$276.05
59300 concerns episiotomy or vaginal repair, not placement of a reinforcing suture around the cervix during pregnancy.
See how rates vary across the country
59320 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 59320 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $122.07 |
| Alaska* | Office Unavailable | Facility $167.80 |
| Arizona | Office Unavailable | Facility $132.55 |
| Arkansas | Office Unavailable | Facility $120.24 |
| Atlanta | Office Unavailable | Facility $143.30 |
| Austin | Office Unavailable | Facility $136.17 |
| Bakersfield | Office Unavailable | Facility $131.38 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $147.02 |
| Beaumont | Office Unavailable | Facility $132.70 |
| Brazoria | Office Unavailable | Facility $131.85 |
| Chicago | Office Unavailable | Facility $172.16 |
| Chico | Office Unavailable | Facility $129.29 |
| Colorado | Office Unavailable | Facility $134.39 |
| Connecticut | Office Unavailable | Facility $146.75 |
| Dallas | Office Unavailable | Facility $134.14 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $149.98 |
| Delaware | Office Unavailable | Facility $134.66 |
| Detroit | Office Unavailable | Facility $154.33 |
| East St. Louis | Office Unavailable | Facility $161.63 |
| El Centro | Office Unavailable | Facility $129.43 |
| Fort Lauderdale | Office Unavailable | Facility $158.99 |
| Fort Worth | Office Unavailable | Facility $134.18 |
| Fresno | Office Unavailable | Facility $129.29 |
| Galveston | Office Unavailable | Facility $133.18 |
| Hanford-Corcoran | Office Unavailable | Facility $129.29 |
| Hawaii, Guam | Office Unavailable | Facility $130.29 |
| Houston | Office Unavailable | Facility $147.64 |
| Idaho | Office Unavailable | Facility $120.97 |
| Indiana | Office Unavailable | Facility $121.52 |
| Iowa | Office Unavailable | Facility $118.81 |
| Kansas | Office Unavailable | Facility $121.30 |
| Kentucky | Office Unavailable | Facility $131.70 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $137.23 |
| Madera | Office Unavailable | Facility $129.29 |
| Manhattan | Office Unavailable | Facility $162.78 |
| Merced | Office Unavailable | Facility $129.29 |
| Metropolitan Boston | Office Unavailable | Facility $143.52 |
| Metropolitan Kansas City | Office Unavailable | Facility $134.84 |
| Metropolitan Philadelphia | Office Unavailable | Facility $145.06 |
| Metropolitan St. Louis | Office Unavailable | Facility $135.89 |
| Miami | Office Unavailable | Facility $178.86 |
| Minnesota | Office Unavailable | Facility $119.57 |
| Mississippi | Office Unavailable | Facility $126.21 |
| Modesto | Office Unavailable | Facility $129.29 |
| Montana** | Office Unavailable | Facility $137.22 |
| Napa | Office Unavailable | Facility $138.95 |
| Nebraska | Office Unavailable | Facility $118.55 |
| Nevada** | Office Unavailable | Facility $132.90 |
| New Hampshire | Office Unavailable | Facility $135.21 |
| New Mexico | Office Unavailable | Facility $140.09 |
| New Orleans | Office Unavailable | Facility $139.09 |
| North Carolina | Office Unavailable | Facility $125.74 |
| North Dakota** | Office Unavailable | Facility $121.60 |
| Northern Nj | Office Unavailable | Facility $148.97 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $170.75 |
| Ohio | Office Unavailable | Facility $134.87 |
| Oklahoma | Office Unavailable | Facility $128.18 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $135.06 |
| Portland | Office Unavailable | Facility $135.15 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $149.31 |
| Puerto Rico | Office Unavailable | Facility $137.21 |
| Queens | Office Unavailable | Facility $159.58 |
| Redding | Office Unavailable | Facility $129.29 |
| Rest Of California | Office Unavailable | Facility $129.29 |
| Rest Of Florida | Office Unavailable | Facility $149.23 |
| Rest Of Georgia | Office Unavailable | Facility $139.10 |
| Rest Of Illinois | Office Unavailable | Facility $149.52 |
| Rest Of Louisiana | Office Unavailable | Facility $132.71 |
| Rest Of Maine | Office Unavailable | Facility $124.90 |
| Rest Of Maryland | Office Unavailable | Facility $136.28 |
