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CMS RVU26D · Effective 2026-10-01

59820 in Redding

Office / nonfacility

$432.46

Base rate per service

Facility setting

$344.60

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

About 59820: Surgical evacuation of missed pregnancy

Reports surgical evacuation for a missed abortion in the first trimester, such as uterine suction or curettage performed by an obstetrician-gynecologist.

This code describes surgical evacuation when a pregnancy has ended but pregnancy tissue remains in the uterus, as in a missed abortion. An obstetrician-gynecologist typically performs the procedure, often using suction and curettage in a hospital or ambulatory surgical setting. The clinical record should establish the missed-abortion diagnosis and document the uterine evacuation performed; this is not the code for an induced abortion or for an incomplete abortion with tissue already passing.

Select this code for a first-trimester missed abortion; the second-trimester counterpart is 59821. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If another procedure subject to the standard multiple-procedure rule is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this uterine procedure. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 59820

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
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 RVU4.72 · 37%
  • Practice expense (office) RVU6.70 · 52%
  • Malpractice RVU1.50 · 12%

236

Medicare services in 2024 · #4182 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.

59820 compared with similar codes

Office rates for Redding, from the same CMS release.

59812

Miscarriage treatment

Incomplete, surgical completion

$356.84

59820 is for a missed abortion with pregnancy tissue remaining after the pregnancy has ended. 59812 is for an incomplete abortion.

59821

Miscarriage treatment

Second trimester

$425.75

Both concern surgical treatment of a missed abortion; 59821 is the second-trimester code, while 59820 is for the first trimester.

59840

Induced abortion d&c

No office rate

59840 describes a surgically induced abortion. Use 59820 when the procedure treats a pregnancy loss diagnosed as a missed abortion.

59870

Molar evacuation

Hydatidiform mole

No office rate

59870 is for evacuation of a molar pregnancy. 59820 is used for a missed abortion without that molar-pregnancy circumstance.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 59820 is $436.43—$3.97 higher than the $432.46 rate in Redding. Both use the same code, release and participation basis.

59820 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $432.46

  2. Bakersfield

    $436.43

    $3.97 higher than Redding

  3. Chico

    $432.46

    The same base rate than Redding

  4. El Centro

    $432.71

    $0.25 higher than Redding

  5. Fresno

    $432.46

    The same base rate than Redding

  6. Hanford-Corcoran

    $432.46

    The same base rate than Redding

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

    $462.12

    $29.66 higher than Redding

Other payment areas listed in California 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, 59820 ranges from $375.69 in Arkansas to $526.86 in Nyc Suburbs/Long Island. 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

  • Madera

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Merced

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Modesto

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Napa

    California · 59820

    Office

    $487.99

    Facility

    $382.33

    $55.53 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 59820

    Office

    $457.79

    Facility

    $363.04

    $25.33 higher than Redding for the office setting.

  • Rest Of California

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 59820

    Office

    $448.50

    Facility

    $360.64

    $16.04 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 59820

    Office

    $450.45

    Facility

    $357.22

    $17.99 higher than Redding for the office setting.

  • Salinas

    California · 59820

    Office

    $448.76

    Facility

    $355.85

    $16.30 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 59820

    Office

    $457.18

    Facility

    $361.31

    $24.72 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 59820

    Office

    $511.16

    Facility

    $398.14

    $78.70 higher than Redding for the office setting.

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

    California · 59820

    Office

    $509.46

    Facility

    $396.43

    $77.00 higher than Redding for the office setting.

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

    California · 59820

    Office

    $524.55

    Facility

    $408.95

    $92.09 higher than Redding for the office setting.

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

    California · 59820

    Office

    $517.58

    Facility

    $401.99

    $85.12 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 59820

    Office

    $442.08

    Facility

    $350.77

    $9.62 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 59820

    Office

    $459.72

    Facility

    $362.32

    $27.26 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 59820

    Office

    $449.86

    Facility

    $356.39

    $17.40 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 59820

    Office

    $464.05

    Facility

    $365.61

    $31.59 higher than Redding for the office setting.

  • Stockton

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 59820

    Office

    $485.53

    Facility

    $379.88

    $53.07 higher than Redding for the office setting.

