No office rate
Both codes describe laparoscopic ectopic-pregnancy treatment. Choose 59151 when the pregnancy is removed; 59150 describes treatment without salpingectomy or oophorectomy.
On this page
CMS RVU26D · Effective 2026-10-01
59151 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$659.20
Base rate per service
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.
Gynecologic surgery
About 59151: Laparoscopic ectopic pregnancy removal
Reports laparoscopic surgical removal of an ectopic pregnancy, including salpingectomy or oophorectomy when performed as part of treatment.
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.
CMS billing rules for 59151
- 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 RVU11.81 · 57%
- Practice expense (office) RVU5.20 · 25%
- Malpractice RVU3.78 · 18%
64
Medicare services in 2024 · #5201 by national volume
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.
59151 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
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.
No office rate
59121 is open treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59151 describes laparoscopic removal.
No office rate
59130 is for surgical treatment of an abdominal pregnancy. 59151 describes laparoscopic removal of an ectopic pregnancy, commonly in a fallopian tube.
The same code, a different location
How does Chico compare?
59151 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Modesto
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Napa
California · 59151
Office
Unavailable
Facility
$712.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 59151
Office
Unavailable
Facility
$689.46
No comparable office rate is available.
Redding
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Rest Of California
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 59151
Office
Unavailable
Facility
$699.62
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 59151
Office
Unavailable
Facility
$678.33
No comparable office rate is available.
Salinas
California · 59151
Office
Unavailable
Facility
$675.67
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 59151
Office
Unavailable
Facility
$682.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 59151
Office
Unavailable
Facility
$734.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 59151
Office
Unavailable
Facility
$730.49
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 59151
Office
Unavailable
Facility
$755.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 59151
Office
Unavailable
Facility
$738.43
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 59151
Office
Unavailable
Facility
$666.67
No comparable office rate is available.
Santa Cruz-Watsonville
California · 59151
Office
Unavailable
Facility
$681.45
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 59151
Office
Unavailable
Facility
$675.70
No comparable office rate is available.
Santa Rosa-Petaluma
California · 59151
Office
Unavailable
Facility
$687.26
No comparable office rate is available.
Stockton
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Vallejo
California · 59151
Office
Unavailable
Facility
$706.18
No comparable office rate is available.
Visalia
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Yuba City
California · 59151
Office
Unavailable
Facility
$659.20
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 59151
Office
Unavailable
Facility
$760.89
No comparable office rate is available.
Miami
Florida · 59151
Office
Unavailable
Facility
$894.57
No comparable office rate is available.
Chicago
Illinois · 59151
Office
Unavailable
Facility
$861.54
No comparable office rate is available.
Manhattan
New York · 59151
Office
Unavailable
Facility
$821.77
No comparable office rate is available.
Alaska*
Alaska · 59151
Office
Unavailable
Facility
$846.24
No comparable office rate is available.
Alabama
Alabama · 59151
Office
Unavailable
Facility
$617.90
No comparable office rate is available.
Arkansas
Arkansas · 59151
Office
Unavailable
Facility
$608.68
No comparable office rate is available.
Arizona
Arizona · 59151
Office
Unavailable
Facility
$670.84
No comparable office rate is available.
Colorado
Colorado · 59151
Office
Unavailable
Facility
$682.60
No comparable office rate is available.
Connecticut
Connecticut · 59151
Office
Unavailable
Facility
$742.18
No comparable office rate is available.
Delaware
Delaware · 59151
Office
Unavailable
Facility
$681.54
No comparable office rate is available.
Fort Lauderdale
Florida · 59151
Office
Unavailable
Facility
$798.68
No comparable office rate is available.
Rest Of Florida
Florida · 59151
Office
Unavailable
Facility
$750.27
No comparable office rate is available.
Atlanta
Georgia · 59151
Office
Unavailable
Facility
$723.74
No comparable office rate is available.
Rest Of Georgia
Georgia · 59151
Office
Unavailable
Facility
$699.89
No comparable office rate is available.
