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CPT code 59426: Prenatal care, seven or more visits2026 Medicare rate & RVUs in Washington, DC area

Report 59426 for a course of antepartum care involving seven or more prenatal visits when the billing clinician does not provide the full maternity package.

CMS RVU26DEffective Oct 1, 2026One payment locality395 Medicare services in 2024

In Washington, DC area, Medicare pays $1,175.21 for 59426 in the office and $778.21 when it’s performed in a hospital or facility.

$1,175.21Office (non-facility)
$778.21Hospital or facility
+11.3%vs the national office rate ($1,055.47)

Check a contract rate as a % of Medicare · 59426 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 59426 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 59426 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 59426 covers

CPT 59426 represents antepartum care furnished over seven or more prenatal visits, such as routine prenatal assessment, pregnancy monitoring, and counseling. Obstetricians, family physicians, and other clinicians providing maternity care may furnish these services in an office or clinic. The code covers the prenatal-care portion of the pregnancy; it does not include delivery or postpartum care. It may be relevant when care ends with a transfer before delivery or when another clinician handles the delivery and postpartum period.

Select 59426 based on the number of antepartum visits represented by the course of care: seven or more visits qualify, while four through six visits are reported with 59425. Keep documentation showing the dates and count of visits and the prenatal services furnished. Do not separately report the routine prenatal visits represented by this care package. CMS identifies this as a maternity service outside the usual global-surgery-period framework; it is not paid under the standard surgical global-period approach.

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 59426

Across 109 of 109 payment localities, the office rate for 59426 runs from $926.88 in Arkansas to $1,286.73 in NYC suburbs and Long Island, NY. Washington, DC area pays $1,175.21. The RVUs are the same everywhere; the geographic indexes change the dollars.

59426 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,175.21
  2. Los Angeles, CA · California$1,109.72−$65.49
  3. Miami, FL · Florida$1,282.93+$107.72
  4. Chicago, IL · Illinois$1,238.36+$63.15
  5. Manhattan, NY · New York$1,237.71+$62.50
  6. Alaska · Alaska$1,261.46+$86.25
  7. Alabama · Alabama$940.92−$234.29

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

Every other payment area

59426 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$926.88$637.39
ArizonaArizona$1,022.08$695.51
Bakersfield, CACalifornia$1,053.32$683.96
Chico, CACalifornia$1,042.37$673.00
El Centro, CACalifornia$1,043.06$673.69
Fresno, CACalifornia$1,042.37$673.00
Hanford, CACalifornia$1,042.37$673.00
Madera, CACalifornia$1,042.37$673.00

59426 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$926.88

$1,261.46

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
59426 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,261.461
AL$940.921
AR$926.881
AZ$1,022.081
CA$1,042.37–$1,239.3429
CO$1,059.431
CT$1,127.731
DC$1,175.211
DE$1,038.731
FL$1,104.95–$1,282.933
GA$1,034.15–$1,091.482
GU$1,058.221
HI$1,058.221
IA$935.421
ID$948.031
IL$1,094.21–$1,238.364
IN$952.891
KS$945.221
KY$994.891
LA$999.01–$1,048.082
MA$1,058.68–$1,145.522
MD$1,054.31–$1,175.213
ME$968.43–$1,000.972
MI$1,034.78–$1,133.982
MN$971.851
MO$991.06–$1,034.583
MS$958.441
MT$1,055.191
NC$976.491
ND$974.121
NE$936.341
NH$1,056.431
NJ$1,128.42–$1,165.412
NM$1,046.401
NV$1,033.041
NY$992.75–$1,286.735
OH$1,018.211
OK$977.751
OR$1,013.03–$1,076.992
PA$1,011.78–$1,108.572
PR$1,058.261
RI$1,064.301
SC$1,001.421
SD$964.541
TN$951.941
TX$1,006.07–$1,107.698
UT$1,015.051
VA$1,007.71–$1,175.212
VI$1,058.261
VT$983.411
WA$1,052.32–$1,154.372
WI$942.191
WV$1,056.731
WY$1,019.861

See 59426 in every payment locality

How the 59426 rate is calculated

Each of 59426’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 · 59426

RVUs × geographic indexes × conversion factor

Office or facility?

Work14.30

14.30 RVUs× 1.000 GPCI

Practice expense13.20

13.20 RVUs× 1.000 GPCI

Malpractice4.10

4.10 RVUs× 1.000 GPCI

Adjusted RVUs

31.6000

Conversion factor

$33.4009

Medicare rate

$1,055.47

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

6,661

Code
59426
Physician work
14.30
Practice expense
13.20
Malpractice
4.10

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 59426 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work14.30× 1.05415.0722
Practice expense13.20× 1.17815.5496
Malpractice4.10× 1.1134.5633
Total RVUs35.1851
Conversion factor× 33.4009

Office rate, Washington, DC area$1175.21

Office: (14.3 × 1.054 + 13.2 × 1.178 + 4.1 × 1.113) × $33.4009 = $1175.21

Facility: (14.3 × 1.054 + 3.11 × 1.178 + 4.1 × 1.113) × $33.4009 = $778.21

Open 59426 in the RVU calculator

Payment rules and modifiers for 59426

The CMS indicators that decide how 59426 is paid alongside other services.

CMS payment indicators · 59426

Prenatal care, seven or more visits

RuleCMS valueWhat it means
Global periodMMMMaternity care: global rules don’t follow the standard pattern.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 59426

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

Codes related to 59426
CodeHow it relatesOffice range, Washington, DC area
Same family
59425Prenatal care, four to six visitsAntepartum care code for four through six visits.$640.00
Used instead
59400Maternity care, antepartum, delivery, postpartumUsed for the full maternity package when antepartum, delivery, and postpartum care are furnished.No office rate
59409Vaginal delivery, delivery onlyRepresents vaginal delivery care rather than a course of antepartum visits.No office rate
59410Vaginal delivery, postpartum care includedRepresents vaginal delivery with postpartum care, not antepartum care alone.No office rate

How 59426 has changed in Washington, DC area

59426 · Office / nonfacility

$1175.21

Effective 2026-10-01

The base rate is $43.54 higher than on 2025-10-01, moving from $1131.67 to $1175.21 (3.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $1131.67changed to$1175.21

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 12.78 changed to 13.20
    • Malpractice RVU 3.97 changed to 4.10
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1166.57changed to$1131.67

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.82 changed to 12.78
    • Malpractice RVU 3.98 changed to 3.97

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $1147.53changed to$1166.57

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1195.22changed to$1147.53

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.69 changed to 12.82
    • Malpractice RVU 3.87 changed to 3.98
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $1215.82changed to$1195.22

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.43 changed to 12.69
    • Malpractice RVU 3.63 changed to 3.87
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1209.78changed to$1215.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.14 changed to 12.43
    • Malpractice RVU 3.55 changed to 3.63

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $996.48changed to$1209.78

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 11.16 changed to 14.30
    • Practice expense RVU 10.16 changed to 12.14
    • Malpractice RVU 2.74 changed to 3.55
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $962.12changed to$996.48

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.85 changed to 10.16
    • Malpractice RVU 2.51 changed to 2.74
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $950.16changed to$962.12

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.63 changed to 9.85
    • Malpractice RVU 2.48 changed to 2.51

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $955.95changed to$950.16

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.72 changed to 9.63
    • Malpractice RVU 2.54 changed to 2.48
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $951.87changed to$955.95

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.62 changed to 9.72
    • Malpractice RVU 2.55 changed to 2.54
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $965.37changed to$951.87

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.64 changed to 9.62
    • Malpractice RVU 2.75 changed to 2.55

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $960.56changed to$965.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $957.03changed to$960.56

