2025 CPT code 59525
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures for Maternity Care and Delivery Surgery Feed
Subtotal or total hysterectomy performed after a Cesarean delivery.
Modifiers may be applicable depending on the circumstances of the procedure.Consult payer guidelines.
Medical necessity for a hysterectomy after Cesarean section is typically established by documented uterine pathology or complications that warrant the procedure. This includes conditions like severe postpartum hemorrhage, uncontrollable uterine atony, uterine rupture, or other conditions posing a significant risk to the patient's health.
The clinical responsibility lies with the surgeon who performs the hysterectomy. This includes pre-operative assessment, surgical procedure, post-operative care, and follow-up.
In simple words: After a Cesarean section (C-section) to deliver a baby, the doctor removes all or part of the uterus.This is done through the same incision used for the C-section.
This CPT code, 59525, represents a subtotal or total hysterectomy conducted following a Cesarean section.The procedure involves the surgical removal of the uterus, either partially (subtotal) or completely (total), through an existing abdominal incision made during the Cesarean delivery.A subtotal hysterectomy leaves the cervix intact, while a total hysterectomy removes the entire uterus, including the cervix.This procedure is reported separately, in addition to the code for the primary Cesarean delivery procedure.
Example 1: A patient undergoes a Cesarean delivery due to fetal distress.Post-delivery, the surgeon discovers significant uterine fibroids or other uterine pathology requiring a total hysterectomy. Code 59525 is reported in addition to the Cesarean section code., A patient with a history of postpartum hemorrhage undergoes a Cesarean delivery.To mitigate the risk of future hemorrhage, the surgeon performs a subtotal hysterectomy. Code 59525 is billed with the Cesarean section code., During a Cesarean delivery, the surgeon encounters severe uterine atony (failure of the uterus to contract after delivery). A total hysterectomy is performed to control the bleeding. Code 59525 is billed along with the Cesarean section code and any other relevant codes.
* Operative report detailing the procedure, including type of hysterectomy (subtotal or total).* Indication for the hysterectomy (e.g., postpartum hemorrhage, fibroids, other pathology).* Preoperative and postoperative assessments.* Pathology report if applicable.* Consent for the hysterectomy.
** This code is an add-on code and should be used in conjunction with the primary Cesarean delivery code.Always verify payer specific guidelines before billing.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule : Refer to payer specific fee schedules.
- Specialties:Obstetrics and Gynecology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center