$361.92
59812 is for surgical treatment of an incomplete abortion. Use 59830 when infection complicates the abortion and is the reason for surgical treatment.
On this page
CMS RVU26D · Effective 2026-10-01
59830 Septic abortion care Medicare reimbursement rates in Colorado
Report this procedure when a septic abortion requires surgical completion, including evacuation of uterine contents to treat the infected pregnancy loss. Compare 59830 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 59830 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$415.37
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Obstetrics and gynecology
About 59830: Surgical treatment of septic abortion
Report this procedure when a septic abortion requires surgical completion, including evacuation of uterine contents to treat the infected pregnancy loss.
This code describes surgical treatment of an abortion complicated by infection, with evacuation of uterine contents to complete treatment. An obstetrician-gynecologist typically performs the procedure in a hospital or other acute-care facility when the patient needs operative management of the infected pregnancy loss. The clinical record should establish the infection and its relationship to the abortion, the reason surgical treatment was needed, and the procedure performed.
Select this code for septic abortion treatment, rather than routine surgical completion of a nonseptic incomplete or missed abortion. The major-surgery global period includes 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 50% reduction. An assistant at surgery is payable only when medical necessity is documented; co-surgeon and team-surgery billing are not permitted for this code.
CMS billing rules for 59830
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.43 · 51%
- Practice expense (office) RVU4.06 · 32%
- Malpractice RVU2.06 · 16%
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.
59830 compared with similar codes
Office rates for Colorado, from the same CMS release.
$436.78
59820 describes surgical management of a missed abortion. It is not the septic-abortion treatment code.
59840
No office rateInduced abortion d&c
59840 describes an induced abortion by dilation and curettage. Code 59830 instead addresses surgical treatment of an abortion complicated by infection.
59841
No office rateInduced abortion dilat&evac
59841 describes induced abortion by dilation and evacuation, not treatment of a septic abortion.
Compare 59830 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$415.37
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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 59830 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,676
- Code
- 59830
- Physician work
- 6.43
- Practice expense
- 4.06
- Malpractice
- 2.06
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.43 | × 1.012 | 6.5072 |
| Practice expense | 4.06 | × 1.064 | 4.3198 |
| Malpractice | 2.06 | × 0.781 | 1.6089 |
| Total RVUs | 12.4359 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$415.37
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.43 | 1.012 |
| Practice expense | 4.06 | 1.064 |
| Malpractice | 2.06 | 0.781 |
(6.43 × 1.012 + 4.06 × 1.064 + 2.06 × 0.781) × $33.4009 = $415.37
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.
59830 billing questions
How is this different from surgical treatment of an incomplete abortion?
Use this code when infection complicates the abortion and surgical treatment is performed. Code 59812 describes surgical treatment of an incomplete abortion without that septic-abortion indication.
What documentation supports reporting this code?
Document the infection associated with the abortion, the clinical reason for surgical treatment, and the operative steps used to complete treatment.
Are related postoperative visits separately included?
The 90-day global period includes related postoperative care for 90 days and the preoperative visit on the day before surgery.
How is this code paid when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Can an assistant or another surgeon bill with this procedure?
An assistant at surgery is payable only with documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
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.
6,67359812,,Treatment of miscarriage,A,,4.33,5.06,,2.67,,1.37,10.76,8.37,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67459820,,Care of miscarriage,A,,4.72,6.70,,4.30,,1.50,12.92,10.52,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67559821,,Treatment of miscarriage,A,,4.96,6.25,,3.75,,1.59,12.80,10.30,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67659830,,Treat uterus infection,A,,6.43,4.06,NA,4.06,,2.06,12.55,12.55,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67759840,,Induced abortion d&c,R,,2.93,3.46,,2.17,,0.93,7.32,6.03,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67859841,,Induced abortion dilat&evac,R,,5.51,5.42,,2.80,,1.76,12.69,10.07,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67959850,,Induced abortion 1+ njx,R,,5.75,3.03,NA,3.03,,1.84,10.62,10.62,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899