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.59 changed to 9.64
    • Malpractice RVU 2.88 changed to 2.75
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $942.81changed to$957.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.52 changed to 9.59
    • Malpractice RVU 3.01 changed to 2.88
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $942.81

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,175.21$778.21RVU26D
2026-07-01$1,175.21$778.21RVU26C
2026-04-01$1,175.21$778.21RVU26B
2026-01-01$1,175.21$778.21RVU26A
2025-10-01$1,131.67$856.37RVU25D
2025-07-01$1,131.67$856.37RVU25C
2025-04-01$1,131.67$856.37RVU25B
2025-01-01$1,131.67$856.37RVU25A
2024-10-01$1,166.57$881.28RVU24D
2024-07-01$1,166.57$881.28RVU24C
2024-04-01$1,166.57$881.28RVU24B
2024-03-09$1,166.57$881.28RVU24AR
2024-01-01$1,147.53$866.89RVU24A
2023-10-01$1,195.22$906.42RVU23D
2023-07-01$1,195.22$906.42RVU23C
2023-04-01$1,195.22$906.42RVU23B
2023-01-01$1,195.22$906.42RVU23A
2022-10-01$1,215.82$922.39RVU22D
2022-07-01$1,215.82$922.39RVU22C
2022-04-01$1,215.82$922.39RVU22B
2022-01-01$1,215.82$922.39RVU22A
2021-10-01$1,209.78$928.58RVU21D
2021-07-01$1,209.78$928.58RVU21C
2021-04-01$1,209.78$928.58RVU21B
2021-01-01$1,209.78$928.58RVU21A
2020-10-01$996.48$738.69RVU20D
2020-07-01$996.48$738.69RVU20C
2020-04-01$996.48$738.69RVU20B
2020-01-01$996.48$738.69RVU20A
2019-10-01$962.12$721.97RVU19D
2019-07-01$962.12$721.97RVU19C
2019-04-01$962.12$721.97RVU19B
2019-01-01$962.12$721.97RVU19A
2018-10-01$950.16$722.85RVU18D
2018-07-01$950.16$722.85RVU18C
2018-04-01$950.16$722.85RVU18B
2018-01-01$950.16$722.85RVU18AR1
2017-10-01$955.95$730.21RVU17D
2017-07-01$955.95$730.21RVU17C
2017-04-01$955.95$730.21RVU17B
2017-01-01$955.95$730.21RVU17A
2016-10-01$951.87$727.52RVU16D
2016-07-01$951.87$727.52RVU16C
2016-04-01$951.87$727.52RVU16B
2016-01-01$951.87$727.52RVU16A
2015-10-01$965.37$739.34RVU15D
2015-07-01$965.37$739.34RVU15C
2015-04-01$960.56$735.66RVU15B
2015-01-01$960.56$735.66RVU15A
2014-10-01$957.03$735.70RVU14D
2014-07-01$957.03$735.70RVU14C
2014-04-01$957.03$735.70RVU14B
2014-01-01$957.03$735.70RVU14A
2013-10-01$942.81$708.85RVU13D
2013-07-01$942.81$708.85RVU13C
2013-04-01$942.81$708.85RVU13B
2013-01-01$942.81$708.85RVU13AR

Price 59426 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

59426 billing questions

How many visits qualify for 59426?

Use 59426 for seven or more antepartum visits. Four through six visits fall under 59425.

Does 59426 include delivery or postpartum care?

No. It represents antepartum care only; delivery and postpartum services are outside this code.

Can I also bill each prenatal visit separately?

Do not report the routine prenatal visits represented by the 59426 care package again as separate visit services.

What documentation supports 59426?

Record the dates and number of antepartum visits and the prenatal care furnished. The visit count distinguishes 59426 from 59425.

Does the usual surgical global period apply?

CMS treats 59426 as a maternity service outside the usual global-surgery-period framework.

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 59426PPRRVU2026_Oct_nonQPP.csv, line 6,661 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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