Use 59870 for evacuation of a hydatidiform mole. Use 59812 for surgical treatment of an incomplete miscarriage.
On this page
CMS RVU26D · Effective 2026-10-01
59870 Molar evacuation Medicare reimbursement rates in Colorado
Reports surgical evacuation of a hydatidiform mole from the uterus, a procedure typically performed by an obstetrician-gynecologist. Compare 59870 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 59870 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
$483.02
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 59870: Uterine evacuation for molar pregnancy
Reports surgical evacuation of a hydatidiform mole from the uterus, a procedure typically performed by an obstetrician-gynecologist.
This code describes surgical evacuation of a hydatidiform mole, an abnormal pregnancy involving trophoblastic tissue. An obstetrician-gynecologist typically performs the procedure in a hospital or other surgical setting, often using suction curettage to empty the uterus. The operative record should identify the molar pregnancy and document the evacuation performed; pathology findings may support the diagnosis.
Choose this code for evacuation of a molar pregnancy, not for uterine evacuation due to miscarriage or an induced abortion. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is not appropriate for this single-uterus procedure. Assistant-at-surgery payment may be made; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 59870
- 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 RVU6.41 · 44%
- Practice expense (office) RVU5.99 · 41%
- Malpractice RVU2.05 · 14%
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.
59870 compared with similar codes
Office rates for Colorado, from the same CMS release.
59820 describes surgical management of a missed abortion; 59870 is selected when the pregnancy involves a hydatidiform mole.
Induced abortion d&c
59840 describes induced abortion by dilation and curettage. It is not the code for evacuating molar tissue.
Induced abortion dilat&evac
59841 describes induced abortion by dilation and evacuation, while 59870 identifies evacuation for a molar pregnancy.
Compare 59870 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
$483.02
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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 59870 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
6,686
- Code
- 59870
- Physician work
- 6.41
- Practice expense
- 5.99
- Malpractice
- 2.05
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.41 | × 1.012 | 6.4869 |
| Practice expense | 5.99 | × 1.064 | 6.3734 |
| Malpractice | 2.05 | × 0.781 | 1.6010 |
| Total RVUs | 14.4613 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$483.02
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.41 | 1.012 |
| Practice expense | 5.99 | 1.064 |
| Malpractice | 2.05 | 0.781 |
(6.41 × 1.012 + 5.99 × 1.064 + 2.05 × 0.781) × $33.4009 = $483.02
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.
59870 billing questions
When should this code be chosen instead of a miscarriage evacuation code?
Use 59870 when the procedure evacuates a diagnosed hydatidiform mole. Codes such as 59812, 59820, or 59821 describe surgical management of pregnancy loss, not molar pregnancy.
Can a separate curettage code be reported for the same evacuation?
Do not report another evacuation code solely because suction or curettage was used as the method for removing the molar tissue.
What documentation supports reporting 59870?
Document the molar-pregnancy diagnosis and the operative details showing that the uterus was surgically evacuated. Pathology may support the diagnosis.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon be reported?
CMS permits assistant-at-surgery payment for this code. Co-surgeon and team-surgery payment are not permitted.
Should modifier 50 be appended?
No. The procedure concerns evacuation of a single uterus, and modifier 50 is inappropriate.
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.
