CPT code 59871: Cerclage removal, nonlocal anesthesia2026 Medicare rate & RVUs in Indiana
Removal of a cervical cerclage under anesthesia beyond local anesthesia, commonly performed when labor begins or the stitch must be removed during pregnancy.
In Indiana, Medicare pays $107.13 for 59871 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Indiana 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. Indiana pays $107.13. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Indiana · this page$107.13
- Los Angeles, CA · California$121.34+$14.21
- Washington, DC area · District of Columbia$131.99+$24.86
- Miami, FL · Florida$155.47+$48.34
- Chicago, IL · Illinois$149.76+$42.63
- Manhattan, NY · New York$142.65+$35.52
- Alaska · Alaska$147.30+$40.17
Other areas in Indiana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $107.38 |
| 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 |
| Merced, CACalifornia | — | $114.32 |
| Modesto, CACalifornia | — | $114.32 |
| Napa, CACalifornia | — | $123.35 |
| Oxnard, CACalifornia | — | $119.50 |
| Redding, CACalifornia | — | $114.32 |
| Rest of CaliforniaCalifornia | — | $114.32 |
| Riverside, CACalifornia | — | $121.38 |
| Sacramento, CACalifornia | — | $117.59 |
| Salinas, CACalifornia | — | $117.12 |
| San Diego, CACalifornia | — | $118.26 |
| Marin County, CACalifornia | — | $127.17 |
| San Francisco, CACalifornia | — | $126.42 |
| San Benito County, CACalifornia | — | $130.83 |
| Santa Clara County, CACalifornia | — | $127.77 |
| San Luis Obispo, CACalifornia | — | $115.57 |
| Santa Cruz, CACalifornia | — | $118.06 |
| Santa Maria, CACalifornia | — | $117.12 |
| Santa Rosa, CACalifornia | — | $119.06 |
| Stockton, CACalifornia | — | $114.32 |
| Vallejo, CACalifornia | — | $122.27 |
| Visalia, CACalifornia | — | $114.32 |
| Yuba City, CACalifornia | — | $114.32 |
| ColoradoColorado | — | $118.44 |
| ConnecticutConnecticut | — | $128.83 |
| DelawareDelaware | — | $118.35 |
| Fort Lauderdale, FLFlorida | — | $138.77 |
| Rest of FloridaFlorida | — | $130.39 |
| Atlanta, GAGeorgia | — | $125.68 |
| Rest of GeorgiaGeorgia | — | $121.67 |
| Hawaii, Guam, HIHawaii | — | $115.28 |
| IowaIowa | — | $104.81 |
| IdahoIdaho | — | $106.64 |
| East St. Louis, ILIllinois | — | $140.61 |
| Rest of IllinoisIllinois | — | $130.46 |
| Suburban Chicago, ILIllinois | — | $138.87 |
| KansasKansas | — | $106.85 |
| KentuckyKentucky | — | $115.48 |
| New Orleans, LALouisiana | — | $121.86 |
| Rest of LouisianaLouisiana | — | $116.31 |
| Metropolitan Boston, MAMassachusetts | — | $126.64 |
| Rest of MassachusettsMassachusetts | — | $118.75 |
| Baltimore area, MDMaryland | — | $129.03 |
| Rest of MarylandMaryland | — | $119.81 |
| Rest of MaineMaine | — | $109.92 |
| Southern Maine, MEMaine | — | $112.18 |
| Detroit, MIMichigan | — | $134.68 |
| Rest of MichiganMichigan | — | $120.89 |
| MinnesotaMinnesota | — | $105.90 |
| Metropolitan Kansas City, MOMissouri | — | $118.30 |
| Metropolitan St. Louis, MOMissouri | — | $119.23 |
| Rest of MissouriMissouri | — | $115.99 |
| MississippiMississippi | — | $110.78 |
| MontanaMontana | — | $120.53 |
| North CarolinaNorth Carolina | — | $110.67 |
| North DakotaNorth Dakota | — | $107.48 |
| NebraskaNebraska | — | $104.63 |
| New HampshireNew Hampshire | — | $119.01 |
| Northern New JerseyNew Jersey | — | $131.10 |
| Rest of New JerseyNew Jersey | — | $128.17 |
| New MexicoNew Mexico | — | $122.60 |
| NevadaNevada | — | $116.92 |
| NYC suburbs and Long Island, NYNew York | — | $149.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $131.09 |
| Queens, NYNew York | — | $140.06 |
| Rest of New YorkNew York | — | $112.58 |
| OhioOhio | — | $118.23 |
| OklahomaOklahoma | — | $112.55 |
| Portland, OROregon | — | $119.27 |
| Rest of OregonOregon | — | $113.91 |
| Metropolitan Philadelphia, PAPennsylvania | — | $127.27 |
| Rest of PennsylvaniaPennsylvania | — | $116.98 |
| Puerto RicoPuerto Rico | — | $120.57 |
| Rhode IslandRhode Island | — | $120.48 |
| South CarolinaSouth Carolina | — | $115.06 |
| South DakotaSouth Dakota | — | $105.94 |
| TennesseeTennessee | — | $107.73 |
| Austin, TXTexas | — | $119.89 |
| Beaumont, TXTexas | — | $116.40 |
| Brazoria, TXTexas | — | $116.02 |
| Dallas, TXTexas | — | $117.96 |
| Fort Worth, TXTexas | — | $117.95 |
| Galveston, TXTexas | — | $117.14 |
| Houston, TXTexas | — | $129.22 |
| Rest of TexasTexas | — | $116.96 |
| UtahUtah | — | $116.59 |
| VirginiaVirginia | — | $113.60 |
| Virgin Islands, VIUnited States Virgin Islands | — | $120.57 |
| VermontVermont | — | $109.40 |
| Rest of WashingtonWashington | — | $117.75 |
