$228.22
59300 concerns episiotomy or vaginal repair. This code is for repair of a uterine injury after placental delivery.
On this page
CMS RVU26D · Effective 2026-10-01
59350 Uterine repair Medicare reimbursement rates in Rhode Island
Reports surgical repair of a uterine injury identified after placental delivery, such as a uterine rupture requiring repair beyond routine delivery closure. Compare 59350 office and facility rates across CMS payment localities in Rhode Island.
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 59350 in Rhode Island?
Rhode Island 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
$244.83
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 59350: Uterine repair after placental delivery
Reports surgical repair of a uterine injury identified after placental delivery, such as a uterine rupture requiring repair beyond routine delivery closure.
This service covers surgical repair of a uterine defect recognized after the placenta is delivered, including a uterine rupture that requires closure. An obstetrician or other qualified surgeon typically performs it in the operating room or delivery suite during the delivery encounter. Routine closure of a cesarean uterine incision is part of the cesarean service; this code describes a distinct uterine repair, not that routine step.
The operative report should identify the injury, its location and extent, the repair performed, and why the work was separate from routine delivery closure. CMS assigns 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. An assistant at surgery may be paid. Modifier 50 is not appropriate for this single uterus repair; co-surgeons and team surgery are not permitted.
CMS billing rules for 59350
- 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 may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.82 · 65%
- Practice expense (office) RVU1.02 · 14%
- Malpractice RVU1.53 · 21%
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.
59350 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
59320 is a cervical procedure performed during pregnancy; this code repairs a uterine injury after placental delivery.
No office rate
59325 is an abdominal cervical procedure during pregnancy. It does not describe repair of a uterine injury after placental delivery.
Compare 59350 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$244.83
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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 59350 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,654
- Code
- 59350
- Physician work
- 4.82
- Practice expense
- 1.02
- Malpractice
- 1.53
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.82 | × 1.019 | 4.9116 |
| Practice expense | 1.02 | × 1.033 | 1.0537 |
| Malpractice | 1.53 | × 0.892 | 1.3648 |
| Total RVUs | 7.3300 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$244.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.82 | 1.019 |
| Practice expense | 1.02 | 1.033 |
| Malpractice | 1.53 | 0.892 |
(4.82 × 1.019 + 1.02 × 1.033 + 1.53 × 0.892) × $33.4009 = $244.83
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.
59350 billing questions
How is this different from routine closure during a cesarean delivery?
Routine closure of the cesarean uterine incision is part of the cesarean service. Report this code for a distinct uterine injury repair, with the operative note documenting the defect and additional repair.
Can it be reported with a delivery code?
It may be reported for a distinct uterine repair performed during the delivery encounter. Documentation should distinguish the repair from the delivery service and its routine closure work.
What documentation supports the repair?
Document the uterine injury's location and extent, the repair technique, and the clinical reason the work was separate from routine delivery closure.
Can an assistant surgeon be reported?
CMS permits payment for an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
How does the multiple-procedure reduction affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
Does this code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
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.
6,65159300,,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
6,65759410,,Obstetrical care,A,,18.76,5.13,NA,5.13,,5.34,29.23,29.23,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537