$345.06
59820 is for a missed abortion with pregnancy tissue remaining after the pregnancy has ended. 59812 is for an incomplete abortion.
On this page
CMS RVU26D · Effective 2026-10-01
59820 Miscarriage care Medicare reimbursement rates in Ohio
Reports surgical evacuation for a missed abortion in the first trimester, such as uterine suction or curettage performed by an obstetrician-gynecologist. Compare 59820 office and facility rates across CMS payment localities in Ohio.
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 59820 in Ohio?
Ohio 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
$412.47
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$339.28
1 of 1 localities have a supported rate.
Payment area: Ohio
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.
Obstetrics
About 59820: Surgical evacuation of missed pregnancy
Reports surgical evacuation for a missed abortion in the first trimester, such as uterine suction or curettage performed by an obstetrician-gynecologist.
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.
CMS billing rules for 59820
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.72 · 37%
- Practice expense (office) RVU6.70 · 52%
- Malpractice RVU1.50 · 12%
236
Medicare services in 2024 · #4182 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.
59820 compared with similar codes
Office rates for Ohio, from the same CMS release.
$409.79
Both concern surgical treatment of a missed abortion; 59821 is the second-trimester code, while 59820 is for the first trimester.
59840
No office rateInduced abortion d&c
59840 describes a surgically induced abortion. Use 59820 when the procedure treats a pregnancy loss diagnosed as a missed abortion.
No office rate
59870 is for evacuation of a molar pregnancy. 59820 is used for a missed abortion without that molar-pregnancy circumstance.
Compare 59820 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
Ohio →
Office / nonfacility
$412.47
Facility
$339.28
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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 59820 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,674
- Code
- 59820
- Physician work
- 4.72
- Practice expense
- 6.70
- Malpractice
- 1.50
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.72 | × 1.000 | 4.7200 |
| Practice expense | 6.70 | × 0.913 | 6.1171 |
| Malpractice | 1.50 | × 1.008 | 1.5120 |
| Total RVUs | 12.3491 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$412.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.72 | 1 |
| Practice expense | 6.7 | 0.913 |
| Malpractice | 1.5 | 1.008 |
(4.72 × 1 + 6.7 × 0.913 + 1.5 × 1.008) × $33.4009 = $412.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.72 | 1 |
| Practice expense | 4.3 | 0.913 |
| Malpractice | 1.5 | 1.008 |
(4.72 × 1 + 4.3 × 0.913 + 1.5 × 1.008) × $33.4009 = $339.28
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.
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 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.
6,67159620,,Attempted vbac delivery only,A,,16.66,3.53,NA,3.53,,5.33,25.52,25.52,0,MMM,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67259622,,Attempted vbac after care,A,,23.32,7.03,NA,7.03,,7.47,37.82,37.82,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67359812,,Treatment of miscarriage,A,,4.33,5.06,,2.67,,1.37,10.76,8.37,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67459820,,Care of miscarriage,A,,4.72,6.70,,4.30,,1.50,12.92,10.52,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67559821,,Treatment of miscarriage,A,,4.96,6.25,,3.75,,1.59,12.80,10.30,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67659830,,Treat uterus infection,A,,6.43,4.06,NA,4.06,,2.06,12.55,12.55,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67759840,,Induced abortion d&c,R,,2.93,3.46,,2.17,,0.93,7.32,6.03,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703