Billing code 59525: Cesarean hysterectomyMedicare rate & RVUs in Illinois
Reports subtotal or total hysterectomy performed after cesarean delivery during the same operative episode, as an add-on to the cesarean procedure.
CMS doesn’t publish an office rate for 59525 in Illinois.
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 9 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.
Where 59525 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $543.92 |
| East St. Louis | Unavailable | $511.89 |
| Rest Of Illinois | Unavailable | $471.26 |
| Suburban Chicago | Unavailable | $498.58 |
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
Swap in your local Medicare rate.
Work 8.32Practice expense 1.77Malpractice 2.67
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 59525
The CMS indicators that decide how 59525 is paid alongside other services.
CMS payment indicators · 59525
Cesarean hysterectomy
| 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
59525-80 · Assistant: 16%
$68.19
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
59525 compared with similar codes
Compare codes
59525 vs 59514 vs 59510 vs 58150: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 59514Cesarean delivery
- 59514 reports the cesarean delivery only; 59525 reports the additional hysterectomy and must accompany a primary cesarean code.
- 59510Cesarean care
- 59510 is a primary cesarean procedure that includes antepartum and postpartum care; 59525 separately identifies the hysterectomy performed after cesarean delivery.
- 58150Hysterectomy
- 58150 describes an abdominal hysterectomy outside this cesarean-specific add-on context. Use 59525 for hysterectomy performed after cesarean delivery.
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
Fee sheets
Put 59525 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →