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 Placental delivery Medicare reimbursement rates in Massachusetts
Report separate placental delivery when the placenta requires a distinct service after fetal delivery, rather than as part of routine vaginal delivery care. Compare 59414 office and facility rates across CMS payment localities in Massachusetts.
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 59414 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$80.26–$84.80
2 of 2 localities have a supported rate.
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 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 Massachusetts, 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.
Compare 59414 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$84.80
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$80.26
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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