CPT code 59515: Cesarean delivery, includes postpartum care2026 Medicare rate & RVUs in Missouri
Report this service for cesarean delivery when the same clinician or practice also provides the associated postpartum care, but not antepartum care.
CMS doesn’t publish an office rate for 59515 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 59515 covers
This service covers a cesarean delivery and the associated postpartum care. It is typically performed by an obstetrician in a hospital or other facility equipped for surgical delivery. Unlike a maternity-care package that includes antepartum visits, this code does not represent antepartum care. The postpartum portion distinguishes it from cesarean delivery reported without postpartum care.
Select the code based on which portions of maternity care the reporting clinician or practice provided: cesarean delivery plus postpartum care supports this code, while delivery alone points to a different code. Documentation should identify the cesarean delivery and establish that postpartum care was included in the clinician’s services. 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 the other procedures 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 59515 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $1,205.75 |
| Metropolitan St. Louis, MO | Unavailable | $1,214.68 |
| Rest of Missouri | Unavailable | $1,187.99 |
How the 59515 rate is calculated
Each of 59515’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 · 59515
RVUs × geographic indexes × conversion factor
Work22.79
22.79 RVUs× 1.000 GPCI
Practice expense6.62
6.62 RVUs× 1.000 GPCI
Malpractice7.26
7.26 RVUs× 1.000 GPCI
Adjusted RVUs
36.6700
Conversion factor
$33.4009
Medicare rate
$1,224.81
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59515
The CMS indicators that decide how 59515 is paid alongside other services.
CMS payment indicators · 59515
Cesarean delivery, includes postpartum care
| Rule | CMS value | What it means |
|---|---|---|
| Global period | MMM | Maternity care: global rules don’t follow the standard pattern. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
59515 without 51 · national facility
$1,224.81
Cesarean delivery, includes postpartum care
59515-51 · Second procedure: 50%
$612.41
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%).
59515 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 59514Cesarean deliveryDelivery only
- Choose 59514 when the service is limited to cesarean delivery. Choose 59515 when the clinician or practice also provides postpartum care.
- 59510Cesarean careAntepartum through postpartum
- 59510 includes routine antepartum care as well as cesarean delivery and postpartum care; 59515 covers the delivery and postpartum care without antepartum care.
- 59525Cesarean hysterectomyHysterectomy after cesarean
- 59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery and postpartum-care service itself.
59515 billing questions
How does 59515 differ from 59514?
59515 includes postpartum care with the cesarean delivery. Use 59514 when the reported service is the cesarean delivery only.
Does 59515 include antepartum care?
No. The code covers the cesarean delivery and postpartum care, not antepartum care.
What documentation supports reporting 59515?
The record should document the cesarean delivery and show that the clinician or practice provided the associated postpartum care.
Does the usual surgical global period apply?
No. CMS identifies this as a maternity code for which the usual global surgery rules do not apply.
How are other procedures handled when performed in the same session?
Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
How does 59515 differ from 59510?
59510 represents routine obstetric care that includes antepartum care, cesarean delivery, and postpartum care. 59515 covers cesarean delivery with postpartum care, without the antepartum-care portion.
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
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