  • Visalia

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 59820

    Office

    $432.46

    Facility

    $344.60

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 59820

    Office

    $485.55

    Facility

    $391.12

    $53.09 higher than Redding for the office setting.

  • Miami

    Florida · 59820

    Office

    $517.32

    Facility

    $433.87

    $84.86 higher than Redding for the office setting.

  • Chicago

    Illinois · 59820

    Office

    $498.64

    Facility

    $418.08

    $66.18 higher than Redding for the office setting.

  • Manhattan

    New York · 59820

    Office

    $507.24

    Facility

    $414.09

    $74.78 higher than Redding for the office setting.

  • Alaska*

    Alaska · 59820

    Office

    $502.42

    Facility

    $417.04

    $69.96 higher than Redding for the office setting.

  • Alabama

    Alabama · 59820

    Office

    $381.82

    Facility

    $311.68

    $50.64 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 59820

    Office

    $375.69

    Facility

    $306.83

    $56.77 lower than Redding for the office setting.

  • Arizona

    Arizona · 59820

    Office

    $417.39

    Facility

    $339.71

    $15.07 lower than Redding for the office setting.

  • Colorado

    Colorado · 59820

    Office

    $436.78

    Facility

    $351.49

    $4.32 higher than Redding for the office setting.

  • Connecticut

    Connecticut · 59820

    Office

    $462.45

    Facility

    $376.11

    $29.99 higher than Redding for the office setting.

  • Delaware

    Delaware · 59820

    Office

    $424.58

    Facility

    $345.38

    $7.88 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 59820

    Office

    $474.93

    Facility

    $393.73

    $42.47 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 59820

    Office

    $446.89

    Facility

    $370.26

    $14.43 higher than Redding for the office setting.

  • Atlanta

    Georgia · 59820

    Office

    $445.66

    Facility

    $364.22

    $13.20 higher than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 59820

    Office

    $416.99

    Facility

    $345.49

    $15.47 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 59820

    Office

    $441.11

    Facility

    $349.96

    $8.65 higher than Redding for the office setting.

  • Iowa

    Iowa · 59820

    Office

    $382.31

    Facility

    $308.96

    $50.15 lower than Redding for the office setting.

  • Idaho

    Idaho · 59820

    Office

    $387.23

    Facility

    $313.48

    $45.23 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 59820

    Office

    $464.44

    Facility

    $390.69

    $31.98 higher than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 59820

    Office

    $440.28

    Facility

    $367.09

    $7.82 higher than Redding for the office setting.

  • Suburban Chicago

    Illinois · 59820

    Office

    $477.36

    Facility

    $395.04

    $44.90 higher than Redding for the office setting.

  • Indiana

    Indiana · 59820

    Office

    $389.45

    Facility

    $315.14

    $43.01 lower than Redding for the office setting.

  • Kansas

    Kansas · 59820

    Office

    $385.21

    Facility

    $312.74

    $47.25 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 59820

    Office

    $402.44

    Facility

    $331.18

    $30.02 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 59820

    Office

    $425.15

    Facility

    $349.72

    $7.31 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 59820

    Office

    $403.70

    Facility

    $332.76

    $28.76 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 59820

    Office

    $475.91

    Facility

    $380.19

    $43.45 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 59820

    Office

    $435.75

    Facility

    $351.34

    $3.29 higher than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 59820

    Office

    $462.27

    Facility

    $376.26

    $29.81 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 59820

    Office

    $431.69

    Facility

    $350.57

    $0.77 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 59820

    Office

    $394.70

    Facility

    $320.95

    $37.76 lower than Redding for the office setting.

  • Southern Maine

    Maine · 59820

    Office

    $411.04

    Facility

    $331.60

    $21.42 lower than Redding for the office setting.

  • Detroit

    Michigan · 59820

    Office

    $458.08

    Facility

    $380.72

    $25.62 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 59820

    Office

    $418.53

    Facility

    $345.35

    $13.93 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 59820

    Office

    $402.76

    Facility

    $320.27

    $29.70 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 59820

    Office

    $416.74

    Facility

    $341.46

    $15.72 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 59820

    Office

    $420.90

    Facility

    $344.58

    $11.56 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 59820

    Office

    $399.35

    Facility

    $330.25

    $33.11 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 59820

    Office

    $387.36

    Facility

    $318.34

    $45.10 lower than Redding for the office setting.

