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See a sample rate comparisonCPT 59160 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Removal Of Uterine Contents, This Procedure Removes Tissues Remaining In The Uterus Instead Of Being Expelled During Childbirth.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 78 - Return to OR - related procedure 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59160 |
| Medicaid Fee Schedule | View Medicaid rates for 59160 |
National average reimbursement for CPT 59160 by major payers:
$307.88
$305.90
$341.68
$302.28
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CPT 59160
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc, <Unavail>
Deaconess Hospital Inc
$6,797.00Published rateGcsa Ambulatory Surgery Center, LLC
Gcsa Ambulatory Surgery Center LLC
$2,353.00Published rateOrthopaedic Institute For Children Ambulatory Surgery Center, LLC
Orthopaedic Institute For Children Ambulatory Surgery Center LLC
$1,400.00Published rateSouthwest Ohio Pain Management LLC
Southwest Ohio Pain Management
$983.00Published ratePlastic Surgery Specialists, PC, North Arundel Plastic Surgery Specialists
Plastic Surgery Specialists, P.C.
$513.00Published rate
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See a sample payer proposalCPT 59160 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59160 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59160 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59150-CPT | High | Surgery For Ectopic Pregnancy, Surgery For A Pregnancy Developing Outside The Uterus (Ectopic). The Procedure May Include Removal Of An Ovary Or Fallopian Tube. |
| 59151-CPT | Moderate | Surgery For Ectopic Pregnancy, Surgery For A Pregnancy Developing Outside The Uterus (Ectopic). The Procedure May Include Removal Of An Ovary Or Fallopian Tube. |
| 59160-CPT | Moderate | Removal Of Uterine Contents, This Procedure Removes Tissues Remaining In The Uterus Instead Of Being Expelled During Childbirth. |
| 59200-CPT | Low | Dilate Cervix For Labor, The Procedure Starts Labor Contractions By Dilating (Opening) The Cervix. A Suppository Is Placed Into The Cervical Canal To Cause The Cervix Opening To Enlarge. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59160. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59160 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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