No office rate
59409 reports vaginal fetal delivery. 59414 is for a distinct placental delivery service, not the routine third stage of a vaginal birth.
On this page
CMS RVU26D · Effective 2026-10-01
59414 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$81.05
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Obstetrics
About 59414: Separate placental delivery
Report separate placental delivery when the placenta requires a distinct service after fetal delivery, rather than as part of routine vaginal delivery care.
CPT 59414 represents delivery of the placenta as a distinct obstetric service after the fetus has been delivered. A typical situation is a retained placenta requiring manual extraction after the birth; the service may be performed by the delivering obstetrician or another clinician responsible for completing placental delivery. It is most often encountered in a hospital or other labor-and-delivery setting.
Report the code only when the placental service is separate from the routine delivery service being billed. The record should establish that fetal delivery had occurred and describe the separate placental intervention, such as manual removal for retained placenta. When another procedure is performed in the same session, CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full and other procedures are paid at 50%. The usual global surgery rules do not apply to this maternity code.
CMS billing rules for 59414
- Global period
- Maternity code: the usual global surgery rules do not apply.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU1.61 · 65%
- Practice expense (office) RVU0.35 · 14%
- Malpractice RVU0.50 · 20%
41
Medicare services in 2024 · #5489 by national volume
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.
59414 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
59410 includes vaginal delivery and postpartum care. 59414 describes separate placental delivery and does not represent postpartum care.
No office rate
59400 covers comprehensive maternity care, including vaginal delivery. 59414 is limited to a separate placental service and is not a substitute for comprehensive care.
The same code, a different location
How does Austin compare?
59414 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 59414
Office
Unavailable
Facility
$79.95
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 59414
Office
Unavailable
Facility
$80.90
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 59414
Office
Unavailable
Facility
$89.04
No comparable office rate is available.
Miami
Florida · 59414
Office
Unavailable
Facility
$108.18
No comparable office rate is available.
Chicago
Illinois · 59414
Office
Unavailable
Facility
$104.23
No comparable office rate is available.
Manhattan
New York · 59414
Office
Unavailable
Facility
$97.29
No comparable office rate is available.
Alaska*
Alaska · 59414
Office
Unavailable
Facility
$102.32
No comparable office rate is available.
Alabama
Alabama · 59414
Office
Unavailable
Facility
$73.46
No comparable office rate is available.
Arkansas
Arkansas · 59414
Office
Unavailable
Facility
$72.42
No comparable office rate is available.
Arizona
Arizona · 59414
Office
Unavailable
Facility
$79.40
No comparable office rate is available.
Bakersfield
California · 59414
Office
Unavailable
Facility
$77.78
No comparable office rate is available.
Chico
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
El Centro
California · 59414
Office
Unavailable
Facility
$76.54
No comparable office rate is available.
Fresno
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Hanford-Corcoran
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Madera
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Merced
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Modesto
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Napa
California · 59414
Office
Unavailable
Facility
$81.05
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 59414
Office
Unavailable
Facility
$79.50
No comparable office rate is available.
Redding
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Rest Of California
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 59414
Office
Unavailable
Facility
$81.80
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 59414
Office
Unavailable
Facility
$78.26
No comparable office rate is available.
Salinas
California · 59414
Office
Unavailable
Facility
$77.94
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 59414
Office
Unavailable
Facility
$78.42
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 59414
Office
Unavailable
Facility
$83.03
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 59414
Office
Unavailable
Facility
$82.47
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 59414
Office
Unavailable
Facility
$85.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 59414
Office
Unavailable
Facility
$83.18
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 59414
Office
Unavailable
Facility
$76.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 59414
Office
Unavailable
Facility
$78.06
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 59414
Office
Unavailable
Facility
$77.86
No comparable office rate is available.
Santa Rosa-Petaluma
California · 59414
Office
Unavailable
Facility
$78.70
No comparable office rate is available.
Stockton
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Vallejo
California · 59414
Office
Unavailable
Facility
$80.24
No comparable office rate is available.
Visalia
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Yuba City
California · 59414
Office
Unavailable
Facility
$76.45
No comparable office rate is available.
Colorado
Colorado · 59414
Office
Unavailable
Facility
$79.90
No comparable office rate is available.
Connecticut
Connecticut · 59414
Office
Unavailable
Facility
$87.65
No comparable office rate is available.
Delaware
Delaware · 59414
Office
Unavailable
Facility
$80.61
No comparable office rate is available.
Fort Lauderdale
Florida · 59414
Office
Unavailable
Facility
$95.81
No comparable office rate is available.
Rest Of Florida
Florida · 59414
Office
Unavailable
Facility
$90.05
No comparable office rate is available.
