CPT code 59614: VBAC delivery, includes postpartum care2026 Medicare rate & RVUs in Missouri
Reports a vaginal birth after a prior cesarean, together with postpartum care, when the same clinician or practice does not report the full antepartum-to-postpartum maternity package.
CMS doesn’t publish an office rate for 59614 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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What 59614 covers
This code covers a vaginal birth after a previous cesarean delivery and the related postpartum care. It applies when the billed service includes the delivery and postpartum care but not the full antepartum, delivery, and postpartum package. The birth may involve an episiotomy or forceps. Obstetricians and other clinicians who provide obstetric delivery care commonly report it for a hospital birth after a trial of labor following cesarean.
Report the code when the record supports the prior cesarean, vaginal delivery, and postpartum care, and the antepartum portion is not included in the service billed. The maternity code is not subject to the usual global surgery rules, so do not use a standard surgical global period to define its follow-up. When multiple procedures are performed in the same session, the highest-valued procedure is paid 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 59614 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 | $1,051.50 |
| Metropolitan St. Louis, MO | Unavailable | $1,059.11 |
| Rest of Missouri | Unavailable | $1,038.29 |
How the 59614 rate is calculated
Each of 59614’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 · 59614
RVUs × geographic indexes × conversion factor
Work20.48
20.48 RVUs× 1.000 GPCI
Practice expense4.88
4.88 RVUs× 1.000 GPCI
Malpractice6.57
6.57 RVUs× 1.000 GPCI
Adjusted RVUs
31.9300
Conversion factor
$33.4009
Medicare rate
$1,066.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59614
The CMS indicators that decide how 59614 is paid alongside other services.
CMS payment indicators · 59614
VBAC 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) | 0 | Not paid without supporting documentation. |
| 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
59614 without 51 · national facility
$1,066.49
VBAC delivery, includes postpartum care
59614-51 · Second procedure: 50%
$533.25
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%).
59614 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59612VBAC deliveryDelivery only
- Use 59614 when postpartum care is included; 59612 reports the VBAC delivery without postpartum care.
- 59610VBAC careComplete care through postpartum
- 59610 includes antepartum care as well as vaginal delivery and postpartum care after a prior cesarean. 59614 covers delivery and postpartum care only.
- 59410Vaginal deliveryPostpartum care included
- Both include vaginal delivery and postpartum care, but 59614 is for delivery after a prior cesarean; 59410 is for vaginal delivery without that prior-cesarean circumstance.
- 59622Postpartum careAfter attempted VBAC
- 59614 applies when the delivery is vaginal. 59622 applies when attempted VBAC ends in cesarean delivery and postpartum care is included.
59614 billing questions
How does 59614 differ from 59612?
Both describe vaginal delivery after a prior cesarean. 59614 includes postpartum care; 59612 reports the delivery without that postpartum care.
Does 59614 include antepartum care?
No. It includes the vaginal delivery and postpartum care, but not the full antepartum-to-postpartum maternity package reported with 59610.
Can episiotomy or forceps be reported separately as part of this delivery?
The code includes a vaginal delivery with or without episiotomy or forceps. The delivery method alone does not change the selection to a different code in this family.
Do standard surgical global-period rules determine postpartum follow-up for 59614?
No. CMS identifies this as a maternity code, for which the usual global surgery rules do not apply.
How is 59614 paid when multiple procedures occur in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50% under the standard multiple procedure reduction.
What documentation supports reporting 59614?
The record should support the prior cesarean, the vaginal delivery, and postpartum care, and show that the reported service does not include antepartum care.
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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