  • Montana**

    Montana · 59820

    Office

    $431.44

    Facility

    $351.28

    $1.02 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 59820

    Office

    $398.46

    Facility

    $323.67

    $34.00 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 59820

    Office

    $401.78

    Facility

    $321.62

    $30.68 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 59820

    Office

    $383.15

    Facility

    $309.16

    $49.31 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 59820

    Office

    $434.45

    Facility

    $351.00

    $1.99 higher than Redding for the office setting.

  • Northern Nj

    New Jersey · 59820

    Office

    $480.68

    Facility

    $387.70

    $48.22 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 59820

    Office

    $463.29

    Facility

    $375.76

    $30.83 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 59820

    Office

    $423.04

    Facility

    $349.53

    $9.42 lower than Redding for the office setting.

  • Nevada**

    Nevada · 59820

    Office

    $423.40

    Facility

    $343.15

    $9.06 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 59820

    Office

    $526.86

    Facility

    $431.55

    $94.40 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 59820

    Office

    $470.41

    Facility

    $382.64

    $37.95 higher than Redding for the office setting.

  • Queens

    New York · 59820

    Office

    $504.50

    Facility

    $409.75

    $72.04 higher than Redding for the office setting.

  • Rest Of New York

    New York · 59820

    Office

    $405.47

    Facility

    $329.32

    $26.99 lower than Redding for the office setting.

  • Ohio

    Ohio · 59820

    Office

    $412.47

    Facility

    $339.28

    $19.99 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 59820

    Office

    $396.42

    Facility

    $324.84

    $36.04 lower than Redding for the office setting.

  • Portland

    Oregon · 59820

    Office

    $446.08

    Facility

    $357.02

    $13.62 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 59820

    Office

    $415.76

    Facility

    $335.92

    $16.70 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 59820

    Office

    $453.22

    Facility

    $369.77

    $20.76 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 59820

    Office

    $410.43

    Facility

    $336.84

    $22.03 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 59820

    Office

    $433.25

    Facility

    $352.21

    $0.79 higher than Redding for the office setting.

  • Rhode Island

    Rhode Island · 59820

    Office

    $436.51

    Facility

    $353.70

    $4.05 higher than Redding for the office setting.

  • South Carolina

    South Carolina · 59820

    Office

    $407.02

    Facility

    $332.95

    $25.44 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 59820

    Office

    $398.27

    Facility

    $318.11

    $34.19 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 59820

    Office

    $387.98

    Facility

    $315.11

    $44.48 lower than Redding for the office setting.

  • Austin

    Texas · 59820

    Office

    $439.12

    Facility

    $354.31

    $6.66 higher than Redding for the office setting.

  • Beaumont

    Texas · 59820

    Office

    $407.84

    Facility

    $334.89

    $24.62 lower than Redding for the office setting.

  • Brazoria

    Texas · 59820

    Office

    $419.76

    Facility

    $340.32

    $12.70 lower than Redding for the office setting.

  • Dallas

    Texas · 59820

    Office

    $424.95

    Facility

    $345.11

    $7.51 lower than Redding for the office setting.

  • Fort Worth

    Texas · 59820

    Office

    $423.36

    Facility

    $344.32

    $9.10 lower than Redding for the office setting.

  • Galveston

    Texas · 59820

    Office

    $422.62

    Facility

    $343.02

    $9.84 lower than Redding for the office setting.

  • Houston

    Texas · 59820

    Office

    $450.07

    Facility

    $370.47

    $17.61 higher than Redding for the office setting.

  • Rest Of Texas

    Texas · 59820

    Office

    $415.27

    Facility

    $339.19

    $17.19 lower than Redding for the office setting.

  • Utah

    Utah · 59820

    Office

    $413.00

    Facility

    $337.65

    $19.46 lower than Redding for the office setting.

  • Virginia

    Virginia · 59820

    Office

    $413.01

    Facility

    $334.21

    $19.45 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 59820

    Office

    $433.25

    Facility

    $352.21

    $0.79 higher than Redding for the office setting.

