CPT code 59136: Ectopic surgery, interstitial uterine pregnancy2026 Medicare rate & RVUs in South Dakota

Reports operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube as it passes through the uterine wall.

CMS RVU26DEffective Oct 1, 2026One payment locality

In South Dakota, Medicare pays $709.05 for 59136 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$709.05Hospital or facility

Check a contract rate as a % of Medicare · 59136 nationwide

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

We’ll open 59136 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 59136 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 59136 covers

Code 59136 represents operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube, where it traverses the uterine wall. An obstetrician-gynecologist typically performs the procedure in an operating room; treatment may involve removing the ectopic tissue and repairing the uterine wall. The operative report should establish the interstitial uterine site rather than a tubal or ovarian, cervical, or abdominal implantation.

Select this code by implantation site and the procedure performed, not simply because an ectopic pregnancy is present; other sites and laparoscopic treatment have distinct codes. Document operative findings and the treatment completed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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.

How South Dakota compares for 59136

Across 109 of 109 payment localities, the facility rate for 59136 runs from $696.69 in Wisconsin to $1,043.74 in Miami, FL. South Dakota pays $709.05. The RVUs are the same everywhere; the geographic indexes change the dollars.

59136 in South Dakota vs other payment areas
  1. South Dakota · this page$709.05
  2. Los Angeles, CA · California$812.63+$103.58
  3. Washington, DC area · District of Columbia$884.57+$175.52
  4. Miami, FL · Florida$1,043.74+$334.69
  5. Chicago, IL · Illinois$1,005.10+$296.05
  6. Manhattan, NY · New York$956.56+$247.51
  7. Alaska · Alaska$985.73+$276.68

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

59136 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$718.93
ArkansasArkansas—$708.21
ArizonaArizona—$780.47
Bakersfield, CACalifornia—$777.26
Chico, CACalifornia—$765.46
El Centro, CACalifornia—$766.20
Fresno, CACalifornia—$765.46
Hanford, CACalifornia—$765.46

59136 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
59136 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 59136 in every payment locality

How the 59136 rate is calculated

Each of 59136’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 · 59136

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.89

13.89 RVUs× 1.000 GPCI

Practice expense5.84

5.84 RVUs× 1.000 GPCI

Malpractice4.46

4.46 RVUs× 1.000 GPCI

Adjusted RVUs

24.1900

Conversion factor

$33.4009

Medicare rate

$807.97

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,645

Code
59136
Physician work
13.89
Practice expense
5.84
Malpractice
4.46

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 59136 in South Dakota
ComponentRVULocality factorAdjusted
Physician work13.89× 1.00013.8900
Practice expense5.84× 1.0005.8400
Malpractice4.46× 0.3361.4986
Total RVUs21.2286
Conversion factor× 33.4009

Facility rate, South Dakota$709.05

Facility: (13.89 × 1 + 5.84 × 1 + 4.46 × 0.336) × $33.4009 = $709.05

Open 59136 in the RVU calculator

Payment rules and modifiers for 59136

59136 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59136

Ectopic surgery, interstitial uterine pregnancy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.17/0.60/0.23Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 59136

Ectopic surgery, interstitial uterine pregnancy

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59136 without 51 · national facility

$807.97

Ectopic surgery, interstitial uterine pregnancy

59136-51 · Second procedure: 50%

$403.99

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%).

When to use modifier 51

How 59136 has changed in South Dakota

59136 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$709.05RVU26D
2026-07-01Not available in this setting$709.05RVU26C
2026-04-01Not available in this setting$709.05RVU26B
2026-01-01Not available in this setting$709.05RVU26A
2025-10-01Not available in this setting$792.74RVU25D
2025-07-01Not available in this setting$792.74RVU25C
2025-04-01Not available in this setting$792.74RVU25B
2025-01-01Not available in this setting$792.74RVU25A
2024-10-01Not available in this setting$817.52RVU24D
2024-07-01Not available in this setting$817.52RVU24C
2024-04-01Not available in this setting$817.52RVU24B
2024-03-09Not available in this setting$817.52RVU24AR
2024-01-01Not available in this setting$804.18RVU24A
2023-10-01Not available in this setting$827.08RVU23D
2023-07-01Not available in this setting$827.08RVU23C
2023-04-01Not available in this setting$827.08RVU23B
2023-01-01Not available in this setting$827.08RVU23A
2022-10-01Not available in this setting$834.79RVU22D
2022-07-01Not available in this setting$834.79RVU22C
2022-04-01Not available in this setting$834.79RVU22B
2022-01-01Not available in this setting$834.79RVU22A
2021-10-01Not available in this setting$834.33RVU21D
2021-07-01Not available in this setting$834.33RVU21C
2021-04-01Not available in this setting$834.33RVU21B
2021-01-01Not available in this setting$834.33RVU21A
2020-10-01Not available in this setting$847.02RVU20D
2020-07-01Not available in this setting$847.02RVU20C
2020-04-01Not available in this setting$847.02RVU20B
2020-01-01Not available in this setting$847.02RVU20A
2019-10-01Not available in this setting$837.10RVU19D
2019-07-01Not available in this setting$837.10RVU19C
2019-04-01Not available in this setting$837.10RVU19B
2019-01-01Not available in this setting$837.10RVU19A
2018-10-01Not available in this setting$829.87RVU18D
2018-07-01Not available in this setting$829.87RVU18C
2018-04-01Not available in this setting$829.87RVU18B
2018-01-01Not available in this setting$829.87RVU18AR1
2017-10-01Not available in this setting$834.12RVU17D
2017-07-01Not available in this setting$834.12RVU17C
2017-04-01Not available in this setting$834.12RVU17B
2017-01-01Not available in this setting$834.12RVU17A
2016-10-01Not available in this setting$818.20RVU16D
2016-07-01Not available in this setting$818.20RVU16C
2016-04-01Not available in this setting$818.20RVU16B
2016-01-01Not available in this setting$818.20RVU16A
2015-10-01Not available in this setting$834.52RVU15D
2015-07-01Not available in this setting$834.52RVU15C
2015-04-01Not available in this setting$830.37RVU15B
2015-01-01Not available in this setting$830.37RVU15A
2014-10-01Not available in this setting$841.50RVU14D
2014-07-01Not available in this setting$841.50RVU14C
2014-04-01Not available in this setting$841.50RVU14B
2014-01-01Not available in this setting$841.50RVU14A
2013-10-01Not available in this setting$858.44RVU13D
2013-07-01Not available in this setting$858.44RVU13C
2013-04-01Not available in this setting$858.44RVU13B
2013-01-01Not available in this setting$858.44RVU13AR

Price 59136 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

59136 billing questions

What distinguishes 59136 from surgery for a tubal ectopic pregnancy?

Use 59136 when the implantation is interstitial, in the portion of the tube that passes through the uterine wall. Tubal or ovarian ectopic pregnancy surgery is represented by other codes, selected according to the procedure and approach.

What operative documentation supports 59136?

The operative report should identify the interstitial uterine implantation and describe the surgical treatment performed. Documentation should distinguish this site from tubal or ovarian, cervical, and abdominal ectopic pregnancy.

What postoperative care is included in the global period?

The 90-day major-surgery global period includes the day-before preoperative visit and related postoperative care through day 90.

Can modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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
RVUs for 59136PPRRVU2026_Oct_nonQPP.csv, line 6,645 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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