Hawaii, Guam
Hawaii · 59151
Office
Unavailable
Facility
$665.05
No comparable office rate is available.
Iowa
Iowa · 59151
Office
Unavailable
Facility
$603.51
No comparable office rate is available.
Idaho
Idaho · 59151
Office
Unavailable
Facility
$613.97
No comparable office rate is available.
East St. Louis
Illinois · 59151
Office
Unavailable
Facility
$808.53
No comparable office rate is available.
Rest Of Illinois
Illinois · 59151
Office
Unavailable
Facility
$750.38
No comparable office rate is available.
Suburban Chicago
Illinois · 59151
Office
Unavailable
Facility
$799.32
No comparable office rate is available.
Indiana
Indiana · 59151
Office
Unavailable
Facility
$616.83
No comparable office rate is available.
Kansas
Kansas · 59151
Office
Unavailable
Facility
$615.11
No comparable office rate is available.
Kentucky
Kentucky · 59151
Office
Unavailable
Facility
$664.39
No comparable office rate is available.
New Orleans
Louisiana · 59151
Office
Unavailable
Facility
$701.33
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 59151
Office
Unavailable
Facility
$669.13
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 59151
Office
Unavailable
Facility
$730.38
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 59151
Office
Unavailable
Facility
$684.29
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 59151
Office
Unavailable
Facility
$743.32
No comparable office rate is available.
Rest Of Maryland
Maryland · 59151
Office
Unavailable
Facility
$690.08
No comparable office rate is available.
Rest Of Maine
Maine · 59151
Office
Unavailable
Facility
$632.79
No comparable office rate is available.
Southern Maine
Maine · 59151
Office
Unavailable
Facility
$646.25
No comparable office rate is available.
Detroit
Michigan · 59151
Office
Unavailable
Facility
$774.94
No comparable office rate is available.
Rest Of Michigan
Michigan · 59151
Office
Unavailable
Facility
$695.58
No comparable office rate is available.
Minnesota
Minnesota · 59151
Office
Unavailable
Facility
$610.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 59151
Office
Unavailable
Facility
$680.91
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 59151
Office
Unavailable
Facility
$686.32
No comparable office rate is available.
Rest Of Missouri
Missouri · 59151
Office
Unavailable
Facility
$667.15
No comparable office rate is available.
Mississippi
Mississippi · 59151
Office
Unavailable
Facility
$637.31
No comparable office rate is available.
Montana**
Montana · 59151
Office
Unavailable
Facility
$694.15
No comparable office rate is available.
North Carolina
North Carolina · 59151
Office
Unavailable
Facility
$637.19
No comparable office rate is available.
North Dakota**
North Dakota · 59151
Office
Unavailable
Facility
$619.41
No comparable office rate is available.
Nebraska
Nebraska · 59151
Office
Unavailable
Facility
$602.50
No comparable office rate is available.
New Hampshire
New Hampshire · 59151
Office
Unavailable
Facility
$685.74
No comparable office rate is available.
Northern Nj
New Jersey · 59151
Office
Unavailable
Facility
$755.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 59151
Office
Unavailable
Facility
$738.41
No comparable office rate is available.
New Mexico
New Mexico · 59151
Office
Unavailable
Facility
$705.37
No comparable office rate is available.
Nevada**
Nevada · 59151
Office
Unavailable
Facility
$673.49
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 59151
Office
Unavailable
Facility
$860.68
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 59151
Office
Unavailable
Facility
$755.17
No comparable office rate is available.
Queens
New York · 59151
Office
Unavailable
Facility
$807.07
No comparable office rate is available.
Rest Of New York
New York · 59151
Office
Unavailable
Facility
$648.22
No comparable office rate is available.
Ohio
Ohio · 59151
Office
Unavailable
Facility
$680.30
No comparable office rate is available.
Oklahoma
Oklahoma · 59151
Office
Unavailable
Facility
$647.67
No comparable office rate is available.
