No office rate
59400 represents global obstetric care that includes delivery and postpartum care. 59412 describes the separate antepartum version maneuver.
On this page
CMS RVU26D · Effective 2026-10-01
59412 Fetal version Medicare reimbursement rates in Missouri
Report 59412 when an obstetric clinician manually turns a fetus through the maternal abdomen before delivery, with or without tocolysis. Compare 59412 office and facility rates across CMS payment localities in Missouri.
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 59412 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$91.09–$93.31
3 of 3 localities have a supported rate.
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.
Where 59412 pays more and less in Missouri
Obstetrics
About 59412: External cephalic version
Report 59412 when an obstetric clinician manually turns a fetus through the maternal abdomen before delivery, with or without tocolysis.
An external cephalic version uses pressure on the pregnant patient’s abdomen to turn a fetus from a non-cephalic position, such as breech or transverse, toward a head-down position. An obstetrician or other qualified maternity clinician typically performs it in a hospital labor-and-delivery unit, where fetal status can be monitored. The procedure may include medication to relax the uterus; the code covers the version whether or not tocolysis is used.
Select 59412 for the antepartum manipulation itself, not for routine prenatal visits or the eventual delivery. Documentation should identify the fetal presentation and clinical reason for the attempt, describe the manipulation and outcome, and record relevant fetal assessment and any tocolysis. CMS classifies this as a maternity code, so handle it under maternity billing rather than assigning a standard surgical global-period expectation. The code’s payment includes work, practice expense, and malpractice components in the physician fee schedule.
CMS billing rules for 59412
- Global period
- Maternity code: the usual global surgery rules do not apply.
Where the value comes from
- Work RVU1.71 · 61%
- Practice expense (office) RVU0.57 · 20%
- Malpractice RVU0.54 · 19%
31
Medicare services in 2024 · #5654 by national volume
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.
59412 compared with similar codes
Office rates for Missouri, from the same CMS release.
$539.80–$563.47
59425 represents antepartum care only for a limited number of visits; it does not describe turning the fetus.
$991.06–$1,034.58
59426 represents antepartum care only for a larger visit-count range than 59425. Neither code represents an external version procedure.
No office rate
59409 describes vaginal delivery only. Use 59412 for the antepartum maneuver, even when a delivery occurs later.
Compare 59412 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$92.61
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$93.31
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$91.09
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59412 billing questions
When should 59412 be reported instead of an obstetric delivery code?
Use 59412 for the antepartum attempt to turn the fetus through the maternal abdomen. Report the appropriate delivery code for a subsequent delivery service.
Does 59412 include tocolysis?
Yes. The code covers the version with or without medication used to relax the uterus.
What documentation supports 59412?
Document the fetal presentation, reason for attempting version, manipulation performed, result, relevant fetal assessment, and whether tocolysis was used.
Is 59412 subject to a standard surgical global period?
CMS identifies it as a maternity code. Handle it under maternity billing rather than applying a standard surgical global-period expectation.
Can an ultrasound or fetal monitoring service be reported with 59412?
A separately performed and documented obstetric ultrasound or fetal monitoring service may be relevant to the same encounter. The record should support the distinct service rather than merely restating the version procedure.
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.
6,65559400,,Obstetrical care,A,,37.00,18.76,NA,18.76,,10.54,66.30,66.30,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65659409,,Obstetrical care,A,,14.37,3.22,NA,3.22,,4.02,21.61,21.61,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65759410,,Obstetrical care,A,,18.76,5.13,NA,5.13,,5.34,29.23,29.23,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65859412,,Antepartum manipulation,A,,1.71,0.57,NA,0.57,,0.54,2.82,2.82,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65959414,,Deliver placenta,A,,1.61,0.35,NA,0.35,,0.50,2.46,2.46,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66059425,,Antepartum care only,A,,7.80,7.18,,1.70,,2.23,17.21,11.73,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66159426,,Antepartum care only,A,,14.30,13.20,,3.11,,4.10,31.60,21.51,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00