CPT code 59614: VBAC delivery, includes postpartum care2026 Medicare rate & RVUs in Virginia
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.
In Virginia, Medicare pays $999.20 for 59614 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59614 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 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.
How Virginia compares for 59614
Across 109 of 109 payment localities, the facility rate for 59614 runs from $907.79 in Wisconsin to $1,408.70 in Miami, FL. Virginia pays $999.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$999.20
- Los Angeles, CA · California$1,050.63+$51.43
- Washington, DC area · District of Columbia$1,157.24+$158.04
- Miami, FL · Florida$1,408.70+$409.50
- Chicago, IL · Illinois$1,356.27+$357.07
- Manhattan, NY · New York$1,265.27+$266.07
- Alaska · Alaska$1,320.58+$321.38
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $950.88 |
| ArkansasArkansas | — | $937.08 |
| ArizonaArizona | — | $1,029.84 |
| Bakersfield, CACalifornia | — | $1,009.33 |
| Chico, CACalifornia | — | $991.95 |
| El Centro, CACalifornia | — | $993.04 |
| Fresno, CACalifornia | — | $991.95 |
| Hanford, CACalifornia | — | $991.95 |
| Madera, CACalifornia | — | $991.95 |
| Merced, CACalifornia | — | $991.95 |
| Modesto, CACalifornia | — | $991.95 |
| Napa, CACalifornia | — | $1,053.45 |
| Oxnard, CACalifornia | — | $1,032.58 |
| Redding, CACalifornia | — | $991.95 |
| Rest of CaliforniaCalifornia | — | $991.95 |
| Riverside, CACalifornia | — | $1,062.19 |
| Sacramento, CACalifornia | — | $1,015.86 |
| Salinas, CACalifornia | — | $1,011.79 |
| San Diego, CACalifornia | — | $1,018.45 |
| Marin County, CACalifornia | — | $1,079.58 |
| San Francisco, CACalifornia | — | $1,072.12 |
| San Benito County, CACalifornia | — | $1,111.96 |
| Santa Clara County, CACalifornia | — | $1,081.46 |
| San Luis Obispo, CACalifornia | — | $998.95 |
| Santa Cruz, CACalifornia | — | $1,014.08 |
| Santa Maria, CACalifornia | — | $1,010.88 |
| Santa Rosa, CACalifornia | — | $1,022.35 |
| Stockton, CACalifornia | — | $991.95 |
| Vallejo, CACalifornia | — | $1,042.70 |
| Visalia, CACalifornia | — | $991.95 |
| Yuba City, CACalifornia | — | $991.95 |
| ColoradoColorado | — | $1,037.07 |
| ConnecticutConnecticut | — | $1,138.81 |
| DelawareDelaware | — | $1,045.79 |
| Fort Lauderdale, FLFlorida | — | $1,245.92 |
| Rest of FloridaFlorida | — | $1,169.70 |
| Atlanta, GAGeorgia | — | $1,115.26 |
| Rest of GeorgiaGeorgia | — | $1,091.02 |
| Hawaii, Guam, HIHawaii | — | $996.44 |
| IowaIowa | — | $920.31 |
| IdahoIdaho | — | $937.80 |
| East St. Louis, ILIllinois | — | $1,275.97 |
| Rest of IllinoisIllinois | — | $1,175.86 |
| Suburban Chicago, ILIllinois | — | $1,245.09 |
| IndianaIndiana | — | $941.80 |
| KansasKansas | — | $942.00 |
| KentuckyKentucky | — | $1,029.75 |
| New Orleans, LALouisiana | — | $1,086.72 |
| Rest of LouisianaLouisiana | — | $1,038.53 |
| Metropolitan Boston, MAMassachusetts | — | $1,102.02 |
| Rest of MassachusettsMassachusetts | — | $1,041.53 |
| Baltimore area, MDMaryland | — | $1,141.34 |
| Rest of MarylandMaryland | — | $1,057.29 |
| Rest of MaineMaine | — | $970.50 |
| Southern Maine, MEMaine | — | $984.05 |
| Detroit, MIMichigan | — | $1,211.32 |
| Rest of MichiganMichigan | — | $1,080.62 |
| MinnesotaMinnesota | — | $916.73 |
| Metropolitan Kansas City, MOMissouri | — | $1,051.50 |
| Metropolitan St. Louis, MOMissouri | — | $1,059.11 |
| Rest of MissouriMissouri | — | $1,038.29 |
| MississippiMississippi | — | $986.56 |
| MontanaMontana | — | $1,066.05 |
| North CarolinaNorth Carolina | — | $976.35 |
| North DakotaNorth Dakota | — | $936.14 |
| NebraskaNebraska | — | $917.45 |
| New HampshireNew Hampshire | — | $1,045.74 |
| Northern New JerseyNew Jersey | — | $1,150.59 |
| Rest of New JerseyNew Jersey | — | $1,130.13 |
| New MexicoNew Mexico | — | $1,097.07 |
| NevadaNevada | — | $1,030.01 |
| NYC suburbs and Long Island, NYNew York | — | $1,329.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,158.84 |
| Queens, NYNew York | — | $1,236.93 |
| Rest of New YorkNew York | — | $993.17 |
| OhioOhio | — | $1,054.07 |
| OklahomaOklahoma | — | $1,000.11 |
| Portland, OROregon | — | $1,039.35 |
| Rest of OregonOregon | — | $1,000.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,127.84 |
| Rest of PennsylvaniaPennsylvania | — | $1,041.06 |
| Puerto RicoPuerto Rico | — | $1,064.99 |
| Rhode IslandRhode Island | — | $1,061.17 |
| South CarolinaSouth Carolina | — | $1,021.19 |
| South DakotaSouth Dakota | — | $920.78 |
| TennesseeTennessee | — | $950.06 |
| Austin, TXTexas | — | $1,052.30 |
| Beaumont, TXTexas | — | $1,036.24 |
| Brazoria, TXTexas | — | $1,022.22 |
| Dallas, TXTexas | — | $1,040.83 |
