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CMS RVU26D · Effective 2026-10-01

59074 in Beaumont

Office / nonfacility

$369.89

Base rate per service

Facility setting

$267.15

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Fetal intervention

About 59074: Ultrasound-guided fetal fluid drainage

Report this service for ultrasound-guided therapeutic drainage of a fetal fluid collection, such as pleural fluid or fetal ascites.

This procedure drains fluid from a collection within the fetus, rather than removing amniotic fluid from the uterus. Examples include fetal thoracentesis for a pleural effusion and fetal paracentesis for ascites. A maternal-fetal medicine specialist or fetal therapy physician typically performs the intervention in a hospital setting, using ultrasound to guide access and monitor the fetus during drainage. Ultrasound guidance is part of the reported service.

Choose the code when the treatment is drainage of fetal fluid; document the collection’s location, the therapeutic reason, and the procedure performed. Distinguish this from therapeutic amniocentesis, which removes amniotic fluid. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others are subject to the standard multiple procedure reduction. Bilateral adjustment is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 59074

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery may be paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU5.11 · 44%
  • Practice expense (office) RVU4.89 · 42%
  • Malpractice RVU1.63 · 14%

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.

59074 compared with similar codes

Office rates for Beaumont, from the same CMS release.

59001

Amniocentesis

Therapeutic fluid reduction

No office rate

59074 drains fluid from within the fetus; 59001 removes excess fluid from the amniotic cavity.

59070

Amnioinfusion

Transabdominal approach

$383.56

59074 drains a fetal fluid collection. 59070 infuses fluid into the amniotic cavity.

59076

Fetal shunt

Ultrasound-guided placement

No office rate

59074 drains a fetal fluid collection; 59076 places a shunt to divert fluid.

59000

Amniocentesis

Diagnostic fluid sampling

$112.89

59000 is diagnostic amniocentesis for sampling amniotic fluid. 59074 is therapeutic drainage of fluid within the fetus.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 59074 is $392.06—$22.17 higher than the $369.89 rate in Beaumont. Both use the same code, release and participation basis.

59074 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $369.89

  2. Austin

    $392.06

    $22.17 higher than Beaumont

  3. Brazoria

    $376.37

    $6.48 higher than Beaumont

  4. Dallas

    $381.60

    $11.71 higher than Beaumont

  5. Fort Worth

    $380.68

    $10.79 higher than Beaumont

  6. Galveston

    $379.31

    $9.42 higher than Beaumont

  7. Houston

    $409.15

    $39.26 higher than Beaumont

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 59074 ranges from $339.02 in Arkansas to $478.39 in Miami. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 59074

    Office

    $374.84

    Facility

    $267.70

    $4.95 higher than Beaumont for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 59074

    Office

    $407.05

    Facility

    $273.49

    $37.16 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 59074

    Office

    $432.89

    Facility

    $299.90

    $63.00 higher than Beaumont for the office setting.

  • Miami

    Florida · 59074

    Office

    $478.39

    Facility

    $360.87

    $108.50 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 59074

    Office

    $460.97

    Facility

    $347.51

    $91.08 higher than Beaumont for the office setting.

  • Manhattan

    New York · 59074

    Office

    $457.74

    Facility

    $326.56

    $87.85 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 59074

    Office

    $459.96

    Facility

    $339.73

    $90.07 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 59074

    Office

    $344.41

    Facility

    $245.62

    $25.48 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 59074

    Office

    $339.02

    Facility

    $242.04

    $30.87 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 59074

    Office

    $375.55

    Facility

    $266.15

    $5.66 higher than Beaumont for the office setting.

  • Bakersfield

    California · 59074

    Office

    $386.09

    Facility

    $262.35

    $16.20 higher than Beaumont for the office setting.

  • Chico

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • El Centro

    California · 59074

    Office

    $382.04

    Facility

    $258.31

    $12.15 higher than Beaumont for the office setting.

  • Fresno

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Madera

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Merced

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Modesto

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Napa

    California · 59074

    Office

    $424.36

    Facility

    $275.56

    $54.47 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 59074

    Office

    $402.43

    Facility

    $268.99

    $32.54 higher than Beaumont for the office setting.

  • Redding

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Rest Of California

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 59074

    Office

    $399.20

    Facility

    $275.47

    $29.31 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 59074

    Office

    $395.96

    Facility

    $264.66

    $26.07 higher than Beaumont for the office setting.

  • Salinas

    California · 59074

    Office

    $394.45

    Facility

    $263.61

    $24.56 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 59074

    Office

    $400.65

    Facility

    $265.63

    $30.76 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 59074

    Office

    $442.18

    Facility

    $283.00

    $72.29 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 59074

    Office

    $440.33

    Facility

    $281.15

    $70.44 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 59074

    Office

    $454.16

    Facility

    $291.36

    $84.27 higher than Beaumont for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 59074

    Office

    $446.59

    Facility

    $283.80

    $76.70 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 59074

    Office

    $388.80

    Facility

    $260.21

    $18.91 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 59074

    Office

    $401.89

    Facility

    $264.72

    $32.00 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 59074

    Office

    $395.08

    Facility

    $263.45

    $25.19 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 59074

    Office

    $405.55

    Facility

    $266.92

    $35.66 higher than Beaumont for the office setting.

