CPT code 59015: Chorionic villus sampling, placental tissue sampling2026 Medicare rate & RVUs in South Dakota

Reports prenatal placental villus sampling to obtain fetal genetic material, typically during early pregnancy when diagnostic testing is indicated.

CMS RVU26DEffective Oct 1, 2026One payment locality

In South Dakota, Medicare pays $145.58 for 59015 in the office and $102.49 when it’s performed in a hospital or facility.

$145.58Office (non-facility)
$102.49Hospital or facility
−9.4%vs the national office rate ($160.66)

Check a contract rate as a % of Medicare · 59015 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 59015 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 59015 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 59015 covers

A clinician obtains a small sample of chorionic villi from the placenta for prenatal diagnostic testing. Sampling may use a transcervical catheter or a transabdominal needle, with ultrasound used to guide the approach. Maternal-fetal medicine specialists and obstetricians commonly perform the procedure in an outpatient setting when testing for a fetal chromosomal or genetic condition is indicated.

Report 59015 for the sampling procedure, documenting the indication, approach, and specimen obtained. The genetic analysis is a separate laboratory service when performed and reported. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate for this sampling. 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 South Dakota compares for 59015

Across 109 of 109 payment localities, the office rate for 59015 runs from $140.32 in Arkansas to $198.10 in Miami, FL. South Dakota pays $145.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

59015 in South Dakota vs other payment areas
  1. South Dakota · this page$145.58
  2. Los Angeles, CA · California$168.07+$22.49
  3. Washington, DC area · District of Columbia$178.87+$33.29
  4. Miami, FL · Florida$198.10+$52.52
  5. Chicago, IL · Illinois$190.90+$45.32
  6. Manhattan, NY · New York$189.28+$43.70
  7. Alaska · Alaska$190.67+$45.09

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

Every other payment area

59015 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$142.53$104.83
ArkansasArkansas$140.32$103.31
ArizonaArizona$155.34$113.59
Bakersfield, CACalifornia$159.49$112.27
Chico, CACalifornia$157.69$110.47
El Centro, CACalifornia$157.80$110.58
Fresno, CACalifornia$157.69$110.47
Hanford, CACalifornia$157.69$110.47

59015 rates by state

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

Explore a state

Local rates. Clear comparisons.

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

$140.32

$190.67

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
59015 office rate range by state
State / territoryOffice rate rangeLocalities
AK$190.671
AL$142.531
AR$140.321
AZ$155.341
CA$157.69–$187.2529
CO$160.781
CT$171.961
DC$178.871
DE$157.931
FL$169.17–$198.103
GA$157.88–$166.502
GU$160.161
HI$160.161
IA$141.341
ID$143.401
IL$167.69–$190.904
IN$144.161
KS$143.041
KY$151.391
LA$152.10–$159.852
MA$160.70–$173.932
MD$160.31–$178.873
ME$146.78–$151.682
MI$157.83–$173.922
MN$146.591
MO$150.94–$157.533
MS$145.541
MT$160.611
NC$148.031
ND$147.171
NE$141.441
NH$160.531
NJ$171.82–$177.312
NM$159.731
NV$156.931
NY$150.61–$197.225
OH$155.091
OK$148.521
OR$153.65–$163.332
PA$153.99–$169.052
PR$161.051
RI$161.751
SC$152.231
SD$145.581
TN$144.121
TX$153.09–$169.318
UT$154.371
VA$152.86–$178.872
VI$161.051
VT$148.781
WA$159.67–$175.102
WI$142.161
WV$161.781
WY$154.751

See 59015 in every payment locality

How the 59015 rate is calculated

Each of 59015’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 · 59015

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.15

2.15 RVUs× 1.000 GPCI

Practice expense1.98

1.98 RVUs× 1.000 GPCI

Malpractice0.68

0.68 RVUs× 1.000 GPCI

Adjusted RVUs

4.8100

Conversion factor

$33.4009

Medicare rate

$160.66

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,627

Code
59015
Physician work
2.15
Practice expense
1.98
Malpractice
0.68

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 59015 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.15× 1.0002.1500
Practice expense1.98× 1.0001.9800
Malpractice0.68× 0.3360.2285
Total RVUs4.3585
Conversion factor× 33.4009

Office rate, South Dakota$145.58

Office: (2.15 × 1 + 1.98 × 1 + 0.68 × 0.336) × $33.4009 = $145.58

Facility: (2.15 × 1 + 0.69 × 1 + 0.68 × 0.336) × $33.4009 = $102.49

Open 59015 in the RVU calculator

Payment rules and modifiers for 59015

The CMS indicators that decide how 59015 is paid alongside other services.

