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

In Washington, DC area, Medicare pays $502.92 for 59072 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 59072 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

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.

How Washington, DC area compares for 59072

Across 109 of 109 payment localities, the facility rate for 59072 runs from $394.79 in Wisconsin to $609.57 in Miami, FL. Washington, DC area pays $502.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

59072 rates by state

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

See 59072 in every payment locality

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.

Payment rules and modifiers for 59072

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

What modifiers do to the payment

When to use modifier 51

Codes related to 59072

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

How 59072 has changed in Washington, DC area

Price 59072 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

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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

Open CMS sourceHow we calculate rates