No office rate
Both codes describe laparoscopic ectopic-pregnancy treatment. Choose 59151 when the pregnancy is removed; 59150 describes treatment without salpingectomy or oophorectomy.
On this page
CMS RVU26D · Effective 2026-10-01
59151 Ectopic pregnancy surgery Medicare reimbursement rates in New York
Reports laparoscopic surgical removal of an ectopic pregnancy, including salpingectomy or oophorectomy when performed as part of treatment. Compare 59151 office and facility rates across CMS payment localities in New York.
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 59151 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$648.22–$860.68
5 of 5 localities have a supported rate.
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.
Where 59151 pays more and less in New York
Gynecologic surgery
About 59151: Laparoscopic ectopic pregnancy removal
Reports laparoscopic surgical removal of an ectopic pregnancy, including salpingectomy or oophorectomy when performed as part of treatment.
A gynecologic surgeon uses a laparoscope to remove an ectopic pregnancy, commonly one located in a fallopian tube. The operation may include removal of the affected tube or ovary when needed to complete treatment. This code identifies laparoscopic removal, rather than laparoscopic treatment that preserves the affected structure. These procedures are typically performed in an operating room, often in a facility setting.
Report the code when the operative documentation supports a laparoscopic approach and removal of the ectopic pregnancy. The report should identify the pregnancy site, the procedure performed, and any salpingectomy or oophorectomy. CMS 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 multiple-procedure reduction. Assistant-at-surgery payment may be allowed; co-surgeon and team-surgery payment are not permitted. Bilateral adjustment is inappropriate for this code.
CMS billing rules for 59151
- 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 RVU11.81 · 57%
- Practice expense (office) RVU5.20 · 25%
- Malpractice RVU3.78 · 18%
64
Medicare services in 2024 · #5201 by national volume
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.
59151 compared with similar codes
Office rates for New York, from the same CMS release.
No office rate
59120 describes open surgical treatment of tubal or ovarian ectopic pregnancy requiring removal of the tube or ovary. Use 59151 when removal is performed laparoscopically.
No office rate
59121 is open treatment of a tubal or ovarian ectopic pregnancy without salpingectomy or oophorectomy. 59151 describes laparoscopic removal.
No office rate
59130 is for surgical treatment of an abdominal pregnancy. 59151 describes laparoscopic removal of an ectopic pregnancy, commonly in a fallopian tube.
Compare 59151 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
Unavailable
Facility
$821.77
Nyc Suburbs/Long Island →
Office / nonfacility
Unavailable
Facility
$860.68
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
Unavailable
Facility
$755.17
Queens →
Office / nonfacility
Unavailable
Facility
$807.07
Rest Of New York →
Office / nonfacility
Unavailable
Facility
$648.22
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59151 billing questions
How does 59151 differ from 59150?
59151 is for laparoscopic removal of the ectopic pregnancy, including salpingectomy or oophorectomy when performed. Use 59150 for laparoscopic treatment without removal of the affected tube or ovary.
Can salpingectomy be reported separately with 59151?
Salpingectomy or oophorectomy performed as part of removing the ectopic pregnancy is included in 59151. The operative report should document the procedure and anatomy treated.
What global period applies?
CMS assigns a 90-day global period. It includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral treatment?
No. CMS identifies bilateral adjustment as inappropriate for this code; the descriptor or anatomy makes modifier 50 unsuitable.
May an assistant surgeon be paid?
Assistant-at-surgery payment may be allowed for 59151. CMS does not permit co-surgeon or team-surgery payment for this code.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction when performed in the same session.
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.
6,64559136,,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
6,65059200,,Insert cervical dilator,A,,1.17,2.37,,0.26,,0.36,3.90,1.79,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65159300,,Episiotomy or vaginal repair,A,,2.35,3.64,,0.89,,0.76,6.75,4.00,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00