Billing code 59072: Cord occlusionMedicare rate & RVUs in Connecticut
Reports ultrasound-guided occlusion of a fetal umbilical cord, commonly to interrupt circulation in a targeted fetus during a monochorionic pregnancy.
CMS doesn’t publish an office rate for 59072 in Connecticut.
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 9 sections
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.
59072 in Connecticut
| Payment locality | Office | Facility |
|---|---|---|
| Connecticut | Unavailable | $494.37 |
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.
Payment rules and modifiers for 59072
The CMS indicators that decide how 59072 is paid alongside other services.
CMS payment indicators · 59072
Cord occlusion
| 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) | 1 | Not paid (statutory restriction). |
| 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
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%).
59072 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 59076Fetal shunt
- Use 59072 for occluding a fetal umbilical cord. Use 59076 when the intervention places a fetal shunt.
- 59074Fetal fluid drainage
- 59072 stops flow through a targeted cord; 59074 addresses a fetal fluid collection by draining fluid.
- 59012Cordocentesis
- 59012 is fetal cord puncture for prenatal sampling or access, not occlusion of the cord.
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
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