Billing code 59025: Fetal testingMedicare rate & RVUs in Texas
Report this antepartum test when fetal heart rate is monitored without induced contractions to assess the response associated with fetal movement.
Medicare pays $47.55–$52.13 for 59025 in the office in Texas, from Beaumont to Houston. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 59025 covers
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.
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.
Where 59025 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$47.55 to $52.13
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $51.58 | Unavailable |
| Beaumont | $47.55 | Unavailable |
| Brazoria | $49.29 | Unavailable |
| Dallas | $49.81 | Unavailable |
| Fort Worth | $49.59 | Unavailable |
| Galveston | $49.57 | Unavailable |
| Houston | $52.13 | Unavailable |
| Rest Of Texas | $48.53 | Unavailable |
How the 59025 rate is calculated
Each of 59025’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 59025
RVUs × geographic indexes × conversion factor
Work0.52
0.52 RVUs× 1.000 GPCI
Practice expense0.85
0.85 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
1.5100
Conversion factor
$33.4009
Medicare rate
$50.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59025
The CMS indicators that decide how 59025 is paid alongside other services.
CMS payment indicators · 59025
Fetal testing
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
59025 without 26 · national office
$50.44
Fetal testing
59025-26 · Professional component
$29.39
Pays only the interpretation and report.
59025 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59020Fetal stress test
- Choose this code for antepartum fetal heart rate monitoring without induced contractions. Code 59020 describes fetal assessment involving contractions.
- 59050Labor monitoring
- This code is for an antepartum nonstress test. Code 59050 is a distinct fetal monitoring service with a report, typically associated with labor.
- 59051Fetal monitoring
- 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.
- 76819Biophysical profile
- Use this code for the nonstress test itself. Code 76819 is a biophysical profile that does not include a nonstress test.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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