FeeBase
Log inGet started
Menu

CPT code 59070: Amnioinfusion, transabdominal approach2026 Medicare rate & RVUs in Washington, DC area

Reports ultrasound-guided fluid instillation into the amniotic cavity through the maternal abdomen for selected fetal conditions involving low amniotic fluid.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $450.60 for 59070 in the office and $299.90 when it’s performed in a hospital or facility.

$450.60Office (non-facility)
$299.90Hospital or facility
+11.7%vs the national office rate ($403.48)

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.

We’ll open 59070 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 59070 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 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 Washington, DC area 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. Washington, DC area pays $450.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

59070 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$450.60
  2. Los Angeles, CA · California$424.83−$25.77
  3. Miami, FL · Florida$494.04+$43.44
  4. Chicago, IL · Illinois$476.07+$25.47
  5. Manhattan, NY · New York$475.20+$24.60
  6. Alaska · Alaska$475.97+$25.37
  7. Alabama · Alabama$357.56−$93.04

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

59070 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$351.93$242.04
ArizonaArizona$390.11$266.15
Bakersfield, CACalifornia$402.56$262.35
Chico, CACalifornia$398.25$258.04
El Centro, CACalifornia$398.52$258.31
Fresno, CACalifornia$398.25$258.04
Hanford, CACalifornia$398.25$258.04
Madera, CACalifornia$398.25$258.04

59070 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
59070 office rate range by state
State / territoryOffice rate rangeLocalities
AK$475.971
AL$357.561
AR$351.931
AZ$390.111
CA$398.25–$475.8329
CO$405.021
CT$432.061
DC$450.601
DE$396.701
FL$423.02–$494.043
GA$394.67–$417.792
GU$405.001
HI$405.001
IA$355.491
ID$360.521
IL$418.62–$476.074
IN$362.481
KS$359.361
KY$379.061
LA$380.68–$400.362
MA$404.61–$439.092
MD$402.87–$450.603
ME$368.63–$381.792
MI$394.99–$434.592
MN$370.331
MO$377.45–$395.033
MS$364.481
MT$403.371
NC$371.881
ND$371.141
NE$355.891
NH$403.991
NJ$432.00–$446.482
NM$399.621
NV$394.571
NY$378.40–$494.775
OH$388.401
OK$372.261
OR$386.60–$412.072
PA$385.86–$424.382
PR$404.631
RI$406.731
SC$381.761
SD$367.331
TN$362.041
TX$383.56–$424.078
UT$387.231
VA$384.44–$450.602
VI$404.631
VT$374.801
WA$402.14–$442.542
WI$358.321
WV$403.581
WY$389.331

See 59070 in every payment locality

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

Office or facility?

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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 59070 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work5.11× 1.0545.3859
Practice expense5.34× 1.1786.2905
Malpractice1.63× 1.1131.8142
Total RVUs13.4907
Conversion factor× 33.4009

Office rate, Washington, DC area$450.60

Office: (5.11 × 1.054 + 5.34 × 1.178 + 1.63 × 1.113) × $33.4009 = $450.60

Facility: (5.11 × 1.054 + 1.51 × 1.178 + 1.63 × 1.113) × $33.4009 = $299.90

Open 59070 in the RVU calculator

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

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)2Paid.
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

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%).

When to use modifier 51

Codes related to 59070

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 59070
CodeHow it relatesOffice range, Washington, DC area
Used instead
59001Amniocentesis, therapeutic fluid reductionTherapeutic amniocentesis removes fluid; this service instills fluid.No office rate
59074Fetal fluid drainage, with ultrasound guidanceUltrasound-guided fetal fluid drainage removes fluid rather than adding it.$432.89
59076Fetal shunt, ultrasound-guided placementUltrasound-guided fetal shunt placement is a different intervention for selected fetal conditions.No office rate

How 59070 has changed in Washington, DC area

59070 · Office / nonfacility

$450.60

Effective 2026-10-01

The base rate is $13.57 higher than on 2025-10-01, moving from $437.03 to $450.60 (3.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $437.03changed to$450.60

    • 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 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $452.51changed to$437.03

    • 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.

