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CMS RVU26D · Effective 2026-10-01

59200 in Delaware

Office / nonfacility

$128.29

Base rate per service

Facility setting

$58.66

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.

Obstetrics and gynecology

About 59200: Cervical dilator placement

Reports placement of a cervical dilator, commonly for cervical preparation before uterine evacuation or another procedure requiring cervical access.

An obstetrician-gynecologist or other qualified clinician places a cervical dilator, such as an osmotic dilator, through the cervix to encourage gradual opening. This is commonly part of cervical preparation before a uterine evacuation, including a dilation and evacuation. The service may occur in an office or facility, sometimes before the definitive procedure. The code represents placement, not the evacuation or other procedure that follows.

Report the service when documentation identifies the dilator placement and its clinical purpose. Because this is designated a separate procedure, placement integral to a more comprehensive procedure is not separately reported; a distinct service may be reported when supported. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery, co-surgeons, or team surgery for this service.

CMS billing rules for 59200

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.17 · 30%
  • Practice expense (office) RVU2.37 · 61%
  • Malpractice RVU0.36 · 9%

172

Medicare services in 2024 · #4464 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.

59200 compared with similar codes

Office rates for Delaware, from the same CMS release.

57800

Cervical dilation

Cervical canal

$73.27

Use 59200 for placement of a cervical dilator for preparation. Use 57800 when the clinician directly dilates the cervical canal with instruments.

59840

Induced abortion d&c

No office rate

Code 59840 represents the induced abortion procedure by dilation and curettage. Code 59200 represents cervical dilator placement, not the evacuation.

59841

Induced abortion dilat&evac

No office rate

Code 59841 represents the induced abortion procedure by dilation and evacuation. Code 59200 represents cervical preparation through dilator placement and is not a substitute for the evacuation code.

The same code, a different location

How does Delaware compare?

59200 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $128.29

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $142.31

    $14.02 higher than Delaware

  3. Dc + Md/Va Suburbs

    $147.82

    $19.53 higher than Delaware

  4. Miami

    $151.89

    $23.60 higher than Delaware

  5. Chicago

    $146.50

    $18.21 higher than Delaware

  6. Manhattan

    $152.63

    $24.34 higher than Delaware

  7. Alaska*

    $149.55

    $21.26 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 59200 ranges from $113.27 in Arkansas to $163.97 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Alabama

    Alabama · 59200

    Office

    $115.15

    Facility

    $53.48

    $13.14 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 59200

    Office

    $113.27

    Facility

    $52.73

    $15.02 lower than Delaware for the office setting.

  • Arizona

    Arizona · 59200

    Office

    $126.08

    Facility

    $57.79

    $2.21 lower than Delaware for the office setting.

  • Bakersfield

    California · 59200

    Office

    $133.90

    Facility

    $56.66

    $5.61 higher than Delaware for the office setting.

  • Chico

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • El Centro

    California · 59200

    Office

    $133.01

    Facility

    $55.77

    $4.72 higher than Delaware for the office setting.

  • Fresno

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Madera

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Merced

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Modesto

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Napa

    California · 59200

    Office

    $151.98

    Facility

    $59.10

    $23.69 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 59200

    Office

    $141.23

    Facility

    $57.93

    $12.94 higher than Delaware for the office setting.

  • Redding

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Rest Of California

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 59200

    Office

    $136.80

    Facility

    $59.56

    $8.51 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 59200

    Office

    $138.99

    Facility

    $57.03

    $10.70 higher than Delaware for the office setting.

  • Salinas

    California · 59200

    Office

    $138.48

    Facility

    $56.80

    $10.19 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 59200

    Office

    $141.44

    Facility

    $57.15

    $13.15 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 59200

    Office

    $159.93

    Facility

    $60.56

    $31.64 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 59200

    Office

    $159.52

    Facility

    $60.15

    $31.23 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 59200

    Office

    $163.97

    Facility

    $62.35

    $35.68 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 59200

    Office

    $162.30

    Facility

    $60.67

    $34.01 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 59200

    Office

    $136.35

    Facility

    $56.08

    $8.06 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 59200

    Office

    $142.52

    Facility

    $56.90

    $14.23 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 59200

    Office

    $138.92

    Facility

    $56.74

    $10.63 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 59200

    Office

    $143.91

    Facility

    $57.36

    $15.62 higher than Delaware for the office setting.

  • Stockton

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Vallejo

    California · 59200

    Office

    $151.39

    Facility

    $58.51

    $23.10 higher than Delaware for the office setting.

  • Visalia

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Yuba City

    California · 59200

    Office

    $132.95

    Facility

    $55.71

    $4.66 higher than Delaware for the office setting.

  • Colorado

    Colorado · 59200

    Office

    $133.17

    Facility

    $58.18

    $4.88 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 59200

    Office

    $139.67

    Facility

    $63.76

    $11.38 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 59200

    Office

    $141.01

    Facility

    $69.62

    $12.72 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 59200

    Office

    $132.83

    Facility

    $65.45

    $4.54 higher than Delaware for the office setting.

