No office rate
59120 describes surgery for a tubal or ovarian ectopic pregnancy requiring salpingectomy and/or oophorectomy. Choose 59136 when the implantation is interstitial within the uterine wall.
On this page
CMS RVU26D · Effective 2026-10-01
59136 Ectopic surgery Medicare reimbursement rates
Reports operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube as it passes through the uterine wall. Compare 59136 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 59136?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 59136 pays more and less
Gynecologic surgery
About 59136: Interstitial ectopic pregnancy surgery
Reports operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube as it passes through the uterine wall.
Code 59136 represents operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube, where it traverses the uterine wall. An obstetrician-gynecologist typically performs the procedure in an operating room; treatment may involve removing the ectopic tissue and repairing the uterine wall. The operative report should establish the interstitial uterine site rather than a tubal or ovarian, cervical, or abdominal implantation.
Select this code by implantation site and the procedure performed, not simply because an ectopic pregnancy is present; other sites and laparoscopic treatment have distinct codes. Document operative findings and the treatment completed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 59136
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.89 · 57%
- Practice expense (office) RVU5.84 · 24%
- Malpractice RVU4.46 · 18%
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.
59136 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
59130 is for an abdominal ectopic pregnancy. 59136 is for implantation in the interstitial portion of the tube as it traverses the uterine wall.
No office rate
59150 is laparoscopic treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59136 is selected for the interstitial uterine site.
See how rates vary across the country
59136 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 59136 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $718.93 |
| Alaska* | Office Unavailable | Facility $985.73 |
| Arizona | Office Unavailable | Facility $780.47 |
| Arkansas | Office Unavailable | Facility $708.21 |
| Atlanta | Office Unavailable | Facility $842.42 |
| Austin | Office Unavailable | Facility $803.23 |
| Bakersfield | Office Unavailable | Facility $777.26 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $864.94 |
| Beaumont | Office Unavailable | Facility $779.84 |
| Brazoria | Office Unavailable | Facility $777.15 |
| Chicago | Office Unavailable | Facility $1005.10 |
| Chico | Office Unavailable | Facility $765.46 |
| Colorado | Office Unavailable | Facility $793.39 |
| Connecticut | Office Unavailable | Facility $863.55 |
| Dallas | Office Unavailable | Facility $790.21 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $884.57 |
| Delaware | Office Unavailable | Facility $792.90 |
| Detroit | Office Unavailable | Facility $903.33 |
| East St. Louis | Office Unavailable | Facility $943.42 |
| El Centro | Office Unavailable | Facility $766.20 |
| Fort Lauderdale | Office Unavailable | Facility $930.87 |
| Fort Worth | Office Unavailable | Facility $790.20 |
| Fresno | Office Unavailable | Facility $765.46 |
| Galveston | Office Unavailable | Facility $784.69 |
| Hanford-Corcoran | Office Unavailable | Facility $765.46 |
| Hawaii, Guam | Office Unavailable | Facility $771.98 |
| Houston | Office Unavailable | Facility $866.33 |
| Idaho | Office Unavailable | Facility $713.86 |
| Indiana | Office Unavailable | Facility $717.16 |
| Iowa | Office Unavailable | Facility $701.56 |
| Kansas | Office Unavailable | Facility $715.35 |
| Kentucky | Office Unavailable | Facility $773.65 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $812.63 |
| Madera | Office Unavailable | Facility $765.46 |
| Manhattan | Office Unavailable | Facility $956.56 |
| Merced | Office Unavailable | Facility $765.46 |
| Metropolitan Boston | Office Unavailable | Facility $848.44 |
| Metropolitan Kansas City | Office Unavailable | Facility $792.64 |
| Metropolitan Philadelphia | Office Unavailable | Facility $853.07 |
| Metropolitan St. Louis | Office Unavailable | Facility $798.90 |
| Miami | Office Unavailable | Facility $1043.74 |
| Minnesota | Office Unavailable | Facility $708.75 |
| Mississippi | Office Unavailable | Facility $741.97 |
| Modesto | Office Unavailable | Facility $765.46 |
| Montana** | Office Unavailable | Facility $807.67 |
| Napa | Office Unavailable | Facility $825.93 |
| Nebraska | Office Unavailable | Facility $700.29 |
| Nevada** | Office Unavailable | Facility $783.29 |
| New Hampshire | Office Unavailable | Facility $797.34 |
| New Mexico | Office Unavailable | Facility $821.72 |
| New Orleans | Office Unavailable | Facility $816.72 |
| North Carolina | Office Unavailable | Facility $741.12 |
| North Dakota** | Office Unavailable | Facility $719.48 |
