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CPT code 59426: Prenatal care, seven or more visits2026 Medicare rate & RVUs in Austin, TX

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 Austin, TX, Medicare pays $1,066.38 for 59426 in the office and $709.82 when it’s performed in a hospital or facility.

$1,066.38Office (non-facility)
$709.82Hospital or facility
+1.0%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 Austin, TX
  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 Austin, TX 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. Austin, TX pays $1,066.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

59426 in Austin, TX vs other payment areas
  1. Austin, TX · this page$1,066.38
  2. Beaumont, TX · Texas$1,006.07−$60.31
  3. Brazoria, TX · Texas$1,025.19−$41.19
  4. Dallas, TX · Texas$1,038.56−$27.82
  5. Fort Worth, TX · Texas$1,035.93−$30.45
  6. Galveston, TX · Texas$1,032.65−$33.73
  7. Houston, TX · Texas$1,107.69+$41.31

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

59426 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$1,019.70$699.87
Los Angeles, CACalifornia$1,109.72$711.03
Washington, DC areaDistrict of Columbia$1,175.21$778.21
Miami, FLFlorida$1,282.93$932.10
Chicago, ILIllinois$1,238.36$899.66
Manhattan, NYNew York$1,237.71$846.10
AlaskaAlaska$1,261.46$902.53
AlabamaAlabama$940.92$646.04

59426 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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.

$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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 59426 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work14.30× 1.00214.3286
Practice expense13.20× 1.05813.9656
Malpractice4.10× 0.8863.6326
Total RVUs31.9268
Conversion factor× 33.4009

Office rate, Austin, TX$1066.38

Office: (14.3 × 1.002 + 13.2 × 1.058 + 4.1 × 0.886) × $33.4009 = $1066.38

Facility: (14.3 × 1.002 + 3.11 × 1.058 + 4.1 × 0.886) × $33.4009 = $709.82

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, Austin, TX
Same family
59425Prenatal care, four to six visitsAntepartum care code for four through six visits.$580.77
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 Austin, TX

59426 · Office / nonfacility

$1066.38

Effective 2026-10-01

The base rate is $54.05 higher than on 2025-10-01, moving from $1012.33 to $1066.38 (5.3%).

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

    $1012.33changed to$1066.38

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $1043.48changed to$1012.33

    • 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

    $1026.45changed to$1043.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $1032.75changed to$1026.45

    • 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
    • Practice expense GPCI 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914

  5. January 1, 2023

    RVU23A

    $1018.11changed to$1032.75

    • 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
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $1014.33changed to$1018.11

    • 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

    $847.68changed to$1014.33

    • 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
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $832.21changed to$847.68

    • 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
    • Practice expense GPCI 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $822.40changed to$832.21

    • 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

    $825.34changed to$822.40

    • 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
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $820.49changed to$825.34

    • 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
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $829.69changed to$820.49

    • 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

    $825.56changed to$829.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $826.44changed to$825.56

    • 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
    • Practice expense GPCI 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $817.75changed to$826.44

    • 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
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $817.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$1,066.38$709.82RVU26D
2026-07-01$1,066.38$709.82RVU26C
2026-04-01$1,066.38$709.82RVU26B
2026-01-01$1,066.38$709.82RVU26A
2025-10-01$1,012.33$770.75RVU25D
2025-07-01$1,012.33$770.75RVU25C
2025-04-01$1,012.33$770.75RVU25B
2025-01-01$1,012.33$770.75RVU25A
2024-10-01$1,043.48$793.13RVU24D
2024-07-01$1,043.48$793.13RVU24C
2024-04-01$1,043.48$793.13RVU24B
2024-03-09$1,043.48$793.13RVU24AR
2024-01-01$1,026.45$780.19RVU24A
2023-10-01$1,032.75$782.25RVU23D
2023-07-01$1,032.75$782.25RVU23C
2023-04-01$1,032.75$782.25RVU23B
2023-01-01$1,032.75$782.25RVU23A
2022-10-01$1,018.11$766.71RVU22D
2022-07-01$1,018.11$766.71RVU22C
2022-04-01$1,018.11$766.71RVU22B
2022-01-01$1,018.11$766.71RVU22A
2021-10-01$1,014.33$773.41RVU21D
2021-07-01$1,014.33$773.41RVU21C
2021-04-01$1,014.33$773.41RVU21B
2021-01-01$1,014.33$773.41RVU21A
2020-10-01$847.68$628.11RVU20D
2020-07-01$847.68$628.11RVU20C
2020-04-01$847.68$628.11RVU20B
2020-01-01$847.68$628.11RVU20A
2019-10-01$832.21$628.73RVU19D
2019-07-01$832.21$628.73RVU19C
2019-04-01$832.21$628.73RVU19B
2019-01-01$832.21$628.73RVU19A
2018-10-01$822.40$629.80RVU18D
2018-07-01$822.40$629.80RVU18C
2018-04-01$822.40$629.80RVU18B
2018-01-01$822.40$629.80RVU18AR1
2017-10-01$825.34$634.25RVU17D
2017-07-01$825.34$634.25RVU17C
2017-04-01$825.34$634.25RVU17B
2017-01-01$825.34$634.25RVU17A
2016-10-01$820.49$630.77RVU16D
2016-07-01$820.49$630.77RVU16C
2016-04-01$820.49$630.77RVU16B
2016-01-01$820.49$630.77RVU16A
2015-10-01$829.69$638.56RVU15D
2015-07-01$829.69$638.56RVU15C
2015-04-01$825.56$635.38RVU15B
2015-01-01$825.56$635.38RVU15A
2014-10-01$826.44$639.73RVU14D
2014-07-01$826.44$639.73RVU14C
2014-04-01$826.44$639.73RVU14B
2014-01-01$826.44$639.73RVU14A
2013-10-01$817.75$620.70RVU13D
2013-07-01$817.75$620.70RVU13C
2013-04-01$817.75$620.70RVU13B
2013-01-01$817.75$620.70RVU13AR

Price 59426 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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