CPT code 59300: Obstetric repair, by nonattending physician2026 Medicare rate & RVUs in California

Medicare pays $226.68–$276.05 for 59300 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 59300 covers

59300 covers surgical repair of an episiotomy or vaginal laceration associated with childbirth. It may describe repair performed by an obstetrician or another physician who did not attend the delivery, typically in a hospital labor-and-delivery setting. The service is distinct from the delivering physician's own repair as part of the delivery care.

Report the code when the record identifies the repairing physician as someone other than the attending physician and documents the obstetric repair performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 59300 pays more and less in California

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

29 of 29 payment localities

How the 59300 rate is calculated

Each of 59300’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 59300

The CMS indicators that decide how 59300 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

59300 compared with similar codes

How to choose

59409Vaginal deliveryDelivery only

59409 reports vaginal delivery without postpartum care by the delivering physician. 59300 is for an obstetric repair performed by a different physician.

59410Vaginal deliveryPostpartum care included

59410 includes vaginal delivery and postpartum care by the delivering physician. 59300 describes the separate repair service when performed by a nonattending physician.

57200Vaginal repairNonobstetric injury

Use 57200 for vaginal repair in a nonobstetric setting or circumstance; 59300 is specific to episiotomy or vaginal repair associated with childbirth by another physician.

Codes related to 59300

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates