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CMS RVU26D · Effective 2026-10-01

59300 in Redding

Office / nonfacility

$226.68

Base rate per service

Facility setting

$126.01

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Obstetrics

About 59300: Episiotomy or vaginal laceration repair by another physician

Reports repair of an episiotomy or vaginal laceration after delivery when a physician other than the attending physician performs the repair.

59300 covers surgical repair of an episiotomy or vaginal laceration associated with childbirth. It may describe repair performed by an obstetrician or another physician who did not attend the delivery, typically in a hospital labor-and-delivery setting. The service is distinct from the delivering physician's own repair as part of the delivery care.

Report the code when the record identifies the repairing physician as someone other than the attending physician and documents the obstetric repair performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 59300

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.35 · 35%
  • Practice expense (office) RVU3.64 · 54%
  • Malpractice RVU0.76 · 11%

13

Medicare services in 2024 · #6132 by national volume

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.

59300 compared with similar codes

Office rates for Redding, from the same CMS release.

59409

Vaginal delivery

Delivery only

No office rate

59409 reports vaginal delivery without postpartum care by the delivering physician. 59300 is for an obstetric repair performed by a different physician.

59410

Vaginal delivery

Postpartum care included

No office rate

59410 includes vaginal delivery and postpartum care by the delivering physician. 59300 describes the separate repair service when performed by a nonattending physician.

57200

Vaginal repair

Nonobstetric injury

No office rate

Use 57200 for vaginal repair in a nonobstetric setting or circumstance; 59300 is specific to episiotomy or vaginal repair associated with childbirth by another physician.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 59300 is $228.69—$2.01 higher than the $226.68 rate in Redding. Both use the same code, release and participation basis.

59300 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $226.68

  2. Bakersfield

    $228.69

    $2.01 higher than Redding

  3. Chico

    $226.68

    The same base rate than Redding

  4. El Centro

    $226.81

    $0.13 higher than Redding

  5. Fresno

    $226.68

    The same base rate than Redding

  6. Hanford-Corcoran

    $226.68

    The same base rate than Redding

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $242.39

    $15.71 higher than Redding

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 59300 ranges from $196.00 in Arkansas to $276.05 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Merced

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Modesto

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Napa

    California · 59300

    Office

    $256.57

    Facility

    $135.51

    $29.89 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 59300

    Office

    $240.21

    Facility

    $131.64

    $13.53 higher than Redding for the office setting.

  • Rest Of California

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 59300

    Office

    $234.81

    Facility

    $134.14

    $8.13 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 59300

    Office

    $236.32

    Facility

    $129.50

    $9.64 higher than Redding for the office setting.

  • Salinas

    California · 59300

    Office

    $235.44

    Facility

    $128.98

    $8.76 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 59300

    Office

    $240.01

    Facility

    $130.16

    $13.33 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 59300

    Office

    $269.03

    Facility

    $139.52

    $42.35 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 59300

    Office

    $268.16

    Facility

    $138.65

    $41.48 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 59300

    Office

    $276.05

    Facility

    $143.60

    $49.37 higher than Redding for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 59300

    Office

    $272.52

    Facility

    $140.07

    $45.84 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 59300

    Office

    $231.91

    Facility

    $127.29

    $5.23 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 59300

    Office

    $241.47

    Facility

    $129.86

    $14.79 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 59300

    Office

    $236.06

    Facility

    $128.96

    $9.38 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 59300

    Office

    $243.75

    Facility

    $130.96

    $17.07 higher than Redding for the office setting.

  • Stockton

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 59300

    Office

    $255.33

    Facility

    $134.27

    $28.65 higher than Redding for the office setting.

  • Visalia

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 59300

    Office

    $226.68

    Facility

    $126.01

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 59300

    Office

    $254.20

    Facility

    $146.00

    $27.52 higher than Redding for the office setting.

  • Miami

    Florida · 59300

    Office

    $269.25

    Facility

    $173.64

    $42.57 higher than Redding for the office setting.

  • Chicago

    Illinois · 59300

    Office

    $259.49

    Facility

    $167.17

    $32.81 higher than Redding for the office setting.

