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CPT code 59070: Amnioinfusion, transabdominal approach2026 Medicare rate & RVUs in Tennessee

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 Tennessee, Medicare pays $362.04 for 59070 in the office and $245.76 when it’s performed in a hospital or facility.

$362.04Office (non-facility)
$245.76Hospital or facility
−10.3%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 Tennessee
  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 Tennessee 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. Tennessee pays $362.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

59070 in Tennessee vs other payment areas
  1. Tennessee · this page$362.04
  2. Los Angeles, CA · California$424.83+$62.79
  3. Washington, DC area · District of Columbia$450.60+$88.56
  4. Miami, FL · Florida$494.04+$132.00
  5. Chicago, IL · Illinois$476.07+$114.03
  6. Manhattan, NY · New York$475.20+$113.16
  7. Alaska · Alaska$475.97+$113.93

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

Every other payment area

59070 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$357.56$245.62
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

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 Tennessee 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

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 59070 in Tennessee
ComponentRVULocality factorAdjusted
Physician work5.11× 1.0005.1100
Practice expense5.34× 0.9094.8541
Malpractice1.63× 0.5370.8753
Total RVUs10.8394
Conversion factor× 33.4009

Office rate, Tennessee$362.04

Office: (5.11 × 1 + 5.34 × 0.909 + 1.63 × 0.537) × $33.4009 = $362.04

Facility: (5.11 × 1 + 1.51 × 0.909 + 1.63 × 0.537) × $33.4009 = $245.76

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, Tennessee
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.$348.38
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 Tennessee

59070 · Office / nonfacility

$362.04

Effective 2026-10-01

The base rate is $15.89 higher than on 2025-10-01, moving from $346.15 to $362.04 (4.6%).

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

    $346.15changed to$362.04

    • 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
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $358.19changed to$346.15

    • 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

    $352.35changed to$358.19

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $361.58changed to$352.35

    • 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
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544

  5. January 1, 2023

    RVU23A

    $364.31changed to$361.58

    • 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
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $368.82changed to$364.31

    • 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

    $375.48changed to$368.82

    • 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
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $374.98changed to$375.48

    • 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
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $378.14changed to$374.98

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

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$378.14

    Held through RVU18C, RVU18D.

  11. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$362.04$245.76RVU26D
2026-07-01$362.04$245.76RVU26C
2026-04-01$362.04$245.76RVU26B
2026-01-01$362.04$245.76RVU26A
2025-10-01$346.15$268.19RVU25D
2025-07-01$346.15$268.19RVU25C
2025-04-01$346.15$268.19RVU25B
2025-01-01$346.15$268.19RVU25A
2024-10-01$358.19$275.58RVU24D
2024-07-01$358.19$275.58RVU24C
2024-04-01$358.19$275.58RVU24B
2024-03-09$358.19$275.58RVU24AR
2024-01-01$352.35$271.08RVU24A
2023-10-01$361.58$277.96RVU23D
2023-07-01$361.58$277.96RVU23C
2023-04-01$361.58$277.96RVU23B
2023-01-01$361.58$277.96RVU23A
2022-10-01$364.31$279.11RVU22D
2022-07-01$364.31$279.11RVU22C
2022-04-01$364.31$279.11RVU22B
2022-01-01$364.31$279.11RVU22A
2021-10-01$368.82$281.05RVU21D
2021-07-01$368.82$281.05RVU21C
2021-04-01$368.82$281.05RVU21B
2021-01-01$368.82$281.05RVU21A
2020-10-01$375.48$290.34RVU20D
2020-07-01$375.48$290.34RVU20C
2020-04-01$375.48$290.34RVU20B
2020-01-01$375.48$290.34RVU20A
2019-10-01$374.98$290.23RVU19D
2019-07-01$374.98$290.23RVU19C
2019-04-01$374.98$290.23RVU19B
2019-01-01$374.98$290.23RVU19A
2018-10-01$378.14$291.21RVU18D
2018-07-01$378.14$291.21RVU18C
2018-04-01$378.14$291.21RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 59070 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

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 TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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