CPT code 59050: Labor monitoring, consultant monitoring and report2026 Medicare rate & RVUs in Michigan

Reports a consulting physician’s fetal monitoring during labor, including assessment of the tracing and a written report to the care team.

CMS RVU26DEffective Oct 1, 20262 payment localities

CMS doesn’t publish an office rate for 59050 in Michigan.

—Office (non-facility)
$45.03–$50.39Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Michigan
  2. What 59050 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 59050 covers

A consulting physician other than the attending physician monitors fetal heart-rate and uterine-activity tracings during labor, assesses the findings, and provides a written report. This service may be requested when the laboring patient’s tracing needs an independent clinical assessment, such as evaluation of concerning fetal heart-rate patterns. It is performed in the labor and delivery setting and is distinct from antepartum fetal testing.

Report 59050 when the consultant performs the monitoring service and documents the findings in a written report; use 59051 when the requested service is interpretation only. The record should establish the physician’s consulting role, that the patient was in labor, the tracing assessed, and the resulting interpretation or recommendations. CMS assigns work, practice-expense, and malpractice relative values to the service; the applicable fee schedule rate is displayed separately.

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.

Where 59050 pays more and less in Michigan

59050 office and facility rates by payment locality
Payment localityOfficeFacility
Detroit, MIUnavailable$50.39
Rest of MichiganUnavailable$45.03

How the 59050 rate is calculated

Each of 59050’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 · 59050

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.87

0.87 RVUs× 1.000 GPCI

Practice expense0.19

0.19 RVUs× 1.000 GPCI

Malpractice0.27

0.27 RVUs× 1.000 GPCI

Adjusted RVUs

1.3300

Conversion factor

$33.4009

Medicare rate

$44.42

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

Payment rules and modifiers for 59050

59050 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 59050

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

59050 isn’t priced in this setting.

59050 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59050

    Labor monitoring, consultant monitoring and report0.87 wRVU

    Not priced

  • 59051

    Fetal monitoring, interpretation only during labor0.72 wRVU

    Not priced

  • 59025

    Fetal testing, nonstress test0.52 wRVU

    $50.44

  • 59020

    Fetal stress test, contraction-induced monitoring0.64 wRVU

    $72.81

How to choose

59051Fetal monitoringInterpretation only during labor
Use 59050 when the consultant performs monitoring and provides a written report. Use 59051 for interpretation only.
59025Fetal testingNonstress test
59025 is an antepartum non-stress test. 59050 concerns a consultant’s monitoring service during labor.
59020Fetal stress testContraction-induced monitoring
59020 reports a contraction stress test for fetal assessment; 59050 reports consultant monitoring during labor.

59050 billing questions

How does 59050 differ from 59051?

59050 is for the consultant’s monitoring service with a written report. Choose 59051 when the consultant interprets the fetal monitoring but does not provide the monitoring service.

Can the attending physician report 59050?

The code describes labor monitoring by a consulting physician other than the attending physician. The documentation should make the consultant’s role clear.

Does 59050 cover an antepartum non-stress test?

No. It concerns fetal monitoring during labor; 59025 describes a fetal non-stress test, an antepartum testing service.

What documentation supports reporting 59050?

Document that the patient was in labor, the physician served as a consultant, the fetal tracing was monitored, and the findings were communicated in a written report.

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 59050PPRRVU2026_Oct_nonQPP.csv, line 6,635 (RVU26D)

Open CMS sourceHow we calculate rates

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