CPT code 59410: Vaginal delivery, postpartum care included2026 Medicare rate & RVUs in Washington, DC area
Reports a vaginal delivery, with or without episiotomy or forceps, when the maternity service also includes postpartum care but not antepartum care.
In Washington, DC area, Medicare pays $1,060.80 for 59410 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59410 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 59410 covers
This service covers a vaginal birth, with or without episiotomy or forceps, plus postpartum care. Obstetricians, family physicians, and other qualified clinicians may report it when they provide the delivery and postpartum portion of maternity care, but not antepartum care. It is commonly furnished during an inpatient labor-and-delivery admission.
Choose 59410 when care includes vaginal delivery and postpartum follow-up but excludes antepartum management; 59409 represents delivery without postpartum care, while 59400 includes antepartum care as well. Documentation should establish the delivery, any delivery intervention, and provision of postpartum care. CMS identifies this as a maternity code, so the usual global surgery rules do not apply. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
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 Washington, DC area compares for 59410
Across 109 of 109 payment localities, the facility rate for 59410 runs from $845.69 in Wisconsin to $1,256.05 in Miami, FL. Washington, DC area pays $1,060.80. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,060.80
- Los Angeles, CA · California$973.43−$87.37
- Miami, FL · Florida$1,256.05+$195.25
- Chicago, IL · Illinois$1,212.53+$151.73
- Manhattan, NY · New York$1,148.69+$87.89
- Alaska · Alaska$1,220.66+$159.86
- Alabama · Alabama$877.48−$183.32
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $865.64 |
| ArizonaArizona | — | $945.31 |
| Bakersfield, CACalifornia | — | $934.92 |
| Chico, CACalifornia | — | $920.65 |
| El Centro, CACalifornia | — | $921.54 |
| Fresno, CACalifornia | — | $920.65 |
| Hanford, CACalifornia | — | $920.65 |
| Madera, CACalifornia | — | $920.65 |
| Merced, CACalifornia | — | $920.65 |
| Modesto, CACalifornia | — | $920.65 |
| Napa, CACalifornia | — | $982.52 |
| Oxnard, CACalifornia | — | $957.80 |
| Redding, CACalifornia | — | $920.65 |
| Rest of CaliforniaCalifornia | — | $920.65 |
| Riverside, CACalifornia | — | $977.82 |
| Sacramento, CACalifornia | — | $944.04 |
| Salinas, CACalifornia | — | $940.22 |
| San Diego, CACalifornia | — | $947.00 |
| Marin County, CACalifornia | — | $1,009.59 |
| San Francisco, CACalifornia | — | $1,003.53 |
| San Benito County, CACalifornia | — | $1,038.21 |
| Santa Clara County, CACalifornia | — | $1,013.42 |
| San Luis Obispo, CACalifornia | — | $928.02 |
| Santa Cruz, CACalifornia | — | $943.55 |
| Santa Maria, CACalifornia | — | $939.54 |
| Santa Rosa, CACalifornia | — | $951.41 |
| Stockton, CACalifornia | — | $920.65 |
| Vallejo, CACalifornia | — | $973.78 |
| Visalia, CACalifornia | — | $920.65 |
| Yuba City, CACalifornia | — | $920.65 |
| ColoradoColorado | — | $955.73 |
| ConnecticutConnecticut | — | $1,039.49 |
| DelawareDelaware | — | $959.37 |
| Fort Lauderdale, FLFlorida | — | $1,122.65 |
| Rest of FloridaFlorida | — | $1,058.48 |
| Atlanta, GAGeorgia | — | $1,016.78 |
| Rest of GeorgiaGeorgia | — | $992.05 |
| Hawaii, Guam, HIHawaii | — | $924.69 |
| IowaIowa | — | $854.19 |
| IdahoIdaho | — | $868.60 |
| East St. Louis, ILIllinois | — | $1,143.46 |
| Rest of IllinoisIllinois | — | $1,061.82 |
| Suburban Chicago, ILIllinois | — | $1,123.02 |
| IndianaIndiana | — | $872.12 |
| KansasKansas | — | $871.39 |
| KentuckyKentucky | — | $942.13 |
| New Orleans, LALouisiana | — | $990.46 |
| Rest of LouisianaLouisiana | — | $949.11 |
| Metropolitan Boston, MAMassachusetts | — | $1,015.62 |
| Rest of MassachusettsMassachusetts | — | $959.21 |
| Baltimore area, MDMaryland | — | $1,041.11 |
| Rest of MarylandMaryland | — | $970.00 |
| Rest of MaineMaine | — | $895.18 |
| Southern Maine, MEMaine | — | $908.95 |
| Detroit, MIMichigan | — | $1,092.67 |
| Rest of MichiganMichigan | — | $984.41 |
| MinnesotaMinnesota | — | $855.71 |
| Metropolitan Kansas City, MOMissouri | — | $961.75 |
| Metropolitan St. Louis, MOMissouri | — | $968.44 |
| Rest of MissouriMissouri | — | $948.03 |
| MississippiMississippi | — | $905.94 |
| MontanaMontana | — | $975.95 |
| North CarolinaNorth Carolina | — | $900.44 |
| North DakotaNorth Dakota | — | $870.36 |
| NebraskaNebraska | — | $852.17 |
| New HampshireNew Hampshire | — | $961.04 |
| Northern New JerseyNew Jersey | — | $1,055.33 |
| Rest of New JerseyNew Jersey | — | $1,034.44 |
| New MexicoNew Mexico | — | $997.94 |
| NevadaNevada | — | $946.69 |
| NYC suburbs and Long Island, NYNew York | — | $1,201.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,058.24 |
| Queens, NYNew York | — | $1,126.43 |
| Rest of New YorkNew York | — | $914.77 |
| OhioOhio | — | $962.83 |
| OklahomaOklahoma | — | $918.20 |
| Portland, OROregon | — | $959.69 |
| Rest of OregonOregon | — | $922.65 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,029.04 |
| Rest of PennsylvaniaPennsylvania | — | $952.45 |
| Puerto RicoPuerto Rico | — | $975.52 |
| Rhode IslandRhode Island | — | $974.61 |
| South CarolinaSouth Carolina | — | $936.53 |
| South DakotaSouth Dakota | — | $857.88 |
| TennesseeTennessee | — | $878.13 |
| Austin, TXTexas | — | $967.17 |
| Beaumont, TXTexas | — | $948.22 |
| Brazoria, TXTexas | — | $940.54 |
| Dallas, TXTexas | — | $955.94 |
| Fort Worth, TXTexas | — | $956.54 |
| Galveston, TXTexas | — | $949.44 |
| Houston, TXTexas | — | $1,047.19 |
| Rest of TexasTexas | — | $950.27 |
| UtahUtah | — | $947.83 |
| VirginiaVirginia | — | $920.96 |
| Virgin Islands, VIUnited States Virgin Islands | — | $975.52 |
| VermontVermont | — | $886.48 |
| Rest of WashingtonWashington | — | $950.91 |
| King County, WAWashington | — | $1,013.89 |