| Fort Worth, TXTexas | — | $1,042.06 |
| Galveston, TXTexas | — | $1,033.08 |
| Houston, TXTexas | — | $1,153.33 |
| Rest of TexasTexas | — | $1,036.89 |
| UtahUtah | — | $1,034.33 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,064.99 |
| VermontVermont | — | $956.46 |
| Rest of WashingtonWashington | — | $1,031.58 |
| King County, WAWashington | — | $1,097.54 |
| WisconsinWisconsin | — | $907.79 |
| West VirginiaWest Virginia | — | $1,139.72 |
| WyomingWyoming | — | $1,009.44 |
59614 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 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.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,669
- Code
- 59614
- Physician work
- 20.48
- Practice expense
- 4.88
- Malpractice
- 6.57
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.48 | × 1.000 | 20.4800 |
| Practice expense | 4.88 | × 0.983 | 4.7970 |
| Malpractice | 6.57 | × 0.706 | 4.6384 |
| Total RVUs | 29.9155 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$999.20
Facility: (20.48 × 1 + 4.88 × 0.983 + 6.57 × 0.706) × $33.4009 = $999.20
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%).
How 59614 has changed in Virginia
59614 · 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 | $999.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $999.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $999.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $999.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,084.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,084.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,084.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,084.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,115.81 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,115.81 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,115.81 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,115.81 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,097.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,124.16 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,124.16 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,124.16 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,124.16 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,150.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,150.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,150.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,150.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,156.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,156.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,156.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,156.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,171.13 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,171.13 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,171.13 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,171.13 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,159.08 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,159.08 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,156.46 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,156.46 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,161.50 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,161.50 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,161.50 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,161.50 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,158.75 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,158.75 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,158.75 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,158.75 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,145.84 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,145.84 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,145.84 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,145.84 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,153.82 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,153.82 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,148.08 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,148.08 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,148.24 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,148.24 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,148.24 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,148.24 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,109.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,109.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,109.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,109.21 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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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