$71.80
Choose this code for antepartum fetal heart rate monitoring without induced contractions. Code 59020 describes fetal assessment involving contractions.
On this page
CMS RVU26D · Effective 2026-10-01
59025 Fetal testing Medicare reimbursement rates in Nevada
Report this antepartum test when fetal heart rate is monitored without induced contractions to assess the response associated with fetal movement. Compare 59025 office and facility rates across CMS payment localities in Nevada.
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 59025 in Nevada?
Nevada 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
$49.68
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
No 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.
Obstetrics
About 59025: Antepartum fetal nonstress test
Report this antepartum test when fetal heart rate is monitored without induced contractions to assess the response associated with fetal movement.
An antepartum nonstress test uses external monitoring to record the fetal heart rate and assess its response to fetal movement. Obstetric clinicians commonly order it for fetal surveillance when pregnancy-related conditions or concerns call for assessment; trained staff may obtain the tracing, with a qualified clinician interpreting and documenting the result. The test does not induce contractions, distinguishing it from a contraction stress test.
Report one service for the documented test, supported by the indication, tracing, and interpretation. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and an unmodified claim represents the global service. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment are not permitted.
CMS billing rules for 59025
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.52 · 34%
- Practice expense (office) RVU0.85 · 56%
- Malpractice RVU0.14 · 9%
9.5K
Medicare services in 2024 · #1501 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.
59025 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
This code is for an antepartum nonstress test. Code 59050 is a distinct fetal monitoring service with a report, typically associated with labor.
No office rate
This code represents the nonstress test service, which may include technical and professional components. Code 59051 is an interpretation-only fetal monitoring service, typically associated with labor.
$87.57
Use this code for the nonstress test itself. Code 76819 is a biophysical profile that does not include a nonstress test.
Compare 59025 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
Nevada** →
Office / nonfacility
$49.68
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 59025 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
6,631
- Code
- 59025
- Physician work
- 0.52
- Practice expense
- 0.85
- Malpractice
- 0.14
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.52 | × 1.000 | 0.5200 |
| Practice expense | 0.85 | × 1.001 | 0.8508 |
| Malpractice | 0.14 | × 0.833 | 0.1166 |
| Total RVUs | 1.4875 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$49.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.52 | 1 |
| Practice expense | 0.85 | 1.001 |
| Malpractice | 0.14 | 0.833 |
(0.52 × 1 + 0.85 × 1.001 + 0.14 × 0.833) × $33.4009 = $49.68
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.
59025 billing questions
How does this differ from a contraction stress test?
A nonstress test monitors fetal heart rate without inducing contractions. Use the contraction stress test when the assessment involves evaluating fetal response to contractions.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Report without either modifier when billing the global service.
Can modifier 50 be appended?
No. The descriptor and anatomy make bilateral adjustment inappropriate for this test.
What documentation supports reporting the test?
Document the clinical indication, the fetal heart rate tracing, and the clinician's interpretation. The record should support that monitoring was performed without induced contractions.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant, co-surgeon, or surgical team be paid?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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.
6,62859020,,Fetal contract stress test,A,,0.64,1.35,,1.35,NA,0.19,2.18,2.18,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,62959020,26,Fetal contract stress test,A,,0.64,0.28,,0.28,,0.18,1.10,1.10,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63059020,TC,Fetal contract stress test,A,,0.00,1.07,,1.07,NA,0.01,1.08,1.08,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
6,63159025,,Fetal non-stress test,A,,0.52,0.85,,0.85,NA,0.14,1.51,1.51,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63259025,26,Fetal non-stress test,A,,0.52,0.23,,0.23,,0.13,0.88,0.88,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63359025,TC,Fetal non-stress test,A,,0.00,0.62,,0.62,NA,0.01,0.63,0.63,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
6,63459030,,Fetal scalp blood sampling,A,,1.94,0.41,NA,0.41,,0.61,2.96,2.96,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097