CPT 59412
Global MMM ActiveAntepartum manipulation
CPT 59412 Billing & Documentation Guide
CPT code 59412 (Antepartum manipulation) is classified under Surgery (Urinary/Reproductive) with a global period indicator of MMM. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.71, a non-facility practice expense RVU of 0.57, and a malpractice RVU of 0.54, a total non-facility RVU of 2.82 and facility RVU of 2.82. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $93.59, though rates vary from $80.91 to $122.55 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 59412, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 59412 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Maternity codes (separate billing rules)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 59412 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 59412
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.71 | 1.71 |
| Practice Expense RVU | 0.57 | 0.57 |
| Malpractice RVU | 0.54 | 0.54 |
| Total RVU | 2.82 | 2.82 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 59412
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $91.47 | $91.47 | $88.62 - $100.52 | 29 |
| Florida | $111.33 | $111.33 | $102.43 - $122.55 | 3 |
| Georgia | $96.95 | $96.95 | $95.6 - $98.29 | 2 |
| Illinois | $110.18 | $110.18 | $102.69 - $118.04 | 4 |
| Michigan | $100.38 | $100.38 | $94.86 - $105.9 | 2 |
| North Carolina | $86.4 | $86.4 | $86.4 - $86.4 | 1 |
| New York | $105.58 | $105.58 | $87.88 - $116.9 | 5 |
| Ohio | $92.68 | $92.68 | $92.68 - $92.68 | 1 |
| Pennsylvania | $95.56 | $95.56 | $91.64 - $99.48 | 2 |
| Texas | $92.93 | $92.93 | $90.51 - $101.3 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 59412
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 59412 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01958 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01960 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01967 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 59412
What does CPT code 59412 mean? +
CPT code 59412 represents: Antepartum manipulation. It's in the Surgery (Urinary/Reproductive) category with a global period of MMM.
What is the Medicare reimbursement for CPT 59412? +
The 2026 Medicare national average non-facility payment for CPT 59412 is $93.59. Rates range from $80.91 to $122.55 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 59412? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 59412? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team