CPT code 59410: Vaginal delivery, postpartum care included2026 Medicare rate & RVUs in Missouri
Reports a vaginal delivery, with or without episiotomy or forceps, when the maternity service also includes postpartum care but not antepartum care.
CMS doesn’t publish an office rate for 59410 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 59410 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $961.75 |
| Metropolitan St. Louis, MO | Unavailable | $968.44 |
| Rest of Missouri | Unavailable | $948.03 |
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.
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%).
59410 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 59400Maternity careAntepartum, delivery, postpartum
- Choose 59400 when the reported maternity service includes antepartum care as well as vaginal delivery and postpartum care. 59410 covers the delivery and postpartum portion.
- 59409Vaginal deliveryDelivery only
- Both describe vaginal delivery, but 59410 includes postpartum care while 59409 reports delivery without that care.
- 59430Postpartum carePostpartum phase only
- 59430 is for postpartum care alone. 59410 includes postpartum care as part of a service that also includes vaginal delivery.
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
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