Portland
Oregon · 59151
Office
Unavailable
Facility
$687.67
No comparable office rate is available.
Rest Of Oregon
Oregon · 59151
Office
Unavailable
Facility
$656.21
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 59151
Office
Unavailable
Facility
$732.99
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 59151
Office
Unavailable
Facility
$673.22
No comparable office rate is available.
Puerto Rico
Puerto Rico · 59151
Office
Unavailable
Facility
$694.42
No comparable office rate is available.
Rhode Island
Rhode Island · 59151
Office
Unavailable
Facility
$694.00
No comparable office rate is available.
South Carolina
South Carolina · 59151
Office
Unavailable
Facility
$662.27
No comparable office rate is available.
South Dakota**
South Dakota · 59151
Office
Unavailable
Facility
$610.57
No comparable office rate is available.
Tennessee
Tennessee · 59151
Office
Unavailable
Facility
$620.14
No comparable office rate is available.
Austin
Texas · 59151
Office
Unavailable
Facility
$690.87
No comparable office rate is available.
Beaumont
Texas · 59151
Office
Unavailable
Facility
$669.81
No comparable office rate is available.
Brazoria
Texas · 59151
Office
Unavailable
Facility
$668.22
No comparable office rate is available.
Dallas
Texas · 59151
Office
Unavailable
Facility
$679.33
No comparable office rate is available.
Fort Worth
Texas · 59151
Office
Unavailable
Facility
$679.24
No comparable office rate is available.
Galveston
Texas · 59151
Office
Unavailable
Facility
$674.63
No comparable office rate is available.
Houston
Texas · 59151
Office
Unavailable
Facility
$743.82
No comparable office rate is available.
Rest Of Texas
Texas · 59151
Office
Unavailable
Facility
$673.30
No comparable office rate is available.
Utah
Utah · 59151
Office
Unavailable
Facility
$671.11
No comparable office rate is available.
Virginia
Virginia · 59151
Office
Unavailable
Facility
$654.33
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 59151
Office
Unavailable
Facility
$694.42
No comparable office rate is available.
Vermont
Vermont · 59151
Office
Unavailable
Facility
$630.30
No comparable office rate is available.
Rest Of Washington
Washington · 59151
Office
Unavailable
Facility
$678.56
No comparable office rate is available.
Seattle (King Cnty)
Washington · 59151
Office
Unavailable
Facility
$730.45
No comparable office rate is available.
Wisconsin
Wisconsin · 59151
Office
Unavailable
Facility
$599.74
No comparable office rate is available.
West Virginia
West Virginia · 59151
Office
Unavailable
Facility
$726.07
No comparable office rate is available.
Wyoming**
Wyoming · 59151
Office
Unavailable
Facility
$661.58
No comparable office rate is available.
See how rates vary across the country
59151 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 59151 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$725.12
$659.20 × 110% = $725.12
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59151 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,648
- Code
- 59151
- Physician work
- 11.81
- Practice expense
- 5.20
- Malpractice
- 3.78
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.81 | × 1.017 | 12.0108 |
| Practice expense | 5.20 | × 1.096 | 5.6992 |
| Malpractice | 3.78 | × 0.536 | 2.0261 |
| Total RVUs | 19.7360 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$659.20
Open 59151 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.81 | 1.017 |
| Practice expense | 5.2 | 1.096 |
| Malpractice | 3.78 | 0.536 |
(11.81 × 1.017 + 5.2 × 1.096 + 3.78 × 0.536) × $33.4009 = $659.20
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
59151 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $659.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $659.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $659.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $659.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $733.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $733.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $733.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $733.44 | RVU25A |
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 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.
6,64559136,,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
6,64959160,,D & c after delivery,A,,2.69,4.33,,1.46,,0.87,7.89,5.02,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65059200,,Insert cervical dilator,A,,1.17,2.37,,0.26,,0.36,3.90,1.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65159300,,Episiotomy or vaginal repair,A,,2.35,3.64,,0.89,,0.76,6.75,4.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536