  • Stockton

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Vallejo

    California · 59074

    Office

    $421.69

    Facility

    $272.89

    $51.80 higher than Beaumont for the office setting.

  • Visalia

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Yuba City

    California · 59074

    Office

    $381.77

    Facility

    $258.04

    $11.88 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 59074

    Office

    $389.03

    Facility

    $268.91

    $19.14 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 59074

    Office

    $415.88

    Facility

    $294.29

    $45.99 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 59074

    Office

    $381.85

    Facility

    $270.31

    $11.96 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 59074

    Office

    $434.57

    Facility

    $320.20

    $64.68 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 59074

    Office

    $408.65

    Facility

    $300.72

    $38.76 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 59074

    Office

    $402.52

    Facility

    $287.82

    $32.63 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 59074

    Office

    $381.27

    Facility

    $280.56

    $11.38 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 59074

    Office

    $387.91

    Facility

    $259.55

    $18.02 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 59074

    Office

    $341.74

    Facility

    $238.44

    $28.15 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 59074

    Office

    $346.69

    Facility

    $242.83

    $23.20 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 59074

    Office

    $430.59

    Facility

    $326.73

    $60.70 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 59074

    Office

    $404.89

    Facility

    $301.82

    $35.00 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 59074

    Office

    $436.09

    Facility

    $320.14

    $66.20 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 59074

    Office

    $348.55

    Facility

    $243.89

    $21.34 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 59074

    Office

    $345.77

    Facility

    $243.71

    $24.12 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 59074

    Office

    $365.70

    Facility

    $265.33

    $4.19 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 59074

    Office

    $386.22

    Facility

    $279.99

    $16.33 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 59074

    Office

    $367.38

    Facility

    $267.47

    $2.51 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 59074

    Office

    $421.15

    Facility

    $286.35

    $51.26 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 59074

    Office

    $388.79

    Facility

    $269.91

    $18.90 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 59074

    Office

    $416.01

    Facility

    $294.87

    $46.12 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 59074

    Office

    $387.65

    Facility

    $273.41

    $17.76 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 59074

    Office

    $354.81

    Facility

    $250.94

    $15.08 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 59074

    Office

    $366.89

    Facility

    $255.01

    $3.00 lower than Beaumont for the office setting.

  • Detroit

    Michigan · 59074

    Office

    $420.08

    Facility

    $311.14

    $50.19 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 59074

    Office

    $381.27

    Facility

    $278.19

    $11.38 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 59074

    Office

    $354.86

    Facility

    $238.69

    $15.03 lower than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 59074

    Office

    $377.24

    Facility

    $271.23

    $7.35 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 59074

    Office

    $380.72

    Facility

    $273.25

    $10.83 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 59074

    Office

    $364.50

    Facility

    $267.18

    $5.39 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 59074

    Office

    $351.54

    Facility

    $254.34

    $18.35 lower than Beaumont for the office setting.

  • Montana**

    Montana · 59074

    Office

    $388.34

    Facility

    $275.45

    $18.45 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 59074

    Office

    $357.86

    Facility

    $252.52

    $12.03 lower than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 59074

    Office

    $356.11

    Facility

    $243.22

    $13.78 lower than Beaumont for the office setting.

  • Nebraska

    Nebraska · 59074

    Office

    $342.01

    Facility

    $237.81

    $27.88 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 59074

    Office

    $388.34

    Facility

    $270.82

    $18.45 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 59074

    Office

    $429.04

    Facility

    $298.08

    $59.15 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 59074

    Office

    $415.59

    Facility

    $292.31

    $45.70 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 59074

    Office

    $385.84

    Facility

    $282.31

    $15.95 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 59074

    Office

    $379.52

    Facility

    $266.52

    $9.63 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 59074

    Office

    $476.90

    Facility

    $342.67

    $107.01 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 59074

    Office

    $423.08

    Facility

    $299.46

    $53.19 higher than Beaumont for the office setting.

  • Queens

    New York · 59074

    Office

    $453.17

    Facility

    $319.72

    $83.28 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 59074

    Office

    $364.12

    Facility

    $256.87

    $5.77 lower than Beaumont for the office setting.

  • Ohio

    Ohio · 59074

    Office

    $374.68

    Facility

    $271.61

    $4.79 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 59074

    Office

    $358.84

    Facility

    $258.02

    $11.05 lower than Beaumont for the office setting.

