$412.47
Use 59820 for surgical management of a missed miscarriage in the first trimester; use 59821 for the second trimester.
On this page
CMS RVU26D · Effective 2026-10-01
59821 Miscarriage treatment Medicare reimbursement rates in Ohio
Report this service for surgical evacuation of a second-trimester pregnancy that has ended but remains in the uterus without expulsion. Compare 59821 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 59821 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
$409.79
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$333.56
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 59821: Second-trimester missed miscarriage evacuation
Report this service for surgical evacuation of a second-trimester pregnancy that has ended but remains in the uterus without expulsion.
An obstetrician-gynecologist typically performs this procedure in a hospital or other surgical facility when a second-trimester pregnancy has ended and the pregnancy tissue remains in the uterus. The clinician surgically evacuates the retained tissue; the service is distinct from managing a miscarriage that is already incomplete and from ending an ongoing pregnancy by choice.
Select the code when the record supports fetal demise, second-trimester status, retained pregnancy tissue, and surgical management. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. If 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 not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 59821
- 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.96 · 39%
- Practice expense (office) RVU6.25 · 49%
- Malpractice RVU1.59 · 12%
20
Medicare services in 2024 · #5929 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.
59821 compared with similar codes
Office rates for Ohio, from the same CMS release.
$345.06
59812 describes surgical management of an incomplete miscarriage. 59821 is for a missed miscarriage with retained pregnancy tissue in the second trimester.
59841
No office rateInduced abortion dilat&evac
59841 is for induced abortion by dilation and evacuation. 59821 treats a pregnancy that has ended spontaneously and remains in the uterus.
Compare 59821 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
$409.79
Facility
$333.56
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 59821 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,675
- Code
- 59821
- Physician work
- 4.96
- Practice expense
- 6.25
- Malpractice
- 1.59
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.96 | × 1.000 | 4.9600 |
| Practice expense | 6.25 | × 0.913 | 5.7062 |
| Malpractice | 1.59 | × 1.008 | 1.6027 |
| Total RVUs | 12.2690 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$409.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.96 | 1 |
| Practice expense | 6.25 | 0.913 |
| Malpractice | 1.59 | 1.008 |
(4.96 × 1 + 6.25 × 0.913 + 1.59 × 1.008) × $33.4009 = $409.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.96 | 1 |
| Practice expense | 3.75 | 0.913 |
| Malpractice | 1.59 | 1.008 |
(4.96 × 1 + 3.75 × 0.913 + 1.59 × 1.008) × $33.4009 = $333.56
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.
59821 billing questions
How does this differ from 59820?
Both address surgical management of a missed miscarriage, but 59821 is for the second trimester; 59820 is the first-trimester sibling.
When would 59812 be more appropriate?
Use 59812 for surgical treatment of an incomplete miscarriage, rather than a missed miscarriage with retained pregnancy tissue.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
Assistant-at-surgery payment is allowed only when the record documents medical necessity. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
6,67259622,,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
6,67859841,,Induced abortion dilat&evac,R,,5.51,5.42,,2.80,,1.76,12.69,10.07,0,010,0.10,0.80,0.10,2,0,0,0,0,9,,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