CPT code 59151: Ectopic pregnancy surgery, laparoscopic removal2026 Medicare rate & RVUs in Missouri
Reports laparoscopic surgical removal of an ectopic pregnancy, including salpingectomy or oophorectomy when performed as part of treatment.
CMS doesn’t publish an office rate for 59151 in Missouri.
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 59151 covers
A gynecologic surgeon uses a laparoscope to remove an ectopic pregnancy, commonly one located in a fallopian tube. The operation may include removal of the affected tube or ovary when needed to complete treatment. This code identifies laparoscopic removal, rather than laparoscopic treatment that preserves the affected structure. These procedures are typically performed in an operating room, often in a facility setting.
Report the code when the operative documentation supports a laparoscopic approach and removal of the ectopic pregnancy. The report should identify the pregnancy site, the procedure performed, and any salpingectomy or oophorectomy. CMS 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 multiple-procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeon and team-surgery payment are not permitted. Bilateral adjustment is inappropriate for this code.
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 59151 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $680.91 |
| Metropolitan St. Louis, MO | Unavailable | $686.32 |
| Rest of Missouri | Unavailable | $667.15 |
How the 59151 rate is calculated
Each of 59151’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 · 59151
RVUs × geographic indexes × conversion factor
Work11.81
11.81 RVUs× 1.000 GPCI
Practice expense5.20
5.20 RVUs× 1.000 GPCI
Malpractice3.78
3.78 RVUs× 1.000 GPCI
Adjusted RVUs
20.7900
Conversion factor
$33.4009
Medicare rate
$694.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59151
59151 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59151
Ectopic pregnancy surgery, laparoscopic 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 · 59151
Ectopic pregnancy surgery, laparoscopic 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
59151 without 51 · national facility
$694.40
Ectopic pregnancy surgery, laparoscopic removal
59151-51 · Second procedure: 50%
$347.20
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%).
59151 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59150Ectopic surgeryLaparoscopic, without organ removal
- Both codes describe laparoscopic ectopic-pregnancy treatment. Choose 59151 when the pregnancy is removed; 59150 describes treatment without salpingectomy or oophorectomy.
- 59120Ectopic surgeryTubal or ovarian, organ removed
- 59120 describes open surgical treatment of tubal or ovarian ectopic pregnancy requiring removal of the tube or ovary. Use 59151 when removal is performed laparoscopically.
- 59121Ectopic surgeryTubal or ovarian, organ preserved
- 59121 is open treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59151 describes laparoscopic removal.
- 59130Ectopic surgeryAbdominal implantation
- 59130 is for surgical treatment of an abdominal pregnancy. 59151 describes laparoscopic removal of an ectopic pregnancy, commonly in a fallopian tube.
59151 billing questions
How does 59151 differ from 59150?
59151 is for laparoscopic removal of the ectopic pregnancy, including salpingectomy or oophorectomy when performed. Use 59150 for laparoscopic treatment without removal of the affected tube or ovary.
Can salpingectomy be reported separately with 59151?
Salpingectomy or oophorectomy performed as part of removing the ectopic pregnancy is included in 59151. The operative report should document the procedure and anatomy treated.
What global period applies?
CMS assigns a 90-day global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy makes modifier 50 unsuitable.
May an assistant surgeon be paid?
Assistant-at-surgery payment may be allowed for 59151. CMS does not permit co-surgeon or team-surgery payment for this code.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction when performed in the same session.
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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