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See a sample rate comparisonCPT 59300 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Episiotomy Or Vaginal Repair, Episiotomy Or Vaginal Repair By Other Than Attendingphysician Episiotomy Or Vaginal Repair By Other Than Attending
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 59300 |
| Medicaid Fee Schedule | View Medicaid rates for 59300 |
National average reimbursement for CPT 59300 by major payers:
$257.31
$269.61
$289.11
$238.56
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CPT 59300
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$7,169.00Published rateSpecialty Surgical Center Of Irvine Lp
Specialty Surgical Center Of Irvine, Lp
$2,050.00Published rateSpecialty Care And Surgery Center
Paula R. Dhanda, Md
$1,436.00Published rateBlue Ridge Surgical Center, LLC
Blue Ridge Surgical Center LLC
$1,187.00Published rateSmart Pain Surgery Center At Owings Mills, LLC, Clearway Surgery Center Of Owings Mills
Smart Pain Surgery Center At Owings Mills LLC
$825.00Published rate
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See a sample payer proposalCPT 59300 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59300 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59300 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59150-CPT | High | Surgery For Ectopic Pregnancy, Surgery For A Pregnancy Developing Outside The Uterus (Ectopic). The Procedure May Include Removal Of An Ovary Or Fallopian Tube. |
| 59151-CPT | Moderate | Surgery For Ectopic Pregnancy, Surgery For A Pregnancy Developing Outside The Uterus (Ectopic). The Procedure May Include Removal Of An Ovary Or Fallopian Tube. |
| 59160-CPT | Moderate | Removal Of Uterine Contents, This Procedure Removes Tissues Remaining In The Uterus Instead Of Being Expelled During Childbirth. |
| 59300-CPT | Moderate | Episiotomy Or Vaginal Repair, Episiotomy Or Vaginal Repair By Other Than Attendingphysician Episiotomy Or Vaginal Repair By Other Than Attending |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59300 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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