No office rate
59074 drains fluid from within the fetus; 59001 removes excess fluid from the amniotic cavity.
On this page
CMS RVU26D · Effective 2026-10-01
59074 Fetal fluid drainage Medicare reimbursement rates in Idaho
Report this service for ultrasound-guided therapeutic drainage of a fetal fluid collection, such as pleural fluid or fetal ascites. Compare 59074 office and facility rates across CMS payment localities in Idaho.
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 59074 in Idaho?
Idaho 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
$346.69
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$242.83
1 of 1 localities have a supported rate.
Payment area: Idaho
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 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 Idaho, from the same CMS release.
$360.52
59074 drains a fetal fluid collection. 59070 infuses fluid into the amniotic cavity.
No office rate
59074 drains a fetal fluid collection; 59076 places a shunt to divert fluid.
$107.28
59000 is diagnostic amniocentesis for sampling amniotic fluid. 59074 is therapeutic drainage of fluid within the fetus.
Compare 59074 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
Idaho →
Office / nonfacility
$346.69
Facility
$242.83
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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 Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,639
- Code
- 59074
- Physician work
- 5.11
- Practice expense
- 4.89
- Malpractice
- 1.63
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.11 | × 1.000 | 5.1100 |
| Practice expense | 4.89 | × 0.920 | 4.4988 |
| Malpractice | 1.63 | × 0.473 | 0.7710 |
| Total RVUs | 10.3798 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$346.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.11 | 1 |
| Practice expense | 4.89 | 0.92 |
| Malpractice | 1.63 | 0.473 |
(5.11 × 1 + 4.89 × 0.92 + 1.63 × 0.473) × $33.4009 = $346.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.11 | 1 |
| Practice expense | 1.51 | 0.92 |
| Malpractice | 1.63 | 0.473 |
(5.11 × 1 + 1.51 × 0.92 + 1.63 × 0.473) × $33.4009 = $242.83
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.
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.
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
6,64259120,,Treat ectopic pregnancy,A,,12.35,5.70,NA,5.70,,3.95,22.00,22.00,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772