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

In Fresno, CA, Medicare pays $167.91 for 59012 in a facility. There’s no office rate.

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.

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 Fresno, CA 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. Fresno, CA pays $167.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

59012 rates by state

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

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.

Payment rules and modifiers for 59012

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

What modifiers do to the payment

When to use modifier 51

Codes related to 59012

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 59012 has changed in Fresno, CA

Price 59012 for an earlier date of service

Where the Fresno, CA rate applies

Fresno, CA is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Fresno
• Auberry
• Big Creek
• Biola
• Bowles
• Calwa
• Cantua Creek
• Caruthers

Browse all communities in California

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

Open CMS sourceHow we calculate rates