No office rate
Use 59072 for occluding a fetal umbilical cord. Use 59076 when the intervention places a fetal shunt.
On this page
CMS RVU26D · Effective 2026-10-01
59072 Cord occlusion Medicare reimbursement rates in Hawaii
Reports ultrasound-guided occlusion of a fetal umbilical cord, commonly to interrupt circulation in a targeted fetus during a monochorionic pregnancy. Compare 59072 office and facility rates across CMS payment localities in Hawaii.
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.
What does Medicare pay for 59072 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$433.86
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Fetal intervention
About 59072: In utero umbilical cord occlusion
Reports ultrasound-guided occlusion of a fetal umbilical cord, commonly to interrupt circulation in a targeted fetus during a monochorionic pregnancy.
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.
CMS billing rules for 59072
- 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.77 · 63%
- Practice expense (office) RVU2.28 · 16%
- Malpractice RVU2.81 · 20%
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 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$387.91
59072 stops flow through a targeted cord; 59074 addresses a fetal fluid collection by draining fluid.
No office rate
59012 is fetal cord puncture for prenatal sampling or access, not occlusion of the cord.
Compare 59072 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$433.86
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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 59072 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,638
- Code
- 59072
- Physician work
- 8.77
- Practice expense
- 2.28
- Malpractice
- 2.81
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.77 | × 1.000 | 8.7700 |
| Practice expense | 2.28 | × 1.137 | 2.5924 |
| Malpractice | 2.81 | × 0.579 | 1.6270 |
| Total RVUs | 12.9893 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$433.86
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.77 | 1 |
| Practice expense | 2.28 | 1.137 |
| Malpractice | 2.81 | 0.579 |
(8.77 × 1 + 2.28 × 1.137 + 2.81 × 0.579) × $33.4009 = $433.86
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.
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 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.
6,63559050,,Fetal monitor w/report,A,,0.87,0.19,NA,0.19,,0.27,1.33,1.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63659051,,Fetal monitor/interpret only,A,,0.72,0.15,NA,0.15,,0.22,1.09,1.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63759070,,Transabdom amnioinfus w/us,A,,5.11,5.34,,1.51,,1.63,12.08,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63859072,,Umbilical cord occlud w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63959074,,Fetal fluid drainage w/us,A,,5.11,4.89,,1.51,,1.63,11.63,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64059076,,Fetal shunt placement w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64159100,,Remove uterus lesion,A,,13.04,5.85,NA,5.85,,4.18,23.07,23.07,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014