CMS payment indicators · 59015

Chorionic villus sampling, placental tissue 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

59015 without 51 · national office

$160.66

Chorionic villus sampling, placental tissue sampling

59015-51 · Second procedure: 50%

$80.33

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 59015 has changed in South Dakota

59015 · Office / nonfacility

$145.58

Effective 2026-10-01

The base rate is $4.48 higher than on 2025-10-01, moving from $141.10 to $145.58 (3.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $141.10changed to$145.58

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.20 changed to 2.15
    • Practice expense RVU 1.91 changed to 1.98
    • Malpractice RVU 0.66 changed to 0.68
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $145.13changed to$141.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.90 changed to 1.91
    • Malpractice RVU 0.68 changed to 0.66

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $142.76changed to$145.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $146.06changed to$142.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.87 changed to 1.90
    • Malpractice RVU 0.66 changed to 0.68
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $145.87changed to$146.06

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.80 changed to 1.87
    • Malpractice RVU 0.62 changed to 0.66
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $146.38changed to$145.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.78 changed to 1.80

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $149.08changed to$146.38

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.71 changed to 1.78
    • Malpractice RVU 0.60 changed to 0.62
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $148.76changed to$149.08

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.56 changed to 0.60
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $149.32changed to$148.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.73 changed to 1.71

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $148.76changed to$149.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.72 changed to 1.73
    • Malpractice RVU 0.57 changed to 0.56
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $148.37changed to$148.76

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.56 changed to 0.57
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $149.20changed to$148.37

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.58 changed to 0.56

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $148.45changed to$149.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $149.37changed to$148.45

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.60 changed to 0.58
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $148.07changed to$149.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.88 changed to 1.72
    • Malpractice RVU 0.63 changed to 0.60
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $148.07

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$145.58$102.49RVU26D
2026-07-01$145.58$102.49RVU26C
2026-04-01$145.58$102.49RVU26B
2026-01-01$145.58$102.49RVU26A
2025-10-01$141.10$114.25RVU25D
2025-07-01$141.10$114.25RVU25C
2025-04-01$141.10$114.25RVU25B
2025-01-01$141.10$114.25RVU25A
2024-10-01$145.13$117.50RVU24D
2024-07-01$145.13$117.50RVU24C
2024-04-01$145.13$117.50RVU24B
2024-03-09$145.13$117.50RVU24AR
2024-01-01$142.76$115.58RVU24A
2023-10-01$146.06$118.27RVU23D
2023-07-01$146.06$118.27RVU23C
2023-04-01$146.06$118.27RVU23B
2023-01-01$146.06$118.27RVU23A
2022-10-01$145.87$119.22RVU22D
2022-07-01$145.87$119.22RVU22C
2022-04-01$145.87$119.22RVU22B
2022-01-01$145.87$119.22RVU22A
2021-10-01$146.38$120.56RVU21D
2021-07-01$146.38$120.56RVU21C
2021-04-01$146.38$120.56RVU21B
2021-01-01$146.38$120.56RVU21A
2020-10-01$149.08$124.18RVU20D
2020-07-01$149.08$124.18RVU20C
2020-04-01$149.08$124.18RVU20B
2020-01-01$149.08$124.18RVU20A
2019-10-01$148.76$123.90RVU19D
2019-07-01$148.76$123.90RVU19C
2019-04-01$148.76$123.90RVU19B
2019-01-01$148.76$123.90RVU19A
2018-10-01$149.32$124.84RVU18D
2018-07-01$149.32$124.84RVU18C
2018-04-01$149.32$124.84RVU18B
2018-01-01$149.32$124.84RVU18AR1
2017-10-01$148.76$125.80RVU17D
2017-07-01$148.76$125.80RVU17C
2017-04-01$148.76$125.80RVU17B
2017-01-01$148.76$125.80RVU17A
2016-10-01$148.37$124.74RVU16D
2016-07-01$148.37$124.74RVU16C
2016-04-01$148.37$124.74RVU16B
2016-01-01$148.37$124.74RVU16A
2015-10-01$149.20$125.84RVU15D
2015-07-01$149.20$125.84RVU15C
2015-04-01$148.45$125.21RVU15B
2015-01-01$148.45$125.21RVU15A
2014-10-01$149.37$126.08RVU14D
2014-07-01$149.37$126.08RVU14C
2014-04-01$149.37$126.08RVU14B
2014-01-01$149.37$126.08RVU14A
2013-10-01$148.07$123.58RVU13D
2013-07-01$148.07$123.58RVU13C
2013-04-01$148.07$123.58RVU13B
2013-01-01$148.07$123.58RVU13AR

Price 59015 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

59015 billing questions

How is chorionic villus sampling different from diagnostic amniocentesis?

59015 reports sampling placental villi, while 59000 reports sampling amniotic fluid. The appropriate procedure depends on the diagnostic method and specimen obtained.

Can ultrasound guidance be reported with 59015?

CPT 76945 describes ultrasound guidance for chorionic villus sampling. Report it when the guidance service is performed and documented.

Is the genetic laboratory analysis included in 59015?

No. Code 59015 represents obtaining the placental tissue; laboratory analysis is a distinct service when performed and reported.

Should modifier 50 be used for sampling from both sides of the placenta?

No. Modifier 50 is inappropriate for this procedure. Document the sampling performed and the approach used.

What same-session payment rules affect 59015?

Same-day preoperative and postoperative care is included in its 0-day global period. In a session with multiple procedures, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.

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 59015PPRRVU2026_Oct_nonQPP.csv, line 6,627 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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