  • Manhattan

    New York · 59300

    Office

    $265.05

    Facility

    $158.32

    $38.37 higher than Redding for the office setting.

  • Alaska*

    Alaska · 59300

    Office

    $261.21

    Facility

    $163.38

    $34.53 higher than Redding for the office setting.

  • Alabama

    Alabama · 59300

    Office

    $199.24

    Facility

    $118.87

    $27.44 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 59300

    Office

    $196.00

    Facility

    $117.10

    $30.68 lower than Redding for the office setting.

  • Arizona

    Arizona · 59300

    Office

    $218.03

    Facility

    $129.03

    $8.65 lower than Redding for the office setting.

  • Colorado

    Colorado · 59300

    Office

    $228.62

    Facility

    $130.89

    $1.94 higher than Redding for the office setting.

  • Connecticut

    Connecticut · 59300

    Office

    $241.72

    Facility

    $142.79

    $15.04 higher than Redding for the office setting.

  • Delaware

    Delaware · 59300

    Office

    $221.83

    Facility

    $131.08

    $4.85 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 59300

    Office

    $247.55

    Facility

    $154.50

    $20.87 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 59300

    Office

    $232.88

    Facility

    $145.06

    $6.20 higher than Redding for the office setting.

  • Atlanta

    Georgia · 59300

    Office

    $232.74

    Facility

    $139.42

    $6.06 higher than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 59300

    Office

    $217.20

    Facility

    $135.27

    $9.48 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 59300

    Office

    $231.43

    Facility

    $126.99

    $4.75 higher than Redding for the office setting.

  • Iowa

    Iowa · 59300

    Office

    $199.81

    Facility

    $115.77

    $26.87 lower than Redding for the office setting.

  • Idaho

    Idaho · 59300

    Office

    $202.35

    Facility

    $117.85

    $24.33 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 59300

    Office

    $241.47

    Facility

    $156.97

    $14.79 higher than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 59300

    Office

    $229.17

    Facility

    $145.31

    $2.49 higher than Redding for the office setting.

  • Suburban Chicago

    Illinois · 59300

    Office

    $248.89

    Facility

    $154.55

    $22.21 higher than Redding for the office setting.

  • Indiana

    Indiana · 59300

    Office

    $203.53

    Facility

    $118.39

    $23.15 lower than Redding for the office setting.

  • Kansas

    Kansas · 59300

    Office

    $201.19

    Facility

    $118.16

    $25.49 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 59300

    Office

    $209.80

    Facility

    $128.15

    $16.88 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 59300

    Office

    $221.74

    Facility

    $135.30

    $4.94 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 59300

    Office

    $210.41

    Facility

    $129.12

    $16.27 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 59300

    Office

    $249.47

    Facility

    $139.80

    $22.79 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 59300

    Office

    $228.00

    Facility

    $131.28

    $1.32 higher than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 59300

    Office

    $241.60

    Facility

    $143.05

    $14.92 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 59300

    Office

    $225.62

    Facility

    $132.66

    $1.06 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 59300

    Office

    $206.13

    Facility

    $121.63

    $20.55 lower than Redding for the office setting.

  • Southern Maine

    Maine · 59300

    Office

    $214.99

    Facility

    $123.97

    $11.69 lower than Redding for the office setting.

  • Detroit

    Michigan · 59300

    Office

    $238.61

    Facility

    $149.98

    $11.93 higher than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 59300

    Office

    $218.15

    Facility

    $134.29

    $8.53 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 59300

    Office

    $211.11

    Facility

    $116.59

    $15.57 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 59300

    Office

    $217.46

    Facility

    $131.21

    $9.22 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 59300

    Office

    $219.67

    Facility

    $132.23

    $7.01 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 59300

    Office

    $208.02

    Facility

    $128.84

    $18.66 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 59300

    Office

    $201.93

    Facility

    $122.85

    $24.75 lower than Redding for the office setting.