| Northern Nj | Office Unavailable | Facility $878.54 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1002.19 |
| Ohio | Office Unavailable | Facility $792.19 |
| Oklahoma | Office Unavailable | Facility $753.88 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $800.30 |
| Portland | Office Unavailable | Facility $798.91 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $878.66 |
| Puerto Rico | Office Unavailable | Facility $807.88 |
| Queens | Office Unavailable | Facility $939.00 |
| Redding | Office Unavailable | Facility $765.46 |
| Rest Of California | Office Unavailable | Facility $765.46 |
| Rest Of Florida | Office Unavailable | Facility $874.32 |
| Rest Of Georgia | Office Unavailable | Facility $815.50 |
| Rest Of Illinois | Office Unavailable | Facility $874.87 |
| Rest Of Louisiana | Office Unavailable | Facility $779.28 |
| Rest Of Maine | Office Unavailable | Facility $736.05 |
| Rest Of Maryland | Office Unavailable | Facility $802.73 |
| Rest Of Massachusetts | Office Unavailable | Facility $795.49 |
| Rest Of Michigan | Office Unavailable | Facility $810.21 |
| Rest Of Missouri | Office Unavailable | Facility $777.18 |
| Rest Of New Jersey | Office Unavailable | Facility $858.92 |
| Rest Of New York | Office Unavailable | Facility $753.97 |
| Rest Of Oregon | Office Unavailable | Facility $762.94 |
| Rest Of Pennsylvania | Office Unavailable | Facility $783.78 |
| Rest Of Texas | Office Unavailable | Facility $783.57 |
| Rest Of Washington | Office Unavailable | Facility $788.73 |
| Rhode Island | Office Unavailable | Facility $807.13 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $813.15 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $787.34 |
| Salinas | Office Unavailable | Facility $784.24 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $791.89 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $851.43 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $846.36 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $876.10 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $855.39 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $773.85 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $790.53 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $784.22 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $797.24 |
| Seattle (King Cnty) | Office Unavailable | Facility $848.18 |
| South Carolina | Office Unavailable | Facility $770.80 |
| South Dakota** | Office Unavailable | Facility $709.05 |
| Southern Maine | Office Unavailable | Facility $751.24 |
| Stockton | Office Unavailable | Facility $765.46 |
| Suburban Chicago | Office Unavailable | Facility $931.49 |
| Tennessee | Office Unavailable | Facility $721.25 |
| Utah | Office Unavailable | Facility $781.07 |
| Vallejo | Office Unavailable | Facility $818.63 |
| Vermont | Office Unavailable | Facility $732.43 |
| Virgin Islands | Office Unavailable | Facility $807.88 |
| Virginia | Office Unavailable | Facility $760.86 |
| Visalia | Office Unavailable | Facility $765.46 |
| West Virginia | Office Unavailable | Facility $846.62 |
| Wisconsin | Office Unavailable | Facility $696.69 |
| Wyoming** | Office Unavailable | Facility $769.24 |
| Yuba City | Office Unavailable | Facility $765.46 |
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59136 billing questions
What distinguishes 59136 from surgery for a tubal ectopic pregnancy?
Use 59136 when the implantation is interstitial, in the portion of the tube that passes through the uterine wall. Tubal or ovarian ectopic pregnancy surgery is represented by other codes, selected according to the procedure and approach.
What operative documentation supports 59136?
The operative report should identify the interstitial uterine implantation and describe the surgical treatment performed. Documentation should distinguish this site from tubal or ovarian, cervical, and abdominal ectopic pregnancy.
What postoperative care is included in the global period?
The 90-day major-surgery global period includes the day-before preoperative visit and related postoperative care through day 90.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,64259120,,Treat ectopic pregnancy,A,,12.35,5.70,NA,5.70,,3.95,22.00,22.00,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64359121,,Treat ectopic pregnancy,A,,12.42,5.61,NA,5.61,,3.98,22.01,22.01,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64459130,,Treat ectopic pregnancy,A,,14.70,6.10,NA,6.10,,4.72,25.52,25.52,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64559136,,Treat ectopic pregnancy,A,,13.89,5.84,NA,5.84,,4.46,24.19,24.19,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64659140,,Treat ectopic pregnancy,A,,5.79,3.74,NA,3.74,,1.85,11.38,11.38,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64759150,,Treat ectopic pregnancy,A,,11.98,5.53,NA,5.53,,3.84,21.35,21.35,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64859151,,Treat ectopic pregnancy,A,,11.81,5.20,NA,5.20,,3.78,20.79,20.79,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00