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.
In North Carolina, Medicare pays $90.59 for 59030 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- North Carolina · this page$90.59
- Los Angeles, CA · California$97.18+$6.59
- Washington, DC area · District of Columbia$107.11+$16.52
- Miami, FL · Florida$130.58+$39.99
- Chicago, IL · Illinois$125.77+$35.18
- Manhattan, NY · New York$117.17+$26.58
- Alaska · Alaska$123.01+$32.42
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $91.83 |
| Merced, CACalifornia | — | $91.83 |
| Modesto, CACalifornia | — | $91.83 |
| Napa, CACalifornia | — | $97.28 |
| Oxnard, CACalifornia | — | $95.49 |
| Redding, CACalifornia | — | $91.83 |
| Rest of CaliforniaCalifornia | — | $91.83 |
| Riverside, CACalifornia | — | $98.35 |
| Sacramento, CACalifornia | — | $93.98 |
| Salinas, CACalifornia | — | $93.60 |
| San Diego, CACalifornia | — | $94.16 |
| Marin County, CACalifornia | — | $99.61 |
| San Francisco, CACalifornia | — | $98.92 |
| San Benito County, CACalifornia | — | $102.59 |
| Santa Clara County, CACalifornia | — | $99.76 |
| San Luis Obispo, CACalifornia | — | $92.42 |
| Santa Cruz, CACalifornia | — | $93.72 |
| Santa Maria, CACalifornia | — | $93.50 |
| Santa Rosa, CACalifornia | — | $94.48 |
| Stockton, CACalifornia | — | $91.83 |
| Vallejo, CACalifornia | — | $96.28 |
| Visalia, CACalifornia | — | $91.83 |
| Yuba City, CACalifornia | — | $91.83 |
| ColoradoColorado | — | $96.06 |
| ConnecticutConnecticut | — | $105.50 |
| DelawareDelaware | — | $96.97 |
| Fort Lauderdale, FLFlorida | — | $115.51 |
| Rest of FloridaFlorida | — | $108.51 |
| Atlanta, GAGeorgia | — | $103.38 |
| Rest of GeorgiaGeorgia | — | $101.30 |
| Hawaii, Guam, HIHawaii | — | $92.17 |
| IowaIowa | — | $85.42 |
| IdahoIdaho | — | $87.03 |
| East St. Louis, ILIllinois | — | $118.43 |
| Rest of IllinoisIllinois | — | $109.15 |
| Suburban Chicago, ILIllinois | — | $115.42 |
| IndianaIndiana | — | $87.39 |
| KansasKansas | — | $87.45 |
| KentuckyKentucky | — | $95.61 |
| New Orleans, LALouisiana | — | $100.83 |
| Rest of LouisianaLouisiana | — | $96.44 |
| Metropolitan Boston, MAMassachusetts | — | $101.94 |
| Rest of MassachusettsMassachusetts | — | $96.49 |
| Baltimore area, MDMaryland | — | $105.73 |
| Rest of MarylandMaryland | — | $98.01 |
| Rest of MaineMaine | — | $90.07 |
| Southern Maine, MEMaine | — | $91.23 |
| Detroit, MIMichigan | — | $112.36 |
| Rest of MichiganMichigan | — | $100.30 |
| MinnesotaMinnesota | — | $84.92 |
| Metropolitan Kansas City, MOMissouri | — | $97.56 |
| Metropolitan St. Louis, MOMissouri | — | $98.25 |
| Rest of MissouriMissouri | — | $96.45 |
| MississippiMississippi | — | $91.65 |
| MontanaMontana | — | $98.83 |
| North DakotaNorth Dakota | — | $86.76 |
| NebraskaNebraska | — | $85.14 |
| New HampshireNew Hampshire | — | $96.88 |
| Northern New JerseyNew Jersey | — | $106.53 |
| Rest of New JerseyNew Jersey | — | $104.69 |
| New MexicoNew Mexico | — | $101.83 |
| NevadaNevada | — | $95.48 |
| NYC suburbs and Long Island, NYNew York | — | $123.06 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $107.36 |
| Queens, NYNew York | — | $114.51 |
| Rest of New YorkNew York | — | $92.13 |
| OhioOhio | — | $97.84 |
| OklahomaOklahoma | — | $92.86 |
| Portland, OROregon | — | $96.21 |
| Rest of OregonOregon | — | $92.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $104.53 |
| Rest of PennsylvaniaPennsylvania | — | $96.62 |
| Puerto RicoPuerto Rico | — | $98.71 |
| Rhode IslandRhode Island | — | $98.35 |
| South CarolinaSouth Carolina | — | $94.77 |
| South DakotaSouth Dakota | — | $85.34 |
| TennesseeTennessee | — | $88.19 |
| Austin, TXTexas | — | $97.47 |
| Beaumont, TXTexas | — | $96.19 |
| Brazoria, TXTexas | — | $94.78 |
| Dallas, TXTexas | — | $96.50 |
| Fort Worth, TXTexas | — | $96.63 |
| Galveston, TXTexas | — | $95.78 |
| Houston, TXTexas | — | $106.95 |
| Rest of TexasTexas | — | $96.19 |
| UtahUtah | — | $95.97 |
| VirginiaVirginia | — | $92.64 |
| Virgin Islands, VIUnited States Virgin Islands | — | $98.71 |
| VermontVermont | — | $88.66 |
| Rest of WashingtonWashington | — | $95.57 |
