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See a sample rate comparisonCPT 59350 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.
Hysterorrhaphy Of Ruptured Uterus
| 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 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59350 |
| Medicaid Fee Schedule | View Medicaid rates for 59350 |
National average reimbursement for CPT 59350 by major payers:
$348.60
$377.94
$374.52
$444.82
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CPT 59350
5 of 25 sample ratesHigher to lower in this preview
Nmc Surgery Center, L.P., The Surgery Center Of Nacogdoches
Nmc Surgery Center Lp
$8,225.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$1,064.00Published rateGolden State Eye Center
$726.00Published rateM. Reza Mizani, M.D., P.A., Total Vascular Care
M. Reza Mizani Md, PA
$410.00Published rateAsc Development Company, LLC
Asc Development Company LLC
$63.00Published rate
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See a sample payer proposalCPT 59350 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59350 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 59350 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 |
|---|---|---|
| 59325-CPT | Moderate | Cerclage Of Cervix, During Pregnancy; Ab |
| 59350-CPT | Moderate | Hysterorrhaphy Of Ruptured Uterus |
| 59400-CPT | High | Routine Obstetric Care Includi, Routine Obstetric Care Including Antepartum Care Vaginaldelivery (With Or Without Episiotomy Andor Forceps) And Postpartum Care |
| 59409-CPT | High | Vaginal Delivery Only (With Or Without Episiotomy And/Or Forceps) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59350. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59350 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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