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 New Jersey
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 New Jersey.
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 New Jersey?
New Jersey has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$415.59–$429.04
2 of 2 localities have a supported rate.
Facility setting
$292.31–$298.08
2 of 2 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.
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 New Jersey, from the same CMS release.
$432.00–$446.48
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.
$128.44–$133.33
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.
2 of 2 payment localities
Northern Nj →
Office / nonfacility
$429.04
Facility
$298.08
Rest Of New Jersey →
Office / nonfacility
$415.59
Facility
$292.31
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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