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CPT code 59514: Cesarean delivery, delivery only2026 Medicare rate & RVUs

Report 59514 for cesarean delivery when the billed obstetric service covers delivery only, without antepartum or postpartum care.

CMS RVU26DEffective Oct 1, 2026109 payment localities1K Medicare services in 2024

Medicare pays $823.67 for 59514 nationally in a facility.

Medicare rate · 59514

Cesarean delivery, delivery only

Office or facility?

Work RVUs
16.13
Total RVUs
24.66
Global days
MMM

National rate · 2026

$823.67

Facility setting, before claim adjustments.

See every locality for 59514 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 59514 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59514 covers

An obstetrician or other qualified surgeon delivers the infant and placenta through abdominal and uterine incisions, typically in a hospital operating room. Code 59514 represents the cesarean delivery service alone, rather than a maternity package that also includes prenatal or postpartum care. It is appropriate when the reporting clinician provides the delivery service but does not include those other phases of care in the billed service.

Choose the code based on which phases of maternity care the service includes: 59514 is delivery only, 59515 includes delivery and postpartum care, and 59510 includes antepartum, delivery, and postpartum care. Documentation should support the cesarean delivery and clarify the care included in the clinician’s service. The usual global surgery rules do not apply to this maternity code. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and pays 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 59514 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

59514 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$736.34
AlaskaUnavailable$1,025.55
ArizonaUnavailable$795.92
ArkansasUnavailable$725.93
Atlanta, GAUnavailable$860.80
Austin, TXUnavailable$812.49
Bakersfield, CAUnavailable$779.76
Baltimore area, MDUnavailable$880.53
Beaumont, TXUnavailable$801.20
Brazoria, TXUnavailable$790.10

59514 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
59514 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 59514 rate is calculated

Each of 59514’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.

How the rate is built · 59514

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.13

16.13 RVUs× 1.000 GPCI

Practice expense3.52

3.52 RVUs× 1.000 GPCI

Malpractice5.01

5.01 RVUs× 1.000 GPCI

Adjusted RVUs

24.6600

Conversion factor

$33.4009

Medicare rate

$823.67

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 59514

The CMS indicators that decide how 59514 is paid alongside other services.

CMS payment indicators · 59514

Cesarean delivery, delivery only

RuleCMS valueWhat it means
Global periodMMMMaternity care: global rules don’t follow the standard pattern.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59514 without 51 · national facility

$823.67

Cesarean delivery, delivery only

59514-51 · Second procedure: 50%

$411.84

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

59514 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 59514

    Cesarean delivery, delivery only16.13 wRVU

    Not priced

  • 59510

    Cesarean care, antepartum through postpartum41.05 wRVU

    Not priced

  • 59515

    Cesarean delivery, includes postpartum care22.79 wRVU

    Not priced

  • 59525

    Cesarean hysterectomy, hysterectomy after cesarean8.32 wRVU

    Not priced

How to choose

59510Cesarean careAntepartum through postpartum
59510 includes antepartum and postpartum care with cesarean delivery; 59514 covers the delivery service only.
59515Cesarean deliveryIncludes postpartum care
59515 includes postpartum care as well as cesarean delivery. Use 59514 when postpartum care is not included.
59525Cesarean hysterectomyHysterectomy after cesarean
59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery itself.

Codes related to 59514

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

Codes related to 59514
CodeHow it relatesNational office range
Same family
59510Cesarean care, antepartum through postpartumIncludes antepartum care, cesarean delivery, and postpartum care.No office rate
59515Cesarean delivery, includes postpartum careIncludes cesarean delivery and postpartum care.No office rate
Often billed with
59525Cesarean hysterectomy, hysterectomy after cesareanDescribes hysterectomy performed after cesarean delivery in the same operative encounter.No office rate
Used instead
59409Vaginal delivery, delivery onlyDelivery-only service when delivery is vaginal rather than cesarean.No office rate

59514 billing questions

How does 59514 differ from 59515?

59514 represents cesarean delivery only. Use 59515 when the service also includes postpartum care.

How does 59514 differ from 59510?

59510 includes antepartum, delivery, and postpartum care. 59514 is limited to the delivery service.

Can prenatal or postpartum care be reported separately?

Those phases are not included in 59514. Report other maternity services only when they were furnished and meet the applicable coding requirements.

What documentation supports 59514?

Document the cesarean delivery and the clinician’s role, along with which phases of maternity care were included in the service.

How are multiple procedures in the same session paid?

CMS pays the highest-valued procedure in full and pays the other procedures at 50% when performed in the same session.

Can 59525 be reported with a cesarean delivery?

59525 describes hysterectomy performed after cesarean delivery. Report it when that additional procedure is performed and its coding requirements are met.

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

Show the CMS file lines behind this rate
RVUs for 59514PPRRVU2026_Oct_nonQPP.csv, line 6,664 (RVU26D)

Open CMS sourceHow we calculate rates

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