  • Montana**

    Montana · 59300

    Office

    $225.41

    Facility

    $133.55

    $1.27 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 59300

    Office

    $208.15

    Facility

    $122.45

    $18.53 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 59300

    Office

    $210.38

    Facility

    $118.53

    $16.30 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 59300

    Office

    $200.31

    Facility

    $115.53

    $26.37 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 59300

    Office

    $227.27

    Facility

    $131.65

    $0.59 higher than Redding for the office setting.

  • Northern Nj

    New Jersey · 59300

    Office

    $251.58

    Facility

    $145.03

    $24.90 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 59300

    Office

    $242.24

    Facility

    $141.94

    $15.56 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 59300

    Office

    $220.47

    Facility

    $136.24

    $6.21 lower than Redding for the office setting.

  • Nevada**

    Nevada · 59300

    Office

    $221.34

    Facility

    $129.39

    $5.34 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 59300

    Office

    $275.21

    Facility

    $166.00

    $48.53 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 59300

    Office

    $245.87

    Facility

    $145.29

    $19.19 higher than Redding for the office setting.

  • Queens

    New York · 59300

    Office

    $263.83

    Facility

    $155.26

    $37.15 higher than Redding for the office setting.

  • Rest Of New York

    New York · 59300

    Office

    $211.84

    Facility

    $124.58

    $14.84 lower than Redding for the office setting.

  • Ohio

    Ohio · 59300

    Office

    $215.08

    Facility

    $131.22

    $11.60 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 59300

    Office

    $206.79

    Facility

    $124.76

    $19.89 lower than Redding for the office setting.

  • Portland

    Oregon · 59300

    Office

    $233.71

    Facility

    $131.66

    $7.03 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 59300

    Office

    $217.43

    Facility

    $125.95

    $9.25 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 59300

    Office

    $236.75

    Facility

    $141.13

    $10.07 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 59300

    Office

    $214.09

    Facility

    $129.77

    $12.59 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 59300

    Office

    $226.41

    Facility

    $133.55

    $0.27 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 59300

    Office

    $228.22

    Facility

    $133.33

    $1.54 higher than Redding for the office setting.

  • South Carolina

    South Carolina · 59300

    Office

    $212.41

    Facility

    $127.54

    $14.27 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 59300

    Office

    $208.60

    Facility

    $116.75

    $18.08 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 59300

    Office

    $202.64

    Facility

    $119.15

    $24.04 lower than Redding for the office setting.

  • Austin

    Texas · 59300

    Office

    $229.77

    Facility

    $132.59

    $3.09 higher than Redding for the office setting.

  • Beaumont

    Texas · 59300

    Office

    $212.71

    Facility

    $129.13

    $13.97 lower than Redding for the office setting.

  • Brazoria

    Texas · 59300

    Office

    $219.41

    Facility

    $128.38

    $7.27 lower than Redding for the office setting.

  • Dallas

    Texas · 59300

    Office

    $222.07

    Facility

    $130.59

    $4.61 lower than Redding for the office setting.

  • Fort Worth

    Texas · 59300

    Office

    $221.19

    Facility

    $130.62

    $5.49 lower than Redding for the office setting.

  • Galveston

    Texas · 59300

    Office

    $220.87

    Facility

    $129.66

    $5.81 lower than Redding for the office setting.

  • Houston

    Texas · 59300

    Office

    $234.78

    Facility

    $143.57

    $8.10 higher than Redding for the office setting.

  • Rest Of Texas

    Texas · 59300

    Office

    $216.79

    Facility

    $129.63

    $9.89 lower than Redding for the office setting.

  • Utah

    Utah · 59300

    Office

    $215.57

    Facility

    $129.23

    $11.11 lower than Redding for the office setting.

  • Virginia

    Virginia · 59300

    Office

    $215.93

    Facility

    $125.64

    $10.75 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 59300

    Office

    $226.41

    Facility

    $133.55

    $0.27 lower than Redding for the office setting.

  • Vermont

    Vermont · 59300

    Office

    $211.70

    Facility

    $120.77

    $14.98 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 59300

    Office

    $226.85

    Facility

    $130.13

    $0.17 higher than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 59300

    Office

    $252.33

    Facility

    $139.63

    $25.65 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 59300

    Office

    $202.78

    Facility

    $114.79

    $23.90 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 59300

    Office

    $220.47

    Facility

    $140.65

    $6.21 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 59300

    Office

    $218.86

    Facility

    $127.00

    $7.82 lower than Redding for the office setting.

