$418.51
59820 is for surgical treatment of a missed abortion in the first trimester. This code is for evacuation after an incomplete loss.
On this page
CMS RVU26D · Effective 2026-10-01
59812 Miscarriage treatment Medicare reimbursement rates in Wyoming
Reports operative evacuation of retained pregnancy tissue after an incomplete pregnancy loss, rather than treatment of a missed or induced abortion. Compare 59812 office and facility rates across CMS payment localities in Wyoming.
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 59812 in Wyoming?
Wyoming 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
$347.50
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$267.67
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 59812: Surgical completion of incomplete miscarriage
Reports operative evacuation of retained pregnancy tissue after an incomplete pregnancy loss, rather than treatment of a missed or induced abortion.
This service covers operative evacuation of pregnancy tissue that remains after an incomplete pregnancy loss. An obstetrician-gynecologist typically performs suction aspiration or curettage in a procedural or operating-room setting. The clinical picture may include ongoing bleeding or retained tissue identified during evaluation. This code distinguishes an incomplete loss from a missed abortion, in which the pregnancy has not been expelled.
Report the service when the record supports an incomplete loss and documents the operative evacuation performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. When other 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. A bilateral adjustment is not used for this uterine procedure. CMS does not pay for an assistant at surgery for this code, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 59812
- 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 RVU4.33 · 40%
- Practice expense (office) RVU5.06 · 47%
- Malpractice RVU1.37 · 13%
126
Medicare services in 2024 · #4697 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.
59812 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$413.72
59821 is for surgical treatment of a missed abortion in the second trimester. Choose this code when the loss is incomplete rather than missed.
No office rate
59830 addresses surgical treatment of a septic abortion. This code describes operative treatment of an incomplete loss without specifying septic abortion.
59840
No office rateInduced abortion d&c
59840 is for induced abortion by dilation and curettage. This code applies to an incomplete pregnancy loss, not an elective induced abortion.
Compare 59812 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
Wyoming** →
Office / nonfacility
$347.50
Facility
$267.67
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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 59812 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,673
- Code
- 59812
- Physician work
- 4.33
- Practice expense
- 5.06
- Malpractice
- 1.37
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.33 | × 1.000 | 4.3300 |
| Practice expense | 5.06 | × 1.000 | 5.0600 |
| Malpractice | 1.37 | × 0.740 | 1.0138 |
| Total RVUs | 10.4038 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$347.50
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.33 | 1 |
| Practice expense | 5.06 | 1 |
| Malpractice | 1.37 | 0.74 |
(4.33 × 1 + 5.06 × 1 + 1.37 × 0.74) × $33.4009 = $347.50
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.33 | 1 |
| Practice expense | 2.67 | 1 |
| Malpractice | 1.37 | 0.74 |
(4.33 × 1 + 2.67 × 1 + 1.37 × 0.74) × $33.4009 = $267.67
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.
59812 billing questions
How is this different from treatment of a missed abortion?
Use this code for operative evacuation after an incomplete loss, when pregnancy tissue has been partly expelled or remains. Codes 59820 and 59821 describe surgical treatment of a missed abortion.
What documentation supports reporting this code?
The record should establish an incomplete pregnancy loss and describe the operative evacuation, such as suction aspiration or curettage. Include the clinical findings and the procedure performed.
Are related postoperative visits separately reported?
The 90-day global period includes the day-before preoperative visit and related postoperative care. The code's global period applies to care related to the operation.
Can modifier 50 be used?
No. CMS does not apply a bilateral adjustment to this code, and modifier 50 is inappropriate for this uterine procedure.
How are other procedures in the same session paid?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Assistant-at-surgery services are not paid for this code; co-surgeons and team surgery are not permitted.
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.
6,67059618,,Attempted vbac delivery,A,,41.57,19.93,NA,19.93,,13.36,74.86,74.86,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67159620,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,