Billing code 59514: Cesarean deliveryMedicare rate & RVUs in Guam
Report 59514 for cesarean delivery when the billed obstetric service covers delivery only, without antepartum or postpartum care.
CMS doesn’t publish an office rate for 59514 in Guam.
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 9 sections
What 59514 covers
An obstetrician or other qualified surgeon delivers the infant and placenta through abdominal and uterine incisions, typically in a hospital operating room. Code 59514 represents the cesarean delivery service alone, rather than a maternity package that also includes prenatal or postpartum care. It is appropriate when the reporting clinician provides the delivery service but does not include those other phases of care in the billed service.
Choose the code based on which phases of maternity care the service includes: 59514 is delivery only, 59515 includes delivery and postpartum care, and 59510 includes antepartum, delivery, and postpartum care. Documentation should support the cesarean delivery and clarify the care included in the clinician’s service. The usual global surgery rules do not apply to this maternity code. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and pays 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.
59514 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | Unavailable | $769.32 |
How the 59514 rate is calculated
Each of 59514’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 · 59514
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 16.13Practice expense 3.52Malpractice 5.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 59514
The CMS indicators that decide how 59514 is paid alongside other services.
CMS payment indicators · 59514
Cesarean delivery
| 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| 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
59514 without 51 · national facility
$823.67
Cesarean delivery
59514-51 · Second procedure: 50%
$411.84
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%).
59514 compared with similar codes
Compare codes
59514 vs 59510 vs 59515 vs 59525: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 59510Cesarean care
- 59510 includes antepartum and postpartum care with cesarean delivery; 59514 covers the delivery service only.
- 59515Cesarean delivery
- 59515 includes postpartum care as well as cesarean delivery. Use 59514 when postpartum care is not included.
- 59525Cesarean hysterectomy
- 59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery itself.
59514 billing questions
How does 59514 differ from 59515?
59514 represents cesarean delivery only. Use 59515 when the service also includes postpartum care.
How does 59514 differ from 59510?
59510 includes antepartum, delivery, and postpartum care. 59514 is limited to the delivery service.
Can prenatal or postpartum care be reported separately?
Those phases are not included in 59514. Report other maternity services only when they were furnished and meet the applicable coding requirements.
What documentation supports 59514?
Document the cesarean delivery and the clinician’s role, along with which phases of maternity care were included in the service.
How are multiple procedures in the same session paid?
CMS pays the highest-valued procedure in full and pays the other procedures at 50% when performed in the same session.
Can 59525 be reported with a cesarean delivery?
59525 describes hysterectomy performed after cesarean delivery. Report it when that additional procedure is performed and its coding requirements are met.
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
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