| Rest Of Massachusetts | Office Unavailable | Facility $134.81 |
| Rest Of Michigan | Office Unavailable | Facility $138.07 |
| Rest Of Missouri | Office Unavailable | Facility $132.44 |
| Rest Of New Jersey | Office Unavailable | Facility $145.84 |
| Rest Of New York | Office Unavailable | Facility $127.94 |
| Rest Of Oregon | Office Unavailable | Facility $129.32 |
| Rest Of Pennsylvania | Office Unavailable | Facility $133.36 |
| Rest Of Texas | Office Unavailable | Facility $133.19 |
| Rest Of Washington | Office Unavailable | Facility $133.62 |
| Rhode Island | Office Unavailable | Facility $136.96 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $137.74 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $132.84 |
| Salinas | Office Unavailable | Facility $132.32 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $133.51 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $143.01 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $142.11 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $147.21 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $143.54 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $130.59 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $133.19 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $132.29 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $134.31 |
| Seattle (King Cnty) | Office Unavailable | Facility $143.31 |
| South Carolina | Office Unavailable | Facility $131.04 |
| South Dakota** | Office Unavailable | Facility $119.76 |
| Southern Maine | Office Unavailable | Facility $127.27 |
| Stockton | Office Unavailable | Facility $129.29 |
| Suburban Chicago | Office Unavailable | Facility $159.03 |
| Tennessee | Office Unavailable | Facility $122.33 |
| Utah | Office Unavailable | Facility $132.78 |
| Vallejo | Office Unavailable | Facility $137.65 |
| Vermont | Office Unavailable | Facility $123.94 |
| Virgin Islands | Office Unavailable | Facility $137.21 |
| Virginia | Office Unavailable | Facility $129.01 |
| Visalia | Office Unavailable | Facility $129.29 |
| West Virginia | Office Unavailable | Facility $144.71 |
| Wisconsin | Office Unavailable | Facility $117.76 |
| Wyoming** | Office Unavailable | Facility $130.42 |
| Yuba City | Office Unavailable | Facility $129.29 |
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59320 billing questions
How does 59320 differ from 59325?
59320 is for vaginal placement of the cerclage. Use 59325 when the cerclage is placed through an abdominal approach.
What documentation supports 59320?
Document the pregnancy, the clinical reason for cervical support, the vaginal approach, and that the cerclage was placed.
Is same-day care included?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How is 59320 paid with another procedure in the same session?
The highest-valued procedure is paid in full, and other procedures in the session are reduced to 50%.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when documentation supports medical necessity. Co-surgeons and team surgery are not permitted.
Is cerclage removal included in 59320?
59320 describes placement. Removal is a separate service when performed; 59871 describes cerclage suture removal under anesthesia.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,64959160,,D & c after delivery,A,,2.69,4.33,,1.46,,0.87,7.89,5.02,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65059200,,Insert cervical dilator,A,,1.17,2.37,,0.26,,0.36,3.90,1.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65159300,,Episiotomy or vaginal repair,A,,2.35,3.64,,0.89,,0.76,6.75,4.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65259320,,Revision of cervix,A,,2.42,0.90,NA,0.90,,0.79,4.11,4.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65359325,,Revision of cervix,A,,3.96,1.22,NA,1.22,,1.27,6.45,6.45,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65459350,,Repair of uterus,A,,4.82,1.02,NA,1.02,,1.53,7.37,7.37,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65559400,,Obstetrical care,A,,37.00,18.76,NA,18.76,,10.54,66.30,66.30,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00