| King County, WAWashington | — | $101.49 |
| WisconsinWisconsin | — | $84.19 |
| West VirginiaWest Virginia | — | $105.85 |
| WyomingWyoming | — | $93.57 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.94 | × 1.000 | 1.9400 |
| Practice expense | 0.41 | × 0.933 | 0.3825 |
| Malpractice | 0.61 | × 0.639 | 0.3898 |
| Total RVUs | 2.7123 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $90.59 | RVU26D |
| 2026-07-01 | Not available in this setting | $90.59 | RVU26C |
| 2026-04-01 | Not available in this setting | $90.59 | RVU26B |
| 2026-01-01 | Not available in this setting | $90.59 | RVU26A |
| 2025-10-01 | Not available in this setting | $100.34 | RVU25D |
| 2025-07-01 | Not available in this setting | $100.34 | RVU25C |
| 2025-04-01 | Not available in this setting | $100.34 | RVU25B |
| 2025-01-01 | Not available in this setting | $100.34 | RVU25A |
| 2024-10-01 | Not available in this setting | $103.26 | RVU24D |
| 2024-07-01 | Not available in this setting | $103.26 | RVU24C |
| 2024-04-01 | Not available in this setting | $103.26 | RVU24B |
| 2024-03-09 | Not available in this setting | $103.26 | RVU24AR |
| 2024-01-01 | Not available in this setting | $101.57 | RVU24A |
| 2023-10-01 | Not available in this setting | $106.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $106.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $106.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $106.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $109.11 | RVU22D |
| 2022-07-01 | Not available in this setting | $109.11 | RVU22C |
| 2022-04-01 | Not available in this setting | $109.11 | RVU22B |
| 2022-01-01 | Not available in this setting | $109.11 | RVU22A |
| 2021-10-01 | Not available in this setting | $109.48 | RVU21D |
| 2021-07-01 | Not available in this setting | $109.48 | RVU21C |
| 2021-04-01 | Not available in this setting | $109.48 | RVU21B |
| 2021-01-01 | Not available in this setting | $109.48 | RVU21A |
| 2020-10-01 | Not available in this setting | $111.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $111.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $111.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $111.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $109.66 | RVU19D |
| 2019-07-01 | Not available in this setting | $109.66 | RVU19C |
| 2019-04-01 | Not available in this setting | $109.66 | RVU19B |
| 2019-01-01 | Not available in this setting | $109.66 | RVU19A |
| 2018-10-01 | Not available in this setting | $109.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $109.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $109.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $109.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $100.49 | RVU17D |
| 2017-07-01 | Not available in this setting | $100.49 | RVU17C |
| 2017-04-01 | Not available in this setting | $100.49 | RVU17B |
| 2017-01-01 | Not available in this setting | $100.49 | RVU17A |
| 2016-10-01 | Not available in this setting | $100.68 | RVU16D |
| 2016-07-01 | Not available in this setting | $100.68 | RVU16C |
| 2016-04-01 | Not available in this setting | $100.68 | RVU16B |
| 2016-01-01 | Not available in this setting | $100.68 | RVU16A |
| 2015-10-01 | Not available in this setting | $100.77 | RVU15D |
| 2015-07-01 | Not available in this setting | $100.77 | RVU15C |
| 2015-04-01 | Not available in this setting | $100.27 | RVU15B |
| 2015-01-01 | Not available in this setting | $100.27 | RVU15A |
| 2014-10-01 | Not available in this setting | $99.80 | RVU14D |
| 2014-07-01 | Not available in this setting | $99.80 | RVU14C |
| 2014-04-01 | Not available in this setting | $99.80 | RVU14B |
| 2014-01-01 | Not available in this setting | $99.80 | RVU14A |
| 2013-10-01 | Not available in this setting | $103.97 | RVU13D |
| 2013-07-01 | Not available in this setting | $103.97 | RVU13C |
| 2013-04-01 | Not available in this setting | $103.97 | RVU13B |
| 2013-01-01 | Not available in this setting | $103.97 | RVU13AR |
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
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
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