No office rate
Use 59614 when postpartum care is included; 59612 reports the VBAC delivery without postpartum care.
On this page
CMS RVU26D · Effective 2026-10-01
59614 in Ohio
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1054.07
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 59614: Vaginal delivery after prior cesarean with postpartum care
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.
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%.
CMS billing rules for 59614
- 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 RVU20.48 · 64%
- Practice expense (office) RVU4.88 · 15%
- Malpractice RVU6.57 · 21%
25
Medicare services in 2024 · #5798 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.
59614 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
59610 includes antepartum care as well as vaginal delivery and postpartum care after a prior cesarean. 59614 covers delivery and postpartum care only.
No office rate
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.
No office rate
59614 applies when the delivery is vaginal. 59622 applies when attempted VBAC ends in cesarean delivery and postpartum care is included.
The same code, a different location
How does Ohio compare?
59614 across payment areas
Same release and payment basis · bars start at $0
Ohio · This locality
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 Ohio 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
Alabama
Alabama · 59614
Office
Unavailable
Facility
$950.88
No comparable office rate is available.
Arkansas
Arkansas · 59614
Office
Unavailable
Facility
$937.08
No comparable office rate is available.
Arizona
Arizona · 59614
Office
Unavailable
Facility
$1029.84
No comparable office rate is available.
Bakersfield
California · 59614
Office
Unavailable
Facility
$1009.33
No comparable office rate is available.
Chico
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
El Centro
California · 59614
Office
Unavailable
Facility
$993.04
No comparable office rate is available.
Fresno
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Hanford-Corcoran
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Madera
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Merced
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Modesto
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Napa
California · 59614
Office
Unavailable
Facility
$1053.45
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 59614
Office
Unavailable
Facility
$1032.58
No comparable office rate is available.
Redding
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Rest Of California
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 59614
Office
Unavailable
Facility
$1062.19
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 59614
Office
Unavailable
Facility
$1015.86
No comparable office rate is available.
Salinas
California · 59614
Office
Unavailable
Facility
$1011.79
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 59614
Office
Unavailable
Facility
$1018.45
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 59614
Office
Unavailable
Facility
$1079.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 59614
Office
Unavailable
Facility
$1072.12
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 59614
Office
Unavailable
Facility
$1111.96
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 59614
Office
Unavailable
Facility
$1081.46
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 59614
Office
Unavailable
Facility
$998.95
No comparable office rate is available.
Santa Cruz-Watsonville
California · 59614
Office
Unavailable
Facility
$1014.08
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 59614
Office
Unavailable
Facility
$1010.88
No comparable office rate is available.
Santa Rosa-Petaluma
California · 59614
Office
Unavailable
Facility
$1022.35
No comparable office rate is available.
Stockton
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Vallejo
California · 59614
Office
Unavailable
Facility
$1042.70
No comparable office rate is available.
Visalia
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Yuba City
California · 59614
Office
Unavailable
Facility
$991.95
No comparable office rate is available.
Colorado
Colorado · 59614
Office
Unavailable
Facility
$1037.07
No comparable office rate is available.
Connecticut
Connecticut · 59614
Office
Unavailable
Facility
$1138.81
No comparable office rate is available.
Delaware
Delaware · 59614
Office
Unavailable
Facility
$1045.79
No comparable office rate is available.
Fort Lauderdale
Florida · 59614
Office
Unavailable
Facility
$1245.92
No comparable office rate is available.
Rest Of Florida
Florida · 59614
Office
Unavailable
Facility
$1169.70
No comparable office rate is available.
Atlanta
Georgia · 59614
Office
Unavailable
Facility
$1115.26
No comparable office rate is available.
Rest Of Georgia
Georgia · 59614
Office
Unavailable
Facility
$1091.02
No comparable office rate is available.
Hawaii, Guam
Hawaii · 59614
Office
Unavailable
Facility
$996.44
No comparable office rate is available.
Iowa
Iowa · 59614
Office
Unavailable
Facility
$920.31
No comparable office rate is available.
Idaho
Idaho · 59614
Office
Unavailable
Facility
$937.80
No comparable office rate is available.
