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CPT code 59076: Fetal shunt, ultrasound-guided placement2026 Medicare rate & RVUs

Report this service for ultrasound-guided placement of a shunt that redirects fluid from a fetal body space into the amniotic cavity.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $462.94 for 59076 nationally in a facility.

Medicare rate · 59076

Fetal shunt, ultrasound-guided placement

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 59076 →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 59076 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 59076 covers

A maternal-fetal medicine specialist or other qualified fetal interventionist places a shunt through the maternal abdomen and uterus into a fetal fluid space, positioning it to drain into the amniotic cavity. Examples include a pleuroamniotic shunt for fetal hydrothorax or a vesicoamniotic shunt for obstructive urinary tract disease. The service is performed under ultrasound guidance, commonly in a specialized fetal therapy setting.

Report the placement when a shunt is inserted; needle aspiration of fluid without shunt placement is a different service. Documentation should identify the fetal condition and target space, the shunt placement, and ultrasound guidance. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; 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 59076 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

59076 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

59076 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
59076 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 59076 rate is calculated

Each of 59076’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 · 59076

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 59076

The CMS indicators that decide how 59076 is paid alongside other services.

CMS payment indicators · 59076

Fetal shunt, ultrasound-guided placement

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

59076 without 51 · national facility

$462.94

Fetal shunt, ultrasound-guided placement

59076-51 · 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

59076 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59076

    Fetal shunt, ultrasound-guided placement8.77 wRVU

    Not priced

  • 59074

    Fetal fluid drainage, with ultrasound guidance5.11 wRVU

    $388.45

  • 59070

    Amnioinfusion, transabdominal approach5.11 wRVU

    $403.48

  • 59072

    Cord occlusion, ultrasound-guided fetal procedure8.77 wRVU

    Not priced

How to choose

59074Fetal fluid drainageWith ultrasound guidance
Choose 59076 when a shunt is placed for ongoing drainage; 59074 describes fetal fluid drainage without shunt placement.
59070AmnioinfusionTransabdominal approach
59070 is used for ultrasound-guided transabdominal amnioinfusion. It adds fluid to the amniotic cavity rather than placing a fetal shunt.
59072Cord occlusionUltrasound-guided fetal procedure
59072 describes ultrasound-guided umbilical cord occlusion. It is a cord intervention, not placement of a shunt to drain a fetal body space.

Codes related to 59076

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

Codes related to 59076
CodeHow it relatesNational office range
Used instead
59074Fetal fluid drainage, with ultrasound guidanceFetal fluid drainage without the ongoing drainage provided by a shunt.$339.02–$478.39
Same family
59070Amnioinfusion, transabdominal approachRelated ultrasound-guided fetal intervention; this service adds fluid rather than placing a shunt.$351.93–$494.77
59072Cord occlusion, ultrasound-guided fetal procedureRelated fetal intervention code for umbilical cord occlusion, not shunt placement.No office rate

59076 billing questions

How does this differ from fetal fluid drainage, 59074?

59076 is for placing a shunt to provide ongoing drainage. Use 59074 for fetal fluid drainage without shunt placement.

Can ultrasound guidance be reported separately?

Ultrasound guidance is part of the described shunt placement service. Document the imaging guidance used for the placement.

Should modifier 50 be appended for shunts on both sides?

No. Modifier 50 is inappropriate for this code.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid, but co-surgeons and team surgery are not permitted.

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 59076PPRRVU2026_Oct_nonQPP.csv, line 6,640 (RVU26D)

Open CMS sourceHow we calculate rates

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