CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59514 RVU and Medicare Payment (2026)
Cesarean delivery only — 16.13 work RVU, about $823.67 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 16.13
- PE RVU (non-facility)
- 3.52
- PE RVU (facility)
- 3.52
- MP RVU
- 5.01
- Office payment
- $823.67
- Facility payment
- $823.67
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 59514 in a non-facility setting with national GPCI: (16.13 + 3.52 + 5.01) × $33.4009 ≈ $823.67. The same code in a facility setting pays about $823.67 because facility PE RVU (3.52) replaces office PE RVU.
What changes by locality
GPCI moves 59514 non-facility payment from $702.93 to $1,084.35 across CMS localities — from Wisconsin to Miami. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 59514?
16.13. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 59514 in 2026?
About $823.67 non-facility ($823.67 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (16.13) and malpractice RVU stay fixed; only practice expense changes (3.52 office vs 3.52 facility). That is the entire office-vs-facility payment gap.