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

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, 2026One payment locality

In Nevada, Medicare pays $42.92 for 59050 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$42.92Hospital or facility

Check a contract rate as a % of Medicare · 59050 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 59050 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 59050 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 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.

How Nevada compares for 59050

Across 109 of 109 payment localities, the facility rate for 59050 runs from $37.92 in Wisconsin to $58.47 in Miami, FL. Nevada pays $42.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

59050 in Nevada vs other payment areas
  1. Nevada · this page$42.92
  2. Los Angeles, CA · California$43.75+$0.83
  3. Washington, DC area · District of Columbia$48.14+$5.22
  4. Miami, FL · Florida$58.47+$15.55
  5. Chicago, IL · Illinois$56.34+$13.42
  6. Manhattan, NY · New York$52.60+$9.68
  7. Alaska · Alaska$55.32+$12.40

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

Every other payment area

59050 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$39.72
ArkansasArkansas—$39.15
ArizonaArizona—$42.93
Bakersfield, CACalifornia—$42.06
Chico, CACalifornia—$41.34
El Centro, CACalifornia—$41.39
Fresno, CACalifornia—$41.34
Hanford, CACalifornia—$41.34

59050 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
59050 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 59050 in every payment locality

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.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,635

Code
59050
Physician work
0.87
Practice expense
0.19
Malpractice
0.27

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Facility calculation for 59050 in Nevada
ComponentRVULocality factorAdjusted
Physician work0.87× 1.0000.8700
Practice expense0.19× 1.0010.1902
Malpractice0.27× 0.8330.2249
Total RVUs1.2851
Conversion factor× 33.4009

Facility rate, Nevada$42.92

Facility: (0.87 × 1 + 0.19 × 1.001 + 0.27 × 0.833) × $33.4009 = $42.92

Open 59050 in the RVU calculator

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.

How 59050 has changed in Nevada

59050 · 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$42.92RVU26D
2026-07-01Not available in this setting$42.92RVU26C
2026-04-01Not available in this setting$42.92RVU26B
2026-01-01Not available in this setting$42.92RVU26A
2025-10-01Not available in this setting$47.16RVU25D
2025-07-01Not available in this setting$47.16RVU25C
2025-04-01Not available in this setting$47.16RVU25B
2025-01-01Not available in this setting$47.16RVU25A
2024-10-01Not available in this setting$48.25RVU24D
2024-07-01Not available in this setting$48.25RVU24C
2024-04-01Not available in this setting$48.25RVU24B
2024-03-09Not available in this setting$48.25RVU24AR
2024-01-01Not available in this setting$47.46RVU24A
2023-10-01Not available in this setting$51.69RVU23D
2023-07-01Not available in this setting$51.69RVU23C
2023-04-01Not available in this setting$51.69RVU23B
2023-01-01Not available in this setting$51.69RVU23A
2022-10-01Not available in this setting$54.41RVU22D
2022-07-01Not available in this setting$54.41RVU22C
2022-04-01Not available in this setting$54.41RVU22B
2022-01-01Not available in this setting$54.41RVU22A
2021-10-01Not available in this setting$54.86RVU21D
2021-07-01Not available in this setting$54.86RVU21C
2021-04-01Not available in this setting$54.86RVU21B
2021-01-01Not available in this setting$54.86RVU21A
2020-10-01Not available in this setting$55.12RVU20D
2020-07-01Not available in this setting$55.12RVU20C
2020-04-01Not available in this setting$55.12RVU20B
2020-01-01Not available in this setting$55.12RVU20A
2019-10-01Not available in this setting$52.14RVU19D
2019-07-01Not available in this setting$52.14RVU19C
2019-04-01Not available in this setting$52.14RVU19B
2019-01-01Not available in this setting$52.14RVU19A
2018-10-01Not available in this setting$52.44RVU18D
2018-07-01Not available in this setting$52.44RVU18C
2018-04-01Not available in this setting$52.44RVU18B
2018-01-01Not available in this setting$52.44RVU18AR1
2017-10-01Not available in this setting$50.15RVU17D
2017-07-01Not available in this setting$50.15RVU17C
2017-04-01Not available in this setting$50.15RVU17B
2017-01-01Not available in this setting$50.15RVU17A
2016-10-01Not available in this setting$53.28RVU16D
2016-07-01Not available in this setting$53.28RVU16C
2016-04-01Not available in this setting$53.28RVU16B
2016-01-01Not available in this setting$53.28RVU16A
2015-10-01Not available in this setting$53.83RVU15D
2015-07-01Not available in this setting$53.83RVU15C
2015-04-01Not available in this setting$53.56RVU15B
2015-01-01Not available in this setting$53.56RVU15A
2014-10-01Not available in this setting$55.06RVU14D
2014-07-01Not available in this setting$55.06RVU14C
2014-04-01Not available in this setting$55.06RVU14B
2014-01-01Not available in this setting$55.06RVU14A
2013-10-01Not available in this setting$54.86RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 59050 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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