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Billing code 59410: Vaginal deliveryMedicare rate & RVUs

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, 2026109 payment localities336 Medicare services in 2024

Medicare pays $976.31 for 59410 nationally in a facility.

Medicare rate · 59410

Vaginal delivery

Swap in your local Medicare rate.

Work RVUs
18.76
Total RVUs
29.23
Global days
MMM

National rate · 2026

$976.31

Facility setting, before claim adjustments.

See every locality for 59410 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 59410 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. 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.

Where 59410 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59410 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$877.48
Alaska*Unavailable$1,220.66
ArizonaUnavailable$945.31
ArkansasUnavailable$865.64
AtlantaUnavailable$1,016.78
AustinUnavailable$967.17
BakersfieldUnavailable$934.92
Baltimore/Surr. CntysUnavailable$1,041.11
BeaumontUnavailable$948.22
BrazoriaUnavailable$940.54

59410 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.

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

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

Swap in your local Medicare rate.

Work 18.76Practice expense 5.13Malpractice 5.34

29.2300 adjusted RVUs×$33.4009 conversion factor=$976.31

All indexes start 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

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

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

59410 compared with similar codes

Compare codes

59410 vs 59400 vs 59409 vs 59430: national Medicare rates

Swap in your local Medicare rate.

  • 59410
    Vaginal delivery · 18.76 wRVU
    —
  • 59400
    Maternity care · 37 wRVU
    —
  • 59409
    Vaginal delivery · 14.37 wRVU
    —
  • 59430
    Postpartum care · 3.22 wRVU
    $261.20

How to choose

59400Maternity care
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 delivery
Both describe vaginal delivery, but 59410 includes postpartum care while 59409 reports delivery without that care.
59430Postpartum care
59430 is for postpartum care alone. 59410 includes postpartum care as part of a service that also includes vaginal delivery.

Codes related to 59410

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

Codes related to 59410
CodeHow it relatesNational office range
Used instead
59400Maternity careIncludes antepartum care in addition to vaginal delivery and postpartum care.No office rate
59430Postpartum careFor postpartum care alone, without reporting the delivery service.$228.96–$317.64
Same family
59409Vaginal deliveryCovers vaginal delivery without the postpartum care included in 59410.No office rate

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)

Open CMS sourceHow we calculate rates

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