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.

CMS RVU26DEffective Oct 1, 2026One payment locality336 Medicare services in 2024

In Washington, DC area, Medicare pays $1,060.80 for 59410 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,060.80Hospital or facility

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.

We’ll open 59410 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 59410 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 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.

59410 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,060.80
  2. Los Angeles, CA · California$973.43−$87.37
  3. Miami, FL · Florida$1,256.05+$195.25
  4. Chicago, IL · Illinois$1,212.53+$151.73
  5. Manhattan, NY · New York$1,148.69+$87.89
  6. Alaska · Alaska$1,220.66+$159.86
  7. Alabama · Alabama$877.48−$183.32

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

59410 in every other Medicare payment locality
Payment localityOfficeFacility
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

59410 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
59410 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

See 59410 in every payment locality

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

Office or facility?

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
Facility calculation for 59410 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work18.76× 1.05419.7730
Practice expense5.13× 1.1786.0431
Malpractice5.34× 1.1135.9434
Total RVUs31.7596
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

Open 59410 in the RVU calculator

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

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

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%).

When to use modifier 51

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.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,060.80RVU26D
2026-07-01Not available in this setting$1,060.80RVU26C
2026-04-01Not available in this setting$1,060.80RVU26B
2026-01-01Not available in this setting$1,060.80RVU26A
2025-10-01Not available in this setting$1,166.82RVU25D
2025-07-01Not available in this setting$1,166.82RVU25C
2025-04-01Not available in this setting$1,166.82RVU25B
2025-01-01Not available in this setting$1,166.82RVU25A
2024-10-01Not available in this setting$1,201.54RVU24D
2024-07-01Not available in this setting$1,201.54RVU24C
2024-04-01Not available in this setting$1,201.54RVU24B
2024-03-09Not available in this setting$1,201.54RVU24AR
2024-01-01Not available in this setting$1,181.93RVU24A
2023-10-01Not available in this setting$1,210.40RVU23D
2023-07-01Not available in this setting$1,210.40RVU23C
2023-04-01Not available in this setting$1,210.40RVU23B
2023-01-01Not available in this setting$1,210.40RVU23A
2022-10-01Not available in this setting$1,236.25RVU22D
2022-07-01Not available in this setting$1,236.25RVU22C
2022-04-01Not available in this setting$1,236.25RVU22B
2022-01-01Not available in this setting$1,236.25RVU22A
2021-10-01Not available in this setting$1,237.12RVU21D
2021-07-01Not available in this setting$1,237.12RVU21C
2021-04-01Not available in this setting$1,237.12RVU21B
2021-01-01Not available in this setting$1,237.12RVU21A
2020-10-01Not available in this setting$1,232.06RVU20D
2020-07-01Not available in this setting$1,232.06RVU20C
2020-04-01Not available in this setting$1,232.06RVU20B
2020-01-01Not available in this setting$1,232.06RVU20A
2019-10-01Not available in this setting$1,204.98RVU19D
2019-07-01Not available in this setting$1,204.98RVU19C
2019-04-01Not available in this setting$1,204.98RVU19B
2019-01-01Not available in this setting$1,204.98RVU19A
2018-10-01Not available in this setting$1,203.72RVU18D
2018-07-01Not available in this setting$1,203.72RVU18C
2018-04-01Not available in this setting$1,203.72RVU18B
2018-01-01Not available in this setting$1,203.72RVU18AR1
2017-10-01Not available in this setting$1,210.43RVU17D
2017-07-01Not available in this setting$1,210.43RVU17C
2017-04-01Not available in this setting$1,210.43RVU17B
2017-01-01Not available in this setting$1,210.43RVU17A
2016-10-01Not available in this setting$1,208.43RVU16D
2016-07-01Not available in this setting$1,208.43RVU16C
2016-04-01Not available in this setting$1,208.43RVU16B
2016-01-01Not available in this setting$1,208.43RVU16A
2015-10-01Not available in this setting$1,224.75RVU15D
2015-07-01Not available in this setting$1,224.75RVU15C
2015-04-01Not available in this setting$1,218.65RVU15B
2015-01-01Not available in this setting$1,218.65RVU15A
2014-10-01Not available in this setting$1,216.18RVU14D
2014-07-01Not available in this setting$1,216.18RVU14C
2014-04-01Not available in this setting$1,216.18RVU14B
2014-01-01Not available in this setting$1,216.18RVU14A
2013-10-01Not available in this setting$1,174.56RVU13D
2013-07-01Not available in this setting$1,174.56RVU13C
2013-04-01Not available in this setting$1,174.56RVU13B
2013-01-01Not available in this setting$1,174.56RVU13AR

Price 59410 for an earlier date of service

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

Browse all communities in District of Columbia

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
RVUs for 59410PPRRVU2026_Oct_nonQPP.csv, line 6,657 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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