CPT code 59070: Amnioinfusion, transabdominal approach2026 Medicare rate & RVUs in Merced, CA
Reports ultrasound-guided fluid instillation into the amniotic cavity through the maternal abdomen for selected fetal conditions involving low amniotic fluid.
In Merced, CA, Medicare pays $398.25 for 59070 in the office and $258.04 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 59070 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 59070 covers
A maternal-fetal medicine physician typically performs this procedure by guiding a needle through the maternal abdominal wall and uterus into the amniotic cavity, then instilling fluid. It may be used in selected fetal conditions involving inadequate amniotic fluid or as part of a planned fetal intervention. Ultrasound guidance is included in the service. The procedure is generally performed in a hospital or other setting equipped for maternal and fetal assessment.
Report the code for the transabdominal infusion, not for fluid removal or diagnostic sampling. Documentation should identify the clinical indication, transabdominal approach, ultrasound-guided access, and infusion performed. CMS 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 the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon and team-surgery billing 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 Merced, CA compares for 59070
Across 109 of 109 payment localities, the office rate for 59070 runs from $351.93 in Arkansas to $494.77 in NYC suburbs and Long Island, NY. Merced, CA pays $398.25. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Merced, CA · this page$398.25
- Bakersfield, CA · California$402.56+$4.31
- Chico, CA · California$398.25
- El Centro, CA · California$398.52+$0.27
- Fresno, CA · California$398.25
- Hanford, CA · California$398.25
- Los Angeles, CA · California$424.83+$26.58
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $398.25 | $258.04 |
| Modesto, CACalifornia | $398.25 | $258.04 |
| Napa, CACalifornia | $444.17 | $275.56 |
| Oxnard, CACalifornia | $420.20 | $268.99 |
| Redding, CACalifornia | $398.25 | $258.04 |
| Rest of CaliforniaCalifornia | $398.25 | $258.04 |
| Riverside, CACalifornia | $415.67 | $275.47 |
| Sacramento, CACalifornia | $413.44 | $264.66 |
| Salinas, CACalifornia | $411.87 | $263.61 |
| San Diego, CACalifornia | $418.63 | $265.63 |
| Marin County, CACalifornia | $463.37 | $283.00 |
| San Francisco, CACalifornia | $461.52 | $281.15 |
| San Benito County, CACalifornia | $475.83 | $291.36 |
| Santa Clara County, CACalifornia | $468.26 | $283.80 |
| San Luis Obispo, CACalifornia | $405.91 | $260.21 |
| Santa Cruz, CACalifornia | $420.15 | $264.72 |
| Santa Maria, CACalifornia | $412.61 | $263.45 |
| Santa Rosa, CACalifornia | $424.01 | $266.92 |
| Stockton, CACalifornia | $398.25 | $258.04 |
| Vallejo, CACalifornia | $441.50 | $272.89 |
| Visalia, CACalifornia | $398.25 | $258.04 |
| Yuba City, CACalifornia | $398.25 | $258.04 |
| Washington, DC areaDistrict of Columbia | $450.60 | $299.90 |
| Miami, FLFlorida | $494.04 | $360.87 |
| Chicago, ILIllinois | $476.07 | $347.51 |
| Manhattan, NYNew York | $475.20 | $326.56 |
| AlaskaAlaska | $475.97 | $339.73 |
| AlabamaAlabama | $357.56 | $245.62 |
| ArkansasArkansas | $351.93 | $242.04 |
| ArizonaArizona | $390.11 | $266.15 |
| ColoradoColorado | $405.02 | $268.91 |
| ConnecticutConnecticut | $432.06 | $294.29 |
| DelawareDelaware | $396.70 | $270.31 |
| Fort Lauderdale, FLFlorida | $449.79 | $320.20 |
| Rest of FloridaFlorida | $423.02 | $300.72 |
| Atlanta, GAGeorgia | $417.79 | $287.82 |
| Rest of GeorgiaGeorgia | $394.67 | $280.56 |
| Hawaii, Guam, HIHawaii | $405.00 | $259.55 |
| IowaIowa | $355.49 | $238.44 |
| IdahoIdaho | $360.52 | $242.83 |
| East St. Louis, ILIllinois | $444.42 | $326.73 |
| Rest of IllinoisIllinois | $418.62 | $301.82 |
| Suburban Chicago, ILIllinois | $451.52 | $320.14 |
| IndianaIndiana | $362.48 | $243.89 |
| KansasKansas | $359.36 | $243.71 |
| KentuckyKentucky | $379.06 | $265.33 |
| New Orleans, LALouisiana | $400.36 | $279.99 |
| Rest of LouisianaLouisiana | $380.68 | $267.47 |
| Metropolitan Boston, MAMassachusetts | $439.09 | $286.35 |
| Rest of MassachusettsMassachusetts | $404.61 | $269.91 |
| Baltimore area, MDMaryland | $432.14 | $294.87 |
| Rest of MarylandMaryland | $402.87 | $273.41 |
| Rest of MaineMaine | $368.63 | $250.94 |
| Southern Maine, MEMaine | $381.79 | $255.01 |
| Detroit, MIMichigan | $434.59 | $311.14 |
| Rest of MichiganMichigan | $394.99 | $278.19 |
| MinnesotaMinnesota | $370.33 | $238.69 |
| Metropolitan Kansas City, MOMissouri | $391.35 | $271.23 |
| Metropolitan St. Louis, MOMissouri | $395.03 | $273.25 |
| Rest of MissouriMissouri | $377.45 | $267.18 |
| MississippiMississippi | $364.48 | $254.34 |
| MontanaMontana | $403.37 | $275.45 |
| North CarolinaNorth Carolina | $371.88 | $252.52 |
| North DakotaNorth Dakota | $371.14 | $243.22 |
| NebraskaNebraska | $355.89 | $237.81 |
| New HampshireNew Hampshire | $403.99 | $270.82 |
| Northern New JerseyNew Jersey | $446.48 | $298.08 |
| Rest of New JerseyNew Jersey | $432.00 | $292.31 |
| New MexicoNew Mexico | $399.62 | $282.31 |
| NevadaNevada | $394.57 | $266.52 |
| NYC suburbs and Long Island, NYNew York | $494.77 | $342.67 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $439.54 | $299.46 |
| Queens, NYNew York | $470.93 | $319.72 |
| Rest of New YorkNew York | $378.40 | $256.87 |
| OhioOhio | $388.40 | $271.61 |
| OklahomaOklahoma | $372.26 | $258.02 |
| Portland, OROregon | $412.07 | $269.95 |
| Rest of OregonOregon | $386.60 | $259.19 |
| Metropolitan Philadelphia, PAPennsylvania | $424.38 | $291.21 |
| Rest of PennsylvaniaPennsylvania | $385.86 | $268.43 |
| Puerto RicoPuerto Rico | $404.63 | $275.30 |
| Rhode IslandRhode Island | $406.73 | $274.58 |
| South CarolinaSouth Carolina | $381.76 | $263.56 |
| South DakotaSouth Dakota | $367.33 | $239.41 |
| TennesseeTennessee | $362.04 | $245.76 |
| Austin, TXTexas | $407.96 | $272.62 |
| Beaumont, TXTexas | $383.56 | $267.15 |
| Brazoria, TXTexas | $391.27 | $264.49 |
| Dallas, TXTexas | $396.57 | $269.16 |
| Fort Worth, TXTexas | $395.50 | $269.36 |
| Galveston, TXTexas | $394.24 | $267.21 |
| Houston, TXTexas | $424.07 | $297.04 |
| Rest of TexasTexas | $389.11 | $267.70 |
| UtahUtah | $387.23 | $266.98 |
| VirginiaVirginia | $384.44 | $258.69 |
| Virgin Islands, VIUnited States Virgin Islands | $404.63 | $275.30 |
| VermontVermont | $374.80 | $248.16 |
| Rest of WashingtonWashington | $402.14 | $267.44 |
| King County, WAWashington | $442.54 | $285.58 |
| WisconsinWisconsin | $358.32 | $235.76 |
| West VirginiaWest Virginia | $403.58 | $292.42 |
| WyomingWyoming | $389.33 | $261.40 |
59070 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.
