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 VBAC delivery Medicare reimbursement rates in Rhode Island
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. Compare 59614 office and facility rates across CMS payment localities in Rhode Island.
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 59614 in Rhode Island?
Rhode Island 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
$1061.17
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 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 Rhode Island, 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.
Compare 59614 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$1061.17
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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 59614 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,669
- Code
- 59614
- Physician work
- 20.48
- Practice expense
- 4.88
- Malpractice
- 6.57
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 20.48 | × 1.019 | 20.8691 |
| Practice expense | 4.88 | × 1.033 | 5.0410 |
| Malpractice | 6.57 | × 0.892 | 5.8604 |
| Total RVUs | 31.7706 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$1061.17
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 20.48 | 1.019 |
| Practice expense | 4.88 | 1.033 |
| Malpractice | 6.57 | 0.892 |
(20.48 × 1.019 + 4.88 × 1.033 + 6.57 × 0.892) × $33.4009 = $1061.17
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.
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537