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See a sample rate comparisonCPT 59001 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Amniocentesis; Therape Amniotic Fluid Reduct (Inclu Ultrasou, Amniocentesis; Therapeutic Amniotic Fluid Reduction (Includes Ultrasou
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59001 |
| Medicaid Fee Schedule | View Medicaid rates for 59001 |
National average reimbursement for CPT 59001 by major payers:
$227.91
$241.06
$237.78
$284.56
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CPT 59001
5 of 25 sample ratesHigher to lower in this preview
Vantage Surgical Associates, LLC, Vantage Surgery Center
Vantage Surgery Center
$1,708.00Published rateSpring Park Surgery Center L L C
Spring Park Surgery Center, LLC
$598.00Published rateErie Shores Surgery Center LLC
Erie Shores Surgery Center, LLC
$400.00Published rateUnited Skin Specialists Missouri Ltd, PC, Chesterfield Asc
$183.00Published rateNew Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Terapeutic Center
$92.00Published rate
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See a sample payer proposalCPT 59001 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59001 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59001 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59000-CPT | Low | Amniocentesis Fetal Testing, An Amniocentesis Takes A Small Amount Of Fluid From The Sac Surrounding The Fetus By Inserting A Needle Through The Abdomen. The Sample Is Usually Taken Between 15 And 18 Weeks To Screen For Inherited Problems And Health Issues. |
| 59001-CPT | Moderate | Amniocentesis; Therape Amniotic Fluid Reduct (Inclu Ultrasou, Amniocentesis; Therapeutic Amniotic Fluid Reduction (Includes Ultrasou |
| 59012-CPT | Moderate | Cordocentesis, Any Method |
| 59015-CPT | Low | Genetic Testing Of Fetus, Chorionic Villus Sampling Is A Test Done In The First Three Months Of Pregnancy To Check The Fetus For Genetic Disorders Such As Down Syndrome. The Procedure Takes A Sample Of Tissue From The Placenta For Testing (Biopsy). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59001 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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