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CPT code 59140: Ectopic pregnancy surgery, cervical implantation2026 Medicare rate & RVUs

Surgical treatment of a cervical ectopic pregnancy is reported when the pregnancy implants in the cervix and requires operative management.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $380.10 for 59140 nationally in a facility.

Medicare rate · 59140

Ectopic pregnancy surgery, cervical implantation

Office or facility?

Work RVUs
5.79
Total RVUs
11.38
Global days
090

National rate · 2026

$380.10

Facility setting, before claim adjustments.

See every locality for 59140 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 59140 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59140 covers

This code describes operative treatment of an ectopic pregnancy implanted in the cervix. A gynecologic surgeon typically performs the procedure in an operating room, where the operative findings and treatment can be documented. The code is specific to the cervical implantation site; a tubal, ovarian, abdominal, or interstitial pregnancy calls for a different code selection.

Report it when the operative record supports cervical implantation and surgical treatment, rather than medical management alone. Document the pregnancy location, operative approach, and work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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. 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.

Where 59140 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

59140 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$337.67
AlaskaUnavailable$457.17
ArizonaUnavailable$367.33
ArkansasUnavailable$332.52
Atlanta, GAUnavailable$395.10
Austin, TXUnavailable$380.69
Bakersfield, CAUnavailable$371.61
Baltimore area, MDUnavailable$406.96
Beaumont, TXUnavailable$364.47
Brazoria, TXUnavailable$366.93

59140 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
59140 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

How the 59140 rate is calculated

Each of 59140’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 · 59140

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.79

5.79 RVUs× 1.000 GPCI

Practice expense3.74

3.74 RVUs× 1.000 GPCI

Malpractice1.85

1.85 RVUs× 1.000 GPCI

Adjusted RVUs

11.3800

Conversion factor

$33.4009

Medicare rate

$380.10

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

Payment rules and modifiers for 59140

59140 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59140

Ectopic pregnancy surgery, cervical implantation

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 · 59140

Ectopic pregnancy surgery, cervical 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.

  • 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

59140 without 51 · national facility

$380.10

Ectopic pregnancy surgery, cervical implantation

59140-51 · Second procedure: 50%

$190.05

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

59140 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 59140

    Ectopic pregnancy surgery, cervical implantation5.79 wRVU

    Not priced

  • 59120

    Ectopic surgery, tubal or ovarian, organ removed12.35 wRVU

    Not priced

  • 59121

    Ectopic surgery, tubal or ovarian, organ preserved12.42 wRVU

    Not priced

  • 59130

    Ectopic surgery, abdominal implantation14.7 wRVU

    Not priced

  • 59150

    Ectopic surgery, laparoscopic, without organ removal11.98 wRVU

    Not priced

How to choose

59120Ectopic surgeryTubal or ovarian, organ removed
Use 59140 for cervical implantation. Code 59120 is for tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.
59121Ectopic surgeryTubal or ovarian, organ preserved
Use 59140 for cervical implantation. Code 59121 describes tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.
59130Ectopic surgeryAbdominal implantation
Code 59130 concerns an abdominal ectopic pregnancy; 59140 is selected for cervical implantation.
59150Ectopic surgeryLaparoscopic, without organ removal
Code 59150 is for laparoscopic treatment of tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy, not cervical implantation.

Codes related to 59140

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

Codes related to 59140
CodeHow it relatesNational office range
Used instead
59120Ectopic surgery, tubal or ovarian, organ removedFor tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.No office rate
59121Ectopic surgery, tubal or ovarian, organ preservedFor tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.No office rate
59130Ectopic surgery, abdominal implantationFor operative treatment of an abdominal ectopic pregnancy.No office rate
59136Ectopic surgery, interstitial uterine pregnancyFor operative treatment of an interstitial uterine ectopic pregnancy.No office rate
59150Ectopic surgery, laparoscopic, without organ removalFor laparoscopic treatment of tubal or ovarian ectopic pregnancy without adnexal removal.No office rate
59151Ectopic pregnancy surgery, laparoscopic removalFor laparoscopic treatment of tubal or ovarian ectopic pregnancy with adnexal removal.No office rate

59140 billing questions

How is this code distinguished from 59120 or 59121?

This code is for an ectopic pregnancy implanted in the cervix. Codes 59120 and 59121 concern tubal or ovarian ectopic pregnancies.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not report it as a bilateral procedure.

Is an assistant at surgery payable?

CMS permits payment for an assistant at surgery. Co-surgeon and team-surgery reporting 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 paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

What documentation supports this code?

Document that the ectopic pregnancy was implanted in the cervix and describe the operative approach and treatment 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

Show the CMS file lines behind this rate
RVUs for 59140PPRRVU2026_Oct_nonQPP.csv, line 6,646 (RVU26D)

Open CMS sourceHow we calculate rates

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