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See a sample rate comparisonCPT 59866 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.
Remove Embryo From Uterus, Selective Removal Of Developing Embryos From A Multiple Pregnancy. This Procedure Usually Is Related To In Vitro Fertilization Or Artificial Insemination.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59866 |
| Medicaid Fee Schedule | View Medicaid rates for 59866 |
National average reimbursement for CPT 59866 by major payers:
$292.49
$314.36
$329.42
$365.11
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CPT 59866
5 of 25 sample ratesHigher to lower in this preview
Bellaire Outpatient Surgery Center, LLP, Baylor Scott & White Surgicare - Oakmont
Bellaire Outpatient Surgery Center LLP
$1,446.00Published rateProliance Surgeons, Inc., P.S., Proliance Surgery Center At Rainier
Proliance Surgeons, Inc., P.S.
$546.00Published rateParamount Surgery Center, LLC, The Center For Specialized Surgery
Paramount Surgery Center LLC
$133.00Published rateLimestone Surgery Center LLC
$112.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$44.00Published rate
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See a sample payer proposalCPT 59866 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59866 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 59866 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 |
|---|---|---|
| 59866-CPT | Moderate | Remove Embryo From Uterus, Selective Removal Of Developing Embryos From A Multiple Pregnancy. This Procedure Usually Is Related To In Vitro Fertilization Or Artificial Insemination. |
| 59870-CPT | Moderate | Removal Of Uterine Contents, This Surgery Removes The Uterine Contents When A Pregnancy Fails And Forms A Cluster Of Cells Called A Hydatidiform Mole. |
| 59871-CPT | Low | Remove Stitches From Cervix, Removal Of Stitches Used To Keep The Cervix Closed. The Procedure Is Done Under General Anesthesia. |
| 59897-CPT | High | Surgery On A Fetus, Surgery Performed On A Fetus With The Aid Of Ultrasound (Sound Waves Used To See Inside The Body). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59866. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59866 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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