CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59515 RVU and Medicare Payment (2026)
Cesarean delivery — 22.79 work RVU, about $1,224.81 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 22.79
- PE RVU (non-facility)
- 6.62
- PE RVU (facility)
- 6.62
- MP RVU
- 7.26
- Office payment
- $1,224.81
- Facility payment
- $1,224.81
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 59515 in a non-facility setting with national GPCI: (22.79 + 6.62 + 7.26) × $33.4009 ≈ $1,224.81. The same code in a facility setting pays about $1,224.81 because facility PE RVU (6.62) replaces office PE RVU.
What changes by locality
GPCI moves 59515 non-facility payment from $1,047.72 to $1,604.64 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 59515?
22.79. 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 59515 in 2026?
About $1,224.81 non-facility ($1,224.81 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 (22.79) and malpractice RVU stay fixed; only practice expense changes (6.62 office vs 6.62 facility). That is the entire office-vs-facility payment gap.