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CPT code 59400: Maternity care, antepartum, delivery, postpartum2026 Medicare rate & RVUs

Report this maternity package when one clinician or group provides routine prenatal care, vaginal delivery, and routine postpartum care for the pregnancy.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.2K Medicare services in 2024

Medicare pays $2,214.48 for 59400 nationally in a facility.

Medicare rate · 59400

Maternity care, antepartum, delivery, postpartum

Office or facility?

Work RVUs
37
Total RVUs
66.30
Global days
MMM

National rate · 2026

$2,214.48

Facility setting, before claim adjustments.

See every locality for 59400 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 59400 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59400 covers

This package represents routine care across pregnancy, vaginal birth, and the postpartum period. It includes prenatal management and a vaginal delivery, with or without episiotomy or forceps, followed by routine postpartum care. It is typically furnished by an obstetrician or another qualified maternity-care clinician in an office and hospital setting. The delivery component is for vaginal birth, not cesarean delivery.

Report 59400 when the same clinician or group furnishes all three components. The record should support the antepartum care, delivery, and postpartum services provided; when care is divided, report the applicable components rather than the complete package. CMS treats this as a maternity code, so the usual global surgery rules do not apply. If qualifying procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50% under the standard multiple procedure reduction.

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 59400 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59400 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,983.37
AlaskaUnavailable$2,715.06
ArizonaUnavailable$2,144.36
ArkansasUnavailable$1,955.39
Atlanta, GAUnavailable$2,298.97
Austin, TXUnavailable$2,213.16
Bakersfield, CAUnavailable$2,160.46
Baltimore area, MDUnavailable$2,363.43
Beaumont, TXUnavailable$2,133.09
Brazoria, TXUnavailable$2,141.28

59400 rates by state

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

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Local rates. Clear comparisons.

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

View every state and territory as a table
59400 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 59400 rate is calculated

Each of 59400’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 · 59400

RVUs × geographic indexes × conversion factor

Office or facility?

Work37.00

37.00 RVUs× 1.000 GPCI

Practice expense18.76

18.76 RVUs× 1.000 GPCI

Malpractice10.54

10.54 RVUs× 1.000 GPCI

Adjusted RVUs

66.3000

Conversion factor

$33.4009

Medicare rate

$2,214.48

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 59400

The CMS indicators that decide how 59400 is paid alongside other services.

CMS payment indicators · 59400

Maternity care, antepartum, delivery, postpartum

RuleCMS valueWhat it means
Global periodMMMMaternity care: global rules don’t follow the standard pattern.
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)1Not paid (statutory restriction).
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

59400 without 51 · national facility

$2,214.48

Maternity care, antepartum, delivery, postpartum

59400-51 · Second procedure: 50%

$1,107.24

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

59400 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 59400

    Maternity care, antepartum, delivery, postpartum37 wRVU

    Not priced

  • 59409

    Vaginal delivery, delivery only14.37 wRVU

    Not priced

  • 59410

    Vaginal delivery, postpartum care included18.76 wRVU

    Not priced

  • 59425

    Prenatal care, four to six visits7.8 wRVU

    $574.83

  • 59510

    Cesarean care, antepartum through postpartum41.05 wRVU

    Not priced

How to choose

59409Vaginal deliveryDelivery only
59409 reports vaginal delivery only. Choose 59400 when the same clinician or group also furnishes routine antepartum and postpartum care.
59410Vaginal deliveryPostpartum care included
59410 includes vaginal delivery and postpartum care but not the antepartum package. Use 59400 when all three care components are furnished.
59425Prenatal careFour to six visits
59425 covers antepartum care only within its visit range. It does not represent the vaginal delivery and postpartum care included in 59400.
59510Cesarean careAntepartum through postpartum
59510 represents a complete maternity package with cesarean delivery. 59400 is the complete package for vaginal delivery.

Codes related to 59400

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

Codes related to 59400
CodeHow it relatesNational office range
Used instead
59409Vaginal delivery, delivery onlyVaginal delivery component when antepartum and postpartum care are not included.No office rate
59410Vaginal delivery, postpartum care includedVaginal delivery with postpartum care, but without the antepartum package.No office rate
59425Prenatal care, four to six visitsAntepartum care only for a limited visit range.$504.89–$700.66
59426Prenatal care, seven or more visitsAntepartum care only for a higher visit range.$926.88–$1,286.73
59430Postpartum care, postpartum phase onlyPostpartum care reported separately from antepartum care and delivery.$228.96–$317.64
59510Cesarean care, antepartum through postpartumComplete maternity package when delivery is by cesarean rather than vaginal birth.No office rate

59400 billing questions

When should 59400 be used instead of 59409?

Use 59400 when the clinician or group provides routine antepartum care, vaginal delivery, and postpartum care. Code 59409 is for the vaginal delivery component only.

Can 59400 be reported if another clinician provided postpartum care?

No. The complete package represents all three components; when care is divided, report the applicable services furnished by each clinician or group.

Does 59400 include forceps or episiotomy during vaginal delivery?

The vaginal delivery component includes delivery with or without forceps or episiotomy. The package also includes routine antepartum and postpartum care.

How does CMS apply the global surgery rules to 59400?

59400 is a maternity code, and the usual global surgery rules do not apply. Its package is defined by the obstetric care furnished across pregnancy, delivery, and postpartum care.

What happens if another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other qualifying procedures are paid at 50%.

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 59400PPRRVU2026_Oct_nonQPP.csv, line 6,655 (RVU26D)

Open CMS sourceHow we calculate rates

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