Common surgery & pain management

59400 - RVUs & Medicare payment (2026)

Vaginal delivery with antepartum and postpartum care.

Component	Non-facility	Facility
Work RVU	37.00	37.00
Practice expense RVU	18.76	18.76
Malpractice RVU	10.54	10.54
Total RVUs	66.30	66.30
National payment (CF $33.4009)	$2,214.48	$2,214.48
Qualifying APM payment (CF $33.5675)	$2,225.53	$2,225.53

How 59400 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 59400 ranges from $1,944.55 in Wisconsin (WI) to $2,778.45 in Miami (FL); calculate 59400 for your locality.

Miami (FL) $2,778.45 Alaska (AK) $2,715.06 NYC Suburbs/Long Island (NY) $2,713.70 Chicago (IL) $2,682.16 Manhattan (NY) $2,601.38 Queens (NY) $2,563.22 East St. Louis (IL) $2,521.33 Suburban Chicago (IL) $2,511.83 National average $2,214.48 … 97 more localities between … Arkansas (AR) $1,955.39 Iowa (IA) $1,948.94 Nebraska (NE) $1,947.26 Wisconsin (WI) $1,944.55

Non-facility payment for 59400 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: MMM

Maternity code: the usual global period does not apply.

Related codes - common surgery & pain management

29881 · knee arthroscopy with meniscectomy
27447 · total knee arthroplasty (knee replacement)
27130 · total hip arthroplasty (hip replacement)
47562 · laparoscopic cholecystectomy (gallbladder removal)
49505 · open repair of inguinal hernia, initial
19120 · excision of breast lesion
63030 · lumbar discectomy, single level
62323 · lumbar/caudal epidural injection with imaging guidance
64483 · transforaminal epidural injection, lumbar/sacral, first level
64493 · facet joint injection, lumbar/sacral, first level

Frequently asked questions

How much does Medicare pay for 59400 in 2026?

The national non-facility payment is $2,214.48 and the facility payment is $2,214.48, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 59400?

The 2026 work RVU for 59400 is 37.00. Total RVUs are 66.30 in the non-facility setting and 66.30 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.