No office rate
Choose 59410 when the practitioner reports vaginal delivery and postpartum care together. Choose 59430 for postpartum care alone.
On this page
CMS RVU26D · Effective 2026-10-01
59430 Postpartum care Medicare reimbursement rates in Alabama
Reports postpartum-only care after childbirth when the practitioner provides recovery assessment and management without billing a maternity code that includes postpartum care. Compare 59430 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 59430 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$232.49
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$145.40
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Obstetrics
About 59430: Postpartum care only
Reports postpartum-only care after childbirth when the practitioner provides recovery assessment and management without billing a maternity code that includes postpartum care.
59430 represents the clinician’s postpartum-only care after childbirth, when that clinician is not billing a code that includes the delivery and postpartum period. An obstetrician/gynecologist or family physician commonly provides this care in an office or outpatient setting. The encounter may address recovery from vaginal or cesarean birth, maternal symptoms, healing, feeding concerns, mood, and contraception as part of postpartum management.
Report the code when the practitioner’s role is limited to the postpartum phase; it is not a delivery or antepartum-care code. Documentation should identify the postpartum assessment and management provided, along with relevant history or concerns addressed. The code represents postpartum care rather than each routine contact as a separate service. CMS classifies it as maternity care, so the usual surgical global-period rules do not govern it. If multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50% under the standard multiple-procedure reduction.
CMS billing rules for 59430
- Global period
- Maternity code: the usual global surgery rules do not apply.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU3.22 · 41%
- Practice expense (office) RVU3.68 · 47%
- Malpractice RVU0.92 · 12%
477
Medicare services in 2024 · #3606 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.
59430 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
59400 covers antepartum care, vaginal delivery, and postpartum care. 59430 is limited to postpartum care.
No office rate
59409 reports vaginal delivery without postpartum care. 59430 reports postpartum care without the delivery service.
Compare 59430 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$232.49
Facility
$145.40
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 59430 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,662
- Code
- 59430
- Physician work
- 3.22
- Practice expense
- 3.68
- Malpractice
- 0.92
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.22 | × 1.000 | 3.2200 |
| Practice expense | 3.68 | × 0.875 | 3.2200 |
| Malpractice | 0.92 | × 0.566 | 0.5207 |
| Total RVUs | 6.9607 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$232.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.22 | 1 |
| Practice expense | 3.68 | 0.875 |
| Malpractice | 0.92 | 0.566 |
(3.22 × 1 + 3.68 × 0.875 + 0.92 × 0.566) × $33.4009 = $232.49
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.22 | 1 |
| Practice expense | 0.7 | 0.875 |
| Malpractice | 0.92 | 0.566 |
(3.22 × 1 + 0.7 × 0.875 + 0.92 × 0.566) × $33.4009 = $145.40
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.
59430 billing questions
Is 59430 reported for each postpartum visit?
No. It represents postpartum care, not a separate code for each routine contact. Document the postpartum service and the assessment or management provided.
How does 59430 differ from 59410?
59430 is for postpartum care alone. 59410 includes vaginal delivery and postpartum care.
Can 59430 be reported with 59409?
59409 covers vaginal delivery without postpartum care. 59430 may describe separately provided postpartum care when another reported maternity code does not already include it.
What documentation supports 59430?
Document the postpartum assessment and management, the patient’s relevant recovery concerns, and the care provided during the postpartum phase.
Do the usual surgical global-period rules apply?
No. CMS identifies 59430 as a maternity code, for which the usual global surgery rules do not apply.
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.
6,65959414,,Deliver placenta,A,,1.61,0.35,NA,0.35,,0.50,2.46,2.46,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66059425,,Antepartum care only,A,,7.80,7.18,,1.70,,2.23,17.21,11.73,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66159426,,Antepartum care only,A,,14.30,13.20,,3.11,,4.10,31.60,21.51,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66259430,,Care after delivery,A,,3.22,3.68,,0.70,,0.92,7.82,4.84,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66359510,,Cesarean delivery,A,,41.05,20.00,NA,20.00,,13.00,74.05,74.05,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66459514,,Cesarean delivery only,A,,16.13,3.52,NA,3.52,,5.01,24.66,24.66,0,MMM,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515