  • Portland

    Oregon · 59074

    Office

    $395.38

    Facility

    $269.95

    $25.49 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 59074

    Office

    $371.63

    Facility

    $259.19

    $1.74 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 59074

    Office

    $408.73

    Facility

    $291.21

    $38.84 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 59074

    Office

    $372.06

    Facility

    $268.43

    $2.17 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 59074

    Office

    $389.43

    Facility

    $275.30

    $19.54 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 59074

    Office

    $391.21

    Facility

    $274.58

    $21.32 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 59074

    Office

    $367.87

    Facility

    $263.56

    $2.02 lower than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 59074

    Office

    $352.30

    Facility

    $239.41

    $17.59 lower than Beaumont for the office setting.

  • Tennessee

    Tennessee · 59074

    Office

    $348.38

    Facility

    $245.76

    $21.51 lower than Beaumont for the office setting.

  • Utah

    Utah · 59074

    Office

    $373.10

    Facility

    $266.98

    $3.21 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 59074

    Office

    $369.67

    Facility

    $258.69

    $0.22 lower than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 59074

    Office

    $389.43

    Facility

    $275.30

    $19.54 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 59074

    Office

    $359.92

    Facility

    $248.16

    $9.97 lower than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 59074

    Office

    $386.32

    Facility

    $267.44

    $16.43 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 59074

    Office

    $424.10

    Facility

    $285.58

    $54.21 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 59074

    Office

    $343.92

    Facility

    $235.76

    $25.97 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 59074

    Office

    $390.52

    Facility

    $292.42

    $20.63 higher than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 59074

    Office

    $374.30

    Facility

    $261.40

    $4.41 higher than Beaumont for the office setting.

See how rates vary across the country

59074 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$339.02

$459.96

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$459.961
AL$344.411
AR$339.021
AZ$375.551
CA$381.77–$454.1629
CO$389.031
CT$415.881
DC$432.891
DE$381.851
FL$408.65–$478.393
GA$381.27–$402.522
GU$387.911
HI$387.911
IA$341.741
ID$346.691
IL$404.89–$460.974
IN$348.551
KS$345.771
KY$365.701
LA$367.38–$386.222
MA$388.79–$421.152
MD$387.65–$432.893
ME$354.81–$366.892
MI$381.27–$420.082
MN$354.861
MO$364.50–$380.723
MS$351.541
MT$388.341
NC$357.861
ND$356.111
NE$342.011
NH$388.341
NJ$415.59–$429.042
NM$385.841
NV$379.521
NY$364.12–$476.905
OH$374.681
OK$358.841
OR$371.63–$395.382
PA$372.06–$408.732
PR$389.431
RI$391.211
SC$367.871
SD$352.301
TN$348.381
TX$369.89–$409.158
UT$373.101
VA$369.67–$432.892
VI$389.431
VT$359.921
WA$386.32–$424.102
WI$343.921
WV$390.521
WY$374.301

Explore 59074 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 59074 in Beaumont, the physician’s office rate is $369.89 and the facility-setting rate is $267.15: a difference of $102.74.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 59074 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$406.88

$369.89 × 110% = $406.88

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59074 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

6,639

Code
59074
Physician work
5.11
Practice expense
4.89
Malpractice
1.63

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 59074 in Beaumont
ComponentRVULocality factorAdjusted
Physician work5.11× 1.0005.1100
Practice expense4.89× 0.9104.4499
Malpractice1.63× 0.9291.5143
Total RVUs11.0742
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$369.89

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 59074 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.111
Practice expense4.890.91
Malpractice1.630.929

(5.11 × 1 + 4.89 × 0.91 + 1.63 × 0.929) × $33.4009 = $369.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.111
Practice expense1.510.91
Malpractice1.630.929

(5.11 × 1 + 1.51 × 0.91 + 1.63 × 0.929) × $33.4009 = $267.15

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

59074 · Office / nonfacility

$369.89

Effective 2026-10-01

The base rate is $14.41 higher than on 2025-10-01, moving from $355.48 to $369.89 (4.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $355.48changed to$369.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.24 changed to 5.11
    • Practice expense RVU 4.70 changed to 4.89
    • Malpractice RVU 1.59 changed to 1.63
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $355.48

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$369.89$267.15RVU26D
2026-07-01$369.89$267.15RVU26C
2026-04-01$369.89$267.15RVU26B
2026-01-01$369.89$267.15RVU26A
2025-10-01$355.48$289.47RVU25D
2025-07-01$355.48$289.47RVU25C
2025-04-01$355.48$289.47RVU25B
2025-01-01$355.48$289.47RVU25A

59074 billing questions

When should this be reported instead of therapeutic amniocentesis?

Report 59074 for drainage of a fluid collection within the fetus, such as a pleural effusion or ascites. Therapeutic amniocentesis removes excess amniotic fluid from the amniotic cavity.

Is ultrasound guidance separately reported?

No. Ultrasound guidance is included in the fetal fluid drainage service.

What documentation supports reporting 59074?

Document the fetal fluid collection and its location, the clinical reason for drainage, and the drainage procedure performed. For example, identify a pleural effusion when performing fetal thoracentesis.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures performed in that session are paid at 50%.

Can an assistant, co-surgeon, or surgical team be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.

Does the procedure have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 59074PPRRVU2026_Oct_nonQPP.csv, line 6,639 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet