CPT code 59140: Ectopic pregnancy surgery, cervical implantation2026 Medicare rate & RVUs in Massachusetts
Surgical treatment of a cervical ectopic pregnancy is reported when the pregnancy implants in the cervix and requires operative management.
CMS doesn’t publish an office rate for 59140 in Massachusetts.
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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On this page 9 sections
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 in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | $405.47 |
| Rest of Massachusetts | Unavailable | $377.27 |
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
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
| 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) | 2 | Paid. |
| 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 · 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.
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%).
59140 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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
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