FeeBase
Log inGet started
Menu

Billing code 59130: Ectopic surgeryMedicare rate & RVUs

Reports operative treatment of an ectopic pregnancy implanted in the abdominal cavity, rather than in a fallopian tube, ovary, or cervix.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $852.39 for 59130 nationally in a facility.

Medicare rate · 59130

Ectopic surgery

Swap in your local Medicare rate.

Work RVUs
14.7
Total RVUs
25.52
Global days
090

National rate · 2026

$852.39

Facility setting, before claim adjustments.

See every locality for 59130 → · 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 59130 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 59130 covers

This code represents surgery to treat an ectopic pregnancy implanted in the abdominal cavity. An obstetrician-gynecologist typically performs the operation in a hospital or other surgical facility; the operative findings may require attention to the implantation site and nearby abdominal or pelvic structures. The code is distinguished by the pregnancy’s abdominal location, not simply by the fact that surgery was performed for an ectopic pregnancy.

Select the code when the operative report identifies an abdominal pregnancy and documents the surgical treatment. Distinguish it from codes for tubal or ovarian, interstitial, cervical, and laparoscopically treated ectopic pregnancies. Medicare 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery 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.

Where 59130 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

59130 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$758.50
Alaska*Unavailable$1,040.35
ArizonaUnavailable$823.37
ArkansasUnavailable$747.20
AtlantaUnavailable$888.81
AustinUnavailable$847.22
BakersfieldUnavailable$819.64
Baltimore/Surr. CntysUnavailable$912.48
BeaumontUnavailable$822.86
BrazoriaUnavailable$819.80

59130 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
59130 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 59130 rate is calculated

Each of 59130’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 · 59130

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 14.70Practice expense 6.10Malpractice 4.72

25.5200 adjusted RVUs×$33.4009 conversion factor=$852.39

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

Payment rules and modifiers for 59130

59130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59130

Ectopic surgery

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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 · 59130

Ectopic surgery

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

59130 without 51 · national facility

$852.39

Ectopic surgery

59130-51 · Second procedure: 50%

$426.20

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%).

When to use modifier 51

59130 compared with similar codes

Compare codes

59130 vs 59120 vs 59121 vs 59136 vs 59140: national Medicare rates

Swap in your local Medicare rate.

  • 59130
    Ectopic surgery · 14.7 wRVU
    —
  • 59120
    Ectopic surgery · 12.35 wRVU
    —
  • 59121
    Ectopic surgery · 12.42 wRVU
    —
  • 59136
    Ectopic surgery · 13.89 wRVU
    —
  • 59140
    Ectopic pregnancy surgery · 5.79 wRVU
    —

How to choose

59120Ectopic surgery
This code is for abdominal implantation. Code 59120 addresses tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.
59121Ectopic surgery
This code is for abdominal implantation. Code 59121 addresses tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.
59136Ectopic surgery
Use this code for abdominal implantation; code 59136 identifies an interstitial ectopic pregnancy.
59140Ectopic pregnancy surgery
Use this code for abdominal implantation; code 59140 identifies treatment of a cervical ectopic pregnancy.

Codes related to 59130

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

Codes related to 59130
CodeHow it relatesNational office range
Same family
59120Ectopic surgerySurgical treatment for tubal or ovarian ectopic pregnancy with salpingectomy and/or oophorectomy.No office rate
59121Ectopic surgerySurgical treatment for tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy.No office rate
59136Ectopic surgerySurgical treatment for interstitial ectopic pregnancy.No office rate
59140Ectopic pregnancy surgeryTreatment for cervical ectopic pregnancy.No office rate
59150Ectopic surgeryLaparoscopic treatment of tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy.No office rate
59151Ectopic pregnancy surgeryLaparoscopic treatment of tubal or ovarian ectopic pregnancy with salpingectomy and/or oophorectomy.No office rate

59130 billing questions

How is this code distinguished from codes for tubal ectopic pregnancy?

Use this code when the pregnancy is implanted in the abdominal cavity. Tubal or ovarian implantation belongs to the corresponding tubal or ovarian treatment code, based on the procedure performed.

Does this code describe laparoscopic treatment?

It identifies treatment of an abdominal pregnancy, not a laparoscopic approach. The laparoscopic ectopic-pregnancy codes describe tubal or ovarian treatment.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code.

When is an assistant at surgery payable?

CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

What postoperative care is included?

The 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 handled?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% 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
RVUs for 59130PPRRVU2026_Oct_nonQPP.csv, line 6,644 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 59130 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 59130 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →