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Billing code 59151: Ectopic pregnancy surgeryMedicare rate & RVUs

Reports laparoscopic surgical removal of an ectopic pregnancy, including salpingectomy or oophorectomy when performed as part of treatment.

CMS RVU26DEffective Oct 1, 2026109 payment localities64 Medicare services in 2024

Medicare pays $694.40 for 59151 nationally in a facility.

Medicare rate · 59151

Ectopic pregnancy surgery

Work RVUs
11.81
Total RVUs
20.79
Global days
090

National rate · 2026

$694.40

Facility setting, before claim adjustments.

See every locality for 59151 →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 59151 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 59151 covers

A gynecologic surgeon uses a laparoscope to remove an ectopic pregnancy, commonly one located in a fallopian tube. The operation may include removal of the affected tube or ovary when needed to complete treatment. This code identifies laparoscopic removal, rather than laparoscopic treatment that preserves the affected structure. These procedures are typically performed in an operating room, often in a facility setting.

Report the code when the operative documentation supports a laparoscopic approach and removal of the ectopic pregnancy. The report should identify the pregnancy site, the procedure performed, and any salpingectomy or oophorectomy. CMS 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 multiple-procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeon and team-surgery payment are not permitted. Bilateral adjustment is inappropriate for this code.

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 59151 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

59151 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$617.90
Alaska*Unavailable$846.24
ArizonaUnavailable$670.84
ArkansasUnavailable$608.68
AtlantaUnavailable$723.74
AustinUnavailable$690.87
BakersfieldUnavailable$669.21
Baltimore/Surr. CntysUnavailable$743.32
BeaumontUnavailable$669.81
BrazoriaUnavailable$668.22

59151 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
59151 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 59151 rate is calculated

Each of 59151’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 · 59151

RVUs × geographic indexes × conversion factor

Work11.81

11.81 RVUs× 1.000 GPCI

Practice expense5.20

5.20 RVUs× 1.000 GPCI

Malpractice3.78

3.78 RVUs× 1.000 GPCI

Adjusted RVUs

20.7900

Conversion factor

$33.4009

Medicare rate

$694.40

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 59151

59151 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 59151

Ectopic pregnancy 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 · 59151

Ectopic pregnancy 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned 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

59151 without 51 · national facility

$694.40

Ectopic pregnancy surgery

59151-51 · Second procedure: 50%

$347.20

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

59151 compared with similar codes

Compare codes · National

5 codes, side by side

  • 59151

    Ectopic pregnancy surgery11.81 wRVU

    Not priced

  • 59150

    Ectopic surgery11.98 wRVU

    Not priced

  • 59120

    Ectopic surgery12.35 wRVU

    Not priced

  • 59121

    Ectopic surgery12.42 wRVU

    Not priced

  • 59130

    Ectopic surgery14.7 wRVU

    Not priced

How to choose

59150Ectopic surgery
Both codes describe laparoscopic ectopic-pregnancy treatment. Choose 59151 when the pregnancy is removed; 59150 describes treatment without salpingectomy or oophorectomy.
59120Ectopic surgery
59120 describes open surgical treatment of tubal or ovarian ectopic pregnancy requiring removal of the tube or ovary. Use 59151 when removal is performed laparoscopically.
59121Ectopic surgery
59121 is open treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59151 describes laparoscopic removal.
59130Ectopic surgery
59130 is for surgical treatment of an abdominal pregnancy. 59151 describes laparoscopic removal of an ectopic pregnancy, commonly in a fallopian tube.

Codes related to 59151

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

Codes related to 59151
CodeHow it relatesNational office range
Same family
59150Ectopic surgeryLaparoscopic treatment of ectopic pregnancy without removal of the affected tube or ovary.No office rate
Used instead
59120Ectopic surgeryOpen surgical treatment of tubal or ovarian ectopic pregnancy requiring salpingectomy or oophorectomy.No office rate
59121Ectopic surgeryOpen surgical treatment of tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy.No office rate
59130Ectopic surgerySurgical treatment for abdominal pregnancy, rather than laparoscopic removal of a tubal ectopic pregnancy.No office rate

59151 billing questions

How does 59151 differ from 59150?

59151 is for laparoscopic removal of the ectopic pregnancy, including salpingectomy or oophorectomy when performed. Use 59150 for laparoscopic treatment without removal of the affected tube or ovary.

Can salpingectomy be reported separately with 59151?

Salpingectomy or oophorectomy performed as part of removing the ectopic pregnancy is included in 59151. The operative report should document the procedure and anatomy treated.

What global period applies?

CMS assigns a 90-day global period. It includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for bilateral treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy makes modifier 50 unsuitable.

May an assistant surgeon be paid?

Assistant-at-surgery payment may be allowed for 59151. CMS does not permit co-surgeon or team-surgery payment for this code.

How are other procedures in the same session paid?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction when performed in the same session.

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 59151PPRRVU2026_Oct_nonQPP.csv, line 6,648 (RVU26D)

Open CMS sourceHow we calculate rates

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