No office rate
Code 59320 is for placing a vaginal cerclage during pregnancy; 59871 is for removing a cerclage under anesthesia other than local.
On this page
CMS RVU26D · Effective 2026-10-01
59871 Cerclage removal Medicare reimbursement rates in Connecticut
Removal of a cervical cerclage under anesthesia beyond local anesthesia, commonly performed when labor begins or the stitch must be removed during pregnancy. Compare 59871 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 59871 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
$128.83
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.
Obstetrics
About 59871: Cervical cerclage removal under anesthesia
Removal of a cervical cerclage under anesthesia beyond local anesthesia, commonly performed when labor begins or the stitch must be removed during pregnancy.
This service removes a cervical stitch placed to support the cervix during pregnancy, with anesthesia other than local anesthesia. An obstetrician or other qualified physician may perform it in a labor-and-delivery unit, operating room, or other procedural setting. Typical situations include planned removal near the end of pregnancy or removal when labor or another clinical issue makes the stitch unsafe to leave in place.
Report the service when the cerclage is actually removed and the anesthesia meets the code’s requirement; routine office removal using local anesthesia alone is not this service. Document the indication, removal performed, and anesthesia used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 59871
- 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 RVU2.08 · 58%
- Practice expense (office) RVU0.87 · 24%
- Malpractice RVU0.66 · 18%
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.
59871 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
Code 59325 describes abdominal cerclage placement during pregnancy, not removal of an existing cerclage.
Compare 59871 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
$128.83
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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 59871 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,687
- Code
- 59871
- Physician work
- 2.08
- Practice expense
- 0.87
- Malpractice
- 0.66
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.08 | × 1.020 | 2.1216 |
| Practice expense | 0.87 | × 1.077 | 0.9370 |
| Malpractice | 0.66 | × 1.210 | 0.7986 |
| Total RVUs | 3.8572 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$128.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.08 | 1.02 |
| Practice expense | 0.87 | 1.077 |
| Malpractice | 0.66 | 1.21 |
(2.08 × 1.02 + 0.87 × 1.077 + 0.66 × 1.21) × $33.4009 = $128.83
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.
59871 billing questions
Does this code include removal under local anesthesia alone?
No. This service is for cerclage removal under anesthesia other than local anesthesia; routine removal with local anesthesia alone does not meet that distinction.
How is this different from code 59320?
Code 59871 reports removal of a cervical cerclage under qualifying anesthesia. Code 59320 describes placing a vaginal cerclage during pregnancy.
Can cerclage removal be reported on the same date as delivery?
It may be reported when removal and delivery are both performed in the same encounter. Document the removal separately and select the delivery code for the delivery performed.
Is modifier 50 appropriate?
No. The anatomy and service do not support bilateral reporting with modifier 50.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure. The global period does not extend beyond the day of service.
When can an assistant-at-surgery be paid?
Only when documentation establishes the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment for this service.
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.
6,68459857,,Induced ab 1+vag supp hyst,R,,9.10,3.61,NA,3.61,,2.92,15.63,15.63,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,68559866,,Abortion (mpr),R,,3.89,1.25,NA,1.25,,1.25,6.39,6.39,0,000,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,68659870,,Evacuate mole of uterus,A,,6.41,5.99,NA,5.99,,2.05,14.45,14.45,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,68759871,,Remove cerclage suture,A,,2.08,0.87,NA,0.87,,0.66,3.61,3.61,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,68859897,,Unlisted fetal invas px w/us,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,68959898,,Unlstd laps px mat care&dlvr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,1,2,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,69059899,,Unlisted px mat care&dlvr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,2,1,1,9,,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