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CPT 59400 — Obstetrical care

CPT code 59400 (Obstetrical care) carries 37.0 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 66.3 in a non-facility setting and 66.3 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $2,214.48 and $2,214.48 respectively.

37.0
Work RVU
66.3
Total RVU (non-facility)
$2,214.48
Medicare, non-facility
$2,214.48
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 59400

ComponentRVUsWhat it covers
Work RVU37.0Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)18.76Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU10.54Professional liability cost.
Total RVU (non-facility)66.3Work + non-facility PE + malpractice.
Total RVU (facility)66.3Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 59400 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility66.3$33.40$2,214.48
Facility66.3$33.40$2,214.48

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 59400

Global period
Maternity code — the usual global surgical package does not apply.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

59409 · 14.37 wRVU59425 · 7.8 wRVU59426 · 14.3 wRVU59430 · 3.22 wRVU

Questions about CPT 59400

How many work RVUs is CPT 59400?

CPT 59400 is assigned 37.0 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 59400?

At the 2026 national conversion factor of $33.40, CPT 59400 pays approximately $2,214.48 in a non-facility setting and $2,214.48 in a facility setting before geographic adjustment.

What is the global period for CPT 59400?

Maternity code — the usual global surgical package does not apply.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.