No office rate
59120 describes surgery for a tubal or ovarian ectopic pregnancy requiring salpingectomy and/or oophorectomy. Choose 59136 when the implantation is interstitial within the uterine wall.
On this page
CMS RVU26D · Effective 2026-10-01
59136 Ectopic surgery Medicare reimbursement rates in Iowa
Reports operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube as it passes through the uterine wall. Compare 59136 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 59136 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
$701.56
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.
Gynecologic surgery
About 59136: Interstitial ectopic pregnancy surgery
Reports operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube as it passes through the uterine wall.
Code 59136 represents operative treatment of an ectopic pregnancy implanted in the interstitial portion of the fallopian tube, where it traverses the uterine wall. An obstetrician-gynecologist typically performs the procedure in an operating room; treatment may involve removing the ectopic tissue and repairing the uterine wall. The operative report should establish the interstitial uterine site rather than a tubal or ovarian, cervical, or abdominal implantation.
Select this code by implantation site and the procedure performed, not simply because an ectopic pregnancy is present; other sites and laparoscopic treatment have distinct codes. Document operative findings and the treatment completed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care through day 90. When multiple 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. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 59136
- 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 RVU13.89 · 57%
- Practice expense (office) RVU5.84 · 24%
- Malpractice RVU4.46 · 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.
59136 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
59130 is for an abdominal ectopic pregnancy. 59136 is for implantation in the interstitial portion of the tube as it traverses the uterine wall.
No office rate
59150 is laparoscopic treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59136 is selected for the interstitial uterine site.
Compare 59136 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
$701.56
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 59136 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,645
- Code
- 59136
- Physician work
- 13.89
- Practice expense
- 5.84
- Malpractice
- 4.46
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.89 | × 1.000 | 13.8900 |
| Practice expense | 5.84 | × 0.915 | 5.3436 |
| Malpractice | 4.46 | × 0.397 | 1.7706 |
| Total RVUs | 21.0042 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$701.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.89 | 1 |
| Practice expense | 5.84 | 0.915 |
| Malpractice | 4.46 | 0.397 |
(13.89 × 1 + 5.84 × 0.915 + 4.46 × 0.397) × $33.4009 = $701.56
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.
59136 billing questions
What distinguishes 59136 from surgery for a tubal ectopic pregnancy?
Use 59136 when the implantation is interstitial, in the portion of the tube that passes through the uterine wall. Tubal or ovarian ectopic pregnancy surgery is represented by other codes, selected according to the procedure and approach.
What operative documentation supports 59136?
The operative report should identify the interstitial uterine implantation and describe the surgical treatment performed. Documentation should distinguish this site from tubal or ovarian, cervical, and abdominal ectopic pregnancy.
What postoperative care is included in the global period?
The 90-day major-surgery global period includes the day-before preoperative visit and related postoperative care through day 90.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted under the CMS rules 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.
6,64259120,,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
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
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