Billing code 59840Medicare rate & RVUs
Compare 59840 physician payment amounts across CMS localities, including office and facility settings.
Medicare pays $244.49 for 59840 nationally in the office and $201.41 in a hospital or facility. Local office rates run $213.13–$299.22.
Medicare rate · 59840
Code 59840
- Work RVUs
- 2.93
- Total RVUs
- 7.32
- Global days
- 010
National rate · 2026
$244.49
Office setting, before claim adjustments.
See every locality for 59840 →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 6 sections
Where 59840 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
$213.13 to $299.22
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $216.57 | $178.87 |
| Alaska* | $286.99 | $241.10 |
| Arizona | $236.44 | $194.69 |
| Arkansas | $213.13 | $176.12 |
| Atlanta | $252.88 | $209.10 |
| Austin | $247.85 | $202.27 |
| Bakersfield | $245.30 | $198.08 |
| Baltimore/Surr. Cntys | $261.86 | $215.63 |
| Beaumont | $231.89 | $192.68 |
| Brazoria | $237.40 | $194.70 |
| Chicago | $285.98 | $242.68 |
| Chico | $242.84 | $195.62 |
| Colorado | $246.26 | $200.42 |
| Connecticut | $261.87 | $215.47 |
| Dallas | $240.50 | $197.59 |
| Dc + Md/Va Suburbs | $273.86 | $223.10 |
| Delaware | $240.46 | $197.89 |
| Detroit | $261.76 | $220.18 |
| East St. Louis | $266.75 | $227.11 |
| El Centro | $242.99 | $195.77 |
| Fort Lauderdale | $271.10 | $227.45 |
| Fort Worth | $239.75 | $197.27 |
| Fresno | $242.84 | $195.62 |
| Galveston | $239.13 | $196.34 |
| Hanford-Corcoran | $242.84 | $195.62 |
| Hawaii, Guam | $247.25 | $198.26 |
| Houston | $256.15 | $213.36 |
| Idaho | $218.88 | $179.24 |
| Indiana | $220.09 | $180.15 |
| Iowa | $215.94 | $176.52 |
| Kansas | $217.99 | $179.04 |
| Kentucky | $229.03 | $190.72 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $259.22 | $208.25 |
| Madera | $242.84 | $195.62 |
| Manhattan | $287.68 | $237.62 |
| Merced | $242.84 | $195.62 |
| Metropolitan Boston | $267.51 | $216.06 |
| Metropolitan Kansas City | $236.73 | $196.27 |
| Metropolitan Philadelphia | $256.99 | $212.14 |
| Metropolitan St. Louis | $239.01 | $197.99 |
| Miami | $296.73 | $251.87 |
| Minnesota | $225.98 | $181.64 |
| Mississippi | $220.32 | $183.23 |
| Modesto | $242.84 | $195.62 |
| Montana** | $244.43 | $201.35 |
| Napa | $272.13 | $215.34 |
| Nebraska | $216.27 | $176.51 |
| Nevada** | $239.42 | $196.29 |
| New Hampshire | $245.35 | $200.50 |
| New Mexico | $241.15 | $201.64 |
| New Orleans | $241.90 | $201.36 |
| North Carolina | $225.54 | $185.34 |
| North Dakota** | $226.04 | $182.96 |
| Northern Nj | $271.26 | $221.28 |
| Nyc Suburbs/Long Island | $299.22 | $247.99 |
| Ohio | $234.69 | $195.35 |
| Oklahoma | $225.20 | $186.73 |
| Oxnard-Thousand Oaks-Ventura | $256.56 | $205.63 |
| Portland | $250.94 | $203.07 |
| Poughkpsie/N Nyc Suburbs | $266.40 | $219.22 |
| Puerto Rico | $245.30 | $201.74 |
| Queens | $285.52 | $234.59 |
| Redding | $242.84 | $195.62 |
| Rest Of California | $242.84 | $195.62 |
| Rest Of Florida | $255.03 | $213.84 |
| Rest Of Georgia | $237.98 | $199.54 |
| Rest Of Illinois | $251.93 | $212.59 |
| Rest Of Louisiana | $229.90 | $191.77 |
| Rest Of Maine | $223.51 | $183.87 |
| Rest Of Maryland | $244.31 | $200.71 |
| Rest Of Massachusetts | $245.88 | $200.51 |
| Rest Of Michigan | $238.45 | $199.11 |
| Rest Of Missouri | $227.74 | $190.60 |
| Rest Of New Jersey | $262.05 | $215.00 |
| Rest Of New York | $229.49 | $188.56 |
| Rest Of Oregon | $234.81 | $191.89 |
| Rest Of Pennsylvania | $233.31 | $193.76 |
| Rest Of Texas | $235.59 | $194.70 |
| Rest Of Washington | $244.47 | $199.10 |
| Rhode Island | $246.81 | $202.30 |
| Riverside-San Bernardino-Ontario | $252.78 | $205.56 |
