No office rate
Use 59140 for cervical implantation. Code 59120 is for tubal or ovarian ectopic pregnancy treated with salpingectomy and/or oophorectomy.
On this page
CMS RVU26D · Effective 2026-10-01
59140 Ectopic pregnancy surgery Medicare reimbursement rates in Iowa
Surgical treatment of a cervical ectopic pregnancy is reported when the pregnancy implants in the cervix and requires operative management. Compare 59140 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 59140 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
$332.22
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 59140: Surgical treatment of cervical ectopic pregnancy
Surgical treatment of a cervical ectopic pregnancy is reported when the pregnancy implants in the cervix and requires operative management.
This code describes operative treatment of an ectopic pregnancy implanted in the cervix. A gynecologic surgeon typically performs the procedure in an operating room, where the operative findings and treatment can be documented. The code is specific to the cervical implantation site; a tubal, ovarian, abdominal, or interstitial pregnancy calls for a different code selection.
Report it when the operative record supports cervical implantation and surgical treatment, rather than medical management alone. Document the pregnancy location, operative approach, and work performed. This major surgery includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 59140
- 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 RVU5.79 · 51%
- Practice expense (office) RVU3.74 · 33%
- Malpractice RVU1.85 · 16%
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.
59140 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Use 59140 for cervical implantation. Code 59121 describes tubal or ovarian ectopic pregnancy treated without salpingectomy or oophorectomy.
No office rate
Code 59130 concerns an abdominal ectopic pregnancy; 59140 is selected for cervical implantation.
No office rate
Code 59150 is for laparoscopic treatment of tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy, not cervical implantation.
Compare 59140 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
$332.22
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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 59140 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,646
- Code
- 59140
- Physician work
- 5.79
- Practice expense
- 3.74
- Malpractice
- 1.85
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.79 | × 1.000 | 5.7900 |
| Practice expense | 3.74 | × 0.915 | 3.4221 |
| Malpractice | 1.85 | × 0.397 | 0.7345 |
| Total RVUs | 9.9466 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$332.22
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.79 | 1 |
| Practice expense | 3.74 | 0.915 |
| Malpractice | 1.85 | 0.397 |
(5.79 × 1 + 3.74 × 0.915 + 1.85 × 0.397) × $33.4009 = $332.22
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.
59140 billing questions
How is this code distinguished from 59120 or 59121?
This code is for an ectopic pregnancy implanted in the cervix. Codes 59120 and 59121 concern tubal or ovarian ectopic pregnancies.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not report it as a bilateral procedure.
Is an assistant at surgery payable?
CMS permits payment for an assistant at surgery. Co-surgeon and team-surgery reporting 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 paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
What documentation supports this code?
Document that the ectopic pregnancy was implanted in the cervix and describe the operative approach and treatment performed.
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.
6,64359121,,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
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
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