CPT code 59300: Obstetric repair, by nonattending physician2026 Medicare rate & RVUs in Missouri
Reports repair of an episiotomy or vaginal laceration after delivery when a physician other than the attending physician performs the repair.
Medicare pays $208.02–$219.67 for 59300 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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.
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On this page 9 sections
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 Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$208.02 to $219.67
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $217.46 | $131.21 |
| Metropolitan St. Louis, MO | $219.67 | $132.23 |
| Rest of Missouri | $208.02 | $128.84 |
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.
How the rate is built · 59300
RVUs × geographic indexes × conversion factor
Work2.35
2.35 RVUs× 1.000 GPCI
Practice expense3.64
3.64 RVUs× 1.000 GPCI
Malpractice0.76
0.76 RVUs× 1.000 GPCI
Adjusted RVUs
6.7500
Conversion factor
$33.4009
Medicare rate
$225.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59300
The CMS indicators that decide how 59300 is paid alongside other services.
CMS payment indicators · 59300
Obstetric repair, by nonattending physician
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59300 without 51 · national office
$225.46
Obstetric repair, by nonattending physician
59300-51 · Second procedure: 50%
$112.73
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
59300 compared with similar codes
Compare codes · National
4 codes, side by side
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.
59300 billing questions
Who may report 59300?
The physician who performs the episiotomy or vaginal repair must be other than the attending physician for the delivery. The record should identify the repairing physician and the obstetric repair performed.
Can the delivering physician report 59300 for the repair?
No. This code is for an episiotomy or vaginal repair performed by someone other than the attending physician; it is not a separate code for the attending physician's own repair.
How does 59300 differ from 57200?
59300 applies to repair associated with childbirth by a nonattending physician. 57200 is used for vaginal repair in a nonobstetric context.
Can modifier 50 be appended?
No. The code's descriptor or anatomy makes bilateral adjustment inappropriate, so modifier 50 should not be used.
What is included in the 0-day global period?
Same-day preoperative and postoperative care is included. The code does not include a subsequent-day global period.
When is assistant-at-surgery payment allowed?
Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.
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
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