59857 Induced ab 1+vag supp hyst
Also known as: vaginal suppository with hysterotomy
Induced abortion with vaginal suppository abortifacient followed by hysterotomy (abdominal surgical delivery).
In Plain Language
medication abortion with abdominal surgery
Clinical Context
Combined approach with vaginal agent and abdominal surgical delivery; rarely used in contemporary obstetric practice.
RVU Breakdown
| Work RVU | 9.10 |
| Total RVU | 9.10 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 9.10, this code ranks in the 55th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59857?
CPT 59857 (Induced ab 1+vag supp hyst) is a Surgery code. Induced abortion with vaginal suppository abortifacient followed by hysterotomy (abdominal surgical delivery).
What is the wRVU value for CPT 59857?
The work RVU for CPT 59857 is 9.10. This code is primarily used by Obstetrics and Gynecology. It has a 90-day global period.
When is CPT 59857 used?
Combined approach with vaginal agent and abdominal surgical delivery; rarely used in contemporary obstetric practice.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.