59840
No office rateInduced abortion d&c
Use 59840 for induced abortion performed by vaginal dilation and curettage. Use 59100 when the documented procedure requires abdominal access to the uterus.
On this page
CMS RVU26D · Effective 2026-10-01
59100 Uterine evacuation Medicare reimbursement rates in Iowa
Reports abdominal access to the uterus to remove pregnancy-related contents, including in selected cases involving hydatidiform mole or abortion. Compare 59100 office and facility rates across CMS payment localities in Iowa.
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 59100 in Iowa?
Iowa 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
$669.76
1 of 1 localities have a supported rate.
Payment area: Iowa
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 59100: Abdominal uterine evacuation by hysterotomy
Reports abdominal access to the uterus to remove pregnancy-related contents, including in selected cases involving hydatidiform mole or abortion.
This service involves opening the uterus through an abdominal incision to remove pregnancy-related contents. An obstetrician-gynecologist typically performs it in an operating room when abdominal uterine access is the selected approach, including certain cases involving hydatidiform mole or abortion. It is distinct from a cesarean birth and from uterine surgery to remove fibroids.
Report the service when the operative record supports abdominal hysterotomy and removal of the indicated contents. Documentation should identify the clinical indication, abdominal approach, and work performed. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 59100
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.04 · 57%
- Practice expense (office) RVU5.85 · 25%
- Malpractice RVU4.18 · 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.
59100 compared with similar codes
Office rates for Iowa, from the same CMS release.
59841
No office rateInduced abortion dilat&evac
59841 describes induced abortion by vaginal dilation and evacuation. It does not represent abdominal hysterotomy.
$317.44
59812 is for surgical treatment of incomplete abortion by a different approach; 59100 describes abdominal uterine access.
No office rate
58140 is a myomectomy code for excision of uterine fibroids. Do not select 59100 for fibroid removal.
Compare 59100 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
Iowa →
Office / nonfacility
Unavailable
Facility
$669.76
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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 59100 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,641
- Code
- 59100
- Physician work
- 13.04
- Practice expense
- 5.85
- Malpractice
- 4.18
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.04 | × 1.000 | 13.0400 |
| Practice expense | 5.85 | × 0.915 | 5.3527 |
| Malpractice | 4.18 | × 0.397 | 1.6595 |
| Total RVUs | 20.0522 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$669.76
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.04 | 1 |
| Practice expense | 5.85 | 0.915 |
| Malpractice | 4.18 | 0.397 |
(13.04 × 1 + 5.85 × 0.915 + 4.18 × 0.397) × $33.4009 = $669.76
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.
59100 billing questions
How is this different from a D&C or D&E abortion service?
This code represents abdominal access through the uterus. D&C or D&E codes describe a vaginal approach, so select based on the documented procedure performed.
Can this code be used for removal of uterine fibroids?
No. This code concerns abdominal hysterotomy for pregnancy-related contents; fibroid removal is reported with an appropriate myomectomy code.
Does the code include related postoperative care?
Yes. Its 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 paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure 50% reduction.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
6,63859072,,Umbilical cord occlud w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63959074,,Fetal fluid drainage w/us,A,,5.11,4.89,,1.51,,1.63,11.63,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64059076,,Fetal shunt placement w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136