CPT code 59130: Ectopic surgery, abdominal implantation2026 Medicare rate & RVUs in Illinois
Reports operative treatment of an ectopic pregnancy implanted in the abdominal cavity, rather than in a fallopian tube, ovary, or cervix.
CMS doesn’t publish an office rate for 59130 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 59130 covers
This code represents surgery to treat an ectopic pregnancy implanted in the abdominal cavity. An obstetrician-gynecologist typically performs the operation in a hospital or other surgical facility; the operative findings may require attention to the implantation site and nearby abdominal or pelvic structures. The code is distinguished by the pregnancy’s abdominal location, not simply by the fact that surgery was performed for an ectopic pregnancy.
Select the code when the operative report identifies an abdominal pregnancy and documents the surgical treatment. Distinguish it from codes for tubal or ovarian, interstitial, cervical, and laparoscopically treated ectopic pregnancies. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are 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 59130 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | Unavailable | $1,061.01 |
| East St. Louis, IL | Unavailable | $995.95 |
| Rest of Illinois | Unavailable | $923.42 |
| Suburban Chicago, IL | Unavailable | $983.04 |
How the 59130 rate is calculated
Each of 59130’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.
How the rate is built · 59130
RVUs × geographic indexes × conversion factor
Work14.70
14.70 RVUs× 1.000 GPCI
Practice expense6.10
6.10 RVUs× 1.000 GPCI
Malpractice4.72
4.72 RVUs× 1.000 GPCI
Adjusted RVUs
25.5200
Conversion factor
$33.4009
Medicare rate
$852.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59130
59130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59130
Ectopic surgery, abdominal implantation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.17/0.60/0.23 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 59130
Ectopic surgery, abdominal implantation
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59130 without 51 · national facility
$852.39
Ectopic surgery, abdominal implantation
59130-51 · Second procedure: 50%
$426.20
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
59130 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59120Ectopic surgeryTubal or ovarian, organ removed
- This code is for abdominal implantation. Code 59120 addresses tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.
- 59121Ectopic surgeryTubal or ovarian, organ preserved
- This code is for abdominal implantation. Code 59121 addresses tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.
- 59136Ectopic surgeryInterstitial uterine pregnancy
- Use this code for abdominal implantation; code 59136 identifies an interstitial ectopic pregnancy.
- 59140Ectopic pregnancy surgeryCervical implantation
- Use this code for abdominal implantation; code 59140 identifies treatment of a cervical ectopic pregnancy.
59130 billing questions
How is this code distinguished from codes for tubal ectopic pregnancy?
Use this code when the pregnancy is implanted in the abdominal cavity. Tubal or ovarian implantation belongs to the corresponding tubal or ovarian treatment code, based on the procedure performed.
Does this code describe laparoscopic treatment?
It identifies treatment of an abdominal pregnancy, not a laparoscopic approach. The laparoscopic ectopic-pregnancy codes describe tubal or ovarian treatment.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
When is an assistant at surgery payable?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session handled?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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
Show the CMS file lines behind this rate
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