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

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 Brazoria, TX, Medicare pays $219.41 for 59300 in the office and $128.38 when it’s performed in a hospital or facility.

$219.41Office (non-facility)
$128.38Hospital or facility
−2.7%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 Brazoria, TX
  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 Brazoria, TX 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. Brazoria, TX pays $219.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

59300 in Brazoria, TX vs other payment areas
  1. Brazoria, TX · this page$219.41
  2. Austin, TX · Texas$229.77+$10.36
  3. Beaumont, TX · Texas$212.71−$6.70
  4. Dallas, TX · Texas$222.07+$2.66
  5. Fort Worth, TX · Texas$221.19+$1.78
  6. Galveston, TX · Texas$220.87+$1.46
  7. Houston, TX · Texas$234.78+$15.37

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

Every other payment area

59300 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$216.79$129.63
Los Angeles, CACalifornia$242.39$133.73
Washington, DC areaDistrict of Columbia$254.20$146.00
Miami, FLFlorida$269.25$173.64
Chicago, ILIllinois$259.49$167.17
Manhattan, NYNew York$265.05$158.32
AlaskaAlaska$261.21$163.38
AlabamaAlabama$199.24$118.87

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 Brazoria, TX 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

98

Locality
Brazoria, TX
Physician work
1.008
Practice expense
0.991
Malpractice
0.780
Office calculation for 59300 in Brazoria, TX
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0082.3688
Practice expense3.64× 0.9913.6072
Malpractice0.76× 0.7800.5928
Total RVUs6.5688
Conversion factor× 33.4009

Office rate, Brazoria, TX$219.41

Office: (2.35 × 1.008 + 3.64 × 0.991 + 0.76 × 0.78) × $33.4009 = $219.41

Facility: (2.35 × 1.008 + 0.89 × 0.991 + 0.76 × 0.78) × $33.4009 = $128.38

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, Brazoria, TX
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 Brazoria, TX

59300 · Office / nonfacility

$219.41

Effective 2026-10-01

The base rate is $1.45 higher than on 2025-10-01, moving from $217.96 to $219.41 (0.7%).

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

    $217.96changed to$219.41

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.006 changed to 0.991
    • Malpractice GPCI 0.795 changed to 0.780

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $228.52changed to$217.96

    • 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

    $224.79changed to$228.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $231.92changed to$224.79

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.014 changed to 1.006
    • Malpractice GPCI 0.673 changed to 0.795

  5. January 1, 2023

    RVU23A

    $236.02changed to$231.92

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.023 changed to 1.014
    • Malpractice GPCI 0.550 changed to 0.673

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $229.02changed to$236.02

    • 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

    $218.29changed to$229.02

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.010 changed to 1.023
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $205.79changed to$218.29

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 0.997 changed to 1.010
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $198.03changed to$205.79

    • 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

    $197.50changed to$198.03

    • 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 0.994 changed to 0.997
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $198.45changed to$197.50

    • 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
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 0.990 changed to 0.994
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $200.21changed to$198.45

    • 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

    $199.21changed to$200.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $197.98changed to$199.21

    • 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
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 0.989 changed to 0.990
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $196.77changed to$197.98

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.987 changed to 0.989
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $196.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$219.41$128.38RVU26D
2026-07-01$219.41$128.38RVU26C
2026-04-01$219.41$128.38RVU26B
2026-01-01$219.41$128.38RVU26A
2025-10-01$217.96$140.19RVU25D
2025-07-01$217.96$140.19RVU25C
2025-04-01$217.96$140.19RVU25B
2025-01-01$217.96$140.19RVU25A
2024-10-01$228.52$144.46RVU24D
2024-07-01$228.52$144.46RVU24C
2024-04-01$228.52$144.46RVU24B
2024-03-09$228.52$144.46RVU24AR
2024-01-01$224.79$142.10RVU24A
2023-10-01$231.92$143.95RVU23D
2023-07-01$231.92$143.95RVU23C
2023-04-01$231.92$143.95RVU23B
2023-01-01$231.92$143.95RVU23A
2022-10-01$236.02$142.91RVU22D
2022-07-01$236.02$142.91RVU22C
2022-04-01$236.02$142.91RVU22B
2022-01-01$236.02$142.91RVU22A
2021-10-01$229.02$143.71RVU21D
2021-07-01$229.02$143.71RVU21C
2021-04-01$229.02$143.71RVU21B
2021-01-01$229.02$143.71RVU21A
2020-10-01$218.29$149.40RVU20D
2020-07-01$218.29$149.40RVU20C
2020-04-01$218.29$149.40RVU20B
2020-01-01$218.29$149.40RVU20A
2019-10-01$205.79$151.53RVU19D
2019-07-01$205.79$151.53RVU19C
2019-04-01$205.79$151.53RVU19B
2019-01-01$205.79$151.53RVU19A
2018-10-01$198.03$152.44RVU18D
2018-07-01$198.03$152.44RVU18C
2018-04-01$198.03$152.44RVU18B
2018-01-01$198.03$152.44RVU18AR1
2017-10-01$197.50$152.91RVU17D
2017-07-01$197.50$152.91RVU17C
2017-04-01$197.50$152.91RVU17B
2017-01-01$197.50$152.91RVU17A
2016-10-01$198.45$154.14RVU16D
2016-07-01$198.45$154.14RVU16C
2016-04-01$198.45$154.14RVU16B
2016-01-01$198.45$154.14RVU16A
2015-10-01$200.21$155.74RVU15D
2015-07-01$200.21$155.74RVU15C
2015-04-01$199.21$154.97RVU15B
2015-01-01$199.21$154.97RVU15A
2014-10-01$197.98$154.75RVU14D
2014-07-01$197.98$154.75RVU14C
2014-04-01$197.98$154.75RVU14B
2014-01-01$197.98$154.75RVU14A
2013-10-01$196.77$150.76RVU13D
2013-07-01$196.77$150.76RVU13C
2013-04-01$196.77$150.76RVU13B
2013-01-01$196.77$150.76RVU13AR

Price 59300 for an earlier date of service

Where the Brazoria, TX rate applies

Brazoria, TX is a Medicare payment area, not a city. Our Census mapping connects it to 28 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Brazoria
  • Alvin
  • Angleton
  • Bailey's Prairie
  • Bonney
  • Brookside Village
  • Clute
  • Damon

Browse all communities in Texas

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 Brazoria, TXGPCI2026.csv, line 98 (RVU26D)

Open CMS sourceHow we calculate rates

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