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See a sample rate comparisonCPT 59072 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.
Terminate A Pregnancy, The Procedure Terminates A Pregnancy By Cutting Off The Umbilical Cord Blood Supply To A Fetus. Ultrasound Is Used To View The Area Accurately.
| 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 AG - Primary physician UB |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59072 |
| Medicaid Fee Schedule | View Medicaid rates for 59072 |
National average reimbursement for CPT 59072 by major payers:
$610.32
$673.76
$661.28
$807.66
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CPT 59072
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$1,511.00Published rateSurgicare Of Miramar LLC
$574.00Published rateArthroscopic Surgery Center, LLC
Arthroscopic Surgery Center LLC
$202.00Published rateIndiana Vascular Surgery Center LLC
$109.00Published rateEye Surgicenter LLC
$42.00Published rate
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See a sample payer proposalCPT 59072 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59072 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 59072 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. |
| 59072-CPT | Moderate | Terminate A Pregnancy, The Procedure Terminates A Pregnancy By Cutting Off The Umbilical Cord Blood Supply To A Fetus. Ultrasound Is Used To View The Area Accurately. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59072. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59072 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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