$351.93
$475.97
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $475.97 | 1 |
| AL | $357.56 | 1 |
| AR | $351.93 | 1 |
| AZ | $390.11 | 1 |
| CA | $398.25–$475.83 | 29 |
| CO | $405.02 | 1 |
| CT | $432.06 | 1 |
| DC | $450.60 | 1 |
| DE | $396.70 | 1 |
| FL | $423.02–$494.04 | 3 |
| GA | $394.67–$417.79 | 2 |
| GU | $405.00 | 1 |
| HI | $405.00 | 1 |
| IA | $355.49 | 1 |
| ID | $360.52 | 1 |
| IL | $418.62–$476.07 | 4 |
| IN | $362.48 | 1 |
| KS | $359.36 | 1 |
| KY | $379.06 | 1 |
| LA | $380.68–$400.36 | 2 |
| MA | $404.61–$439.09 | 2 |
| MD | $402.87–$450.60 | 3 |
| ME | $368.63–$381.79 | 2 |
| MI | $394.99–$434.59 | 2 |
| MN | $370.33 | 1 |
| MO | $377.45–$395.03 | 3 |
| MS | $364.48 | 1 |
| MT | $403.37 | 1 |
| NC | $371.88 | 1 |
| ND | $371.14 | 1 |
| NE | $355.89 | 1 |
| NH | $403.99 | 1 |
| NJ | $432.00–$446.48 | 2 |
| NM | $399.62 | 1 |
| NV | $394.57 | 1 |
| NY | $378.40–$494.77 | 5 |
| OH | $388.40 | 1 |
| OK | $372.26 | 1 |
| OR | $386.60–$412.07 | 2 |
| PA | $385.86–$424.38 | 2 |
| PR | $404.63 | 1 |
| RI | $406.73 | 1 |
| SC | $381.76 | 1 |
| SD | $367.33 | 1 |
| TN | $362.04 | 1 |
| TX | $383.56–$424.07 | 8 |
| UT | $387.23 | 1 |
| VA | $384.44–$450.60 | 2 |
| VI | $404.63 | 1 |
| VT | $374.80 | 1 |
| WA | $402.14–$442.54 | 2 |
| WI | $358.32 | 1 |
| WV | $403.58 | 1 |
| WY | $389.33 | 1 |
How the 59070 rate is calculated
Each of 59070’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 · 59070
RVUs × geographic indexes × conversion factor
Work5.11
5.11 RVUs× 1.000 GPCI
Practice expense5.34
5.34 RVUs× 1.000 GPCI
Malpractice1.63
1.63 RVUs× 1.000 GPCI
Adjusted RVUs
12.0800
Conversion factor
$33.4009
Medicare rate
$403.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Merced, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,637
- Code
- 59070
- Physician work
- 5.11
- Practice expense
- 5.34
- Malpractice
- 1.63
GPCI2026.csv
15
- Locality
- Merced, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.017 | 5.1969 |
| Practice expense | 5.34 | × 1.096 | 5.8526 |
| Malpractice | 1.63 | × 0.536 | 0.8737 |
| Total RVUs | 11.9232 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Merced, CA$398.25
Office: (5.11 × 1.017 + 5.34 × 1.096 + 1.63 × 0.536) × $33.4009 = $398.25
Facility: (5.11 × 1.017 + 1.51 × 1.096 + 1.63 × 0.536) × $33.4009 = $258.04
Payment rules and modifiers for 59070
The CMS indicators that decide how 59070 is paid alongside other services.