See how rates vary across the country

59300 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$196.00

$261.21

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$261.211
AL$199.241
AR$196.001
AZ$218.031
CA$226.68–$276.0529
CO$228.621
CT$241.721
DC$254.201
DE$221.831
FL$232.88–$269.253
GA$217.20–$232.742
GU$231.431
HI$231.431
IA$199.811
ID$202.351
IL$229.17–$259.494
IN$203.531
KS$201.191
KY$209.801
LA$210.41–$221.742
MA$228.00–$249.472
MD$225.62–$254.203
ME$206.13–$214.992
MI$218.15–$238.612
MN$211.111
MO$208.02–$219.673
MS$201.931
MT$225.411
NC$208.151
ND$210.381
NE$200.311
NH$227.271
NJ$242.24–$251.582
NM$220.471
NV$221.341
NY$211.84–$275.215
OH$215.081
OK$206.791
OR$217.43–$233.712
PA$214.09–$236.752
PR$226.411
RI$228.221
SC$212.411
SD$208.601
TN$202.641
TX$212.71–$234.788
UT$215.571
VA$215.93–$254.202
VI$226.411
VT$211.701
WA$226.85–$252.332
WI$202.781
WV$220.471
WY$218.861

Explore 59300 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 59300 in Redding, the physician’s office rate is $226.68 and the facility-setting rate is $126.01: a difference of $100.67.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 59300 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$249.35

$226.68 × 110% = $249.35

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59300 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,651

Code
59300
Physician work
2.35
Practice expense
3.64
Malpractice
0.76

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 59300 in Redding
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0172.3899
Practice expense3.64× 1.0963.9894
Malpractice0.76× 0.5360.4074
Total RVUs6.7868
Conversion factor× 33.4009

Office / nonfacility rate, Redding$226.68

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 59300 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.351.017
Practice expense3.641.096
Malpractice0.760.536

(2.35 × 1.017 + 3.64 × 1.096 + 0.76 × 0.536) × $33.4009 = $226.68

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.351.017
Practice expense0.891.096
Malpractice0.760.536

(2.35 × 1.017 + 0.89 × 1.096 + 0.76 × 0.536) × $33.4009 = $126.01

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

59300 · Office / nonfacility

$226.68

Effective 2026-10-01

The base rate is $3.78 higher than on 2025-10-01, moving from $222.90 to $226.68 (1.7%).

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

    $222.90changed to$226.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.41 changed to 2.35
    • Practice expense RVU 3.70 changed to 3.64
    • Malpractice RVU 0.72 changed to 0.76
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $222.90

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$226.68$126.01RVU26D
2026-07-01$226.68$126.01RVU26C
2026-04-01$226.68$126.01RVU26B
2026-01-01$226.68$126.01RVU26A
2025-10-01$222.90$138.40RVU25D
2025-07-01$222.90$138.40RVU25C
2025-04-01$222.90$138.40RVU25B
2025-01-01$222.90$138.40RVU25A

59300 billing questions

Who may report 59300?

The physician who performs the episiotomy or vaginal repair must be other than the attending physician for the delivery. The record should identify the repairing physician and the obstetric repair performed.

Can the delivering physician report 59300 for the repair?

No. This code is for an episiotomy or vaginal repair performed by someone other than the attending physician; it is not a separate code for the attending physician's own repair.

How does 59300 differ from 57200?

59300 applies to repair associated with childbirth by a nonattending physician. 57200 is used for vaginal repair in a nonobstetric context.

Can modifier 50 be appended?

No. The code's descriptor or anatomy makes bilateral adjustment inappropriate, so modifier 50 should not be used.

What is included in the 0-day global period?

Same-day preoperative and postoperative care is included. The code does not include a subsequent-day global period.

When is assistant-at-surgery payment allowed?

Payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 59300PPRRVU2026_Oct_nonQPP.csv, line 6,651 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet