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

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 South Dakota, Medicare pays $208.60 for 59300 in the office and $116.75 when it’s performed in a hospital or facility.

$208.60Office (non-facility)
$116.75Hospital or facility
−7.5%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 South Dakota
  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 South Dakota 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. South Dakota pays $208.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

59300 in South Dakota vs other payment areas
  1. South Dakota · this page$208.60
  2. Los Angeles, CA · California$242.39+$33.79
  3. Washington, DC area · District of Columbia$254.20+$45.60
  4. Miami, FL · Florida$269.25+$60.65
  5. Chicago, IL · Illinois$259.49+$50.89
  6. Manhattan, NY · New York$265.05+$56.45
  7. Alaska · Alaska$261.21+$52.61

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 59300 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0002.3500
Practice expense3.64× 1.0003.6400
Malpractice0.76× 0.3360.2554
Total RVUs6.2454
Conversion factor× 33.4009

Office rate, South Dakota$208.60

Office: (2.35 × 1 + 3.64 × 1 + 0.76 × 0.336) × $33.4009 = $208.60

Facility: (2.35 × 1 + 0.89 × 1 + 0.76 × 0.336) × $33.4009 = $116.75

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

How 59300 has changed in South Dakota

59300 · Office / nonfacility

$208.60

Effective 2026-10-01

The base rate is $2.07 higher than on 2025-10-01, moving from $206.53 to $208.60 (1.0%).

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

    $206.53changed to$208.60

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $216.46changed to$206.53

    • 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

    $212.93changed to$216.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $220.68changed to$212.93

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $225.49changed to$220.68

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $218.75changed to$225.49

    • 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

    $207.35changed to$218.75

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $194.29changed to$207.35

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $186.52changed to$194.29

    • 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

    $185.87changed to$186.52

    • 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
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $185.39changed to$185.87

    • 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
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $186.71changed to$185.39

    • 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

    $185.78changed to$186.71

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $185.58changed to$185.78

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $185.89changed to$185.58

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $185.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$208.60$116.75RVU26D
2026-07-01$208.60$116.75RVU26C
2026-04-01$208.60$116.75RVU26B
2026-01-01$208.60$116.75RVU26A
2025-10-01$206.53$129.23RVU25D
2025-07-01$206.53$129.23RVU25C
2025-04-01$206.53$129.23RVU25B
2025-01-01$206.53$129.23RVU25A
2024-10-01$216.46$132.91RVU24D
2024-07-01$216.46$132.91RVU24C
2024-04-01$216.46$132.91RVU24B
2024-03-09$216.46$132.91RVU24AR
2024-01-01$212.93$130.74RVU24A
2023-10-01$220.68$133.92RVU23D
2023-07-01$220.68$133.92RVU23C
2023-04-01$220.68$133.92RVU23B
2023-01-01$220.68$133.92RVU23A
2022-10-01$225.49$134.48RVU22D
2022-07-01$225.49$134.48RVU22C
2022-04-01$225.49$134.48RVU22B
2022-01-01$225.49$134.48RVU22A
2021-10-01$218.75$135.35RVU21D
2021-07-01$218.75$135.35RVU21C
2021-04-01$218.75$135.35RVU21B
2021-01-01$218.75$135.35RVU21A
2020-10-01$207.35$139.14RVU20D
2020-07-01$207.35$139.14RVU20C
2020-04-01$207.35$139.14RVU20B
2020-01-01$207.35$139.14RVU20A
2019-10-01$194.29$139.87RVU19D
2019-07-01$194.29$139.87RVU19C
2019-04-01$194.29$139.87RVU19B
2019-01-01$194.29$139.87RVU19A
2018-10-01$186.52$140.80RVU18D
2018-07-01$186.52$140.80RVU18C
2018-04-01$186.52$140.80RVU18B
2018-01-01$186.52$140.80RVU18AR1
2017-10-01$185.87$141.01RVU17D
2017-07-01$185.87$141.01RVU17C
2017-04-01$185.87$141.01RVU17B
2017-01-01$185.87$141.01RVU17A
2016-10-01$185.39$140.64RVU16D
2016-07-01$185.39$140.64RVU16C
2016-04-01$185.39$140.64RVU16B
2016-01-01$185.39$140.64RVU16A
2015-10-01$186.71$141.79RVU15D
2015-07-01$186.71$141.79RVU15C
2015-04-01$185.78$141.09RVU15B
2015-01-01$185.78$141.09RVU15A
2014-10-01$185.58$141.87RVU14D
2014-07-01$185.58$141.87RVU14C
2014-04-01$185.58$141.87RVU14B
2014-01-01$185.58$141.87RVU14A
2013-10-01$185.89$139.28RVU13D
2013-07-01$185.89$139.28RVU13C
2013-04-01$185.89$139.28RVU13B
2013-01-01$185.89$139.28RVU13AR

Price 59300 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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