CPT code 59871: Cerclage removal, nonlocal anesthesia2026 Medicare rate & RVUs in Washington, DC area

Removal of a cervical cerclage under anesthesia beyond local anesthesia, commonly performed when labor begins or the stitch must be removed during pregnancy.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $131.99 for 59871 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$131.99Hospital or facility

Check a contract rate as a % of Medicare · 59871 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 59871 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 59871 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 59871 covers

This service removes a cervical stitch placed to support the cervix during pregnancy, with anesthesia other than local anesthesia. An obstetrician or other qualified physician may perform it in a labor-and-delivery unit, operating room, or other procedural setting. Typical situations include planned removal near the end of pregnancy or removal when labor or another clinical issue makes the stitch unsafe to leave in place.

Report the service when the cerclage is actually removed and the anesthesia meets the code’s requirement; routine office removal using local anesthesia alone is not this service. Document the indication, removal performed, and anesthesia used. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment 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 Washington, DC area compares for 59871

Across 109 of 109 payment localities, the facility rate for 59871 runs from $104.10 in Wisconsin to $155.47 in Miami, FL. Washington, DC area pays $131.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

59871 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$131.99
  2. Los Angeles, CA · California$121.34−$10.65
  3. Miami, FL · Florida$155.47+$23.48
  4. Chicago, IL · Illinois$149.76+$17.77
  5. Manhattan, NY · New York$142.65+$10.66
  6. Alaska · Alaska$147.30+$15.31
  7. Alabama · Alabama$107.38−$24.61

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

59871 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$105.79
ArizonaArizona—$116.50
Bakersfield, CACalifornia—$116.07
Chico, CACalifornia—$114.32
El Centro, CACalifornia—$114.43
Fresno, CACalifornia—$114.32
Hanford, CACalifornia—$114.32
Madera, CACalifornia—$114.32

59871 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.

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59871 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 59871 in every payment locality

How the 59871 rate is calculated

Each of 59871’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 · 59871

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.08

2.08 RVUs× 1.000 GPCI

Practice expense0.87

0.87 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

3.6100

Conversion factor

$33.4009

Medicare rate

$120.58

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,687

Code
59871
Physician work
2.08
Practice expense
0.87
Malpractice
0.66

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 59871 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.08× 1.0542.1923
Practice expense0.87× 1.1781.0249
Malpractice0.66× 1.1130.7346
Total RVUs3.9518
Conversion factor× 33.4009

Facility rate, Washington, DC area$131.99

Facility: (2.08 × 1.054 + 0.87 × 1.178 + 0.66 × 1.113) × $33.4009 = $131.99

Open 59871 in the RVU calculator

Payment rules and modifiers for 59871

The CMS indicators that decide how 59871 is paid alongside other services.

CMS payment indicators · 59871

Cerclage removal, nonlocal anesthesia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59871 without 51 · national facility

$120.58

Cerclage removal, nonlocal anesthesia

59871-51 · Second procedure: 50%

$60.29

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 59871 has changed in Washington, DC area

59871 · 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$131.99RVU26D
2026-07-01Not available in this setting$131.99RVU26C
2026-04-01Not available in this setting$131.99RVU26B
2026-01-01Not available in this setting$131.99RVU26A
2025-10-01Not available in this setting$144.82RVU25D
2025-07-01Not available in this setting$144.82RVU25C
2025-04-01Not available in this setting$144.82RVU25B
2025-01-01Not available in this setting$144.82RVU25A
2024-10-01Not available in this setting$149.41RVU24D
2024-07-01Not available in this setting$149.41RVU24C
2024-04-01Not available in this setting$149.41RVU24B
2024-03-09Not available in this setting$149.41RVU24AR
2024-01-01Not available in this setting$146.97RVU24A
2023-10-01Not available in this setting$152.70RVU23D
2023-07-01Not available in this setting$152.70RVU23C
2023-04-01Not available in this setting$152.70RVU23B
2023-01-01Not available in this setting$152.70RVU23A
2022-10-01Not available in this setting$154.60RVU22D
2022-07-01Not available in this setting$154.60RVU22C
2022-04-01Not available in this setting$154.60RVU22B
2022-01-01Not available in this setting$154.60RVU22A
2021-10-01Not available in this setting$155.43RVU21D
2021-07-01Not available in this setting$155.43RVU21C
2021-04-01Not available in this setting$155.43RVU21B
2021-01-01Not available in this setting$155.43RVU21A
2020-10-01Not available in this setting$157.60RVU20D
2020-07-01Not available in this setting$157.60RVU20C
2020-04-01Not available in this setting$157.60RVU20B
2020-01-01Not available in this setting$157.60RVU20A
2019-10-01Not available in this setting$155.13RVU19D
2019-07-01Not available in this setting$155.13RVU19C
2019-04-01Not available in this setting$154.68RVU19B
2019-01-01Not available in this setting$154.68RVU19A
2018-10-01Not available in this setting$155.83RVU18D
2018-07-01Not available in this setting$155.83RVU18C
2018-04-01Not available in this setting$155.83RVU18B
2018-01-01Not available in this setting$155.83RVU18AR1
2017-10-01Not available in this setting$157.53RVU17D
2017-07-01Not available in this setting$157.53RVU17C
2017-04-01Not available in this setting$157.53RVU17B
2017-01-01Not available in this setting$157.53RVU17A
2016-10-01Not available in this setting$156.24RVU16D
2016-07-01Not available in this setting$156.24RVU16C
2016-04-01Not available in this setting$156.24RVU16B
2016-01-01Not available in this setting$156.24RVU16A
2015-10-01Not available in this setting$157.70RVU15D
2015-07-01Not available in this setting$157.70RVU15C
2015-04-01Not available in this setting$156.91RVU15B
2015-01-01Not available in this setting$156.91RVU15A
2014-10-01Not available in this setting$156.83RVU14D
2014-07-01Not available in this setting$156.83RVU14C
2014-04-01Not available in this setting$156.83RVU14B
2014-01-01Not available in this setting$156.83RVU14A
2013-10-01Not available in this setting$152.87RVU13D
2013-07-01Not available in this setting$152.87RVU13C
2013-04-01Not available in this setting$152.87RVU13B
2013-01-01Not available in this setting$152.87RVU13AR

Price 59871 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

59871 billing questions

Does this code include removal under local anesthesia alone?

No. This service is for cerclage removal under anesthesia other than local anesthesia; routine removal with local anesthesia alone does not meet that distinction.

How is this different from code 59320?

Code 59871 reports removal of a cervical cerclage under qualifying anesthesia. Code 59320 describes placing a vaginal cerclage during pregnancy.

Can cerclage removal be reported on the same date as delivery?

It may be reported when removal and delivery are both performed in the same encounter. Document the removal separately and select the delivery code for the delivery performed.

Is modifier 50 appropriate?

No. The anatomy and service do not support bilateral reporting with modifier 50.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included in the procedure. The global period does not extend beyond the day of service.

When can an assistant-at-surgery be paid?

Only when documentation establishes the medical necessity of the assistant. CMS does not permit co-surgeon or team-surgery payment for this service.

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 59871PPRRVU2026_Oct_nonQPP.csv, line 6,687 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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