CPT code 59030: Fetal blood sampling, scalp sample during labor2026 Medicare rate & RVUs in North Carolina

Intrapartum fetal scalp blood sampling obtains a specimen for fetal acid-base assessment when labor findings raise concern about fetal well-being.

CMS RVU26DEffective Oct 1, 2026One payment locality

In North Carolina, Medicare pays $90.59 for 59030 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$90.59Hospital or facility

Check a contract rate as a % of Medicare · 59030 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 59030 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 59030 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 59030 covers

During labor, the obstetrician obtains a small blood specimen from the presenting fetal scalp through the cervix to assess fetal acid-base status, often after a concerning fetal heart-rate pattern. The result can help guide whether labor may continue or delivery should be expedited. The procedure is performed in labor and delivery when the cervix and ruptured membranes permit access; it is distinct from prenatal blood sampling through the umbilical cord.

Report 59030 for the scalp sampling procedure. Documentation should identify the intrapartum indication, sampling site, and procedure, along with the clinical assessment and resulting management. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are paid at 50%. Modifier 50 is inappropriate. An assistant at surgery is paid only when medical necessity is documented; 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 North Carolina compares for 59030

Across 109 of 109 payment localities, the facility rate for 59030 runs from $84.19 in Wisconsin to $130.58 in Miami, FL. North Carolina pays $90.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

59030 in North Carolina vs other payment areas
  1. North Carolina · this page$90.59
  2. Los Angeles, CA · California$97.18+$6.59
  3. Washington, DC area · District of Columbia$107.11+$16.52
  4. Miami, FL · Florida$130.58+$39.99
  5. Chicago, IL · Illinois$125.77+$35.18
  6. Manhattan, NY · New York$117.17+$26.58
  7. Alaska · Alaska$123.01+$32.42

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

Every other payment area

59030 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$88.31
ArkansasArkansas—$87.05
ArizonaArizona—$95.51
Bakersfield, CACalifornia—$93.45
Chico, CACalifornia—$91.83
El Centro, CACalifornia—$91.93
Fresno, CACalifornia—$91.83
Hanford, CACalifornia—$91.83

59030 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.

View every state and territory as a table
59030 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 59030 in every payment locality

How the 59030 rate is calculated

Each of 59030’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 · 59030

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.94

1.94 RVUs× 1.000 GPCI

Practice expense0.41

0.41 RVUs× 1.000 GPCI

Malpractice0.61

0.61 RVUs× 1.000 GPCI

Adjusted RVUs

2.9600

Conversion factor

$33.4009

Medicare rate

$98.87

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

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,634

Code
59030
Physician work
1.94
Practice expense
0.41
Malpractice
0.61

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 59030 in North Carolina
ComponentRVULocality factorAdjusted
Physician work1.94× 1.0001.9400
Practice expense0.41× 0.9330.3825
Malpractice0.61× 0.6390.3898
Total RVUs2.7123
Conversion factor× 33.4009

Facility rate, North Carolina$90.59

Facility: (1.94 × 1 + 0.41 × 0.933 + 0.61 × 0.639) × $33.4009 = $90.59

Open 59030 in the RVU calculator

Payment rules and modifiers for 59030

The CMS indicators that decide how 59030 is paid alongside other services.

CMS payment indicators · 59030

Fetal blood sampling, scalp sample during labor

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

59030 without 51 · national facility

$98.87

Fetal blood sampling, scalp sample during labor

59030-51 · Second procedure: 50%

$49.44

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 59030 has changed in North Carolina

59030 · 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$90.59RVU26D
2026-07-01Not available in this setting$90.59RVU26C
2026-04-01Not available in this setting$90.59RVU26B
2026-01-01Not available in this setting$90.59RVU26A
2025-10-01Not available in this setting$100.34RVU25D
2025-07-01Not available in this setting$100.34RVU25C
2025-04-01Not available in this setting$100.34RVU25B
2025-01-01Not available in this setting$100.34RVU25A
2024-10-01Not available in this setting$103.26RVU24D
2024-07-01Not available in this setting$103.26RVU24C
2024-04-01Not available in this setting$103.26RVU24B
2024-03-09Not available in this setting$103.26RVU24AR
2024-01-01Not available in this setting$101.57RVU24A
2023-10-01Not available in this setting$106.46RVU23D
2023-07-01Not available in this setting$106.46RVU23C
2023-04-01Not available in this setting$106.46RVU23B
2023-01-01Not available in this setting$106.46RVU23A
2022-10-01Not available in this setting$109.11RVU22D
2022-07-01Not available in this setting$109.11RVU22C
2022-04-01Not available in this setting$109.11RVU22B
2022-01-01Not available in this setting$109.11RVU22A
2021-10-01Not available in this setting$109.48RVU21D
2021-07-01Not available in this setting$109.48RVU21C
2021-04-01Not available in this setting$109.48RVU21B
2021-01-01Not available in this setting$109.48RVU21A
2020-10-01Not available in this setting$111.74RVU20D
2020-07-01Not available in this setting$111.74RVU20C
2020-04-01Not available in this setting$111.74RVU20B
2020-01-01Not available in this setting$111.74RVU20A
2019-10-01Not available in this setting$109.66RVU19D
2019-07-01Not available in this setting$109.66RVU19C
2019-04-01Not available in this setting$109.66RVU19B
2019-01-01Not available in this setting$109.66RVU19A
2018-10-01Not available in this setting$109.87RVU18D
2018-07-01Not available in this setting$109.87RVU18C
2018-04-01Not available in this setting$109.87RVU18B
2018-01-01Not available in this setting$109.87RVU18AR1
2017-10-01Not available in this setting$100.49RVU17D
2017-07-01Not available in this setting$100.49RVU17C
2017-04-01Not available in this setting$100.49RVU17B
2017-01-01Not available in this setting$100.49RVU17A
2016-10-01Not available in this setting$100.68RVU16D
2016-07-01Not available in this setting$100.68RVU16C
2016-04-01Not available in this setting$100.68RVU16B
2016-01-01Not available in this setting$100.68RVU16A
2015-10-01Not available in this setting$100.77RVU15D
2015-07-01Not available in this setting$100.77RVU15C
2015-04-01Not available in this setting$100.27RVU15B
2015-01-01Not available in this setting$100.27RVU15A
2014-10-01Not available in this setting$99.80RVU14D
2014-07-01Not available in this setting$99.80RVU14C
2014-04-01Not available in this setting$99.80RVU14B
2014-01-01Not available in this setting$99.80RVU14A
2013-10-01Not available in this setting$103.97RVU13D
2013-07-01Not available in this setting$103.97RVU13C
2013-04-01Not available in this setting$103.97RVU13B
2013-01-01Not available in this setting$103.97RVU13AR

Price 59030 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

59030 billing questions

When should 59030 be reported instead of fetal heart-rate monitoring?

Report 59030 when a blood specimen is obtained from the fetal scalp during labor. Monitoring records or interprets fetal heart-rate activity but does not include this sampling procedure.

How is 59030 distinguished from fetal cord blood sampling?

59030 is for obtaining blood from the fetal scalp during labor. Code 59012 describes fetal blood sampling by prenatal cord puncture.

Can modifier 50 be used for 59030?

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

What same-session payment rule applies when another procedure is performed?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedure is paid at 50%.

What documentation supports reporting 59030?

Document the intrapartum reason for sampling, the fetal scalp sampling site, and the procedure performed. Include the clinical assessment and how the result affected management.

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 59030PPRRVU2026_Oct_nonQPP.csv, line 6,634 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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