  3. March 9, 2024

    RVU24AR

    $445.12changed to$452.51

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $465.28changed to$445.12

    • 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 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $476.44changed to$465.28

    • 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 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $481.61changed to$476.44

    • 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.

  7. January 1, 2021

    RVU21A

    $482.42changed to$481.61

    • 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 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $473.20changed to$482.42

    • 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 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $477.46changed to$473.20

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.06 changed to 4.95

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $470.84changed to$477.46

    • 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 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $468.01changed to$470.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.13 changed to 5.17
    • Malpractice RVU 1.08 changed to 1.10
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $486.09changed to$468.01

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.19 changed to 5.13
    • Malpractice RVU 1.38 changed to 1.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $483.67changed to$486.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $482.30changed to$483.67

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.18 changed to 5.19
    • Malpractice RVU 1.44 changed to 1.38
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $476.18changed to$482.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.67 changed to 5.18
    • Malpractice RVU 1.51 changed to 1.44
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $476.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$450.60$299.90RVU26D
2026-07-01$450.60$299.90RVU26C
2026-04-01$450.60$299.90RVU26B
2026-01-01$450.60$299.90RVU26A
2025-10-01$437.03$333.31RVU25D
2025-07-01$437.03$333.31RVU25C
2025-04-01$437.03$333.31RVU25B
2025-01-01$437.03$333.31RVU25A
2024-10-01$452.51$342.60RVU24D
2024-07-01$452.51$342.60RVU24C
2024-04-01$452.51$342.60RVU24B
2024-03-09$452.51$342.60RVU24AR
2024-01-01$445.12$337.01RVU24A
2023-10-01$465.28$351.73RVU23D
2023-07-01$465.28$351.73RVU23C
2023-04-01$465.28$351.73RVU23B
2023-01-01$465.28$351.73RVU23A
2022-10-01$476.44$358.39RVU22D
2022-07-01$476.44$358.39RVU22C
2022-04-01$476.44$358.39RVU22B
2022-01-01$476.44$358.39RVU22A
2021-10-01$481.61$359.99RVU21D
2021-07-01$481.61$359.99RVU21C
2021-04-01$481.61$359.99RVU21B
2021-01-01$481.61$359.99RVU21A
2020-10-01$482.42$366.53RVU20D
2020-07-01$482.42$366.53RVU20C
2020-04-01$482.42$366.53RVU20B
2020-01-01$482.42$366.53RVU20A
2019-10-01$473.20$359.86RVU19D
2019-07-01$473.20$359.86RVU19C
2019-04-01$473.20$359.86RVU19B
2019-01-01$473.20$359.86RVU19A
2018-10-01$477.46$361.20RVU18D
2018-07-01$477.46$361.20RVU18C
2018-04-01$477.46$361.20RVU18B
2018-01-01$477.46$361.20RVU18AR1
2017-10-01$470.84$356.24RVU17D
2017-07-01$470.84$356.24RVU17C
2017-04-01$470.84$356.24RVU17B
2017-01-01$470.84$356.24RVU17A
2016-10-01$468.01$351.09RVU16D
2016-07-01$468.01$351.09RVU16C
2016-04-01$468.01$351.09RVU16B
2016-01-01$468.01$351.09RVU16A
2015-10-01$486.09$366.15RVU15D
2015-07-01$486.09$366.15RVU15C
2015-04-01$483.67$364.33RVU15B
2015-01-01$483.67$364.33RVU15A
2014-10-01$482.30$363.46RVU14D
2014-07-01$482.30$363.46RVU14C
2014-04-01$482.30$363.46RVU14B
2014-01-01$482.30$363.46RVU14A
2013-10-01$476.18$351.45RVU13D
2013-07-01$476.18$351.45RVU13C
2013-04-01$476.18$351.45RVU13B
2013-01-01$476.18$351.45RVU13AR

Price 59070 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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
RVUs for 59070PPRRVU2026_Oct_nonQPP.csv, line 6,637 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 59070 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 59070 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist