59412 Antepartum manipulation
Also known as: external cephalic version, ECV, external version
Antepartum manipulation of fetus (such as external cephalic version) performed to convert fetus from abnormal presentation to vertex (head-down) for vaginal delivery.
Clinical Context
Performed at 36+ weeks in breech or transverse lie presentations to attempt vaginal delivery; success rate 60-70% in multiparous women.
RVU Breakdown
| Work RVU | 1.71 |
| Practice Expense RVU | 0.57 |
| Malpractice RVU | 0.54 |
| Total RVU | 2.82 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.