CMS payment indicators · 59070
Amnioinfusion, transabdominal approach
| 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) | 2 | Paid. |
| 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
59070 without 51 · national office
$403.48
Amnioinfusion, transabdominal approach
59070-51 · Second procedure: 50%
$201.74
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 59070 has changed in Merced, CA
59070 · Office / nonfacility
$398.25
Effective 2026-10-01
The base rate is $16.21 higher than on 2025-10-01, moving from $382.04 to $398.25 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$382.04changed to$398.25
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.24 changed to 5.11
- Practice expense RVU 5.13 changed to 5.34
- Malpractice RVU 1.59 changed to 1.63
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$395.52changed to$382.04
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.19 changed to 5.13
- Malpractice RVU 1.60 changed to 1.59
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$389.07changed to$395.52
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$400.94changed to$389.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.17 changed to 5.19
- Malpractice RVU 1.56 changed to 1.60
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$405.19changed to$400.94
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.10 changed to 5.17
- Malpractice RVU 1.50 changed to 1.56
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$410.31changed to$405.19
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.17 changed to 5.10
- Malpractice RVU 1.46 changed to 1.50
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$414.55changed to$410.31
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.94 changed to 5.17
- Malpractice RVU 1.44 changed to 1.46
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$411.36changed to$414.55
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.95 changed to 4.94
- Malpractice RVU 1.34 changed to 1.44
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$415.16changed to$411.36
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.06 changed to 4.95
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$416.85changed to$415.16
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.17 changed to 5.06
- Malpractice RVU 1.10 changed to 1.34
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$416.85
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $398.25 | $258.04 | RVU26D |
| 2026-07-01 | $398.25 | $258.04 | RVU26C |
| 2026-04-01 | $398.25 | $258.04 | RVU26B |
| 2026-01-01 | $398.25 | $258.04 | RVU26A |
| 2025-10-01 | $382.04 | $286.94 | RVU25D |
| 2025-07-01 | $382.04 | $286.94 | RVU25C |
| 2025-04-01 | $382.04 | $286.94 | RVU25B |
| 2025-01-01 | $382.04 | $286.94 | RVU25A |
| 2024-10-01 | $395.52 | $294.74 | RVU24D |
| 2024-07-01 | $395.52 | $294.74 | RVU24C |
| 2024-04-01 | $395.52 | $294.74 | RVU24B |
| 2024-03-09 | $395.52 | $294.74 | RVU24AR |
| 2024-01-01 | $389.07 | $289.93 | RVU24A |
| 2023-10-01 | $400.94 | $300.03 | RVU23D |
| 2023-07-01 | $400.94 | $300.03 | RVU23C |
| 2023-04-01 | $400.94 | $300.03 | RVU23B |
| 2023-01-01 | $400.94 | $300.03 | RVU23A |
| 2022-10-01 | $405.19 | $303.46 | RVU22D |
| 2022-07-01 | $405.19 | $303.46 | RVU22C |
| 2022-04-01 | $405.19 | $303.46 | RVU22B |
| 2022-01-01 | $405.19 | $303.46 | RVU22A |
| 2021-10-01 | $410.31 | $305.52 | RVU21D |
| 2021-07-01 | $410.31 | $305.52 | RVU21C |
| 2021-04-01 | $410.31 | $305.52 | RVU21B |
| 2021-01-01 | $410.31 | $305.52 | RVU21A |
| 2020-10-01 | $414.55 | $312.99 | RVU20D |
| 2020-07-01 | $414.55 | $312.99 | RVU20C |
| 2020-04-01 | $414.55 | $312.99 | RVU20B |
| 2020-01-01 | $414.55 | $312.99 | RVU20A |
| 2019-10-01 | $411.36 | $310.33 | RVU19D |
| 2019-07-01 | $411.36 | $310.33 | RVU19C |
| 2019-04-01 | $411.36 | $310.33 | RVU19B |
| 2019-01-01 | $411.36 | $310.33 | RVU19A |
| 2018-10-01 | $415.16 | $311.54 | RVU18D |
| 2018-07-01 | $415.16 | $311.54 | RVU18C |
| 2018-04-01 | $415.16 | $311.54 | RVU18B |
| 2018-01-01 | $415.16 | $311.54 | RVU18AR1 |
| 2017-10-01 | $416.85 | $314.24 | RVU17D |
| 2017-07-01 | $416.85 | $314.24 | RVU17C |
| 2017-04-01 | $416.85 | $314.24 | RVU17B |
| 2017-01-01 | $416.85 | $314.24 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Merced, CA rate applies
Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Merced
- Atwater
- Ballico
- Bear Creek
- Cressey
- Delhi
- Dos Palos
- Dos Palos Y
59070 billing questions
How does this differ from therapeutic amniocentesis?
This code covers adding fluid to the amniotic cavity through a transabdominal approach. Therapeutic amniocentesis, 59001, covers removing fluid.
Can ultrasound guidance be billed separately?
Ultrasound guidance is included in this code. Do not separately report the guidance for the same infusion.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What documentation supports reporting the code?
Document the indication, transabdominal access, ultrasound guidance, and fluid instillation. The record should distinguish the infusion from fluid drainage or diagnostic sampling.
How is this handled when another procedure is performed in the same session?
CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full, and other procedures are paid at 50%. The 0-day global period includes same-day preoperative and postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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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