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See a sample rate comparisonCPT 59821 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59821 |
| Medicaid Fee Schedule | View Medicaid rates for 59821 |
National average reimbursement for CPT 59821 by major payers:
$520.79
$524.57
$570.18
$589.03
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CPT 59821
5 of 25 sample ratesHigher to lower in this preview
Court Street Surgery Center, Lp
$6,021.00Published rateSummit Ambulatory Surgical Center LLC
$2,762.00Published rateCampbell Clinic Surgery Center, LLC
$1,653.00Published ratePsa Ambulatory Surgery Center Of Killeen LLC
$1,274.00Published rateShenandoah Tx Endoscopy Asc LLC, Woodlands Endoscopy Center
$916.00Published rate
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See a sample payer proposalCPT 59821 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59821 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59821 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59812-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59820-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59821-CPT | Moderate | Surgery For Miscarriage, When A Pregnancy Ends Spontaneously Without Going To Term The Event Is Called A Miscarriage. Material Remaining In The Uterus Is Removed As Quickly As Possible Especially If Infection Is Present. |
| 59840-CPT | Moderate | Termination Of A Pregnancy, Procedure To Terminate A Pregnancy. Involves Dilating (Opening) The Cervix And Removing The Contents Of The Uterus By Scraping Or Suction. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59821. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59821 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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