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See a sample rate comparisonCPT 59025 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.
Non-Stress Test Fetal Health, The Fetal Non-Stress Test Evaluates The Health Status Of The Fetus During The Last Six To Nine Months Of Pregnancy. Belts Around The Mothers Abdomen Measure Fetal Movement And Heart Rate.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 59025 |
| Medicaid Fee Schedule | View Medicaid rates for 59025 |
National average reimbursement for CPT 59025 by major payers:
$57.54
$62.48
$66.02
$75.66
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CPT 59025
5 of 25 sample ratesHigher to lower in this preview
Jennifer Jacobson
Columbia St Marys Hospital Milwaukee Inc
$185.24Published rateStacia Crochet
Emory University
$85.30Published rateCassandra Foss
Ihc Health Services Inc
$62.33Published rateBruce Erhart
$47.84Published rateJennifer Grant
Physicians For Women'S Health, LLC
$31.37Published rate
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See a sample payer proposalCPT 59025 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59025 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 59025 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 |
| 59025-CPT | Low | Non-Stress Test Fetal Health, The Fetal Non-Stress Test Evaluates The Health Status Of The Fetus During The Last Six To Nine Months Of Pregnancy. Belts Around The Mothers Abdomen Measure Fetal Movement And Heart Rate. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59025 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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