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Billing code 59150: Ectopic surgeryMedicare rate & RVUs

Laparoscopic surgery to treat an ectopic pregnancy while preserving the fallopian tube and ovary, reported when operative management is performed through laparoscopy.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $713.11 for 59150 nationally in a facility.

Medicare rate · 59150

Ectopic surgery

Swap in your local Medicare rate.

Work RVUs
11.98
Total RVUs
21.35
Global days
090

National rate · 2026

$713.11

Facility setting, before claim adjustments.

See every locality for 59150 → · 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 59150 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 59150 covers

billing code 59150 represents laparoscopic operative management of an ectopic pregnancy when the fallopian tube and ovary are retained. A gynecologic surgeon, commonly an obstetrician-gynecologist, performs the procedure in an operating room, often for a tubal ectopic pregnancy. It describes surgical treatment, not medication management such as methotrexate alone.

Report this code when the operative documentation supports laparoscopic treatment and confirms that salpingectomy and oophorectomy were not performed; use the related code 59151 when either removal is performed. The 90-day global period includes 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate.

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 59150 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

59150 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$634.36
Alaska*Unavailable$867.60
ArizonaUnavailable$688.91
ArkansasUnavailable$624.86
AtlantaUnavailable$743.05
AustinUnavailable$710.00
BakersfieldUnavailable$688.29
Baltimore/Surr. CntysUnavailable$763.39
BeaumontUnavailable$687.38
BrazoriaUnavailable$686.43

59150 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
59150 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 59150 rate is calculated

Each of 59150’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 · 59150

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 11.98Practice expense 5.53Malpractice 3.84

21.3500 adjusted RVUs×$33.4009 conversion factor=$713.11

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

Payment rules and modifiers for 59150

59150 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59150

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)2Paid.
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 · 59150

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

59150 without 51 · national facility

$713.11

Ectopic surgery

59150-51 · Second procedure: 50%

$356.56

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

59150 compared with similar codes

Compare codes

59150 vs 59151 vs 59121 vs 59120: national Medicare rates

Swap in your local Medicare rate.

  • 59150
    Ectopic surgery · 11.98 wRVU
    —
  • 59151
    Ectopic pregnancy surgery · 11.81 wRVU
    —
  • 59121
    Ectopic surgery · 12.42 wRVU
    —
  • 59120
    Ectopic surgery · 12.35 wRVU
    —

How to choose

59151Ectopic pregnancy surgery
Both are laparoscopic ectopic pregnancy procedures. Choose 59150 when the tube and ovary are retained; choose 59151 when salpingectomy or oophorectomy is performed.
59121Ectopic surgery
This is the nonlaparoscopic counterpart for ectopic pregnancy treatment without salpingectomy or oophorectomy; 59150 identifies laparoscopic treatment.
59120Ectopic surgery
This is nonlaparoscopic treatment with salpingectomy or oophorectomy. Code 59150 is laparoscopic and does not include removal of either organ.

Codes related to 59150

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

Codes related to 59150
CodeHow it relatesNational office range
Same family
59151Ectopic pregnancy surgeryLaparoscopic ectopic pregnancy treatment when salpingectomy or oophorectomy is performed.No office rate
Used instead
59121Ectopic surgeryNonlaparoscopic ectopic pregnancy treatment without salpingectomy or oophorectomy.No office rate
59120Ectopic surgeryNonlaparoscopic ectopic pregnancy treatment with salpingectomy or oophorectomy.No office rate

59150 billing questions

When should 59150 be chosen instead of 59151?

Use 59150 for laparoscopic ectopic pregnancy treatment when neither the fallopian tube nor ovary is removed. Use 59151 when salpingectomy or oophorectomy is performed.

How does 59150 differ from 59121?

Both describe ectopic pregnancy treatment without salpingectomy or oophorectomy, but 59150 is laparoscopic. Code 59121 represents the nonlaparoscopic approach.

Can modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 should not be used.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or another 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.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure 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 59150PPRRVU2026_Oct_nonQPP.csv, line 6,647 (RVU26D)

Open CMS sourceHow we calculate rates

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