CPT code 59425: Prenatal care, four to six visits2026 Medicare rate & RVUs in Vallejo, CA

In Vallejo, CA, Medicare pays $627.21 for 59425 in the office and $385.97 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 59425 nationwide

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

What 59425 covers

This code represents routine prenatal care across four to six visits, such as monitoring maternal and fetal status, assessing pregnancy progress, and managing common prenatal concerns. Obstetricians and other clinicians providing pregnancy care may report it in office or other outpatient settings when their services cover the antepartum portion rather than the full obstetrical package.

Select the code based on the documented number of antepartum visits: four through six, rather than seven or more. Keep records supporting the visit count and the prenatal care provided. The code is reported for the antepartum care course, not once for each visit. CMS classifies it as a maternity code, so the usual global surgery rules do not apply; it is not assigned a standard surgical global period.

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 Vallejo, CA compares for 59425

Across 109 of 109 payment localities, the office rate for 59425 runs from $504.89 in Arkansas to $700.66 in NYC suburbs and Long Island, NY. Vallejo, CA pays $627.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

59425 rates by state

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

See 59425 in every payment locality

How the 59425 rate is calculated

Each of 59425’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.

Payment rules and modifiers for 59425

The CMS indicators that decide how 59425 is paid alongside other services.

Codes related to 59425

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

How 59425 has changed in Vallejo, CA

Price 59425 for an earlier date of service

Where the Vallejo, CA rate applies

Vallejo, CA is a Medicare payment area, not a city. Our Census mapping connects it to 11 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Vallejo
• Allendale
• Benicia
• Dixon
• Elmira
• Fairfield
• Green Valley
• Hartley

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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

Open CMS sourceHow we calculate rates