| King County, WAWashington | — | $126.61 |
| WisconsinWisconsin | — | $104.10 |
| West VirginiaWest Virginia | — | $126.27 |
| WyomingWyoming | — | $114.85 |
59871 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Indiana 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
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.08 | × 1.000 | 2.0800 |
| Practice expense | 0.87 | × 0.927 | 0.8065 |
| Malpractice | 0.66 | × 0.486 | 0.3208 |
| Total RVUs | 3.2073 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$107.13
Facility: (2.08 × 1 + 0.87 × 0.927 + 0.66 × 0.486) × $33.4009 = $107.13
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
How 59871 has changed in Indiana
59871 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $107.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $107.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $107.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $107.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $115.92 | RVU25D |
| 2025-07-01 | Not available in this setting | $115.92 | RVU25C |
| 2025-04-01 | Not available in this setting | $115.92 | RVU25B |
| 2025-01-01 | Not available in this setting | $115.92 | RVU25A |
| 2024-10-01 | Not available in this setting | $119.31 | RVU24D |
| 2024-07-01 | Not available in this setting | $119.31 | RVU24C |
| 2024-04-01 | Not available in this setting | $119.31 | RVU24B |
| 2024-03-09 | Not available in this setting | $119.31 | RVU24AR |
| 2024-01-01 | Not available in this setting | $117.36 | RVU24A |
| 2023-10-01 | Not available in this setting | $119.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $119.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $119.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $119.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $119.81 | RVU22D |
| 2022-07-01 | Not available in this setting | $119.81 | RVU22C |
| 2022-04-01 | Not available in this setting | $119.81 | RVU22B |
| 2022-01-01 | Not available in this setting | $119.81 | RVU22A |
| 2021-10-01 | Not available in this setting | $120.64 | RVU21D |
| 2021-07-01 | Not available in this setting | $120.64 | RVU21C |
| 2021-04-01 | Not available in this setting | $120.64 | RVU21B |
| 2021-01-01 | Not available in this setting | $120.64 | RVU21A |
| 2020-10-01 | Not available in this setting | $123.14 | RVU20D |
| 2020-07-01 | Not available in this setting | $123.14 | RVU20C |
| 2020-04-01 | Not available in this setting | $123.14 | RVU20B |
| 2020-01-01 | Not available in this setting | $123.14 | RVU20A |
| 2019-10-01 | Not available in this setting | $122.56 | RVU19D |
| 2019-07-01 | Not available in this setting | $122.56 | RVU19C |
| 2019-04-01 | Not available in this setting | $122.42 | RVU19B |
| 2019-01-01 | Not available in this setting | $122.42 | RVU19A |
| 2018-10-01 | Not available in this setting | $123.09 | RVU18D |
| 2018-07-01 | Not available in this setting | $123.09 | RVU18C |
| 2018-04-01 | Not available in this setting | $123.09 | RVU18B |
| 2018-01-01 | Not available in this setting | $123.09 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $126.22 | RVU17D |
| 2017-07-01 | Not available in this setting | $126.22 | RVU17C |
| 2017-04-01 | Not available in this setting | $126.22 | RVU17B |
| 2017-01-01 | Not available in this setting | $126.22 | RVU17A |
| 2016-10-01 | Not available in this setting | $127.43 | RVU16D |
| 2016-07-01 | Not available in this setting | $127.43 | RVU16C |
| 2016-04-01 | Not available in this setting | $127.43 | RVU16B |
| 2016-01-01 | Not available in this setting | $127.43 | RVU16A |
| 2015-10-01 | Not available in this setting | $128.45 | RVU15D |
| 2015-07-01 | Not available in this setting | $128.45 | RVU15C |
| 2015-04-01 | Not available in this setting | $127.81 | RVU15B |
| 2015-01-01 | Not available in this setting | $127.81 | RVU15A |
| 2014-10-01 | Not available in this setting | $128.71 | RVU14D |
| 2014-07-01 | Not available in this setting | $128.71 | RVU14C |
| 2014-04-01 | Not available in this setting | $128.71 | RVU14B |
| 2014-01-01 | Not available in this setting | $128.71 | RVU14A |
| 2013-10-01 | Not available in this setting | $126.33 | RVU13D |
| 2013-07-01 | Not available in this setting | $126.33 | RVU13C |
| 2013-04-01 | Not available in this setting | $126.33 | RVU13B |
| 2013-01-01 | Not available in this setting | $126.33 | RVU13AR |
Where the Indiana rate applies
Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Abington
- Adams
- Adams Lake
- Advance
- Akron
- Alamo
- Albany
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
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