CPT code 59150: Ectopic surgery, laparoscopic, without organ removal2026 Medicare rate & RVUs in Massachusetts
Laparoscopic surgery to treat an ectopic pregnancy while preserving the fallopian tube and ovary, reported when operative management is performed through laparoscopy.
CMS doesn’t publish an office rate for 59150 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 59150 covers
CPT 59150 represents laparoscopic operative management of an ectopic pregnancy when the fallopian tube and ovary are retained. A gynecologic surgeon, commonly an obstetrician-gynecologist, performs the procedure in an operating room, often for a tubal ectopic pregnancy. It describes surgical treatment, not medication management such as methotrexate alone.
Report this code when the operative documentation supports laparoscopic treatment and confirms that salpingectomy and oophorectomy were not performed; use the related code 59151 when either removal is performed. The 90-day global period includes 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate.
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 59150 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | $751.24 |
| Rest of Massachusetts | Unavailable | $703.26 |
How the 59150 rate is calculated
Each of 59150’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 · 59150
RVUs × geographic indexes × conversion factor
Work11.98
11.98 RVUs× 1.000 GPCI
Practice expense5.53
5.53 RVUs× 1.000 GPCI
Malpractice3.84
3.84 RVUs× 1.000 GPCI
Adjusted RVUs
21.3500
Conversion factor
$33.4009
Medicare rate
$713.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59150
59150 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59150
Ectopic surgery, laparoscopic, without organ removal
| 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 · 59150
Ectopic surgery, laparoscopic, without organ removal
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
59150 without 51 · national facility
$713.11
Ectopic surgery, laparoscopic, without organ removal
59150-51 · Second procedure: 50%
$356.56
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%).
59150 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 59151Ectopic pregnancy surgeryLaparoscopic removal
- Both are laparoscopic ectopic pregnancy procedures. Choose 59150 when the tube and ovary are retained; choose 59151 when salpingectomy or oophorectomy is performed.
- 59121Ectopic surgeryTubal or ovarian, organ preserved
- This is the nonlaparoscopic counterpart for ectopic pregnancy treatment without salpingectomy or oophorectomy; 59150 identifies laparoscopic treatment.
- 59120Ectopic surgeryTubal or ovarian, organ removed
- This is nonlaparoscopic treatment with salpingectomy or oophorectomy. Code 59150 is laparoscopic and does not include removal of either organ.
59150 billing questions
When should 59150 be chosen instead of 59151?
Use 59150 for laparoscopic ectopic pregnancy treatment when neither the fallopian tube nor ovary is removed. Use 59151 when salpingectomy or oophorectomy is performed.
How does 59150 differ from 59121?
Both describe ectopic pregnancy treatment without salpingectomy or oophorectomy, but 59150 is laparoscopic. Code 59121 represents the nonlaparoscopic approach.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or another 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.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure 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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