  • Atlanta

    Georgia · 59200

    Office

    $134.06

    Facility

    $62.46

    $5.77 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 59200

    Office

    $124.02

    Facility

    $61.16

    $4.27 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 59200

    Office

    $136.05

    Facility

    $55.92

    $7.76 higher than Delaware for the office setting.

  • Iowa

    Iowa · 59200

    Office

    $116.28

    Facility

    $51.80

    $12.01 lower than Delaware for the office setting.

  • Idaho

    Idaho · 59200

    Office

    $117.59

    Facility

    $52.76

    $10.70 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 59200

    Office

    $136.12

    Facility

    $71.29

    $7.83 higher than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 59200

    Office

    $130.15

    Facility

    $65.80

    $1.86 higher than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 59200

    Office

    $141.96

    Facility

    $69.58

    $13.67 higher than Delaware for the office setting.

  • Indiana

    Indiana · 59200

    Office

    $118.30

    Facility

    $52.97

    $9.99 lower than Delaware for the office setting.

  • Kansas

    Kansas · 59200

    Office

    $116.70

    Facility

    $52.99

    $11.59 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 59200

    Office

    $120.45

    Facility

    $57.80

    $7.84 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 59200

    Office

    $127.23

    Facility

    $60.91

    $1.06 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 59200

    Office

    $120.66

    Facility

    $58.28

    $7.63 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 59200

    Office

    $145.90

    Facility

    $61.75

    $17.61 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 59200

    Office

    $132.64

    Facility

    $58.43

    $4.35 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 59200

    Office

    $139.52

    Facility

    $63.90

    $11.23 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 59200

    Office

    $130.62

    Facility

    $59.30

    $2.33 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 59200

    Office

    $119.39

    Facility

    $54.55

    $8.90 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 59200

    Office

    $125.11

    Facility

    $55.27

    $3.18 lower than Delaware for the office setting.

  • Detroit

    Michigan · 59200

    Office

    $135.74

    Facility

    $67.73

    $7.45 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 59200

    Office

    $124.93

    Facility

    $60.58

    $3.36 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 59200

    Office

    $124.09

    Facility

    $51.57

    $4.20 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 59200

    Office

    $125.16

    Facility

    $58.98

    $3.13 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 59200

    Office

    $126.49

    Facility

    $59.39

    $1.80 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 59200

    Office

    $119.03

    Facility

    $58.28

    $9.26 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 59200

    Office

    $116.12

    Facility

    $55.44

    $12.17 lower than Delaware for the office setting.

  • Montana**

    Montana · 59200

    Office

    $130.24

    Facility

    $59.76

    $1.95 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 59200

    Office

    $120.62

    Facility

    $54.86

    $7.67 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 59200

    Office

    $123.12

    Facility

    $52.65

    $5.17 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 59200

    Office

    $116.69

    Facility

    $51.64

    $11.60 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 59200

    Office

    $132.01

    Facility

    $58.64

    $3.72 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 59200

    Office

    $146.21

    Facility

    $64.46

    $17.92 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 59200

    Office

    $140.28

    Facility

    $63.32

    $11.99 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 59200

    Office

    $126.11

    Facility

    $61.48

    $2.18 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 59200

    Office

    $128.33

    Facility

    $57.79

    $0.04 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 59200

    Office

    $158.03

    Facility

    $74.23

    $29.74 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 59200

    Office

    $142.07

    Facility

    $64.90

    $13.78 higher than Delaware for the office setting.

  • Queens

    New York · 59200

    Office

    $152.49

    Facility

    $69.18

    $24.20 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 59200

    Office

    $122.73

    Facility

    $55.78

    $5.56 lower than Delaware for the office setting.

  • Ohio

    Ohio · 59200

    Office

    $123.47

    Facility

    $59.13

    $4.82 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 59200

    Office

    $119.11

    Facility

    $56.18

    $9.18 lower than Delaware for the office setting.

  • Portland

    Oregon · 59200

    Office

    $136.60

    Facility

    $58.30

    $8.31 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 59200

    Office

    $126.38

    Facility

    $56.18

    $1.91 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 59200

    Office

    $136.53

    Facility

    $63.17

    $8.24 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 59200

    Office

    $123.11

    Facility

    $58.41

    $5.18 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 59200

    Office

    $130.95

    Facility

    $59.70

    $2.66 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 59200

    Office

    $132.32

    Facility

    $59.52

    $4.03 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 59200

    Office

    $122.44

    Facility

    $57.32

    $5.85 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 59200

    Office

    $122.28

    Facility

    $51.80

    $6.01 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 59200

    Office

    $117.49

    Facility

    $53.43

    $10.80 lower than Delaware for the office setting.

  • Austin

    Texas · 59200

    Office

    $133.56

    Facility

    $59.00

    $5.27 higher than Delaware for the office setting.

  • Beaumont

    Texas · 59200

    Office

    $122.29

    Facility

    $58.15

    $6.00 lower than Delaware for the office setting.

  • Brazoria

    Texas · 59200

    Office

    $127.22

    Facility

    $57.38

    $1.07 lower than Delaware for the office setting.

  • Dallas

    Texas · 59200

    Office

    $128.59

    Facility

    $58.40

    $0.30 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 59200

    Office

    $127.96

    Facility

    $58.47

    $0.33 lower than Delaware for the office setting.

