CPT Code 59510
Cesarean delivery with prenatal and postpartum care
2026 Medicare national rate
Office (non-facility)
$2473.34
Performed in a physician office
Facility
$2473.34
Hospital / ASC setting
Total RVUs (office)
74.05
74.05 facility
Conversion factor
$33.4009
2026 PFS
Medicare payment = total RVUs × GPCI (locality adjustment) × conversion factor. At the national level (GPCI = 1.0), 74.05 × 33.4009 = $2473.34 (office). Facility rates are lower because the facility separately bills its overhead.
RVU breakdown
Work RVU
41.05
Office PE RVU
20.00
Facility PE RVU
20.00
Malpractice RVU
13.00
PC/TC: Physician service — not subject to a professional/technical split.
Billing notes
- The national allowable is built from 74.05 total office RVUs × the $33.4009 conversion factor; multiply by your locality GPCIs (above) to reconcile a specific remittance.
Billing & payment rules
- Multiple procedures
- Standard multiple-procedure reduction applies (100% / 50% / 50%…).
- Assistant surgeon
- Assistant surgeon may not be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgeons
- Team surgeons not permitted.
- Global period
- Maternity code — the global period follows maternity-care rules.
2026 rate by locality
| Locality | Office | Facility |
|---|---|---|
| National (GPCI 1.0) | $2473.34 | $2473.34 |
| Manhattan, NY | $2923.75 | $2923.75 |
| Los Angeles, CA | $2505.90 | $2505.90 |
| Houston, TX | $2642.89 | $2642.89 |
| Chicago, IL | $3048.58 | $3048.58 |
| Miami, FL | $3164.64 | $3164.64 |
| Atlanta, GA | $2575.41 | $2575.41 |
Computed from CMS 2026 GPCIs: (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × $33.4009. Your MAC's locality may differ.
Related Surgery codes
Related guides
Medical billing disclaimer
Rates shown are 2026 Physician Fee Schedule amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.