59866 Abortion (mpr)
Also known as: selective fetal reduction, medical pregnancy reduction
Abortion procedure (Medical Pregnancy Reduction) via minimally invasive approach for selective reduction in multiple gestations.
In Plain Language
reducing number of fetuses in multiple pregnancy
Clinical Context
Performed in multiple gestations (triplets or higher) to reduce to twins for improved perinatal outcomes; decreases maternal and fetal morbidity.
RVU Breakdown
| Work RVU | 3.89 |
| Total RVU | 3.89 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 3.89, this code ranks in the 27th percentile among Surgery codes — 2.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59866?
CPT 59866 (Abortion (mpr)) is a Surgery code. Abortion procedure (Medical Pregnancy Reduction) via minimally invasive approach for selective reduction in multiple gestations.
What is the wRVU value for CPT 59866?
The work RVU for CPT 59866 is 3.89. This code is primarily used by Maternal Fetal Medicine, Obstetrics and Gynecology.
When is CPT 59866 used?
Performed in multiple gestations (triplets or higher) to reduce to twins for improved perinatal outcomes; decreases maternal and fetal morbidity.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.