CPT code 59120: Ectopic surgery, tubal or ovarian, organ removed2026 Medicare rate & RVUs

Medicare pays $734.82 for 59120 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 59120 covers

This code describes operative treatment of an ectopic pregnancy implanted in a fallopian tube or ovary when the surgeon removes the affected tube, ovary, or both. An obstetrician-gynecologist typically performs the procedure in an operating room through an abdominal approach. A tubal pregnancy with a damaged tube requiring salpingectomy is a common clinical context; ovarian ectopic pregnancy may require oophorectomy.

Choose the code based on the implantation site, operative approach, and whether a tube or ovary is removed. The operative report should identify the ectopic site, approach, and structures excised; a tube-preserving operation is reported with a different code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 59120 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59120 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 59120 rate is calculated

Each of 59120’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 59120

59120 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

59120 compared with similar codes

How to choose

59121Ectopic surgeryTubal or ovarian, organ preserved

Both address tubal or ovarian ectopic pregnancy, but 59120 involves removal of the affected tube or ovary; 59121 represents a tube-preserving operation.

59150Ectopic surgeryLaparoscopic, without organ removal

This code is for nonlaparoscopic removal of the affected tube or ovary. Code 59150 describes laparoscopic treatment without salpingectomy or oophorectomy.

59151Ectopic pregnancy surgeryLaparoscopic removal

Both involve removal of the affected tube or ovary, but 59151 is the laparoscopic treatment code.

59130Ectopic surgeryAbdominal implantation

Use 59120 for a tubal or ovarian implantation; 59130 addresses an abdominal ectopic pregnancy.

Codes related to 59120

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates