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CPT code 59412: Fetal version2026 Medicare rate & RVUs

Report 59412 when an obstetric clinician manually turns a fetus through the maternal abdomen before delivery, with or without tocolysis.

CMS RVU26DEffective Oct 1, 2026109 payment localities31 Medicare services in 2024

Medicare pays $94.19 for 59412 nationally in a facility.

Medicare rate · 59412

Fetal version

Work RVUs
1.71
Total RVUs
2.82
Global days
MMM

National rate · 2026

$94.19

Facility setting, before claim adjustments.

See every locality for 59412 →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.

On this page 10 sections
  1. Medicare rate
  2. What 59412 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 59412 covers

An external cephalic version uses pressure on the pregnant patient’s abdomen to turn a fetus from a non-cephalic position, such as breech or transverse, toward a head-down position. An obstetrician or other qualified maternity clinician typically performs it in a hospital labor-and-delivery unit, where fetal status can be monitored. The procedure may include medication to relax the uterus; the code covers the version whether or not tocolysis is used.

Select 59412 for the antepartum manipulation itself, not for routine prenatal visits or the eventual delivery. Documentation should identify the fetal presentation and clinical reason for the attempt, describe the manipulation and outcome, and record relevant fetal assessment and any tocolysis. CMS classifies this as a maternity code, so handle it under maternity billing rather than assigning a standard surgical global-period expectation. The code’s payment includes work, practice expense, and malpractice components in the physician fee schedule.

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 59412 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

59412 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$83.98
Alaska*Unavailable$115.89
ArizonaUnavailable$91.00
ArkansasUnavailable$82.76
AtlantaUnavailable$98.29
AustinUnavailable$93.35
BakersfieldUnavailable$90.05
Baltimore/Surr. CntysUnavailable$100.77
BeaumontUnavailable$91.20
BrazoriaUnavailable$90.51

59412 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
59412 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 59412 rate is calculated

Each of 59412’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 · 59412

RVUs × geographic indexes × conversion factor

Work1.71

1.71 RVUs× 1.000 GPCI

Practice expense0.57

0.57 RVUs× 1.000 GPCI

Malpractice0.54

0.54 RVUs× 1.000 GPCI

Adjusted RVUs

2.8200

Conversion factor

$33.4009

Medicare rate

$94.19

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

Payment rules and modifiers for 59412

The CMS indicators that decide how 59412 is paid alongside other services.

CMS payment indicators · 59412

Fetal version

RuleCMS valueWhat it means
Global periodMMMMaternity care: global rules don’t follow the standard pattern.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

59412 compared with similar codes

Compare codes · National

5 codes, side by side

  • 59412

    Fetal version1.71 wRVU

    Not priced

  • 59400

    Maternity care37 wRVU

    Not priced

  • 59425

    Prenatal care7.8 wRVU

    $574.83

  • 59426

    Prenatal care14.3 wRVU

    $1,055.47

  • 59409

    Vaginal delivery14.37 wRVU

    Not priced

How to choose

59400Maternity care
59400 represents global obstetric care that includes delivery and postpartum care. 59412 describes the separate antepartum version maneuver.
59425Prenatal care
59425 represents antepartum care only for a limited number of visits; it does not describe turning the fetus.
59426Prenatal care
59426 represents antepartum care only for a larger visit-count range than 59425. Neither code represents an external version procedure.
59409Vaginal delivery
59409 describes vaginal delivery only. Use 59412 for the antepartum maneuver, even when a delivery occurs later.

Codes related to 59412

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

Codes related to 59412
CodeHow it relatesNational office range
Often billed with
76815Obstetric ultrasoundA limited obstetric ultrasound may assess fetal position around a version when separately performed and documented.$72.40–$109.02
59409Vaginal deliveryMay describe a vaginal delivery in the same encounter if delivery follows the version.No office rate
59410Vaginal deliveryMay describe vaginal delivery with postpartum care if delivery follows the version in the same encounter.No office rate

59412 billing questions

When should 59412 be reported instead of an obstetric delivery code?

Use 59412 for the antepartum attempt to turn the fetus through the maternal abdomen. Report the appropriate delivery code for a subsequent delivery service.

Does 59412 include tocolysis?

Yes. The code covers the version with or without medication used to relax the uterus.

What documentation supports 59412?

Document the fetal presentation, reason for attempting version, manipulation performed, result, relevant fetal assessment, and whether tocolysis was used.

Is 59412 subject to a standard surgical global period?

CMS identifies it as a maternity code. Handle it under maternity billing rather than applying a standard surgical global-period expectation.

Can an ultrasound or fetal monitoring service be reported with 59412?

A separately performed and documented obstetric ultrasound or fetal monitoring service may be relevant to the same encounter. The record should support the distinct service rather than merely restating the version procedure.

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 59412PPRRVU2026_Oct_nonQPP.csv, line 6,658 (RVU26D)

Open CMS sourceHow we calculate rates

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