  • Galveston

    Texas · 59200

    Office

    $127.95

    Facility

    $57.97

    $0.34 lower than Delaware for the office setting.

  • Houston

    Texas · 59200

    Office

    $134.54

    Facility

    $64.56

    $6.25 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 59200

    Office

    $125.06

    Facility

    $58.18

    $3.23 lower than Delaware for the office setting.

  • Utah

    Utah · 59200

    Office

    $124.29

    Facility

    $58.04

    $4.00 lower than Delaware for the office setting.

  • Virginia

    Virginia · 59200

    Office

    $125.38

    Facility

    $56.10

    $2.91 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 59200

    Office

    $130.95

    Facility

    $59.70

    $2.66 higher than Delaware for the office setting.

  • Vermont

    Vermont · 59200

    Office

    $123.53

    Facility

    $53.76

    $4.76 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 59200

    Office

    $132.09

    Facility

    $57.88

    $3.80 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 59200

    Office

    $147.99

    Facility

    $61.51

    $19.70 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 59200

    Office

    $118.62

    Facility

    $51.10

    $9.67 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 59200

    Office

    $125.08

    Facility

    $63.83

    $3.21 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 59200

    Office

    $127.14

    Facility

    $56.66

    $1.15 lower than Delaware for the office setting.

See how rates vary across the country

59200 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$113.27

$149.55

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$149.551
AL$115.151
AR$113.271
AZ$126.081
CA$132.95–$163.9729
CO$133.171
CT$139.671
DC$147.821
DE$128.291
FL$132.83–$151.893
GA$124.02–$134.062
GU$136.051
HI$136.051
IA$116.281
ID$117.591
IL$130.15–$146.504
IN$118.301
KS$116.701
KY$120.451
LA$120.66–$127.232
MA$132.64–$145.902
MD$130.62–$147.823
ME$119.39–$125.112
MI$124.93–$135.742
MN$124.091
MO$119.03–$126.493
MS$116.121
MT$130.241
NC$120.621
ND$123.121
NE$116.691
NH$132.011
NJ$140.28–$146.212
NM$126.111
NV$128.331
NY$122.73–$158.035
OH$123.471
OK$119.111
OR$126.38–$136.602
PA$123.11–$136.532
PR$130.951
RI$132.321
SC$122.441
SD$122.281
TN$117.491
TX$122.29–$134.548
UT$124.291
VA$125.38–$147.822
VI$130.951
VT$123.531
WA$132.09–$147.992
WI$118.621
WV$125.081
WY$127.141

Explore 59200 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 59200 in Delaware, the physician’s office rate is $128.29 and the facility-setting rate is $58.66: a difference of $69.63.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 59200 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$141.12

$128.29 × 110% = $141.12

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.

Compare your contract offer →

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 59200 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

6,650

Code
59200
Physician work
1.17
Practice expense
2.37
Malpractice
0.36

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 59200 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0051.1758
Practice expense2.37× 0.9882.3416
Malpractice0.36× 0.8990.3236
Total RVUs3.8411
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$128.29

Open 59200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.171.005
Practice expense2.370.988
Malpractice0.360.899

(1.17 × 1.005 + 2.37 × 0.988 + 0.36 × 0.899) × $33.4009 = $128.29

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.171.005
Practice expense0.260.988
Malpractice0.360.899

(1.17 × 1.005 + 0.26 × 0.988 + 0.36 × 0.899) × $33.4009 = $58.66

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

59200 · Office / nonfacility

$128.29

Effective 2026-10-01

The base rate is $0.41 higher than on 2025-10-01, moving from $127.88 to $128.29 (0.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $127.88changed to$128.29

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 2.43 changed to 2.37
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $127.88

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$128.29$58.66RVU26D
2026-07-01$128.29$58.66RVU26C
2026-04-01$128.29$58.66RVU26B
2026-01-01$128.29$58.66RVU26A
2025-10-01$127.88$64.99RVU25D
2025-07-01$127.88$64.99RVU25C
2025-04-01$127.88$64.99RVU25B
2025-01-01$127.88$64.99RVU25A

59200 billing questions

How is this different from instrumental cervical dilation?

This code describes placing a dilator for cervical preparation. Code 57800 describes instrumental dilation of the cervical canal, generally a direct dilation service rather than placement of a dilator for gradual preparation.

Can it be reported with a uterine evacuation?

It may be part of the same treatment episode, but the separate-procedure designation means placement integral to the evacuation is not separately reported. Documentation should establish a distinct service when separate reporting is appropriate.

Does the code include the evacuation that follows?

No. It reports dilator placement, not the subsequent procedure, such as an induced abortion by dilation and evacuation.

Is modifier 50 appropriate?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What is included in the 0-day global period?

Same-day preoperative and postoperative care is included. The global period does not extend beyond the day of the procedure.

How does CMS handle payment 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. CMS does not pay an assistant at surgery, co-surgeons, or team surgery for this service.

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.

RVUs for 59200PPRRVU2026_Oct_nonQPP.csv, line 6,650 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet