CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59410 RVU and Medicare Payment (2026)
Obstetrical care — 18.76 work RVU, about $976.31 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 18.76
- PE RVU (non-facility)
- 5.13
- PE RVU (facility)
- 5.13
- MP RVU
- 5.34
- Office payment
- $976.31
- Facility payment
- $976.31
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 59410 in a non-facility setting with national GPCI: (18.76 + 5.13 + 5.34) × $33.4009 ≈ $976.31. The same code in a facility setting pays about $976.31 because facility PE RVU (5.13) replaces office PE RVU.
What changes by locality
GPCI moves 59410 non-facility payment from $845.69 to $1,256.05 across CMS localities — from Wisconsin to Miami. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 59410?
18.76. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 59410 in 2026?
About $976.31 non-facility ($976.31 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (18.76) and malpractice RVU stay fixed; only practice expense changes (5.13 office vs 5.13 facility). That is the entire office-vs-facility payment gap.