FeeBase
Log inGet started
Menu

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

Reports repair of an episiotomy or vaginal laceration after delivery when a physician other than the attending physician performs the repair.

CMS RVU26DEffective Oct 1, 2026One payment locality13 Medicare services in 2024

In Oklahoma, Medicare pays $206.79 for 59300 in the office and $124.76 when it’s performed in a hospital or facility.

$206.79Office (non-facility)
$124.76Hospital or facility
−8.3%vs the national office rate ($225.46)

Check a contract rate as a % of Medicare · 59300 nationwide

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

We’ll open 59300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Oklahoma
  2. What 59300 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Oklahoma compares for 59300

Across 109 of 109 payment localities, the office rate for 59300 runs from $196.00 in Arkansas to $276.05 in San Benito County, CA. Oklahoma pays $206.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

59300 in Oklahoma vs other payment areas
  1. Oklahoma · this page$206.79
  2. Los Angeles, CA · California$242.39+$35.60
  3. Washington, DC area · District of Columbia$254.20+$47.41
  4. Miami, FL · Florida$269.25+$62.46
  5. Chicago, IL · Illinois$259.49+$52.70
  6. Manhattan, NY · New York$265.05+$58.26
  7. Alaska · Alaska$261.21+$54.42

Other areas in Oklahoma first, then benchmark localities. Bars start at $0.

Every other payment area

59300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$199.24$118.87
ArkansasArkansas$196.00$117.10
ArizonaArizona$218.03$129.03
Bakersfield, CACalifornia$228.69$128.02
Chico, CACalifornia$226.68$126.01
El Centro, CACalifornia$226.81$126.14
Fresno, CACalifornia$226.68$126.01
Hanford, CACalifornia$226.68$126.01

59300 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$196.00

$261.21

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
59300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$261.211
AL$199.241
AR$196.001
AZ$218.031
CA$226.68–$276.0529
CO$228.621
CT$241.721
DC$254.201
DE$221.831
FL$232.88–$269.253
GA$217.20–$232.742
GU$231.431
HI$231.431
IA$199.811
ID$202.351
IL$229.17–$259.494
IN$203.531
KS$201.191
KY$209.801
LA$210.41–$221.742
MA$228.00–$249.472
MD$225.62–$254.203
ME$206.13–$214.992
MI$218.15–$238.612
MN$211.111
MO$208.02–$219.673
MS$201.931
MT$225.411
NC$208.151
ND$210.381
NE$200.311
NH$227.271
NJ$242.24–$251.582
NM$220.471
NV$221.341
NY$211.84–$275.215
OH$215.081
OK$206.791
OR$217.43–$233.712
PA$214.09–$236.752
PR$226.411
RI$228.221
SC$212.411
SD$208.601
TN$202.641
TX$212.71–$234.788
UT$215.571
VA$215.93–$254.202
VI$226.411
VT$211.701
WA$226.85–$252.332
WI$202.781
WV$220.471
WY$218.861

See 59300 in every payment locality

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

Office or facility?

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.

The exact Oklahoma inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,651

Code
59300
Physician work
2.35
Practice expense
3.64
Malpractice
0.76

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office calculation for 59300 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0002.3500
Practice expense3.64× 0.8933.2505
Malpractice0.76× 0.7770.5905
Total RVUs6.1910
Conversion factor× 33.4009

Office rate, Oklahoma$206.79

Office: (2.35 × 1 + 3.64 × 0.893 + 0.76 × 0.777) × $33.4009 = $206.79

Facility: (2.35 × 1 + 0.89 × 0.893 + 0.76 × 0.777) × $33.4009 = $124.76

Open 59300 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

Codes related to 59300

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

Codes related to 59300
CodeHow it relatesOffice range, Oklahoma
Often billed with
59409Vaginal delivery, delivery onlyMay accompany the attending physician's vaginal delivery service when another physician performs the repair.No office rate
59410Vaginal delivery, postpartum care includedMay accompany the attending physician's delivery and postpartum service when another physician performs the repair.No office rate
Used instead
57200Vaginal repair, nonobstetric injuryFor vaginal repair in a nonobstetric context rather than repair associated with childbirth.No office rate

How 59300 has changed in Oklahoma

59300 · Office / nonfacility

$206.79

Effective 2026-10-01

The base rate is $3.26 higher than on 2025-10-01, moving from $203.53 to $206.79 (1.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $203.53changed to$206.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.41 changed to 2.35
    • Practice expense RVU 3.70 changed to 3.64
    • Malpractice RVU 0.72 changed to 0.76
    • Practice expense GPCI 0.891 changed to 0.893
    • Malpractice GPCI 0.813 changed to 0.777

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $213.25changed to$203.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.81 changed to 3.70
    • Malpractice RVU 0.74 changed to 0.72

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $209.77changed to$213.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $216.43changed to$209.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.84 changed to 3.81
    • Malpractice RVU 0.72 changed to 0.74
    • Practice expense GPCI 0.886 changed to 0.891
    • Malpractice GPCI 0.798 changed to 0.813

  5. January 1, 2023

    RVU23A

    $219.79changed to$216.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.87 changed to 3.84
    • Malpractice RVU 0.68 changed to 0.72
    • Practice expense GPCI 0.881 changed to 0.886
    • Malpractice GPCI 0.782 changed to 0.798

