No office rate
Both address tubal or ovarian ectopic pregnancy, but 59120 involves removal of the affected tube or ovary; 59121 represents a tube-preserving operation.
On this page
CMS RVU26D · Effective 2026-10-01
59120 Ectopic surgery Medicare reimbursement rates in Vermont
Reports surgical treatment of a tubal or ovarian ectopic pregnancy when the operation requires removal of the affected fallopian tube or ovary. Compare 59120 office and facility rates across CMS payment localities in Vermont.
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 59120 in Vermont?
Vermont 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
$667.74
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Obstetric surgery
About 59120: Tubal or ovarian ectopic removal
Reports surgical treatment of a tubal or ovarian ectopic pregnancy when the operation requires removal of the affected fallopian tube or ovary.
This code describes operative treatment of an ectopic pregnancy implanted in a fallopian tube or ovary when the surgeon removes the affected tube, ovary, or both. An obstetrician-gynecologist typically performs the procedure in an operating room through an abdominal approach. A tubal pregnancy with a damaged tube requiring salpingectomy is a common clinical context; ovarian ectopic pregnancy may require oophorectomy.
Choose the code based on the implantation site, operative approach, and whether a tube or ovary is removed. The operative report should identify the ectopic site, approach, and structures excised; a tube-preserving operation is reported with a different code. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 59120
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.35 · 56%
- Practice expense (office) RVU5.70 · 26%
- Malpractice RVU3.95 · 18%
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.
59120 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code is for nonlaparoscopic removal of the affected tube or ovary. Code 59150 describes laparoscopic treatment without salpingectomy or oophorectomy.
No office rate
Both involve removal of the affected tube or ovary, but 59151 is the laparoscopic treatment code.
No office rate
Use 59120 for a tubal or ovarian implantation; 59130 addresses an abdominal ectopic pregnancy.
Compare 59120 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
Vermont →
Office / nonfacility
Unavailable
Facility
$667.74
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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 59120 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,642
- Code
- 59120
- Physician work
- 12.35
- Practice expense
- 5.70
- Malpractice
- 3.95
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.35 | × 1.000 | 12.3500 |
| Practice expense | 5.70 | × 0.990 | 5.6430 |
| Malpractice | 3.95 | × 0.506 | 1.9987 |
| Total RVUs | 19.9917 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$667.74
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.35 | 1 |
| Practice expense | 5.7 | 0.99 |
| Malpractice | 3.95 | 0.506 |
(12.35 × 1 + 5.7 × 0.99 + 3.95 × 0.506) × $33.4009 = $667.74
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.
59120 billing questions
How does this differ from 59121?
Use 59120 when treatment of a tubal or ovarian ectopic pregnancy requires removal of the affected tube or ovary. Code 59121 is for a tube-preserving operation.
Does a laparoscopic removal use this code?
No. For laparoscopic treatment with salpingectomy or oophorectomy, compare 59151; 59120 describes the nonlaparoscopic operation.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 90-day major-surgery global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports the code choice?
The operative report should establish a tubal or ovarian ectopic pregnancy, the abdominal approach, and removal of the affected tube or ovary.
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.
6,63959074,,Fetal fluid drainage w/us,A,,5.11,4.89,,1.51,,1.63,11.63,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64059076,,Fetal shunt placement w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64159100,,Remove uterus lesion,A,,13.04,5.85,NA,5.85,,4.18,23.07,23.07,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64259120,,Treat ectopic pregnancy,A,,12.35,5.70,NA,5.70,,3.95,22.00,22.00,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64359121,,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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817