East St. Louis
Illinois · 59614
Office
Unavailable
Facility
$1275.97
No comparable office rate is available.
Rest Of Illinois
Illinois · 59614
Office
Unavailable
Facility
$1175.86
No comparable office rate is available.
Suburban Chicago
Illinois · 59614
Office
Unavailable
Facility
$1245.09
No comparable office rate is available.
Indiana
Indiana · 59614
Office
Unavailable
Facility
$941.80
No comparable office rate is available.
Kansas
Kansas · 59614
Office
Unavailable
Facility
$942.00
No comparable office rate is available.
Kentucky
Kentucky · 59614
Office
Unavailable
Facility
$1029.75
No comparable office rate is available.
New Orleans
Louisiana · 59614
Office
Unavailable
Facility
$1086.72
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 59614
Office
Unavailable
Facility
$1038.53
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 59614
Office
Unavailable
Facility
$1102.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 59614
Office
Unavailable
Facility
$1041.53
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 59614
Office
Unavailable
Facility
$1141.34
No comparable office rate is available.
Rest Of Maryland
Maryland · 59614
Office
Unavailable
Facility
$1057.29
No comparable office rate is available.
Rest Of Maine
Maine · 59614
Office
Unavailable
Facility
$970.50
No comparable office rate is available.
Southern Maine
Maine · 59614
Office
Unavailable
Facility
$984.05
No comparable office rate is available.
Detroit
Michigan · 59614
Office
Unavailable
Facility
$1211.32
No comparable office rate is available.
Rest Of Michigan
Michigan · 59614
Office
Unavailable
Facility
$1080.62
No comparable office rate is available.
Minnesota
Minnesota · 59614
Office
Unavailable
Facility
$916.73
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 59614
Office
Unavailable
Facility
$1051.50
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 59614
Office
Unavailable
Facility
$1059.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 59614
Office
Unavailable
Facility
$1038.29
No comparable office rate is available.
Mississippi
Mississippi · 59614
Office
Unavailable
Facility
$986.56
No comparable office rate is available.
Montana**
Montana · 59614
Office
Unavailable
Facility
$1066.05
No comparable office rate is available.
North Carolina
North Carolina · 59614
Office
Unavailable
Facility
$976.35
No comparable office rate is available.
North Dakota**
North Dakota · 59614
Office
Unavailable
Facility
$936.14
No comparable office rate is available.
Nebraska
Nebraska · 59614
Office
Unavailable
Facility
$917.45
No comparable office rate is available.
New Hampshire
New Hampshire · 59614
Office
Unavailable
Facility
$1045.74
No comparable office rate is available.
Northern Nj
New Jersey · 59614
Office
Unavailable
Facility
$1150.59
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 59614
Office
Unavailable
Facility
$1130.13
No comparable office rate is available.
New Mexico
New Mexico · 59614
Office
Unavailable
Facility
$1097.07
No comparable office rate is available.
Nevada**
Nevada · 59614
Office
Unavailable
Facility
$1030.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 59614
Office
Unavailable
Facility
$1329.14
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 59614
Office
Unavailable
Facility
$1158.84
No comparable office rate is available.
Queens
New York · 59614
Office
Unavailable
Facility
$1236.93
No comparable office rate is available.
Rest Of New York
New York · 59614
Office
Unavailable
Facility
$993.17
No comparable office rate is available.
Oklahoma
Oklahoma · 59614
Office
Unavailable
Facility
$1000.11
No comparable office rate is available.
Portland
Oregon · 59614
Office
Unavailable
Facility
$1039.35
No comparable office rate is available.
Rest Of Oregon
Oregon · 59614
Office
Unavailable
Facility
$1000.66
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 59614
Office
Unavailable
Facility
$1127.84
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 59614
Office
Unavailable
Facility
$1041.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 59614
Office
Unavailable
Facility
$1064.99
No comparable office rate is available.
Rhode Island
Rhode Island · 59614
Office
Unavailable
Facility
$1061.17
No comparable office rate is available.
South Carolina
South Carolina · 59614
Office
Unavailable
Facility
$1021.19
No comparable office rate is available.
South Dakota**
South Dakota · 59614
Office
Unavailable
Facility
$920.78
No comparable office rate is available.
Tennessee
Tennessee · 59614
Office
Unavailable
Facility
$950.06
No comparable office rate is available.
Austin
Texas · 59614
Office
Unavailable
Facility
$1052.30
No comparable office rate is available.
Beaumont
Texas · 59614
Office
Unavailable
Facility
$1036.24
No comparable office rate is available.
Brazoria
Texas · 59614
Office
Unavailable
Facility
$1022.22
No comparable office rate is available.
Dallas
Texas · 59614
Office
Unavailable
Facility
$1040.83
No comparable office rate is available.
Fort Worth
Texas · 59614
Office
Unavailable
Facility
$1042.06
No comparable office rate is available.
Galveston
Texas · 59614
Office
Unavailable
Facility
$1033.08
No comparable office rate is available.
Houston
Texas · 59614
Office
Unavailable
Facility
$1153.33
No comparable office rate is available.
Rest Of Texas
Texas · 59614
Office
Unavailable
Facility
$1036.89
No comparable office rate is available.
Utah
Utah · 59614
Office
Unavailable
Facility
$1034.33
No comparable office rate is available.
Virginia
Virginia · 59614
Office
Unavailable
Facility
$999.20
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 59614
Office
Unavailable
Facility
$1064.99
No comparable office rate is available.
Vermont
Vermont · 59614
Office
Unavailable
Facility
$956.46
No comparable office rate is available.
Rest Of Washington
Washington · 59614
Office
Unavailable
Facility
$1031.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 59614
Office
Unavailable
Facility
$1097.54
No comparable office rate is available.
Wisconsin
Wisconsin · 59614
Office
Unavailable
Facility
$907.79
No comparable office rate is available.
West Virginia
West Virginia · 59614
Office
Unavailable
Facility
$1139.72
No comparable office rate is available.
Wyoming**
Wyoming · 59614
Office
Unavailable
Facility
$1009.44
No comparable office rate is available.
See how rates vary across the country
59614 · 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?
Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 59614 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1159.48
$1054.07 × 110% = $1159.48
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 59614 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,669
- Code
- 59614
- Physician work
- 20.48
- Practice expense
- 4.88
- Malpractice
- 6.57
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.48 | × 1.000 | 20.4800 |
| Practice expense | 4.88 | × 0.913 | 4.4554 |
| Malpractice | 6.57 | × 1.008 | 6.6226 |
| Total RVUs | 31.5580 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1054.07
Open 59614 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.48 | 1 |
| Practice expense | 4.88 | 0.913 |
| Malpractice | 6.57 | 1.008 |
(20.48 × 1 + 4.88 × 0.913 + 6.57 × 1.008) × $33.4009 = $1054.07
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
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
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 | $1054.07 | RVU26D |
| 2026-07-01 | Not available in this setting | $1054.07 | RVU26C |
| 2026-04-01 | Not available in this setting | $1054.07 | RVU26B |
| 2026-01-01 | Not available in this setting | $1054.07 | RVU26A |
| 2025-10-01 | Not available in this setting | $1119.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $1119.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $1119.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $1119.04 | RVU25A |
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 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.
6,66659525,,Remove uterus after cesarean,A,,8.32,1.77,NA,1.77,,2.67,12.76,12.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66759610,,Vbac delivery,A,,38.71,18.63,NA,18.63,,12.44,69.78,69.78,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66859612,,Vbac delivery only,A,,16.09,3.41,NA,3.41,,5.15,24.65,24.65,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66959614,,Vbac care after delivery,A,,20.48,4.88,NA,4.88,,6.57,31.93,31.93,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67059618,,Attempted vbac delivery,A,,41.57,19.93,NA,19.93,,13.36,74.86,74.86,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67159620,,Attempted vbac delivery only,A,,16.66,3.53,NA,3.53,,5.33,25.52,25.52,0,MMM,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67259622,,Attempted vbac after care,A,,23.32,7.03,NA,7.03,,7.47,37.82,37.82,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703