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Billing code 59100: Uterine evacuationMedicare rate & RVUs

Reports abdominal access to the uterus to remove pregnancy-related contents, including in selected cases involving hydatidiform mole or abortion.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $770.56 for 59100 nationally in a facility.

Medicare rate · 59100

Uterine evacuation

Swap in your local Medicare rate.

Work RVUs
13.04
Total RVUs
23.07
Global days
090

National rate · 2026

$770.56

Facility setting, before claim adjustments.

See every locality for 59100 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 59100 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59100 covers

This service involves opening the uterus through an abdominal incision to remove pregnancy-related contents. An obstetrician-gynecologist typically performs it in an operating room when abdominal uterine access is the selected approach, including certain cases involving hydatidiform mole or abortion. It is distinct from a cesarean birth and from uterine surgery to remove fibroids.

Report the service when the operative record supports abdominal hysterotomy and removal of the indicated contents. Documentation should identify the clinical indication, abdominal approach, and work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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 59100 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59100 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$685.54
Alaska*Unavailable$938.35
ArizonaUnavailable$744.40
ArkansasUnavailable$675.29
AtlantaUnavailable$803.05
AustinUnavailable$766.85
BakersfieldUnavailable$743.00
Baltimore/Surr. CntysUnavailable$824.88
BeaumontUnavailable$743.06
BrazoriaUnavailable$741.57

59100 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.

View every state and territory as a table
59100 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

How the 59100 rate is calculated

Each of 59100’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 · 59100

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.04Practice expense 5.85Malpractice 4.18

23.0700 adjusted RVUs×$33.4009 conversion factor=$770.56

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 59100

59100 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59100

Uterine evacuation

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.17/0.60/0.23Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 59100

Uterine evacuation

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59100 without 51 · national facility

$770.56

Uterine evacuation

59100-51 · Second procedure: 50%

$385.28

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

59100 compared with similar codes

Compare codes

59100 vs 59840 vs 59841 vs 59812 vs 58140: national Medicare rates

Swap in your local Medicare rate.

  • 59100
    Uterine evacuation · 13.04 wRVU
    —
  • 59840
    · 2.93 wRVU
    —
  • 59841
    · 5.51 wRVU
    —
  • 59812
    Miscarriage treatment · 4.33 wRVU
    $359.39
  • 58140
    Myomectomy · 15.4 wRVU
    —

How to choose

59840Induced abortion d&c
Use 59840 for induced abortion performed by vaginal dilation and curettage. Use 59100 when the documented procedure requires abdominal access to the uterus.
59841Induced abortion dilat&evac
59841 describes induced abortion by vaginal dilation and evacuation. It does not represent abdominal hysterotomy.
59812Miscarriage treatment
59812 is for surgical treatment of incomplete abortion by a different approach; 59100 describes abdominal uterine access.
58140Myomectomy
58140 is a myomectomy code for excision of uterine fibroids. Do not select 59100 for fibroid removal.

Codes related to 59100

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 59100
CodeHow it relatesNational office range
Used instead
59840Induced abortion d&cInduced abortion by vaginal dilation and curettage rather than abdominal uterine access.No office rate
59841Induced abortion dilat&evacInduced abortion by vaginal dilation and evacuation rather than abdominal hysterotomy.No office rate
59812Miscarriage treatmentSurgical treatment of incomplete abortion by a different approach.$313.37–$439.81
59820Miscarriage careSurgical treatment of missed abortion in the first trimester by a different approach.$375.69–$526.86
59821Miscarriage treatmentSurgical treatment of missed abortion in the second trimester by a different approach.$372.34–$523.10
59160Uterine curettagePostpartum uterine curettage for a distinct postpartum indication and approach.$229.05–$323.86

59100 billing questions

How is this different from a D&C or D&E abortion service?

This code represents abdominal access through the uterus. D&C or D&E codes describe a vaginal approach, so select based on the documented procedure performed.

Can this code be used for removal of uterine fibroids?

No. This code concerns abdominal hysterotomy for pregnancy-related contents; fibroid removal is reported with an appropriate myomectomy code.

Does the code include related postoperative care?

Yes. Its 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?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure 50% reduction.

May an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

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 59100PPRRVU2026_Oct_nonQPP.csv, line 6,641 (RVU26D)

Open CMS sourceHow we calculate rates

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