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CPT 59899 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.

Childbirth Related Procedure, A Birthing Or Obstetric Procedure That May Be Aided By A Scope (Laparoscope).
Key FactDetail
Service Type

Surgery

Surgical Procedures for Maternity Care and Delivery

Common Place of Service

11 - Office

21 - Inpatient Hospital

Common Modifiers

None

U4

59 - Distinct Procedural Service

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 59899
Medicaid Fee ScheduleView Medicaid rates for 59899

National average reimbursement for CPT 59899 by major payers:

bcbs

$837.14

uhc

$833.26

aetna

$578.97

cigna

$771.30

Compare published rates across providers.

Choose a payer to see a sample of rates for CPT 59899.

CPT 59899
5 of 25 sample ratesHigher to lower in this preview
  1. Shrewsbury Surgery Center, LLC, Shrewsbury Surgery Center

    Shrewsbury Surgery Center LLC

    NJAmbulatory Surgical Clinic/CenterNPI 1609907211Tax ID 22-3651945

    $2,373.00Published rate
  2. Red Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC

    Red Cedar Surgery Center, PLLC

    MIAmbulatory Surgical Clinic/CenterNPI 1104298009Tax ID 47-2947364

    $566.00Published rate
  3. Ambulatory Cardiovascular Center Of Mississippi

    MSAmbulatory Surgical Clinic/CenterNPI 1871174706Tax ID 86-1979907

    $296.00Published rate
  4. Valley Surgical Center Inc

    PAAmbulatory Surgical Clinic/CenterNPI 1063466118Tax ID 20-4211574

    $150.00Published rate
  5. Southern Surgery Center, LLC

    Southern Surgery Center LLC

    GAAmbulatory Surgical Clinic/CenterNPI 1184083958Tax ID 80-0867721

    $78.00Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 59899 vs. Other Surgical Procedures for Maternity Care and Delivery Codes

The CPT 59899 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 59899 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.

CodeComplexityDescription
59866-CPTModerateRemove 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-CPTModerateRemoval Of Uterine Contents, This Surgery Removes The Uterine Contents When A Pregnancy Fails And Forms A Cluster Of Cells Called A Hydatidiform Mole.
59897-CPTHighSurgery On A Fetus, Surgery Performed On A Fetus With The Aid Of Ultrasound (Sound Waves Used To See Inside The Body).
59899-CPTModerateChildbirth Related Procedure, A Birthing Or Obstetric Procedure That May Be Aided By A Scope (Laparoscope).

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59899. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 59899 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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