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See a sample rate comparisonCPT 59852 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.
Induced Abortion 1+Njx Hyst, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Hysterotomy (Failed Intra-Amniotic Injection)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 21 - Inpatient Hospital 50 - Federally Qualified Health Center |
| Common Modifiers | None GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59852 |
| Medicaid Fee Schedule | View Medicaid rates for 59852 |
National average reimbursement for CPT 59852 by major payers:
$730.72
$729.87
$714.62
$905.80
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CPT 59852
5 of 25 sample ratesHigher to lower in this preview
Voorhees Nj Endoscopy Asc LLC, The Endo Center At Voorhees
The Voorhees Nj Endoscopy Asc LLC
$4,825.00Published rateGolden Ridge Asc, LLC, Golden Ridge Surgery Center
$1,064.00Published ratePrisma Health Ambulatory Surgery Centers-Midlands, LLC, Prisma Health Orthopedic Surgery Center
Prisma Health Ambulatory Surgery Centersmidlands LLC
$700.00Published rateUro-Center Ambulatory Surgical Center LLC
Urocenter Ambulatory Surgical Center LLC
$426.00Published rateGastroenterology Specialists Inc, Endoscopy Center
Gastroenterology Specialists, Inc.
$106.00Published rate
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See a sample payer proposalCPT 59852 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59852 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 59852 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 |
|---|---|---|
| 59850-CPT | Moderate | Termination Of A Pregnancy, Termination Of A Pregnancy. The Procedure Involves A Series Of Injections Into The Amniotic Fluid. The Uterine Contents May Be Removed Surgically Or By Dilation (Opening) The Cervix. |
| 59851-CPT | Moderate | Induced Abortion 1+Njx D&C, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
| 59852-CPT | Moderate | Induced Abortion 1+Njx Hyst, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Hysterotomy (Failed Intra-Amniotic Injection) |
| 59856-CPT | Moderate | Induced Ab 1+Vag Supp D&C, Induced Abortion By 1 Or More Vaginal Suppositories (Eg Prostaglandin) With Or Without Cervical Dilation (Eg Laminaria) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59852. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59852 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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