$285.95
This code is for uterine curettage in a nonobstetric setting. Use 59160 when the procedure follows delivery and addresses tissue remaining after childbirth.
On this page
CMS RVU26D · Effective 2026-10-01
59160 Uterine curettage Medicare reimbursement rates in Vermont
Postpartum uterine curettage removes retained placental or pregnancy tissue after delivery when a separate procedure is needed to clear the uterine cavity. Compare 59160 office and facility rates across CMS payment localities in Vermont.
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 59160 in Vermont?
Vermont 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
$247.73
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$152.83
1 of 1 localities have a supported rate.
Payment area: Vermont
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 59160: Postpartum uterine curettage
Postpartum uterine curettage removes retained placental or pregnancy tissue after delivery when a separate procedure is needed to clear the uterine cavity.
An obstetrician or gynecologist performs this procedure after childbirth to remove tissue remaining in the uterus, such as retained placental tissue. It may be needed when retained tissue contributes to postpartum bleeding or prevents the uterus from clearing normally. The service is generally performed in a hospital or other procedural setting, rather than as routine postpartum care.
Report 59160 for curettage after delivery, not for uterine evacuation related to an abortion or a nonobstetric indication. Documentation should establish the delivery, the reason for the procedure, and the treatment performed. CMS assigns a 10-day minor-procedure global period, so related postoperative visits during that period are 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 reduction. Modifier 50 is not appropriate for this single uterine procedure. An assistant is paid only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 59160
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 RVU2.69 · 34%
- Practice expense (office) RVU4.33 · 55%
- Malpractice RVU0.87 · 11%
40
Medicare services in 2024 · #5505 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.
59160 compared with similar codes
Office rates for Vermont, from the same CMS release.
$335.10
This code treats an incomplete abortion. Use 59160 when the uterine evacuation is performed after delivery, not to manage an abortion.
$404.55
This code addresses a missed abortion. 59160 is specific to curettage after delivery.
Compare 59160 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
Vermont →
Office / nonfacility
$247.73
Facility
$152.83
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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 59160 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,649
- Code
- 59160
- Physician work
- 2.69
- Practice expense
- 4.33
- Malpractice
- 0.87
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.69 | × 1.000 | 2.6900 |
| Practice expense | 4.33 | × 0.990 | 4.2867 |
| Malpractice | 0.87 | × 0.506 | 0.4402 |
| Total RVUs | 7.4169 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$247.73
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.69 | 1 |
| Practice expense | 4.33 | 0.99 |
| Malpractice | 0.87 | 0.506 |
(2.69 × 1 + 4.33 × 0.99 + 0.87 × 0.506) × $33.4009 = $247.73
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.69 | 1 |
| Practice expense | 1.46 | 0.99 |
| Malpractice | 0.87 | 0.506 |
(2.69 × 1 + 1.46 × 0.99 + 0.87 × 0.506) × $33.4009 = $152.83
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.
59160 billing questions
How is 59160 distinguished from a nonobstetric D&C?
Use 59160 when curettage is performed after delivery to remove tissue remaining in the uterus. A nonobstetric uterine evacuation is considered under a different code, such as 58120.
What documentation supports reporting 59160?
Document that delivery occurred, the clinical reason for postpartum curettage, and the procedure performed. Include relevant findings, such as tissue remaining in the uterine cavity, when present.
Are related postoperative visits separately reported?
Related postoperative visits during the 10-day global period are included in the procedure's global package.
Can modifier 50 be used?
No. Modifier 50 is inappropriate for this single uterine procedure.
When can an assistant be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeon and team-surgery payment are not permitted for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, while other procedures performed in the same session are subject to the standard multiple-procedure reduction.
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.
6,64659140,,Treat ectopic pregnancy,A,,5.79,3.74,NA,3.74,,1.85,11.38,11.38,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64759150,,Treat ectopic pregnancy,A,,11.98,5.53,NA,5.53,,3.84,21.35,21.35,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64859151,,Treat ectopic pregnancy,A,,11.81,5.20,NA,5.20,,3.78,20.79,20.79,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64959160,,D & c after delivery,A,,2.69,4.33,,1.46,,0.87,7.89,5.02,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817