Billing code 59812: Miscarriage treatmentMedicare rate & RVUs
Reports operative evacuation of retained pregnancy tissue after an incomplete pregnancy loss, rather than treatment of a missed or induced abortion.
Medicare pays $359.39 for 59812 nationally in the office and $279.57 in a hospital or facility. Local office rates run $313.37–$439.81.
Medicare rate · 59812
Miscarriage treatment
- Work RVUs
- 4.33
- Total RVUs
- 10.76
- Global days
- 090
National rate · 2026
$359.39
Office setting, before claim adjustments.
See every locality for 59812 →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
What 59812 covers
This service covers operative evacuation of pregnancy tissue that remains after an incomplete pregnancy loss. An obstetrician-gynecologist typically performs suction aspiration or curettage in a procedural or operating-room setting. The clinical picture may include ongoing bleeding or retained tissue identified during evaluation. This code distinguishes an incomplete loss from a missed abortion, in which the pregnancy has not been expelled.
Report the service when the record supports an incomplete loss and documents the operative evacuation performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. When other 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. A bilateral adjustment is not used for this uterine procedure. CMS does not pay for an assistant at surgery for this code, and co-surgeon and team-surgery reporting 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 59812 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$313.37 to $439.81
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $318.41 | $248.56 |
| Alaska* | $422.15 | $337.13 |
| Arizona | $347.57 | $270.21 |
| Arkansas | $313.37 | $244.80 |
| Atlanta | $371.73 | $290.62 |
| Austin | $364.27 | $279.81 |
| Bakersfield | $360.47 | $272.98 |
| Baltimore/Surr. Cntys | $384.89 | $299.23 |
| Beaumont | $340.93 | $268.29 |
| Brazoria | $348.96 | $269.85 |
| Chicago | $420.51 | $340.28 |
| Chico | $356.84 | $269.35 |
| Colorado | $361.92 | $276.99 |
| Connecticut | $384.91 | $298.93 |
| Dallas | $353.52 | $274.01 |
| Dc + Md/Va Suburbs | $402.46 | $308.42 |
| Delaware | $353.47 | $274.60 |
| Detroit | $384.87 | $307.84 |
| East St. Louis | $392.27 | $318.83 |
| El Centro | $357.07 | $269.58 |
| Fort Lauderdale | $398.56 | $317.70 |
| Fort Worth | $352.43 | $273.72 |
| Fresno | $356.84 | $269.35 |
| Galveston | $351.50 | $272.23 |
| Hanford-Corcoran | $356.84 | $269.35 |
| Hawaii, Guam | $363.28 | $272.52 |
| Houston | $376.57 | $297.30 |
| Idaho | $321.76 | $248.32 |
| Indiana | $323.54 | $249.54 |
| Iowa | $317.44 | $244.39 |
| Kansas | $320.47 | $248.31 |
| Kentucky | $336.74 | $265.78 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $380.88 | $286.44 |
| Madera | $356.84 | $269.35 |
| Manhattan | $422.84 | $330.08 |
| Merced | $356.84 | $269.35 |
| Metropolitan Boston | $393.08 | $297.76 |
| Metropolitan Kansas City | $348.03 | $273.07 |
| Metropolitan Philadelphia | $377.76 | $294.66 |
| Metropolitan St. Louis | $351.37 | $275.38 |
| Miami | $436.29 | $353.19 |
| Minnesota | $332.08 | $249.94 |
| Mississippi | $323.96 | $255.23 |
| Modesto | $356.84 | $269.35 |
| Montana** | $359.30 | $279.47 |
| Napa | $399.74 | $294.52 |
| Nebraska | $317.92 | $244.24 |
| Nevada** | $351.92 | $272.01 |
| New Hampshire | $360.60 | $277.50 |
| New Mexico | $354.56 | $281.36 |
| New Orleans | $355.65 | $280.53 |
| North Carolina | $331.55 | $257.07 |
| North Dakota** | $332.21 | $252.38 |
| Northern Nj | $398.66 | $306.06 |
| Nyc Suburbs/Long Island | $439.81 | $344.89 |
| Ohio | $345.06 | $272.17 |
| Oklahoma | $331.11 | $259.82 |
| Oxnard-Thousand Oaks-Ventura | $376.95 | $282.59 |
| Portland | $368.75 | $280.06 |
| Poughkpsie/N Nyc Suburbs | $391.57 | $304.16 |
| Puerto Rico | $360.57 | $279.86 |
| Queens | $419.63 | $325.28 |
| Redding | $356.84 | $269.35 |
| Rest Of California | $356.84 | $269.35 |
| Rest Of Florida | $374.97 | $298.66 |
| Rest Of Georgia | $349.93 | $278.72 |
| Rest Of Illinois | $370.45 | $297.57 |
| Rest Of Louisiana | $338.04 | $267.39 |
| Rest Of Maine | $328.58 | $255.13 |
| Rest Of Maryland | $359.12 | $278.33 |
| Rest Of Massachusetts | $361.38 | $277.32 |
| Rest Of Michigan | $350.59 | $277.71 |
| Rest Of Missouri | $334.88 | $266.07 |
| Rest Of New Jersey | $385.17 | $297.99 |
| Rest Of New York | $337.35 | $261.52 |
| Rest Of Oregon | $345.13 | $265.62 |
| Rest Of Pennsylvania | $343.02 | $269.74 |
| Rest Of Texas | $346.34 | $270.58 |
| Rest Of Washington | $359.29 | $275.24 |
| Rhode Island | $362.78 | $280.31 |
| Riverside-San Bernardino-Ontario | $371.50 | $284.00 |
| Sacramento-Roseville-Folsom | $370.92 | $278.08 |
| Salinas | $369.52 | $277.00 |
| San Diego-Chula Vista-Carlsbad | $375.90 | $280.43 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $417.67 | $305.11 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $416.12 | $303.56 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $428.77 | $313.66 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $422.41 | $307.30 |
