~7,200
Median wRVUs / yr
Global OB packages, surgical hysterectomy, ultrasound, and well-woman E&M — the codes that drive obstetric and gynecologic productivity, with 2026 CMS wRVUs.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
The codes that drive the bulk of obstetrics & gynecology billing, with current Work RVU values from the 2026 Medicare Physician Fee Schedule. Use these as a baseline — locality (GPCI) and modifiers adjust the final payment.
| Code | Description | wRVU | Type |
|---|---|---|---|
| 59400 | Routine OB care, vaginal delivery, antepartum + postpartum | 37.00 | Procedure |
| 59510 | Routine OB care, cesarean delivery, antepartum + postpartum | 41.05 | Procedure |
| 58150 | Total abdominal hysterectomy with or without removal of tubes/ovaries | 17.31 | Procedure |
| 58571 | Laparoscopic supracervical hysterectomy, uterus 250g or less | 15.00 | Procedure |
| 58573 | Laparoscopic total hysterectomy, uterus >250g | 20.79 | Procedure |
| 57425 | Laparoscopic colpopexy | 17.03 | Procedure |
| 99213 | Office visit, est. patient, low (20 min) | 1.30 | E&M |
| 99214 | Office visit, est. patient, moderate (30 min) | 1.92 | E&M |
| 99395 | Preventive est. patient, age 18-39 | 1.75 | E&M |
| 99396 | Preventive est. patient, age 40-64 | 1.90 | E&M |
| 76801 | OB ultrasound, first trimester, single | 0.99 | Diagnostic |
| 76817 | Transvaginal OB ultrasound | 0.75 | Diagnostic |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where obstetrics & gynecology productivity falls across the percentile distribution. Most RVU-based contracts target the median (50th percentile); high-volume practices push into the 75th-90th range.
MGMA-aligned 2024 estimates. Verify with your group's data source for contract negotiations.
Typical total compensation ranges across a obstetrics & gynecology career. Numbers blend salary, RVU productivity, and bonus components reported in physician surveys.
First 1-3 years out of training. Base-heavy contracts; productivity bonuses begin to ramp.
Years 4-10. RVU-based comp dominates as case volume settles into a steady pattern.
10+ years, partnership track, ASC ownership, or high-volume practice settings.
Ranges synthesized from Doximity 2024 and AMGA / MGMA-aligned compensation reports. Actual offers vary by region, practice setting, and case mix.
Most RVU tools were built for one type of day. RVU Tracker handles the mix of clinic, procedures, and inpatient work that actually shows up on a obstetrics & gynecology schedule.
Save your most-used codes as quick-add buttons. Log a visit in seconds between patients.
Add multiple codes per encounter; the tracker sums correctly with MPPR awareness when relevant.
Tag clinic vs. procedure days and see productivity per session. Decide where to add capacity.
Every code ships with current Work RVU values. Year-over-year updates roll out automatically.
Set your wRVU threshold. The tracker shows monthly pace and projects year-end totals.
Plug in your conversion factor and see real-time earnings. Compare offers during contract review.
A few high-leverage details that quietly cost RVUs (and revenue) when missed.
59400 (vaginal) and 59510 (cesarean) are global packages covering antepartum (4+ visits), delivery, and postpartum. Component billing (59425/59426 antepartum, 59409/59514 delivery only, 59430 postpartum) applies when care is split across providers.
Twins via vaginal delivery: 59400 for first baby + 59409 with -59 for second. Twins via C-section: 59510 + 59514-59. Document precisely — multi-gestation coding is among the most-audited OB scenarios.
Open (58150), laparoscopic supracervical (58571-58572), laparoscopic total (58573-58574), and vaginal (58260-58270) all carry different wRVUs and clinical indications. Document approach + uterus weight precisely.
Annual well-woman exam (99395-99397) plus a problem-focused E&M (99213-99215) on the same day requires -25 on the office E&M. Document clearly; it's a high-frequency audit target.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real obstetrics & gynecology day.