| WisconsinWisconsin | — | $845.69 |
| West VirginiaWest Virginia | — | $1,030.74 |
| WyomingWyoming | — | $929.93 |
59410 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 59410 rate is calculated
Each of 59410’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 · 59410
RVUs × geographic indexes × conversion factor
Work18.76
18.76 RVUs× 1.000 GPCI
Practice expense5.13
5.13 RVUs× 1.000 GPCI
Malpractice5.34
5.34 RVUs× 1.000 GPCI
Adjusted RVUs
29.2300
Conversion factor
$33.4009
Medicare rate
$976.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,657
- Code
- 59410
- Physician work
- 18.76
- Practice expense
- 5.13
- Malpractice
- 5.34
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.76 | × 1.054 | 19.7730 |
| Practice expense | 5.13 | × 1.178 | 6.0431 |
| Malpractice | 5.34 | × 1.113 | 5.9434 |
| Total RVUs | 31.7596 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1060.80
Facility: (18.76 × 1.054 + 5.13 × 1.178 + 5.34 × 1.113) × $33.4009 = $1060.80
Payment rules and modifiers for 59410
The CMS indicators that decide how 59410 is paid alongside other services.
CMS payment indicators · 59410
Vaginal delivery, postpartum care included
| Rule | CMS value | What it means |
|---|---|---|
| Global period | MMM | Maternity care: global rules don’t follow the standard pattern. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59410 without 51 · national facility
$976.31
Vaginal delivery, postpartum care included
59410-51 · Second procedure: 50%
$488.16
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%).
How 59410 has changed in Washington, DC area
59410 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,060.80 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,060.80 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,060.80 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,060.80 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,166.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,166.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,166.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,166.82 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,201.54 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,201.54 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,201.54 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,201.54 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,181.93 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,210.40 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,210.40 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,210.40 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,210.40 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,236.25 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,236.25 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,236.25 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,236.25 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,237.12 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,237.12 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,237.12 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,237.12 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,232.06 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,232.06 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,232.06 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,232.06 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,204.98 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,204.98 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,204.98 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,204.98 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,203.72 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,203.72 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,203.72 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,203.72 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,210.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,210.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,210.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,210.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,208.43 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,208.43 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,208.43 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,208.43 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,224.75 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,224.75 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,218.65 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,218.65 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,216.18 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,216.18 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,216.18 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,216.18 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,174.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,174.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,174.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,174.56 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
59410 billing questions
Does 59410 include antepartum care?
No. It includes vaginal delivery and postpartum care; use 59400 when the reported maternity service also includes antepartum care.
When is 59409 a better choice?
Use 59409 for vaginal delivery when postpartum care is not included in the reported service. Use 59410 when postpartum care is included.
Can postpartum care be billed separately with 59410?
Postpartum care is included in 59410. Do not separately report 59430 for the same postpartum care.
Does 59410 have a usual global surgery period?
No. CMS identifies 59410 as a maternity code for which the usual global surgery rules do not apply.
How does CMS pay when multiple procedures occur in the same session?
The highest-valued procedure is paid in full; the other 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
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