No office rate
Use 59320 for vaginal cerclage during pregnancy. Use 59325 for cervical revision performed through an abdominal approach.
On this page
CMS RVU26D · Effective 2026-10-01
59325 Cervical revision Medicare reimbursement rates in Iowa
Reports abdominal surgical revision of the cervix, such as correction for cervical stenosis or incompetence, when the operative approach and work support this service. Compare 59325 office and facility rates across CMS payment localities in Iowa.
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 59325 in Iowa?
Iowa 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
$186.39
1 of 1 localities have a supported rate.
Payment area: Iowa
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 59325: Abdominal cervical revision surgery
Reports abdominal surgical revision of the cervix, such as correction for cervical stenosis or incompetence, when the operative approach and work support this service.
59325 describes operative revision of the cervix through an abdominal approach, including surgery addressing cervical stenosis or incompetence. An obstetrician-gynecologist or maternal-fetal medicine surgeon may perform it in an operating room. The abdominal route distinguishes this service from a vaginal cervical procedure; it is not the code for a routine vaginal cerclage during pregnancy.
Report the code when the operative documentation identifies the cervical problem, abdominal approach, and revision performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 59325
- 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 RVU3.96 · 61%
- Practice expense (office) RVU1.22 · 19%
- Malpractice RVU1.27 · 20%
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.
59325 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
59350 reports repair of the uterus; 59325 is limited to revision of the cervix through an abdominal approach.
$199.81
59300 concerns episiotomy or vaginal repair, not abdominal revision of the cervix.
Compare 59325 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
Iowa →
Office / nonfacility
Unavailable
Facility
$186.39
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 59325 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,653
- Code
- 59325
- Physician work
- 3.96
- Practice expense
- 1.22
- Malpractice
- 1.27
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.96 | × 1.000 | 3.9600 |
| Practice expense | 1.22 | × 0.915 | 1.1163 |
| Malpractice | 1.27 | × 0.397 | 0.5042 |
| Total RVUs | 5.5805 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$186.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.96 | 1 |
| Practice expense | 1.22 | 0.915 |
| Malpractice | 1.27 | 0.397 |
(3.96 × 1 + 1.22 × 0.915 + 1.27 × 0.397) × $33.4009 = $186.39
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.
59325 billing questions
How is 59325 different from 59320?
59325 is abdominal cervical revision, including work for stenosis or incompetence. 59320 describes vaginal cerclage during pregnancy.
What documentation supports 59325?
Document the cervical condition, the abdominal approach, and the specific revision performed. The operative report should make clear that the work involved the cervix rather than the uterus or vagina.
Is same-day postoperative care separately reported?
No. The 0-day global period includes same-day preoperative and postoperative care.
Can modifier 50 be used, and may an assistant be paid?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is allowed only when medical necessity is documented.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Co-surgeons and team surgery are not permitted.
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.
6,65059200,,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
6,65659409,,Obstetrical care,A,,14.37,3.22,NA,3.22,,4.02,21.61,21.61,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136