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $213.69changed to$219.79

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.63 changed to 3.87
    • Malpractice RVU 0.66 changed to 0.68

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $206.15changed to$213.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.10 changed to 3.63
    • Malpractice RVU 0.64 changed to 0.66
    • Practice expense GPCI 0.886 changed to 0.881
    • Malpractice GPCI 0.868 changed to 0.782

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $196.15changed to$206.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.74 changed to 3.10
    • Malpractice RVU 0.62 changed to 0.64
    • Practice expense GPCI 0.891 changed to 0.886
    • Malpractice GPCI 0.954 changed to 0.868

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $189.20changed to$196.15

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.53 changed to 2.74

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $185.63changed to$189.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.54 changed to 2.53
    • Malpractice RVU 0.58 changed to 0.62
    • Practice expense GPCI 0.882 changed to 0.891
    • Malpractice GPCI 0.900 changed to 0.954

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $183.72changed to$185.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.52 changed to 2.54
    • Malpractice RVU 0.62 changed to 0.58
    • Practice expense GPCI 0.872 changed to 0.882
    • Malpractice GPCI 0.845 changed to 0.900

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $185.31changed to$183.72

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.53 changed to 2.52
    • Malpractice RVU 0.64 changed to 0.62

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $184.39changed to$185.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $182.11changed to$184.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.50 changed to 2.53
    • Malpractice RVU 0.65 changed to 0.64
    • Practice expense GPCI 0.864 changed to 0.872
    • Malpractice GPCI 0.790 changed to 0.845

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $179.36changed to$182.11

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.76 changed to 2.50
    • Malpractice RVU 0.68 changed to 0.65
    • Practice expense GPCI 0.856 changed to 0.864
    • Malpractice GPCI 0.734 changed to 0.790

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $179.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$206.79$124.76RVU26D
2026-07-01$206.79$124.76RVU26C
2026-04-01$206.79$124.76RVU26B
2026-01-01$206.79$124.76RVU26A
2025-10-01$203.53$134.64RVU25D
2025-07-01$203.53$134.64RVU25C
2025-04-01$203.53$134.64RVU25B
2025-01-01$203.53$134.64RVU25A
2024-10-01$213.25$138.81RVU24D
2024-07-01$213.25$138.81RVU24C
2024-04-01$213.25$138.81RVU24B
2024-03-09$213.25$138.81RVU24AR
2024-01-01$209.77$136.54RVU24A
2023-10-01$216.43$139.57RVU23D
2023-07-01$216.43$139.57RVU23C
2023-04-01$216.43$139.57RVU23B
2023-01-01$216.43$139.57RVU23A
2022-10-01$219.79$139.61RVU22D
2022-07-01$219.79$139.61RVU22C
2022-04-01$219.79$139.61RVU22B
2022-01-01$219.79$139.61RVU22A
2021-10-01$213.69$140.22RVU21D
2021-07-01$213.69$140.22RVU21C
2021-04-01$213.69$140.22RVU21B
2021-01-01$213.69$140.22RVU21A
2020-10-01$206.15$145.71RVU20D
2020-07-01$206.15$145.71RVU20C
2020-04-01$206.15$145.71RVU20B
2020-01-01$206.15$145.71RVU20A
2019-10-01$196.15$147.67RVU19D
2019-07-01$196.15$147.67RVU19C
2019-04-01$196.15$147.67RVU19B
2019-01-01$196.15$147.67RVU19A
2018-10-01$189.20$148.47RVU18D
2018-07-01$189.20$148.47RVU18C
2018-04-01$189.20$148.47RVU18B
2018-01-01$189.20$148.47RVU18AR1
2017-10-01$185.63$146.06RVU17D
2017-07-01$185.63$146.06RVU17C
2017-04-01$185.63$146.06RVU17B
2017-01-01$185.63$146.06RVU17A
2016-10-01$183.72$144.70RVU16D
2016-07-01$183.72$144.70RVU16C
2016-04-01$183.72$144.70RVU16B
2016-01-01$183.72$144.70RVU16A
2015-10-01$185.31$146.14RVU15D
2015-07-01$185.31$146.14RVU15C
2015-04-01$184.39$145.41RVU15B
2015-01-01$184.39$145.41RVU15A
2014-10-01$182.11$144.35RVU14D
2014-07-01$182.11$144.35RVU14C
2014-04-01$182.11$144.35RVU14B
2014-01-01$182.11$144.35RVU14A
2013-10-01$179.36$139.46RVU13D
2013-07-01$179.36$139.46RVU13C
2013-04-01$179.36$139.46RVU13B
2013-01-01$179.36$139.46RVU13AR

Price 59300 for an earlier date of service

Where the Oklahoma rate applies

Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.

  • Lahoma
  • Achille
  • Ada
  • Adair
  • Adams
  • Adamson
  • Addington
  • Afton

Browse all communities in Oklahoma

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

Show the CMS file lines behind this rate
RVUs for 59300PPRRVU2026_Oct_nonQPP.csv, line 6,651 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 59300 pays in Oklahoma?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 59300 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist