No office rate
59510 includes antepartum and postpartum care with cesarean delivery; 59514 covers the delivery service only.
On this page
CMS RVU26D · Effective 2026-10-01
59514 Cesarean delivery Medicare reimbursement rates in Idaho
Report 59514 for cesarean delivery when the billed obstetric service covers delivery only, without antepartum or postpartum care. Compare 59514 office and facility rates across CMS payment localities in Idaho.
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.
What does Medicare pay for 59514 in Idaho?
Idaho has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$726.07
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Obstetrics
About 59514: Cesarean delivery without maternity care
Report 59514 for cesarean delivery when the billed obstetric service covers delivery only, without antepartum or postpartum care.
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%.
CMS billing rules for 59514
- 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 RVU16.13 · 65%
- Practice expense (office) RVU3.52 · 14%
- Malpractice RVU5.01 · 20%
1K
Medicare services in 2024 · #2941 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.
59514 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
59515 includes postpartum care as well as cesarean delivery. Use 59514 when postpartum care is not included.
No office rate
59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery itself.
Compare 59514 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Idaho →
Office / nonfacility
Unavailable
Facility
$726.07
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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 59514 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,664
- Code
- 59514
- Physician work
- 16.13
- Practice expense
- 3.52
- Malpractice
- 5.01
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.13 | × 1.000 | 16.1300 |
| Practice expense | 3.52 | × 0.920 | 3.2384 |
| Malpractice | 5.01 | × 0.473 | 2.3697 |
| Total RVUs | 21.7381 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$726.07
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.13 | 1 |
| Practice expense | 3.52 | 0.92 |
| Malpractice | 5.01 | 0.473 |
(16.13 × 1 + 3.52 × 0.92 + 5.01 × 0.473) × $33.4009 = $726.07
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.
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 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.
6,66159426,,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
6,66359510,,Cesarean delivery,A,,41.05,20.00,NA,20.00,,13.00,74.05,74.05,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66459514,,Cesarean delivery only,A,,16.13,3.52,NA,3.52,,5.01,24.66,24.66,0,MMM,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66659525,,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
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772