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Billing code 59614: VBAC deliveryMedicare rate & RVUs

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 RVU26DEffective Oct 1, 2026109 payment localities25 Medicare services in 2024

Medicare pays $1,066.49 for 59614 nationally in a facility.

Medicare rate · 59614

VBAC delivery

Swap in your local Medicare rate.

Work RVUs
20.48
Total RVUs
31.93
Global days
MMM

National rate · 2026

$1,066.49

Facility setting, before claim adjustments.

See every locality for 59614 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 59614 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 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

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59614 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$950.88
Alaska*Unavailable$1,320.58
ArizonaUnavailable$1,029.84
ArkansasUnavailable$937.08
AtlantaUnavailable$1,115.26
AustinUnavailable$1,052.30
BakersfieldUnavailable$1,009.33
Baltimore/Surr. CntysUnavailable$1,141.34
BeaumontUnavailable$1,036.24
BrazoriaUnavailable$1,022.22

59614 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
59614 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 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

Swap in your local Medicare rate.

Work 20.48Practice expense 4.88Malpractice 6.57

31.9300 adjusted RVUs×$33.4009 conversion factor=$1,066.49

All indexes start 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

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
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

59614 without 51 · national facility

$1,066.49

VBAC delivery

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%).

When to use modifier 51

59614 compared with similar codes

Compare codes

59614 vs 59612 vs 59610 vs 59410 vs 59622: national Medicare rates

Swap in your local Medicare rate.

  • 59614
    VBAC delivery · 20.48 wRVU
    —
  • 59612
    VBAC delivery · 16.09 wRVU
    —
  • 59610
    VBAC care · 38.71 wRVU
    —
  • 59410
    Vaginal delivery · 18.76 wRVU
    —
  • 59622
    Postpartum care · 23.32 wRVU
    —

How to choose

59612VBAC delivery
Use 59614 when postpartum care is included; 59612 reports the VBAC delivery without postpartum care.
59610VBAC care
59610 includes antepartum care as well as vaginal delivery and postpartum care after a prior cesarean. 59614 covers delivery and postpartum care only.
59410Vaginal delivery
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 care
59614 applies when the delivery is vaginal. 59622 applies when attempted VBAC ends in cesarean delivery and postpartum care is included.

Codes related to 59614

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

Codes related to 59614
CodeHow it relatesNational office range
Same family
59612VBAC deliveryVBAC delivery without the postpartum care included in 59614.No office rate
59610VBAC careVBAC maternity package that also includes antepartum care.No office rate
Used instead
59410Vaginal deliveryVaginal delivery with postpartum care when there is no prior cesarean.No office rate
59622Postpartum careCesarean with postpartum care after attempted VBAC.No office rate
59620VBAC deliveryCesarean only after attempted VBAC, without the postpartum care included in 59614.No office rate

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
RVUs for 59614PPRRVU2026_Oct_nonQPP.csv, line 6,669 (RVU26D)

Open CMS sourceHow we calculate rates

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