Atlanta
Georgia · 59414
Office
Unavailable
Facility
$85.87
No comparable office rate is available.
Rest Of Georgia
Georgia · 59414
Office
Unavailable
Facility
$84.11
No comparable office rate is available.
Hawaii, Guam
Hawaii · 59414
Office
Unavailable
Facility
$76.74
No comparable office rate is available.
Iowa
Iowa · 59414
Office
Unavailable
Facility
$71.10
No comparable office rate is available.
Idaho
Idaho · 59414
Office
Unavailable
Facility
$72.43
No comparable office rate is available.
East St. Louis
Illinois · 59414
Office
Unavailable
Facility
$98.17
No comparable office rate is available.
Rest Of Illinois
Illinois · 59414
Office
Unavailable
Facility
$90.55
No comparable office rate is available.
Suburban Chicago
Illinois · 59414
Office
Unavailable
Facility
$95.75
No comparable office rate is available.
Indiana
Indiana · 59414
Office
Unavailable
Facility
$72.73
No comparable office rate is available.
Kansas
Kansas · 59414
Office
Unavailable
Facility
$72.76
No comparable office rate is available.
Kentucky
Kentucky · 59414
Office
Unavailable
Facility
$79.45
No comparable office rate is available.
New Orleans
Louisiana · 59414
Office
Unavailable
Facility
$83.75
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 59414
Office
Unavailable
Facility
$80.12
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 59414
Office
Unavailable
Facility
$84.80
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 59414
Office
Unavailable
Facility
$80.26
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 59414
Office
Unavailable
Facility
$87.84
No comparable office rate is available.
Rest Of Maryland
Maryland · 59414
Office
Unavailable
Facility
$81.47
No comparable office rate is available.
Rest Of Maine
Maine · 59414
Office
Unavailable
Facility
$74.92
No comparable office rate is available.
Southern Maine
Maine · 59414
Office
Unavailable
Facility
$75.90
No comparable office rate is available.
Detroit
Michigan · 59414
Office
Unavailable
Facility
$93.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 59414
Office
Unavailable
Facility
$83.30
No comparable office rate is available.
Minnesota
Minnesota · 59414
Office
Unavailable
Facility
$70.75
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 59414
Office
Unavailable
Facility
$81.07
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 59414
Office
Unavailable
Facility
$81.64
No comparable office rate is available.
Rest Of Missouri
Missouri · 59414
Office
Unavailable
Facility
$80.12
No comparable office rate is available.
Mississippi
Mississippi · 59414
Office
Unavailable
Facility
$76.18
No comparable office rate is available.
Montana**
Montana · 59414
Office
Unavailable
Facility
$82.13
No comparable office rate is available.
North Carolina
North Carolina · 59414
Office
Unavailable
Facility
$75.35
No comparable office rate is available.
North Dakota**
North Dakota · 59414
Office
Unavailable
Facility
$72.25
No comparable office rate is available.
Nebraska
Nebraska · 59414
Office
Unavailable
Facility
$70.88
No comparable office rate is available.
New Hampshire
New Hampshire · 59414
Office
Unavailable
Facility
$80.56
No comparable office rate is available.
Northern Nj
New Jersey · 59414
Office
Unavailable
Facility
$88.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 59414
Office
Unavailable
Facility
$87.01
No comparable office rate is available.
New Mexico
New Mexico · 59414
Office
Unavailable
Facility
$84.55
No comparable office rate is available.
Nevada**
Nevada · 59414
Office
Unavailable
Facility
$79.39
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 59414
Office
Unavailable
Facility
$102.13
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 59414
Office
Unavailable
Facility
$89.20
No comparable office rate is available.
Queens
New York · 59414
Office
Unavailable
Facility
$95.12
No comparable office rate is available.
Rest Of New York
New York · 59414
Office
Unavailable
Facility
$76.62
No comparable office rate is available.
Ohio
Ohio · 59414
Office
Unavailable
Facility
$81.28
No comparable office rate is available.
Oklahoma
Oklahoma · 59414
Office
Unavailable
Facility
$77.19
No comparable office rate is available.
Portland
Oregon · 59414
Office
Unavailable
Facility
$80.05
No comparable office rate is available.
Rest Of Oregon
Oregon · 59414
Office
Unavailable
Facility
$77.16
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 59414
Office
Unavailable
Facility
$86.84
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 59414
Office
Unavailable
Facility
$80.29
No comparable office rate is available.
Puerto Rico
Puerto Rico · 59414
Office
Unavailable
Facility
$82.04
No comparable office rate is available.
Rhode Island
Rhode Island · 59414
Office
Unavailable
Facility
$81.77
No comparable office rate is available.
South Carolina
South Carolina · 59414
Office
Unavailable
Facility
$78.77
No comparable office rate is available.
South Dakota**
South Dakota · 59414
Office
Unavailable
Facility
$71.08
No comparable office rate is available.
Tennessee
Tennessee · 59414
Office
Unavailable
Facility
$73.37
No comparable office rate is available.
Utah
Utah · 59414
Office
Unavailable
Facility
$79.76
No comparable office rate is available.
Virginia
Virginia · 59414
Office
Unavailable
Facility
$77.06
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 59414
Office
Unavailable
Facility
$82.04
No comparable office rate is available.
Vermont
Vermont · 59414
Office
Unavailable
Facility
$73.80
No comparable office rate is available.
Rest Of Washington
Washington · 59414
Office
Unavailable
Facility
$79.49
No comparable office rate is available.
Seattle (King Cnty)
Washington · 59414
Office
Unavailable
Facility
$84.45
No comparable office rate is available.
Wisconsin
Wisconsin · 59414
Office
Unavailable
Facility
$70.12
No comparable office rate is available.
West Virginia
West Virginia · 59414
Office
Unavailable
Facility
$87.83
No comparable office rate is available.
Wyoming**
Wyoming · 59414
Office
Unavailable
Facility
$77.82
No comparable office rate is available.
See how rates vary across the country
59414 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 59414 in Austin
Multiple payment areas
- 59414 in Barton Creek
- 59414 in Bee Cave
- 59414 in Briarcliff
- 59414 in Cedar Park
Multiple payment areas
- 59414 in Creedmoor
Multiple payment areas
- 59414 in Elgin
Multiple payment areas
- 59414 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 59414 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$89.16
$81.05 × 110% = $89.16
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59414 in Austin.
PPRRVU2026_Oct_nonQPP.csv
6,659
- Code
- 59414
- Physician work
- 1.61
- Practice expense
- 0.35
- Malpractice
- 0.50
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.61 | × 1.002 | 1.6132 |
| Practice expense | 0.35 | × 1.058 | 0.3703 |
| Malpractice | 0.50 | × 0.886 | 0.4430 |
| Total RVUs | 2.4265 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$81.05
Open 59414 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.61 | 1.002 |
| Practice expense | 0.35 | 1.058 |
| Malpractice | 0.5 | 0.886 |
(1.61 × 1.002 + 0.35 × 1.058 + 0.5 × 0.886) × $33.4009 = $81.05
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
59414 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $81.05 | RVU26D |
| 2026-07-01 | Not available in this setting | $81.05 | RVU26C |
| 2026-04-01 | Not available in this setting | $81.05 | RVU26B |
| 2026-01-01 | Not available in this setting | $81.05 | RVU26A |
| 2025-10-01 | Not available in this setting | $87.84 | RVU25D |
| 2025-07-01 | Not available in this setting | $87.84 | RVU25C |
| 2025-04-01 | Not available in this setting | $87.84 | RVU25B |
| 2025-01-01 | Not available in this setting | $87.84 | RVU25A |
59414 billing questions
When should 59414 be reported instead of 59409?
59409 represents vaginal delivery; routine placental delivery is part of that delivery service. Use 59414 for a distinct placental delivery service, such as separate removal of a retained placenta, rather than to unbundle routine completion of the birth.
Can 59414 be reported with a vaginal delivery code?
It may be appropriate when the placental service is genuinely separate from the fetal delivery service and the documentation supports both. The record should make clear what separate placental intervention was performed.
What documentation supports 59414?
Document that the fetus had been delivered, the placental problem or circumstance requiring separate service, and the clinician's actions to deliver or remove the placenta.
Does 59414 have the usual surgical global period?
No. CMS identifies 59414 as a maternity code for which the usual global surgery rules do not apply.
How does the multiple procedure reduction affect 59414?
When it is performed with another procedure in the same session, CMS pays the highest-valued procedure in full and the other procedure or procedures at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,65659409,,Obstetrical care,A,,14.37,3.22,NA,3.22,,4.02,21.61,21.61,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65759410,,Obstetrical care,A,,18.76,5.13,NA,5.13,,5.34,29.23,29.23,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65859412,,Antepartum manipulation,A,,1.71,0.57,NA,0.57,,0.54,2.82,2.82,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,65959414,,Deliver placenta,A,,1.61,0.35,NA,0.35,,0.50,2.46,2.46,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66059425,,Antepartum care only,A,,7.80,7.18,,1.70,,2.23,17.21,11.73,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66159426,,Antepartum care only,A,,14.30,13.20,,3.11,,4.10,31.60,21.51,0,MMM,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66259430,,Care after delivery,A,,3.22,3.68,,0.70,,0.92,7.82,4.84,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858