| San Luis Obispo-Paso Robles | $364.11 | $273.19 |
| Santa Cruz-Watsonville | $377.54 | $280.54 |
| Santa Maria-Santa Barbara | $370.27 | $277.19 |
| Santa Rosa-Petaluma | $381.03 | $283.01 |
| Seattle (King Cnty) | $396.62 | $298.67 |
| South Carolina | $339.69 | $265.92 |
| South Dakota** | $329.01 | $249.18 |
| Southern Maine | $340.99 | $261.88 |
| Stockton | $356.84 | $269.35 |
| Suburban Chicago | $400.30 | $318.31 |
| Tennessee | $322.83 | $250.26 |
| Utah | $344.59 | $269.55 |
| Vallejo | $397.49 | $292.28 |
| Vermont | $335.10 | $256.07 |
| Virgin Islands | $360.57 | $279.86 |
| Virginia | $343.07 | $264.60 |
| Visalia | $356.84 | $269.35 |
| West Virginia | $356.98 | $287.61 |
| Wisconsin | $320.63 | $244.15 |
| Wyoming** | $347.50 | $267.67 |
| Yuba City | $356.84 | $269.35 |
59812 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$313.37
$422.15
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $422.15 | 1 |
| AL | $318.41 | 1 |
| AR | $313.37 | 1 |
| AZ | $347.57 | 1 |
| CA | $356.84–$428.77 | 29 |
| CO | $361.92 | 1 |
| CT | $384.91 | 1 |
| DC | $402.46 | 1 |
| DE | $353.47 | 1 |
| FL | $374.97–$436.29 | 3 |
| GA | $349.93–$371.73 | 2 |
| GU | $363.28 | 1 |
| HI | $363.28 | 1 |
| IA | $317.44 | 1 |
| ID | $321.76 | 1 |
| IL | $370.45–$420.51 | 4 |
| IN | $323.54 | 1 |
| KS | $320.47 | 1 |
| KY | $336.74 | 1 |
| LA | $338.04–$355.65 | 2 |
| MA | $361.38–$393.08 | 2 |
| MD | $359.12–$402.46 | 3 |
| ME | $328.58–$340.99 | 2 |
| MI | $350.59–$384.87 | 2 |
| MN | $332.08 | 1 |
| MO | $334.88–$351.37 | 3 |
| MS | $323.96 | 1 |
| MT | $359.30 | 1 |
| NC | $331.55 | 1 |
| ND | $332.21 | 1 |
| NE | $317.92 | 1 |
| NH | $360.60 | 1 |
| NJ | $385.17–$398.66 | 2 |
| NM | $354.56 | 1 |
| NV | $351.92 | 1 |
| NY | $337.35–$439.81 | 5 |
| OH | $345.06 | 1 |
| OK | $331.11 | 1 |
| OR | $345.13–$368.75 | 2 |
| PA | $343.02–$377.76 | 2 |
| PR | $360.57 | 1 |
| RI | $362.78 | 1 |
| SC | $339.69 | 1 |
| SD | $329.01 | 1 |
| TN | $322.83 | 1 |
| TX | $340.93–$376.57 | 8 |
| UT | $344.59 | 1 |
| VA | $343.07–$402.46 | 2 |
| VI | $360.57 | 1 |
| VT | $335.10 | 1 |
| WA | $359.29–$396.62 | 2 |
| WI | $320.63 | 1 |
| WV | $356.98 | 1 |
| WY | $347.50 | 1 |
How the 59812 rate is calculated
Each of 59812’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 · 59812
RVUs × geographic indexes × conversion factor
Work4.33
4.33 RVUs× 1.000 GPCI
Practice expense5.06
5.06 RVUs× 1.000 GPCI
Malpractice1.37
1.37 RVUs× 1.000 GPCI
Adjusted RVUs
10.7600
Conversion factor
$33.4009
Medicare rate
$359.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59812
59812 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59812
Miscarriage treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.17/0.60/0.23 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 59812
Miscarriage treatment
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59812 without 51 · national office
$359.39
Miscarriage treatment
59812-51 · Second procedure: 50%
$179.70
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%).
59812 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59820Miscarriage care
- 59820 is for surgical treatment of a missed abortion in the first trimester. This code is for evacuation after an incomplete loss.
- 59821Miscarriage treatment
- 59821 is for surgical treatment of a missed abortion in the second trimester. Choose this code when the loss is incomplete rather than missed.
- 59830Septic abortion care
- 59830 addresses surgical treatment of a septic abortion. This code describes operative treatment of an incomplete loss without specifying septic abortion.
- 59840Induced abortion d&c
- 59840 is for induced abortion by dilation and curettage. This code applies to an incomplete pregnancy loss, not an elective induced abortion.
59812 billing questions
How is this different from treatment of a missed abortion?
Use this code for operative evacuation after an incomplete loss, when pregnancy tissue has been partly expelled or remains. Codes 59820 and 59821 describe surgical treatment of a missed abortion.
What documentation supports reporting this code?
The record should establish an incomplete pregnancy loss and describe the operative evacuation, such as suction aspiration or curettage. Include the clinical findings and the procedure performed.
Are related postoperative visits separately reported?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The code's global period applies to care related to the operation.
Can modifier 50 be used?
No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate for this uterine procedure.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Assistant-at-surgery services are not paid for this code; co-surgeons and team surgery are 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
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