CPT code 59510: Cesarean care, antepartum through postpartum2026 Medicare rate & RVUs

Medicare pays $2,473.34 for 59510 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 59510 covers

This code represents routine obstetric care spanning prenatal visits, cesarean delivery, and postpartum care. An obstetrician-gynecologist or family physician providing obstetric services may report it when the physician or practice manages the pregnancy and performs the cesarean in a hospital, with prenatal and postpartum care furnished in office or other appropriate settings. It is not the choice when the reported service is limited to the delivery or to delivery plus postpartum care.

Report the package when documentation supports the antepartum, cesarean, and postpartum portions of care. If the services are divided among physicians or practices, select the applicable delivery-only or other component code rather than reporting the complete package. This maternity code follows the maternity-specific payment approach; the usual global surgery rules do not apply. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 59510 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59510 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 59510 rate is calculated

Each of 59510’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 59510

The CMS indicators that decide how 59510 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

59510 compared with similar codes

How to choose

59514Cesarean deliveryDelivery only

Use 59514 for the cesarean delivery alone. It does not represent the routine antepartum and postpartum care included in 59510.

59515Cesarean deliveryIncludes postpartum care

Use 59515 when cesarean delivery and postpartum care are furnished but antepartum care is not included in the reported package.

59525Cesarean hysterectomyHysterectomy after cesarean

59525 reports a hysterectomy performed after cesarean delivery as an add-on; it is not a substitute for the obstetric care package.

59400Maternity careAntepartum, delivery, postpartum

Both codes cover routine antepartum and postpartum care, but 59400 is for vaginal delivery rather than cesarean delivery.

Codes related to 59510

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates