59300 Episiotomy or vaginal repair
Also known as: episiotomy, perineal repair, episiotomy with repair
Episiotomy (surgical incision of perineum during vaginal delivery) with or without repair of perineal lacerations sustained during delivery.
In Plain Language
surgical cut during vaginal delivery to prevent tearing
Clinical Context
Performed selectively for instrumental delivery or to prevent uncontrolled tearing; repair by layers after delivery is standard.
RVU Breakdown
| Work RVU | 2.35 |
| Total RVU | 2.35 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.35, this code ranks in the 16th percentile among Surgery codes — 3.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59300?
CPT 59300 (Episiotomy or vaginal repair) is a Surgery code. Episiotomy (surgical incision of perineum during vaginal delivery) with or without repair of perineal lacerations sustained during delivery.
What is the wRVU value for CPT 59300?
The work RVU for CPT 59300 is 2.35. This code is primarily used by Obstetrics and Gynecology.
When is CPT 59300 used?
Performed selectively for instrumental delivery or to prevent uncontrolled tearing; repair by layers after delivery is standard.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.