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CPT code 59072: Cord occlusion, ultrasound-guided fetal procedure2026 Medicare rate & RVUs

Reports ultrasound-guided occlusion of a fetal umbilical cord, commonly to interrupt circulation in a targeted fetus during a monochorionic pregnancy.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $462.94 for 59072 nationally in a facility.

Medicare rate · 59072

Cord occlusion, ultrasound-guided fetal procedure

Office or facility?

Work RVUs
8.77
Total RVUs
13.86
Global days
000

National rate · 2026

$462.94

Facility setting, before claim adjustments.

See every locality for 59072 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 59072 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59072 covers

A fetal intervention specialist uses real-time ultrasound to guide a procedure that stops blood flow through a targeted fetal umbilical cord. A canonical setting is a monochorionic pregnancy with an acardiac twin, where interrupting circulation can protect the co-twin. The service is generally performed by maternal-fetal medicine or fetal therapy specialists in a hospital or specialized fetal treatment center.

Report the code for the cord occlusion itself, with documentation identifying the targeted cord, the ultrasound-guided intervention, and its clinical indication. Ultrasound guidance is part of the described service. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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.

Where 59072 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59072 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$412.68
AlaskaUnavailable$572.21
ArizonaUnavailable$447.06
ArkansasUnavailable$406.68
Atlanta, GAUnavailable$483.90
Austin, TXUnavailable$457.24
Bakersfield, CAUnavailable$439.11
Baltimore area, MDUnavailable$495.43
Beaumont, TXUnavailable$449.42
Brazoria, TXUnavailable$443.95

59072 rates by state

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

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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
59072 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

How the 59072 rate is calculated

Each of 59072’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 · 59072

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.77

8.77 RVUs× 1.000 GPCI

Practice expense2.28

2.28 RVUs× 1.000 GPCI

Malpractice2.81

2.81 RVUs× 1.000 GPCI

Adjusted RVUs

13.8600

Conversion factor

$33.4009

Medicare rate

$462.94

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

Payment rules and modifiers for 59072

The CMS indicators that decide how 59072 is paid alongside other services.

CMS payment indicators · 59072

Cord occlusion, ultrasound-guided fetal procedure

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)1Not paid (statutory restriction).
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

59072 without 51 · national facility

$462.94

Cord occlusion, ultrasound-guided fetal procedure

59072-51 · Second procedure: 50%

$231.47

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

59072 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59072

    Cord occlusion, ultrasound-guided fetal procedure8.77 wRVU

    Not priced

  • 59076

    Fetal shunt, ultrasound-guided placement8.77 wRVU

    Not priced

  • 59074

    Fetal fluid drainage, with ultrasound guidance5.11 wRVU

    $388.45

  • 59012

    Cordocentesis, prenatal fetal blood sampling3.35 wRVU

    Not priced

How to choose

59076Fetal shuntUltrasound-guided placement
Use 59072 for occluding a fetal umbilical cord. Use 59076 when the intervention places a fetal shunt.
59074Fetal fluid drainageWith ultrasound guidance
59072 stops flow through a targeted cord; 59074 addresses a fetal fluid collection by draining fluid.
59012CordocentesisPrenatal fetal blood sampling
59012 is fetal cord puncture for prenatal sampling or access, not occlusion of the cord.

Codes related to 59072

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

Codes related to 59072
CodeHow it relatesNational office range
Same family
59070Amnioinfusion, transabdominal approachUltrasound-guided fetal intervention involving amnioinfusion rather than cord occlusion.$351.93–$494.77
59074Fetal fluid drainage, with ultrasound guidanceUltrasound-guided fetal fluid drainage, a different intervention target.$339.02–$478.39
59076Fetal shunt, ultrasound-guided placementUltrasound-guided fetal shunt placement, distinct from occluding a cord.No office rate

59072 billing questions

When is cord occlusion reported instead of fetal shunt placement?

Report 59072 when the intervention occludes a fetal umbilical cord to stop its blood flow. Code 59076 describes fetal shunt placement, a different intervention with a different treatment target.

Is ultrasound guidance included?

Yes. Ultrasound guidance is part of the cord-occlusion service described by this code.

Can modifier 50 be used for two cords?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard 50% multiple-procedure reduction.

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 59072PPRRVU2026_Oct_nonQPP.csv, line 6,638 (RVU26D)

Open CMS sourceHow we calculate rates

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