| Sacramento-Roseville-Folsom | $252.44 | $202.33 |
| Salinas | $251.49 | $201.55 |
| San Diego-Chula Vista-Carlsbad | $255.85 | $204.32 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $284.37 | $223.62 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $283.31 | $222.56 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $291.93 | $229.80 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $287.61 | $225.48 |
| San Luis Obispo-Paso Robles | $247.81 | $198.73 |
| Santa Cruz-Watsonville | $256.98 | $204.63 |
| Santa Maria-Santa Barbara | $252.01 | $201.77 |
| Santa Rosa-Petaluma | $259.37 | $206.46 |
| Seattle (King Cnty) | $269.94 | $217.07 |
| South Carolina | $231.05 | $191.24 |
| South Dakota** | $223.87 | $180.78 |
| Southern Maine | $231.99 | $189.29 |
| Stockton | $242.84 | $195.62 |
| Suburban Chicago | $272.28 | $228.03 |
| Tennessee | $219.60 | $180.43 |
| Utah | $234.39 | $193.89 |
| Vallejo | $270.61 | $213.82 |
| Vermont | $227.99 | $185.34 |
| Virgin Islands | $245.30 | $201.74 |
| Virginia | $233.40 | $191.04 |
| Visalia | $242.84 | $195.62 |
| West Virginia | $242.74 | $205.30 |
| Wisconsin | $218.15 | $176.87 |
| Wyoming** | $236.42 | $193.33 |
| Yuba City | $242.84 | $195.62 |
59840 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.
$213.13
$286.99
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 | $286.99 | 1 |
| AL | $216.57 | 1 |
| AR | $213.13 | 1 |
| AZ | $236.44 | 1 |
| CA | $242.84–$291.93 | 29 |
| CO | $246.26 | 1 |
| CT | $261.87 | 1 |
| DC | $273.86 | 1 |
| DE | $240.46 | 1 |
| FL | $255.03–$296.73 | 3 |
| GA | $237.98–$252.88 | 2 |
| GU | $247.25 | 1 |
| HI | $247.25 | 1 |
| IA | $215.94 | 1 |
| ID | $218.88 | 1 |
| IL | $251.93–$285.98 | 4 |
| IN | $220.09 | 1 |
| KS | $217.99 | 1 |
| KY | $229.03 | 1 |
| LA | $229.90–$241.90 | 2 |
| MA | $245.88–$267.51 | 2 |
| MD | $244.31–$273.86 | 3 |
| ME | $223.51–$231.99 | 2 |
| MI | $238.45–$261.76 | 2 |
| MN | $225.98 | 1 |
| MO | $227.74–$239.01 | 3 |
| MS | $220.32 | 1 |
| MT | $244.43 | 1 |
| NC | $225.54 | 1 |
| ND | $226.04 | 1 |
| NE | $216.27 | 1 |
| NH | $245.35 | 1 |
| NJ | $262.05–$271.26 | 2 |
| NM | $241.15 | 1 |
| NV | $239.42 | 1 |
| NY | $229.49–$299.22 | 5 |
| OH | $234.69 | 1 |
| OK | $225.20 | 1 |
| OR | $234.81–$250.94 | 2 |
| PA | $233.31–$256.99 | 2 |
| PR | $245.30 | 1 |
| RI | $246.81 | 1 |
| SC | $231.05 | 1 |
| SD | $223.87 | 1 |
| TN | $219.60 | 1 |
| TX | $231.89–$256.15 | 8 |
| UT | $234.39 | 1 |
| VA | $233.40–$273.86 | 2 |
| VI | $245.30 | 1 |
| VT | $227.99 | 1 |
| WA | $244.47–$269.94 | 2 |
| WI | $218.15 | 1 |
| WV | $242.74 | 1 |
| WY | $236.42 | 1 |
How the 59840 rate is calculated
Each of 59840’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 · 59840
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense3.46
3.46 RVUs× 1.000 GPCI
Malpractice0.93
0.93 RVUs× 1.000 GPCI
Adjusted RVUs
7.3200
Conversion factor
$33.4009
Medicare rate
$244.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59840
59840 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59840
Code 59840
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 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) | 0 | Not paid without supporting documentation. |
| 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) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 59840
Code 59840
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59840 without 51 · national office
$244.49
59840-51 · Second procedure: 50%
$122.25
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%).
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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