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See a sample rate comparisonCPT 59850 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.
Termination Of A Pregnancy, Termination Of A Pregnancy. The Procedure Involves A Series Of Injections Into The Amniotic Fluid. The Uterine Contents May Be Removed Surgically Or By Dilation (Opening) The Cervix.
| 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 AG - Primary physician 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59850 |
| Medicaid Fee Schedule | View Medicaid rates for 59850 |
National average reimbursement for CPT 59850 by major payers:
$468.33
$500.47
$492.25
$609.77
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CPT 59850
5 of 25 sample ratesHigher to lower in this preview
Franconia-Springfield Surgery Center, LLC, Inova Surgery Center @ Franconia-Springfield
Inova Ambulatory Surgical Centers
$3,786.00Published rateUniversity Surgery Center Ltd
$1,064.00Published rateGamma Surgery Center LLC
$983.00Published rateWest Annapolis Surgery Center, LLC
West Annapolis Surgery Center LLC
$553.00Published rateMain Line PA Endoscopy Asc Lp, Main Line Endoscopy Center Bala Cynwyd
$238.00Published rate
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See a sample payer proposalCPT 59850 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59850 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 59850 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 |
|---|---|---|
| 59850-CPT | Moderate | Termination Of A Pregnancy, Termination Of A Pregnancy. The Procedure Involves A Series Of Injections Into The Amniotic Fluid. The Uterine Contents May Be Removed Surgically Or By Dilation (Opening) The Cervix. |
| 59851-CPT | Moderate | Induced Abortion 1+Njx D&C, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
| 59852-CPT | Moderate | Induced Abortion 1+Njx Hyst, Induced Abortion By 1 Or More Intra-Amniotic Injections (Amniocentesis-Injections) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Hysterotomy (Failed Intra-Amniotic Injection) |
| 59856-CPT | Moderate | Induced Ab 1+Vag Supp D&C, Induced Abortion By 1 Or More Vaginal Suppositories (Eg Prostaglandin) With Or Without Cervical Dilation (Eg Laminaria) Including Hospital Admission And Visits Delivery Of Fetus And Secundines; With Dilation And Curettage And/Or Evacuation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59850 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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