CPT code 59012: Cordocentesis, prenatal fetal blood sampling2026 Medicare rate & RVUs in Alaska

Percutaneous fetal umbilical cord access to collect blood before birth, reported when direct fetal blood sampling is needed for prenatal evaluation.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Alaska, Medicare pays $221.51 for 59012 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$221.51Hospital or facility

Check a contract rate as a % of Medicare · 59012 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 59012 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 59012 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 59012 covers

This service involves percutaneous access to the fetal umbilical cord before birth to collect a fetal blood specimen. It is typically performed by a maternal-fetal medicine specialist or obstetrician in a hospital or specialized prenatal procedure setting, with ultrasound localization. Cord blood may be sampled when direct evaluation is needed for concerns such as fetal anemia, alloimmunization, or fetal infection. The specimen source distinguishes this procedure from sampling amniotic fluid or placental villi, and from fetal scalp sampling during labor.

Report the service when the documented procedure includes cord puncture and fetal blood collection. The record should support the clinical indication, cord access, specimen collection, and resulting evaluation or plan. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Alaska compares for 59012

Across 109 of 109 payment localities, the facility rate for 59012 runs from $153.40 in Wisconsin to $236.15 in Miami, FL. Alaska pays $221.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

59012 in Alaska vs other payment areas
  1. Alaska · this page$221.51
  2. Los Angeles, CA · California$177.97−$43.54
  3. Washington, DC area · District of Columbia$195.46−$26.05
  4. Miami, FL · Florida$236.15+$14.64
  5. Chicago, IL · Illinois$227.35+$5.84
  6. Manhattan, NY · New York$213.14−$8.37
  7. Alabama · Alabama$160.07−$61.44

Other areas in Alaska first, then benchmark localities. Bars start at $0.

Every other payment area

59012 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$157.73
ArizonaArizona—$173.52
Bakersfield, CACalifornia—$170.76
Chico, CACalifornia—$167.91
El Centro, CACalifornia—$168.09
Fresno, CACalifornia—$167.91
Hanford, CACalifornia—$167.91
Madera, CACalifornia—$167.91

59012 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
59012 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 59012 in every payment locality

How the 59012 rate is calculated

Each of 59012’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 59012

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.35

3.35 RVUs× 1.000 GPCI

Practice expense0.95

0.95 RVUs× 1.000 GPCI

Malpractice1.08

1.08 RVUs× 1.000 GPCI

Adjusted RVUs

5.3800

Conversion factor

$33.4009

Medicare rate

$179.70

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,626

Code
59012
Physician work
3.35
Practice expense
0.95
Malpractice
1.08

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 59012 in Alaska
ComponentRVULocality factorAdjusted
Physician work3.35× 1.5005.0250
Practice expense0.95× 1.0651.0117
Malpractice1.08× 0.5510.5951
Total RVUs6.6318
Conversion factor× 33.4009

Facility rate, Alaska$221.51

Facility: (3.35 × 1.5 + 0.95 × 1.065 + 1.08 × 0.551) × $33.4009 = $221.51

Open 59012 in the RVU calculator

Payment rules and modifiers for 59012

The CMS indicators that decide how 59012 is paid alongside other services.

CMS payment indicators · 59012

Cordocentesis, prenatal fetal blood sampling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59012 without 51 · national facility

$179.70

Cordocentesis, prenatal fetal blood sampling

59012-51 · Second procedure: 50%

$89.85

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 59012 has changed in Alaska

59012 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$221.51RVU26D
2026-07-01Not available in this setting$221.51RVU26C
2026-04-01Not available in this setting$221.51RVU26B
2026-01-01Not available in this setting$221.51RVU26A
2025-10-01Not available in this setting$241.02RVU25D
2025-07-01Not available in this setting$241.02RVU25C
2025-04-01Not available in this setting$241.02RVU25B
2025-01-01Not available in this setting$241.02RVU25A
2024-10-01Not available in this setting$248.26RVU24D
2024-07-01Not available in this setting$248.26RVU24C
2024-04-01Not available in this setting$248.26RVU24B
2024-03-09Not available in this setting$248.26RVU24AR
2024-01-01Not available in this setting$244.21RVU24A
2023-10-01Not available in this setting$253.31RVU23D
2023-07-01Not available in this setting$253.31RVU23C
2023-04-01Not available in this setting$253.31RVU23B
2023-01-01Not available in this setting$253.31RVU23A
2022-10-01Not available in this setting$257.25RVU22D
2022-07-01Not available in this setting$257.25RVU22C
2022-04-01Not available in this setting$257.25RVU22B
2022-01-01Not available in this setting$257.25RVU22A
2021-10-01Not available in this setting$259.52RVU21D
2021-07-01Not available in this setting$259.52RVU21C
2021-04-01Not available in this setting$259.52RVU21B
2021-01-01Not available in this setting$259.52RVU21A
2020-10-01Not available in this setting$268.60RVU20D
2020-07-01Not available in this setting$268.60RVU20C
2020-04-01Not available in this setting$268.60RVU20B
2020-01-01Not available in this setting$268.60RVU20A
2019-10-01Not available in this setting$268.80RVU19D
2019-07-01Not available in this setting$268.80RVU19C
2019-04-01Not available in this setting$268.80RVU19B
2019-01-01Not available in this setting$268.80RVU19A
2018-10-01Not available in this setting$269.46RVU18D
2018-07-01Not available in this setting$269.46RVU18C
2018-04-01Not available in this setting$269.46RVU18B
2018-01-01Not available in this setting$269.46RVU18AR1
2017-10-01Not available in this setting$270.26RVU17D
2017-07-01Not available in this setting$270.26RVU17C
2017-04-01Not available in this setting$270.26RVU17B
2017-01-01Not available in this setting$270.26RVU17A
2016-10-01Not available in this setting$268.87RVU16D
2016-07-01Not available in this setting$268.87RVU16C
2016-04-01Not available in this setting$268.87RVU16B
2016-01-01Not available in this setting$268.87RVU16A
2015-10-01Not available in this setting$270.61RVU15D
2015-07-01Not available in this setting$270.61RVU15C
2015-04-01Not available in this setting$269.26RVU15B
2015-01-01Not available in this setting$269.26RVU15A
2014-10-01Not available in this setting$268.97RVU14D
2014-07-01Not available in this setting$268.97RVU14C
2014-04-01Not available in this setting$268.97RVU14B
2014-01-01Not available in this setting$268.97RVU14A
2013-10-01Not available in this setting$259.17RVU13D
2013-07-01Not available in this setting$259.17RVU13C
2013-04-01Not available in this setting$259.17RVU13B
2013-01-01Not available in this setting$259.17RVU13AR

Price 59012 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

  • Adak
  • Akhiok
  • Akiachak
  • Akiak
  • Akutan
  • Alakanuk
  • Alatna
  • Alcan Border

Browse all communities in Alaska

59012 billing questions

How is this different from amniocentesis?

59012 is selected when the specimen is obtained from the fetal umbilical cord. Amniocentesis obtains amniotic fluid instead.

Can ultrasound guidance be reported with this procedure?

Code 76946 describes ultrasound guidance for fetal cordocentesis. Report it when the guidance service is documented and separately reportable.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

Should modifier 50 be used for cord puncture?

No. CMS identifies bilateral adjustment as inappropriate for this code.

When can an assistant-at-surgery be paid?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 59012PPRRVU2026_Oct_nonQPP.csv, line 6,626 (RVU26D)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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