CPT code 59076: Fetal shunt, ultrasound-guided placement2026 Medicare rate & RVUs in El Centro, CA
Report this service for ultrasound-guided placement of a shunt that redirects fluid from a fetal body space into the amniotic cavity.
In El Centro, CA, Medicare pays $432.15 for 59076 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59076 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
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.
How El Centro, CA compares for 59076
Across 109 of 109 payment localities, the facility rate for 59076 runs from $394.79 in Wisconsin to $609.57 in Miami, FL. El Centro, CA pays $432.15. The RVUs are the same everywhere; the geographic indexes change the dollars.
- El Centro, CA · this page$432.15
- Bakersfield, CA · California$439.11+$6.96
- Chico, CA · California$431.68−$0.47
- Fresno, CA · California$431.68−$0.47
- Hanford, CA · California$431.68−$0.47
- Los Angeles, CA · California$457.35+$25.20
- Madera, CA · California$431.68−$0.47
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | — | $431.68 |
| Modesto, CACalifornia | — | $431.68 |
| Napa, CACalifornia | — | $459.43 |
| Oxnard, CACalifornia | — | $449.61 |
| Redding, CACalifornia | — | $431.68 |
| Rest of CaliforniaCalifornia | — | $431.68 |
| Riverside, CACalifornia | — | $461.72 |
| Sacramento, CACalifornia | — | $442.35 |
| Salinas, CACalifornia | — | $440.58 |
| San Diego, CACalifornia | — | $443.66 |
| Marin County, CACalifornia | — | $471.21 |
| San Francisco, CACalifornia | — | $468.02 |
| San Benito County, CACalifornia | — | $485.27 |
| Santa Clara County, CACalifornia | — | $472.22 |
| San Luis Obispo, CACalifornia | — | $434.95 |
| Santa Cruz, CACalifornia | — | $441.91 |
| Santa Maria, CACalifornia | — | $440.23 |
| Santa Rosa, CACalifornia | — | $445.54 |
| Stockton, CACalifornia | — | $431.68 |
| Vallejo, CACalifornia | — | $454.83 |
| Visalia, CACalifornia | — | $431.68 |
| Yuba City, CACalifornia | — | $431.68 |
| Washington, DC areaDistrict of Columbia | — | $502.92 |
| Miami, FLFlorida | — | $609.57 |
| Chicago, ILIllinois | — | $586.91 |
| Manhattan, NYNew York | — | $549.02 |
| AlaskaAlaska | — | $572.21 |
| AlabamaAlabama | — | $412.68 |
| ArkansasArkansas | — | $406.68 |
| ArizonaArizona | — | $447.06 |
| ColoradoColorado | — | $450.77 |
| ConnecticutConnecticut | — | $494.37 |
| DelawareDelaware | — | $454.01 |
| Fort Lauderdale, FLFlorida | — | $539.76 |
| Rest of FloridaFlorida | — | $506.80 |
| Atlanta, GAGeorgia | — | $483.90 |
| Rest of GeorgiaGeorgia | — | $472.73 |
| Hawaii, Guam, HIHawaii | — | $433.86 |
| IowaIowa | — | $399.87 |
| IdahoIdaho | — | $407.38 |
| East St. Louis, ILIllinois | — | $552.01 |
| Rest of IllinoisIllinois | — | $509.15 |
| Suburban Chicago, ILIllinois | — | $539.50 |
| IndianaIndiana | — | $409.13 |
| KansasKansas | — | $409.07 |
| KentuckyKentucky | — | $446.51 |
| New Orleans, LALouisiana | — | $471.21 |
| Rest of LouisianaLouisiana | — | $450.24 |
| Metropolitan Boston, MAMassachusetts | — | $479.40 |
| Rest of MassachusettsMassachusetts | — | $452.61 |
| Baltimore area, MDMaryland | — | $495.43 |
| Rest of MarylandMaryland | — | $459.08 |
| Rest of MaineMaine | — | $421.37 |
| Southern Maine, MEMaine | — | $427.62 |
| Detroit, MIMichigan | — | $524.66 |
| Rest of MichiganMichigan | — | $468.42 |
| MinnesotaMinnesota | — | $399.07 |
| Metropolitan Kansas City, MOMissouri | — | $456.13 |
| Metropolitan St. Louis, MOMissouri | — | $459.47 |
| Rest of MissouriMissouri | — | $449.99 |
| MississippiMississippi | — | $427.85 |
| MontanaMontana | — | $462.75 |
| North CarolinaNorth Carolina | — | $423.95 |
| North DakotaNorth Dakota | — | $407.19 |
| NebraskaNebraska | — | $398.69 |
| New HampshireNew Hampshire | — | $454.33 |
| Northern New JerseyNew Jersey | — | $499.96 |
| Rest of New JerseyNew Jersey | — | $490.76 |
| New MexicoNew Mexico | — | $475.48 |
| NevadaNevada | — | $447.34 |
| NYC suburbs and Long Island, NYNew York | — | $576.51 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $503.06 |
| Queens, NYNew York | — | $537.03 |
| Rest of New YorkNew York | — | $431.25 |
| OhioOhio | — | $457.06 |
| OklahomaOklahoma | — | $433.86 |
| Portland, OROregon | — | $452.05 |
| Rest of OregonOregon | — | $434.76 |
| Metropolitan Philadelphia, PAPennsylvania | — | $489.45 |
| Rest of PennsylvaniaPennsylvania | — | $451.53 |
| Puerto RicoPuerto Rico | — | $462.37 |
| Rhode IslandRhode Island | — | $460.88 |
| South CarolinaSouth Carolina | — | $443.07 |
| South DakotaSouth Dakota | — | $400.62 |
| TennesseeTennessee | — | $412.55 |
| Austin, TXTexas | — | $457.24 |
| Beaumont, TXTexas | — | $449.42 |
| Brazoria, TXTexas | — | $443.95 |
| Dallas, TXTexas | — | $451.94 |
| Fort Worth, TXTexas | — | $452.40 |
| Galveston, TXTexas | — | $448.60 |
| Houston, TXTexas | — | $500.04 |
| Rest of TexasTexas | — | $449.95 |
| UtahUtah | — | $448.79 |
| VirginiaVirginia | — | $434.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $462.37 |
| VermontVermont | — | $415.81 |
| Rest of WashingtonWashington | — | $448.35 |
| King County, WAWashington | — | $477.69 |
| WisconsinWisconsin | — | $394.79 |
| West VirginiaWest Virginia | — | $493.41 |
| WyomingWyoming | — | $438.53 |
59076 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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.
The exact El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,640
- Code
- 59076
- Physician work
- 8.77
- Practice expense
- 2.28
- Malpractice
- 2.81
GPCI2026.csv
10
- Locality
- El Centro, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.77 | × 1.017 | 8.9191 |
| Practice expense | 2.28 | × 1.096 | 2.4989 |
| Malpractice | 2.81 | × 0.541 | 1.5202 |
| Total RVUs | 12.9382 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro, CA$432.15
Facility: (8.77 × 1.017 + 2.28 × 1.096 + 2.81 × 0.541) × $33.4009 = $432.15
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
How 59076 has changed in El Centro, CA
59076 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $432.15 | RVU26D |
| 2026-07-01 | Not available in this setting | $432.15 | RVU26C |
| 2026-04-01 | Not available in this setting | $432.15 | RVU26B |
| 2026-01-01 | Not available in this setting | $432.15 | RVU26A |
| 2025-10-01 | Not available in this setting | $482.91 | RVU25D |
| 2025-07-01 | Not available in this setting | $482.91 | RVU25C |
| 2025-04-01 | Not available in this setting | $482.91 | RVU25B |
| 2025-01-01 | Not available in this setting | $482.91 | RVU25A |
| 2024-10-01 | Not available in this setting | $496.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $496.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $496.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $496.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $488.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $506.42 | RVU23D |
| 2023-07-01 | Not available in this setting | $506.42 | RVU23C |
| 2023-04-01 | Not available in this setting | $506.42 | RVU23B |
| 2023-01-01 | Not available in this setting | $506.42 | RVU23A |
| 2022-10-01 | Not available in this setting | $513.87 | RVU22D |
| 2022-07-01 | Not available in this setting | $513.87 | RVU22C |
| 2022-04-01 | Not available in this setting | $513.87 | RVU22B |
| 2022-01-01 | Not available in this setting | $513.87 | RVU22A |
| 2021-10-01 | Not available in this setting | $517.16 | RVU21D |
| 2021-07-01 | Not available in this setting | $517.16 | RVU21C |
| 2021-04-01 | Not available in this setting | $517.16 | RVU21B |
| 2021-01-01 | Not available in this setting | $517.16 | RVU21A |
| 2020-10-01 | Not available in this setting | $530.51 | RVU20D |
| 2020-07-01 | Not available in this setting | $530.51 | RVU20C |
| 2020-04-01 | Not available in this setting | $530.51 | RVU20B |
| 2020-01-01 | Not available in this setting | $530.51 | RVU20A |
| 2019-10-01 | Not available in this setting | $523.46 | RVU19D |
| 2019-07-01 | Not available in this setting | $523.46 | RVU19C |
| 2019-04-01 | Not available in this setting | $523.46 | RVU19B |
| 2019-01-01 | Not available in this setting | $523.46 | RVU19A |
| 2018-10-01 | Not available in this setting | $525.14 | RVU18D |
| 2018-07-01 | Not available in this setting | $525.14 | RVU18C |
| 2018-04-01 | Not available in this setting | $525.14 | RVU18B |
| 2018-01-01 | Not available in this setting | $525.14 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $494.47 | RVU17D |
| 2017-07-01 | Not available in this setting | $494.47 | RVU17C |
| 2017-04-01 | Not available in this setting | $494.47 | RVU17B |
| 2017-01-01 | Not available in this setting | $494.47 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the El Centro, CA rate applies
El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- El Centro
- Bombay Beach
- Brawley
- Calexico
- Calipatria
- Desert Shores
- El Centro Naval Air Facility
- Heber
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
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