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Billing code 59072: Cord occlusionMedicare rate & RVUs in Redding

Reports ultrasound-guided occlusion of a fetal umbilical cord, commonly to interrupt circulation in a targeted fetus during a monochorionic pregnancy.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Redding, Medicare pays $431.68 for 59072 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$431.68Hospital or facility

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.

We’ll open 59072 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 59072 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Redding 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. Redding pays $431.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

59072 in Redding vs other payment areas
  1. Redding · this page$431.68
  2. Bakersfield · California$439.11+$7.43
  3. Chico · California$431.68
  4. El Centro · California$432.15+$0.47
  5. Fresno · California$431.68
  6. Hanford-Corcoran · California$431.68
  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$457.35+$25.67

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

59072 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia—$431.68
MercedCalifornia—$431.68
ModestoCalifornia—$431.68
NapaCalifornia—$459.43
Oxnard-Thousand Oaks-VenturaCalifornia—$449.61
Rest Of CaliforniaCalifornia—$431.68
Riverside-San Bernardino-OntarioCalifornia—$461.72
Sacramento-Roseville-FolsomCalifornia—$442.35

59072 rates by state

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

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.

View every state and territory as a table
59072 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

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.

How the rate is built · 59072

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 Redding inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,638

Code
59072
Physician work
8.77
Practice expense
2.28
Malpractice
2.81

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 59072 in Redding
ComponentRVULocality factorAdjusted
Physician work8.77× 1.0178.9191
Practice expense2.28× 1.0962.4989
Malpractice2.81× 0.5361.5062
Total RVUs12.9241
Conversion factor× 33.4009

Facility rate, Redding$431.68

Facility: (8.77 × 1.017 + 2.28 × 1.096 + 2.81 × 0.536) × $33.4009 = $431.68

Open 59072 in the RVU calculator

Payment rules and modifiers for 59072

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

CMS payment indicators · 59072

Cord occlusion

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)1Not paid (statutory restriction).
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

59072 without 51 · national facility

$462.94

Cord occlusion

59072-51 · 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

Codes related to 59072

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

Codes related to 59072
CodeHow it relatesOffice range, Redding
Same family
59070AmnioinfusionUltrasound-guided fetal intervention involving amnioinfusion rather than cord occlusion.$398.25
59074Fetal fluid drainageUltrasound-guided fetal fluid drainage, a different intervention target.$381.77
59076Fetal shuntUltrasound-guided fetal shunt placement, distinct from occluding a cord.No office rate

How 59072 has changed in Redding

59072 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$431.68RVU26D
2026-07-01Not available in this setting$431.68RVU26C
2026-04-01Not available in this setting$431.68RVU26B
2026-01-01Not available in this setting$431.68RVU26A
2025-10-01Not available in this setting$482.03RVU25D
2025-07-01Not available in this setting$482.03RVU25C
2025-04-01Not available in this setting$482.03RVU25B
2025-01-01Not available in this setting$482.03RVU25A
2024-10-01Not available in this setting$495.51RVU24D
2022-07-01Not available in this setting$511.80RVU22C
2021-04-01Not available in this setting$515.49RVU21B
2021-01-01Not available in this setting$515.49RVU21A
2020-10-01Not available in this setting$528.18RVU20D
2020-07-01Not available in this setting$528.18RVU20C
2020-04-01Not available in this setting$528.18RVU20B
2020-01-01Not available in this setting$528.18RVU20A
2019-10-01Not available in this setting$522.79RVU19D
2019-07-01Not available in this setting$522.79RVU19C
2019-04-01Not available in this setting$522.79RVU19B
2019-01-01Not available in this setting$522.79RVU19A
2018-10-01Not available in this setting$524.72RVU18D
2018-07-01Not available in this setting$524.72RVU18C
2018-04-01Not available in this setting$524.72RVU18B
2018-01-01Not available in this setting$524.72RVU18AR1
2017-10-01Not available in this setting$494.47RVU17D
2017-07-01Not available in this setting$494.47RVU17C
2017-04-01Not available in this setting$494.47RVU17B
2017-01-01Not available in this setting$494.47RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 59072 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

59072 billing questions

When is cord occlusion reported instead of fetal shunt placement?

Report 59072 when the intervention occludes a fetal umbilical cord to stop its blood flow. Code 59076 describes fetal shunt placement, a different intervention with a different treatment target.

Is ultrasound guidance included?

Yes. Ultrasound guidance is part of the cord-occlusion service described by this code.

Can modifier 50 be used for two cords?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full; other procedures are subject to the standard 50% multiple-procedure reduction.

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 59072PPRRVU2026_Oct_nonQPP.csv, line 6,638 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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