No office rate
59514 reports the cesarean delivery only; 59525 reports the additional hysterectomy and must accompany a primary cesarean code.
On this page
CMS RVU26D · Effective 2026-10-01
59525 Cesarean hysterectomy Medicare reimbursement rates in Connecticut
Reports subtotal or total hysterectomy performed after cesarean delivery during the same operative episode, as an add-on to the cesarean procedure. Compare 59525 office and facility rates across CMS payment localities in Connecticut.
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 59525 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$455.03
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
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.
Obstetric surgery
About 59525: Hysterectomy after cesarean delivery
Reports subtotal or total hysterectomy performed after cesarean delivery during the same operative episode, as an add-on to the cesarean procedure.
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.
CMS billing rules for 59525
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU8.32 · 65%
- Practice expense (office) RVU1.77 · 14%
- Malpractice RVU2.67 · 21%
14
Medicare services in 2024 · #6114 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.
59525 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
59510 is a primary cesarean procedure that includes antepartum and postpartum care; 59525 separately identifies the hysterectomy performed after cesarean delivery.
No office rate
58150 describes an abdominal hysterectomy outside this cesarean-specific add-on context. Use 59525 for hysterectomy performed after cesarean delivery.
Compare 59525 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.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$455.03
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59525 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,666
- Code
- 59525
- Physician work
- 8.32
- Practice expense
- 1.77
- Malpractice
- 2.67
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.32 | × 1.020 | 8.4864 |
| Practice expense | 1.77 | × 1.077 | 1.9063 |
| Malpractice | 2.67 | × 1.210 | 3.2307 |
| Total RVUs | 13.6234 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$455.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.32 | 1.02 |
| Practice expense | 1.77 | 1.077 |
| Malpractice | 2.67 | 1.21 |
(8.32 × 1.02 + 1.77 × 1.077 + 2.67 × 1.21) × $33.4009 = $455.03
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
6,66359510,,Cesarean delivery,A,,41.05,20.00,NA,20.00,,13.00,74.05,74.05,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66459514,,Cesarean delivery only,A,,16.13,3.52,NA,3.52,,5.01,24.66,24.66,0,MMM,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66659525,,Remove uterus after cesarean,A,,8.32,1.77,NA,1.77,,2.67,12.76,12.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66759610,,Vbac delivery,A,,38.71,18.63,NA,18.63,,12.44,69.78,69.78,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66859612,,Vbac delivery only,A,,16.09,3.41,NA,3.41,,5.15,24.65,24.65,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66959614,,Vbac care after delivery,A,,20.48,4.88,NA,4.88,,6.57,31.93,31.93,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808