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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59070 |
| Medicaid Fee Schedule | View Medicaid rates for 59070 |
National average reimbursement for CPT 59070 by major payers:

$475.36

$531.51

$514.19

$491.77
Choose a payer to see a sample of rates for CPT 59070.
Greenville Surgery Center LLC
UPMC
Apollo Ambulatory Surgery Center LLC
Scac LLC
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Rate Benchmarking
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See a sample payer proposalCPT 59070 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59070 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 59070 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 |
|---|---|---|
| 59030-CPT | Low | Fetal Distress Blood Sampling, When Signs Of Distress Arise During Labor A Sample Of Blood From The Fetal Scalp May Be Taken. This Can Aid In Determining The Cause Of Distress When The Reason Is Not Clear. |
| 59050-CPT | Low | Fetal Monitoring During Labor, Fetal Monitoring During Labor By Consulting Physician (Ienon-Attending Physician) With Written Report Supervision And Interpretation |
| 59051-CPT | Low | Monitor Fetus During Labor, The Fetus Is Monitored During Labor To Ensure Signs Of Distress Are Attended Promptly. A Consulting Physician May Do The Monitoring. |
| 59070-CPT | Moderate | Add Amniotic Fluid To Sac, Procedure To Add Fluid To An Under-Filled Amniotic Sac. The Procedure Uses Ultrasound To Help View The Area. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59070. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59070 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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