No office rate
This code is for abdominal implantation. Code 59120 addresses tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.
On this page
CMS RVU26D · Effective 2026-10-01
59130 Ectopic surgery Medicare reimbursement rates in Indiana
Reports operative treatment of an ectopic pregnancy implanted in the abdominal cavity, rather than in a fallopian tube, ovary, or cervix. Compare 59130 office and facility rates across CMS payment localities in Indiana.
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 59130 in Indiana?
Indiana 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
$756.48
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Obstetric surgery
About 59130: Abdominal ectopic pregnancy surgery
Reports operative treatment of an ectopic pregnancy implanted in the abdominal cavity, rather than in a fallopian tube, ovary, or cervix.
This code represents surgery to treat an ectopic pregnancy implanted in the abdominal cavity. An obstetrician-gynecologist typically performs the operation in a hospital or other surgical facility; the operative findings may require attention to the implantation site and nearby abdominal or pelvic structures. The code is distinguished by the pregnancy’s abdominal location, not simply by the fact that surgery was performed for an ectopic pregnancy.
Select the code when the operative report identifies an abdominal pregnancy and documents the surgical treatment. Distinguish it from codes for tubal or ovarian, interstitial, cervical, and laparoscopically treated ectopic pregnancies. Medicare assigns a 90-day global period, including 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% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 59130
- 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 RVU14.70 · 58%
- Practice expense (office) RVU6.10 · 24%
- Malpractice RVU4.72 · 18%
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.
59130 compared with similar codes
Office rates for Indiana, from the same CMS release.
No office rate
This code is for abdominal implantation. Code 59121 addresses tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.
No office rate
Use this code for abdominal implantation; code 59136 identifies an interstitial ectopic pregnancy.
No office rate
Use this code for abdominal implantation; code 59140 identifies treatment of a cervical ectopic pregnancy.
Compare 59130 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
Indiana →
Office / nonfacility
Unavailable
Facility
$756.48
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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 59130 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
6,644
- Code
- 59130
- Physician work
- 14.70
- Practice expense
- 6.10
- Malpractice
- 4.72
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.70 | × 1.000 | 14.7000 |
| Practice expense | 6.10 | × 0.927 | 5.6547 |
| Malpractice | 4.72 | × 0.486 | 2.2939 |
| Total RVUs | 22.6486 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Indiana$756.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.7 | 1 |
| Practice expense | 6.1 | 0.927 |
| Malpractice | 4.72 | 0.486 |
(14.7 × 1 + 6.1 × 0.927 + 4.72 × 0.486) × $33.4009 = $756.48
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.
59130 billing questions
How is this code distinguished from codes for tubal ectopic pregnancy?
Use this code when the pregnancy is implanted in the abdominal cavity. Tubal or ovarian implantation belongs to the corresponding tubal or ovarian treatment code, based on the procedure performed.
Does this code describe laparoscopic treatment?
It identifies treatment of an abdominal pregnancy, not a laparoscopic approach. The laparoscopic ectopic-pregnancy codes describe tubal or ovarian treatment.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
When is an assistant at surgery payable?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session handled?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
6,64159100,,Remove uterus lesion,A,,13.04,5.85,NA,5.85,,4.18,23.07,23.07,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64259120,,Treat ectopic pregnancy,A,,12.35,5.70,NA,5.70,,3.95,22.00,22.00,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64359121,,Treat ectopic pregnancy,A,,12.42,5.61,NA,5.61,,3.98,22.01,22.01,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64459130,,Treat ectopic pregnancy,A,,14.70,6.10,NA,6.10,,4.72,25.52,25.52,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64559136,,Treat ectopic pregnancy,A,,13.89,5.84,NA,5.84,,4.46,24.19,24.19,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64659140,,Treat ectopic pregnancy,A,,5.79,3.74,NA,3.74,,1.85,11.38,11.38,0,090,0.17,0.60,0.23,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64759150,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915