CPT code 59515: Cesarean delivery, includes postpartum care2026 Medicare rate & RVUs in Montana
Report this service for cesarean delivery when the same clinician or practice also provides the associated postpartum care, but not antepartum care.
In Montana, Medicare pays $1,224.33 for 59515 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59515 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 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.
How Montana compares for 59515
Across 109 of 109 payment localities, the facility rate for 59515 runs from $1,047.72 in Wisconsin to $1,604.64 in Miami, FL. Montana pays $1,224.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$1,224.33
- Los Angeles, CA · California$1,215.01−$9.32
- Washington, DC area · District of Columbia$1,332.68+$108.35
- Miami, FL · Florida$1,604.64+$380.31
- Chicago, IL · Illinois$1,545.27+$320.94
- Manhattan, NY · New York$1,451.45+$227.12
- Alaska · Alaska$1,510.91+$286.58
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,091.93 |
| ArkansasArkansas | — | $1,076.03 |
| ArizonaArizona | — | $1,183.04 |
| Bakersfield, CACalifornia | — | $1,165.69 |
| Chico, CACalifornia | — | $1,146.46 |
| El Centro, CACalifornia | — | $1,147.68 |
| Fresno, CACalifornia | — | $1,146.46 |
| Hanford, CACalifornia | — | $1,146.46 |
| Madera, CACalifornia | — | $1,146.46 |
| Merced, CACalifornia | — | $1,146.46 |
| Modesto, CACalifornia | — | $1,146.46 |
| Napa, CACalifornia | — | $1,223.78 |
| Oxnard, CACalifornia | — | $1,194.95 |
| Redding, CACalifornia | — | $1,146.46 |
| Rest of CaliforniaCalifornia | — | $1,146.46 |
| Riverside, CACalifornia | — | $1,224.09 |
| Sacramento, CACalifornia | — | $1,175.74 |
| Salinas, CACalifornia | — | $1,171.05 |
| San Diego, CACalifornia | — | $1,179.92 |
| Marin County, CACalifornia | — | $1,256.59 |
| San Francisco, CACalifornia | — | $1,248.35 |
| San Benito County, CACalifornia | — | $1,293.76 |
| Santa Clara County, CACalifornia | — | $1,260.05 |
| San Luis Obispo, CACalifornia | — | $1,155.97 |
| Santa Cruz, CACalifornia | — | $1,175.82 |
| Santa Maria, CACalifornia | — | $1,170.31 |
| Santa Rosa, CACalifornia | — | $1,185.55 |
| Stockton, CACalifornia | — | $1,146.46 |
| Vallejo, CACalifornia | — | $1,211.89 |
| Visalia, CACalifornia | — | $1,146.46 |
| Yuba City, CACalifornia | — | $1,146.46 |
| ColoradoColorado | — | $1,194.99 |
| ConnecticutConnecticut | — | $1,307.98 |
| DelawareDelaware | — | $1,201.47 |
| Fort Lauderdale, FLFlorida | — | $1,423.62 |
| Rest of FloridaFlorida | — | $1,337.05 |
| Atlanta, GAGeorgia | — | $1,279.37 |
| Rest of GeorgiaGeorgia | — | $1,247.49 |
| Hawaii, Guam, HIHawaii | — | $1,153.02 |
| IowaIowa | — | $1,059.79 |
| IdahoIdaho | — | $1,079.33 |
| East St. Louis, ILIllinois | — | $1,453.01 |
| Rest of IllinoisIllinois | — | $1,342.10 |
| Suburban Chicago, ILIllinois | — | $1,423.31 |
| IndianaIndiana | — | $1,084.03 |
| KansasKansas | — | $1,083.31 |
| KentuckyKentucky | — | $1,179.66 |
| New Orleans, LALouisiana | — | $1,244.74 |
| Rest of LouisianaLouisiana | — | $1,189.20 |
| Metropolitan Boston, MAMassachusetts | — | $1,272.24 |
| Rest of MassachusettsMassachusetts | — | $1,199.48 |
| Baltimore area, MDMaryland | — | $1,310.60 |
| Rest of MarylandMaryland | — | $1,215.19 |
| Rest of MaineMaine | — | $1,115.46 |
| Southern Maine, MEMaine | — | $1,133.34 |
| Detroit, MIMichigan | — | $1,383.42 |
| Rest of MichiganMichigan | — | $1,236.86 |
| MinnesotaMinnesota | — | $1,060.51 |
| Metropolitan Kansas City, MOMissouri | — | $1,205.75 |
| Metropolitan St. Louis, MOMissouri | — | $1,214.68 |
| Rest of MissouriMissouri | — | $1,187.99 |
| MississippiMississippi | — | $1,130.79 |
| North CarolinaNorth Carolina | — | $1,122.46 |
| North DakotaNorth Dakota | — | $1,080.77 |
| NebraskaNebraska | — | $1,056.96 |
| New HampshireNew Hampshire | — | $1,203.57 |
| Northern New JerseyNew Jersey | — | $1,324.63 |
| Rest of New JerseyNew Jersey | — | $1,299.12 |
| New MexicoNew Mexico | — | $1,255.20 |
| NevadaNevada | — | $1,184.54 |
| NYC suburbs and Long Island, NYNew York | — | $1,523.13 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,330.99 |
| Queens, NYNew York | — | $1,420.95 |
| Rest of New YorkNew York | — | $1,141.74 |
| OhioOhio | — | $1,207.51 |
| OklahomaOklahoma | — | $1,147.08 |
| Portland, OROregon | — | $1,199.46 |
| Rest of OregonOregon | — | $1,151.91 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,294.38 |
| Rest of PennsylvaniaPennsylvania | — | $1,193.34 |
| Puerto RicoPuerto Rico | — | $1,223.61 |
| Rhode IslandRhode Island | — | $1,220.38 |
| South CarolinaSouth Carolina | — | $1,171.63 |
| South DakotaSouth Dakota | — | $1,063.80 |
| TennesseeTennessee | — | $1,092.42 |
| Austin, TXTexas | — | $1,211.51 |
| Beaumont, TXTexas | — | $1,187.69 |
