Billing code 59820: Miscarriage careMedicare rate & RVUs in Nevada
Reports surgical evacuation for a missed abortion in the first trimester, such as uterine suction or curettage performed by an obstetrician-gynecologist.
Medicare pays $423.40 for 59820 in the office in Nevada (Nevada**). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 59820 covers
This code describes surgical evacuation when a pregnancy has ended but pregnancy tissue remains in the uterus, as in a missed abortion. An obstetrician-gynecologist typically performs the procedure, often using suction and curettage in a hospital or ambulatory surgical setting. The clinical record should establish the missed-abortion diagnosis and document the uterine evacuation performed; this is not the code for an induced abortion or for an incomplete abortion with tissue already passing.
Select this code for a first-trimester missed abortion; the second-trimester counterpart is 59821. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If another procedure subject to the standard multiple-procedure rule is performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this uterine procedure. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted.
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.
59820 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | $423.40 | $343.15 |
How the 59820 rate is calculated
Each of 59820’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 59820
RVUs × geographic indexes × conversion factor
Work4.72
4.72 RVUs× 1.000 GPCI
Practice expense6.70
6.70 RVUs× 1.000 GPCI
Malpractice1.50
1.50 RVUs× 1.000 GPCI
Adjusted RVUs
12.9200
Conversion factor
$33.4009
Medicare rate
$431.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59820
59820 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 59820
Miscarriage care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.17/0.60/0.23 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 59820
Miscarriage care
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59820 without 51 · national office
$431.54
Miscarriage care
59820-51 · Second procedure: 50%
$215.77
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
59820 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59812Miscarriage treatment
- 59820 is for a missed abortion with pregnancy tissue remaining after the pregnancy has ended. 59812 is for an incomplete abortion.
- 59821Miscarriage treatment
- Both concern surgical treatment of a missed abortion; 59821 is the second-trimester code, while 59820 is for the first trimester.
- 59840Induced abortion d&c
- 59840 describes a surgically induced abortion. Use 59820 when the procedure treats a pregnancy loss diagnosed as a missed abortion.
- 59870Molar evacuation
- 59870 is for evacuation of a molar pregnancy. 59820 is used for a missed abortion without that molar-pregnancy circumstance.
59820 billing questions
How does this differ from 59812?
Use 59820 for surgical evacuation of a missed abortion, where the pregnancy has ended but tissue remains. Code 59812 describes treatment of an incomplete abortion.
When should 59821 be used instead?
59821 is the corresponding code for a missed abortion in the second trimester. The documented pregnancy stage supports the choice between the two.
Is the preoperative visit or routine follow-up separately reported?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can modifier 50 be appended?
No. This is a uterine procedure rather than a bilateral service, so modifier 50 is inappropriate.
Can an assistant or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedure or procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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