CPT Code 59150 Laparoscopic Treatment of Ectopic Pregnancy Billing Guide

Code Description

CPT code 59150 is used for the laparoscopic treatment of an ectopic pregnancy when the provider creates an incision into the fallopian tube or ovary to remove the pregnancy, or removes an ectopic fetus embedded in the uterine cornu or pelvic cavity. The fallopian tube and ovary are preserved in this procedure.

Purpose

This code accurately reflects minimally invasive management of ectopic pregnancy while preserving reproductive anatomy, a critical balance between treatment efficacy and fertility preservation.

Clinical Scenarios Where CPT 59150 is Applicable

• Ectopic gestation located within the fallopian tube or embedded in the uterine cornu or pelvic cavity, treated laparoscopically without salpingectomy or oophorectomy.
• Cases where fertility preservation is a priority and only lesion removal is required.
• When the fallopian tube and ovary remain intact following surgical management

Procedure Overview For CPT 59150 Laparoscopic Treatment of Ectopic Pregnancy

1. The patient undergoes a laparoscopy for visualization.
2. The ectopic pregnancy is identified, for example, in the tube, uterine horn, or pelvic cavity.
3. A small incision (salpingostomy) or resection is used to remove the ectopic tissue.
4. Hemostasis is secured, and the anatomical structures remain preserved.
5. The operative site is irrigated, instruments removed, and the procedure concluded.

Setting

Performed by obstetricians or gynecologic surgeons in a hospital or surgical center using laparoscopic equipment.

Documentation Requirements

• Documentation of confirmed ectopic pregnancy and clinical rationale for laparoscopic management
• Intraoperative notes with a clear indication that the tube or ovary was preserved
• Precise description of the lesion location and the method of excision
• Postoperative report detailing patient recovery and ensuring no complications.

Billing and Reimbursement Tips

• Do not bill for salpingectomy or oophorectomy when they were not performed.
• Use Modifier 59 if another unrelated procedure is done in the same surgical session.
• Use Modifier 79 if the procedure is unrelated during a postoperative period.
• Strong documentation increases claim accuracy and reduces denials.

Medicare Coverage and Reimbursement for CPT 59150

Medicare commonly covers CPT 59150 when medically necessary, though ectopic cases are less common in Medicare's typical patient population. Reimbursement varies by region, as outlined in the Medicare Physician Fee Schedule. Consult your MAC for specific rates and required documentation to support coverage.

Why Choose BillingFreedom for Your Ectopic Pregnancy Billing?

At BillingFreedom, our OBGYN medical billing specialists are highly experienced in managing complex procedures, such as CPT 59150. We ensure your claims are coded with precision, fully compliant with AAPC and CMS 2025 standards, and supported by complete documentation.

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• 98% clean claim rate through meticulous documentation review and accurate coding
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• 15% revenue uplift by identifying and capturing missed coding opportunities
• Proactive compliance checks to avoid costly denials and payer disputes
• Expert navigation of payer-specific rules for OBGYN procedures

You focus on delivering life-saving care to your patients, and we'll ensure you get every dollar you deserve, without the stress of billing complexities.

For more details about our exceptional medical billing services, please don't hesitate to contact us via email at info@billingfreedom.com or call us at +1 (855) 415-3472. 

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