  • Vermont

    Vermont · 59820

    Office

    $404.55

    Facility

    $325.19

    $27.91 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 59820

    Office

    $433.48

    Facility

    $349.06

    $1.02 higher than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 59820

    Office

    $481.05

    Facility

    $382.69

    $48.59 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 59820

    Office

    $387.47

    Facility

    $310.68

    $44.99 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 59820

    Office

    $423.82

    Facility

    $354.16

    $8.64 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 59820

    Office

    $418.51

    Facility

    $338.35

    $13.95 lower than Redding for the office setting.

See how rates vary across the country

59820 · 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.

$375.69

$502.42

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$502.421
AL$381.821
AR$375.691
AZ$417.391
CA$432.46–$524.5529
CO$436.781
CT$462.451
DC$485.551
DE$424.581
FL$446.89–$517.323
GA$416.99–$445.662
GU$441.111
HI$441.111
IA$382.311
ID$387.231
IL$440.28–$498.644
IN$389.451
KS$385.211
KY$402.441
LA$403.70–$425.152
MA$435.75–$475.912
MD$431.69–$485.553
ME$394.70–$411.042
MI$418.53–$458.082
MN$402.761
MO$399.35–$420.903
MS$387.361
MT$431.441
NC$398.461
ND$401.781
NE$383.151
NH$434.451
NJ$463.29–$480.682
NM$423.041
NV$423.401
NY$405.47–$526.865
OH$412.471
OK$396.421
OR$415.76–$446.082
PA$410.43–$453.222
PR$433.251
RI$436.511
SC$407.021
SD$398.271
TN$387.981
TX$407.84–$450.078
UT$413.001
VA$413.01–$485.552
VI$433.251
VT$404.551
WA$433.48–$481.052
WI$387.471
WV$423.821
WY$418.511

Explore 59820 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 59820 in Redding, the physician’s office rate is $432.46 and the facility-setting rate is $344.60: a difference of $87.86.

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 59820 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$475.71

$432.46 × 110% = $475.71

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 59820 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,674

Code
59820
Physician work
4.72
Practice expense
6.70
Malpractice
1.50

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 59820 in Redding
ComponentRVULocality factorAdjusted
Physician work4.72× 1.0174.8002
Practice expense6.70× 1.0967.3432
Malpractice1.50× 0.5360.8040
Total RVUs12.9474
Conversion factor× 33.4009

Office / nonfacility rate, Redding$432.46

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 59820 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.721.017
Practice expense6.71.096
Malpractice1.50.536

(4.72 × 1.017 + 6.7 × 1.096 + 1.5 × 0.536) × $33.4009 = $432.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.721.017
Practice expense4.31.096
Malpractice1.50.536

(4.72 × 1.017 + 4.3 × 1.096 + 1.5 × 0.536) × $33.4009 = $344.60

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

59820 · Office / nonfacility

$432.46

Effective 2026-10-01

The base rate is $1.72 higher than on 2025-10-01, moving from $430.74 to $432.46 (0.4%).

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

    $430.74changed to$432.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.84 changed to 4.72
    • Practice expense RVU 6.94 changed to 6.70
    • Malpractice RVU 1.47 changed to 1.50
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $430.74

    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$432.46$344.60RVU26D
2026-07-01$432.46$344.60RVU26C
2026-04-01$432.46$344.60RVU26B
2026-01-01$432.46$344.60RVU26A
2025-10-01$430.74$377.00RVU25D
2025-07-01$430.74$377.00RVU25C
2025-04-01$430.74$377.00RVU25B
2025-01-01$430.74$377.00RVU25A

59820 billing questions

How does this differ from 59812?

Use 59820 for surgical evacuation of a missed abortion, where the pregnancy has ended but tissue remains. Code 59812 describes treatment of an incomplete abortion.

When should 59821 be used instead?

59821 is the corresponding code for a missed abortion in the second trimester. The documented pregnancy stage supports the choice between the two.

Is the preoperative visit or routine follow-up separately reported?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can modifier 50 be appended?

No. This is a uterine procedure rather than a bilateral service, so modifier 50 is inappropriate.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.

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 59820PPRRVU2026_Oct_nonQPP.csv, line 6,674 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet