No office rate
Choose 59514 when the service is limited to cesarean delivery. Choose 59515 when the clinician or practice also provides postpartum care.
On this page
CMS RVU26D · Effective 2026-10-01
59515 Cesarean delivery Medicare reimbursement rates in Idaho
Report this service for cesarean delivery when the same clinician or practice also provides the associated postpartum care, but not antepartum care. Compare 59515 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 59515 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
$1079.33
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 59515: Cesarean delivery with postpartum care
Report this service for cesarean delivery when the same clinician or practice also provides the associated postpartum care, but not antepartum care.
This service covers a cesarean delivery and the associated postpartum care. It is typically performed by an obstetrician in a hospital or other facility equipped for surgical delivery. Unlike a maternity-care package that includes antepartum visits, this code does not represent antepartum care. The postpartum portion distinguishes it from cesarean delivery reported without postpartum care.
Select the code based on which portions of maternity care the reporting clinician or practice provided: cesarean delivery plus postpartum care supports this code, while delivery alone points to a different code. Documentation should identify the cesarean delivery and establish that postpartum care was included in the clinician’s services. 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 the other procedures at 50%.
CMS billing rules for 59515
- 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 RVU22.79 · 62%
- Practice expense (office) RVU6.62 · 18%
- Malpractice RVU7.26 · 20%
310
Medicare services in 2024 · #3971 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.
59515 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
59510 includes routine antepartum care as well as cesarean delivery and postpartum care; 59515 covers the delivery and postpartum care without antepartum care.
No office rate
59525 describes hysterectomy performed after cesarean delivery, not the cesarean delivery and postpartum-care service itself.
Compare 59515 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
$1079.33
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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 59515 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,665
- Code
- 59515
- Physician work
- 22.79
- Practice expense
- 6.62
- Malpractice
- 7.26
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.79 | × 1.000 | 22.7900 |
| Practice expense | 6.62 | × 0.920 | 6.0904 |
| Malpractice | 7.26 | × 0.473 | 3.4340 |
| Total RVUs | 32.3144 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$1079.33
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.79 | 1 |
| Practice expense | 6.62 | 0.92 |
| Malpractice | 7.26 | 0.473 |
(22.79 × 1 + 6.62 × 0.92 + 7.26 × 0.473) × $33.4009 = $1079.33
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.
59515 billing questions
How does 59515 differ from 59514?
59515 includes postpartum care with the cesarean delivery. Use 59514 when the reported service is the cesarean delivery only.
Does 59515 include antepartum care?
No. The code covers the cesarean delivery and postpartum care, not antepartum care.
What documentation supports reporting 59515?
The record should document the cesarean delivery and show that the clinician or practice provided the associated postpartum care.
Does the usual surgical global period apply?
No. CMS identifies this as a maternity code for which the usual global surgery rules do not apply.
How are other procedures handled when performed in the same session?
Under the CMS multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
How does 59515 differ from 59510?
59510 represents routine obstetric care that includes antepartum care, cesarean delivery, and postpartum care. 59515 covers cesarean delivery with postpartum care, without the antepartum-care portion.
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.
6,66259430,,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
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
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