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CPT code 59300: Obstetric repair, by nonattending physician2026 Medicare rate & RVUs in Fort Worth, 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 Fort Worth, TX, Medicare pays $221.19 for 59300 in the office and $130.62 when it’s performed in a hospital or facility.

$221.19Office (non-facility)
$130.62Hospital or facility
−1.9%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 Fort Worth, 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 Fort Worth, 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. Fort Worth, TX pays $221.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

59300 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$221.19
  2. Austin, TX · Texas$229.77+$8.58
  3. Beaumont, TX · Texas$212.71−$8.48
  4. Brazoria, TX · Texas$219.41−$1.78
  5. Dallas, TX · Texas$222.07+$0.88
  6. Galveston, TX · Texas$220.87−$0.32
  7. Houston, TX · Texas$234.78+$13.59

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 Fort Worth, 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 59300 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0092.3711
Practice expense3.64× 0.9863.5890
Malpractice0.76× 0.8710.6620
Total RVUs6.6221
Conversion factor× 33.4009

Office rate, Fort Worth, TX$221.19

Office: (2.35 × 1.009 + 3.64 × 0.986 + 0.76 × 0.871) × $33.4009 = $221.19

Facility: (2.35 × 1.009 + 0.89 × 0.986 + 0.76 × 0.871) × $33.4009 = $130.62

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, Fort Worth, 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 Fort Worth, TX

59300 · Office / nonfacility

$221.19

Effective 2026-10-01

The base rate is $1.93 higher than on 2025-10-01, moving from $219.26 to $221.19 (0.9%).

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

    $219.26changed to$221.19

    • 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 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $229.90changed to$219.26

    • 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

    $226.14changed to$229.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $229.93changed to$226.14

    • 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 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $230.68changed to$229.93

    • 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 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $223.88changed to$230.68

    • 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

    $213.66changed to$223.88

    • 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 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $201.52changed to$213.66

    • 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 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $193.84changed to$201.52

    • 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

    $193.17changed to$193.84

    • 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
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $193.63changed to$193.17

    • 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 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $195.24changed to$193.63

    • 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

    $194.27changed to$195.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $193.50changed to$194.27

    • 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 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $193.04changed to$193.50

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $193.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$221.19$130.62RVU26D
2026-07-01$221.19$130.62RVU26C
2026-04-01$221.19$130.62RVU26B
2026-01-01$221.19$130.62RVU26A
2025-10-01$219.26$142.11RVU25D
2025-07-01$219.26$142.11RVU25C
2025-04-01$219.26$142.11RVU25B
2025-01-01$219.26$142.11RVU25A
2024-10-01$229.90$146.51RVU24D
2024-07-01$229.90$146.51RVU24C
2024-04-01$229.90$146.51RVU24B
2024-03-09$229.90$146.51RVU24AR
2024-01-01$226.14$144.12RVU24A
2023-10-01$229.93$143.52RVU23D
2023-07-01$229.93$143.52RVU23C
2023-04-01$229.93$143.52RVU23B
2023-01-01$229.93$143.52RVU23A
2022-10-01$230.68$140.12RVU22D
2022-07-01$230.68$140.12RVU22C
2022-04-01$230.68$140.12RVU22B
2022-01-01$230.68$140.12RVU22A
2021-10-01$223.88$140.90RVU21D
2021-07-01$223.88$140.90RVU21C
2021-04-01$223.88$140.90RVU21B
2021-01-01$223.88$140.90RVU21A
2020-10-01$213.66$146.06RVU20D
2020-07-01$213.66$146.06RVU20C
2020-04-01$213.66$146.06RVU20B
2020-01-01$213.66$146.06RVU20A
2019-10-01$201.52$147.86RVU19D
2019-07-01$201.52$147.86RVU19C
2019-04-01$201.52$147.86RVU19B
2019-01-01$201.52$147.86RVU19A
2018-10-01$193.84$148.76RVU18D
2018-07-01$193.84$148.76RVU18C
2018-04-01$193.84$148.76RVU18B
2018-01-01$193.84$148.76RVU18AR1
2017-10-01$193.17$148.71RVU17D
2017-07-01$193.17$148.71RVU17C
2017-04-01$193.17$148.71RVU17B
2017-01-01$193.17$148.71RVU17A
2016-10-01$193.63$149.10RVU16D
2016-07-01$193.63$149.10RVU16C
2016-04-01$193.63$149.10RVU16B
2016-01-01$193.63$149.10RVU16A
2015-10-01$195.24$150.55RVU15D
2015-07-01$195.24$150.55RVU15C
2015-04-01$194.27$149.80RVU15B
2015-01-01$194.27$149.80RVU15A
2014-10-01$193.50$150.37RVU14D
2014-07-01$193.50$150.37RVU14C
2014-04-01$193.50$150.37RVU14B
2014-01-01$193.50$150.37RVU14A
2013-10-01$193.04$147.40RVU13D
2013-07-01$193.04$147.40RVU13C
2013-04-01$193.04$147.40RVU13B
2013-01-01$193.04$147.40RVU13AR

Price 59300 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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