| Brazoria, TXTexas | — | $1,175.56 |
| Dallas, TXTexas | — | $1,196.34 |
| Fort Worth, TXTexas | — | $1,197.28 |
| Galveston, TXTexas | — | $1,187.64 |
| Houston, TXTexas | — | $1,320.53 |
| Rest of TexasTexas | — | $1,190.01 |
| UtahUtah | — | $1,186.81 |
| VirginiaVirginia | — | $1,149.76 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,223.61 |
| VermontVermont | — | $1,102.81 |
| Rest of WashingtonWashington | — | $1,188.47 |
| King County, WAWashington | — | $1,268.69 |
| WisconsinWisconsin | — | $1,047.72 |
| West VirginiaWest Virginia | — | $1,300.36 |
| WyomingWyoming | — | $1,161.76 |
59515 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,665
- Code
- 59515
- Physician work
- 22.79
- Practice expense
- 6.62
- Malpractice
- 7.26
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.79 | × 1.000 | 22.7900 |
| Practice expense | 6.62 | × 1.000 | 6.6200 |
| Malpractice | 7.26 | × 0.998 | 7.2455 |
| Total RVUs | 36.6555 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$1224.33
Facility: (22.79 × 1 + 6.62 × 1 + 7.26 × 0.998) × $33.4009 = $1224.33
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%).
How 59515 has changed in Montana
59515 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,224.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,224.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,224.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,224.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,298.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,298.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,298.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,298.70 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,338.77 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,338.77 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,338.77 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,338.77 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,316.92 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,319.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,319.12 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,319.12 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,319.12 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,332.85 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,332.85 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,332.85 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,332.85 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,335.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,335.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,335.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,335.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,395.42 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,395.42 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,395.42 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,395.42 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,435.76 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,435.76 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,435.76 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,435.76 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,432.65 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,432.65 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,432.65 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,432.65 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,396.62 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,396.62 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,396.62 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,396.62 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,350.96 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,350.96 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,350.96 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,350.96 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,362.44 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,362.44 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,355.66 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,355.66 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,357.69 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,357.69 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,357.69 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,357.69 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,314.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,314.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,314.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,314.56 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
Show the CMS file lines behind this rate
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