CPT 59514 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures for Maternity Care and Delivery |
| Common Place of Service | • 21 - Inpatient Hospital • 22 - On Campus Outpatient Hospital • 11 - Office |
| Common Modifiers | • None • 80 - Assistant surgeon • AG - Primary physician |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 59514 |
National average reimbursement for CPT 59514 by major payers:
$1,168.47
$1,221.46
$1,284.01
$1,482.79
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 59514 | ||||||
United | 59514 | $1556.73 | 1518062819 - AZIZULLAH MEHRZAD | 350593390 - DEACONESS HOSPITAL INC | KY | Geriatric Medicine (Internal Medicine) Physician (207RG0300X) |
United | 59514 | $950.70 | 1578593133 - JOSEPH DEWANE | 621478123 - MEMPHIS OBSTETRICS & GYNECOLOGY PC | TN | Obstetrics & Gynecology Physician (207V00000X) |
United | 59514 | $950.63 | 1114926292 - JEFFREY BERG | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 59514 | $1556.73 | 1356676480 - KHAWAJA ZAKI | 350593390 - DEACONESS HOSPITAL INC | IN | Pulmonary Disease Physician (207RP1001X) |
United | 59514 | $1556.73 | 1407866866 - CHRISTINE SCHAFFER | 350593390 - DEACONESS HOSPITAL INC | IN | Hospitalist Physician (208M00000X) |
United | 59514 | $1556.73 | 1194834440 - LAURA DIAZ DEL CASTILLO | 350593390 - DEACONESS HOSPITAL INC | IN | Emergency Medicine Physician (207P00000X) |
United | 59514 | $1445.47 | 1811000177 - CHARLESTON RADIOLOGISTS PA | 570634747 - CHARLESTON RADIOLOGISTS, P.A. | SC | Diagnostic Radiology Physician (2085R0202X) |
United | 59514 | $1343.00 | 1801281951 - STEPHANIE TENG | 454019056 | DC | Obstetrics & Gynecology Physician (207V00000X) |
United | 59514 | $1803.43 | 1508270570 - HOLLIS KONITZER | 560529945 | NC | Obstetrics & Gynecology Physician (207V00000X) |
United | 59514 | $2770.39 | 1659831576 - KULVEEN GILL | 223487984 - SUMMIT MEDICAL GROUP, P.A. | NJ | Obstetrics & Gynecology Physician (207V00000X) |
United | 59514 | $1681.81 | 1801813266 - GREGG BEAN | 741671142 - (TX) SOUTH TEXAS RADIOLOGY GROUP, P.A. | TX | Diagnostic Radiology Physician (2085R0202X) |
United | 59514 | $1968.32 | 1750391355 - NAVED JAFRI | 541820401 - MID-ATLANTIC WOMEN'S CARE, P.L.C. | VA | Obstetrics & Gynecology Physician (207V00000X) |
United | 59514 | $1556.73 | 1255894325 - YPAUL GOLDENMERRY | 350593390 - DEACONESS HOSPITAL INC | TX | Anesthesiology Physician (207L00000X) |
United | 59514 | $494.00 | 1225199482 - ST MARKS SURGICAL CENTER LLC | 364577700 - (FL) ST MARKS SURGICAL CENTER LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 59514 | $1565.56 | 1861450140 - MICHAEL TWEDE | 852975223 | UT | Obstetrics & Gynecology Physician (207V00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 59514 vs. Other Surgical Procedures for Maternity Care and Delivery Codes
The CPT 59514 code is part of the Surgery services used for Surgical Procedures for Maternity Care and Delivery. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 59514 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 59510-CPT | High | Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, And Postpartum Care |
| 59514-CPT | High | Caesarean Delivery Only |
| 59515-CPT | High | Cesarean Delivery Only; Including Postpartum Care |
| 59525-CPT | Moderate | Subtotal Or Total Hysterectomy After Cesarean Delivery (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 59514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 59514 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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