$73.27
Use 59200 for placement of a cervical dilator for preparation. Use 57800 when the clinician directly dilates the cervical canal with instruments.
On this page
CMS RVU26D · Effective 2026-10-01
59200 Cervical dilator Medicare reimbursement rates in Delaware
Reports placement of a cervical dilator, commonly for cervical preparation before uterine evacuation or another procedure requiring cervical access. Compare 59200 office and facility rates across CMS payment localities in Delaware.
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 59200 in Delaware?
Delaware 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
$128.29
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$58.66
1 of 1 localities have a supported rate.
Payment area: Delaware
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 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.
59840
No office rateInduced abortion d&c
Code 59840 represents the induced abortion procedure by dilation and curettage. Code 59200 represents cervical dilator placement, not the evacuation.
59841
No office rateInduced abortion dilat&evac
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.
Compare 59200 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
Delaware →
Office / nonfacility
$128.29
Facility
$58.66
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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 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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.17 | × 1.005 | 1.1758 |
| Practice expense | 2.37 | × 0.988 | 2.3416 |
| Malpractice | 0.36 | × 0.899 | 0.3236 |
| Total RVUs | 3.8411 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$128.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.005 |
| Practice expense | 2.37 | 0.988 |
| Malpractice | 0.36 | 0.899 |
(1.17 × 1.005 + 2.37 × 0.988 + 0.36 × 0.899) × $33.4009 = $128.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.17 | 1.005 |
| Practice expense | 0.26 | 0.988 |
| Malpractice | 0.36 | 0.899 |
(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.
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.
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
6,65259320,,Revision of cervix,A,,2.42,0.90,NA,0.90,,0.79,4.11,4.11,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65359325,,Revision of cervix,A,,3.96,1.22,NA,1.22,,1.27,6.45,6.45,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503