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.
In Plain Language
manually turning the baby from breech to head-down
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 |
| Total RVU | 1.71 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.71, this code ranks in the 11th percentile among Surgery codes — 4.7x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59412?
CPT 59412 (Antepartum manipulation) is a Surgery code. Antepartum manipulation of fetus (such as external cephalic version) performed to convert fetus from abnormal presentation to vertex (head-down) for vaginal delivery.
What is the wRVU value for CPT 59412?
The work RVU for CPT 59412 is 1.71. This code is primarily used by Obstetrics and Gynecology, Maternal Fetal Medicine.
When is CPT 59412 used?
Performed at 36+ weeks in breech or transverse lie presentations to attempt vaginal delivery; success rate 60-70% in multiparous women.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.