59614 Delivery

CPT 59614

CPT 59614: VBAC Delivery Plus Postpartum CareVBAC Delivery Plus Postpartum Care

2027 change This code is scheduled for deletion on January 1, 2027, when CPT unbundles the global maternity package. Current rules apply through 2026 dates of service. See what replaces it →

The short answer

Use 59614 when your practice delivers a VBAC and provides routine postpartum care, but the antepartum course does not support the global package. It is the late-transfer workhorse of the VBAC family: bill 59614 for delivery and follow-up, plus 59425, 59426, or per-visit E/M for the antepartum visits you provided. Whole-pregnancy care is 59610; delivery with no follow-up is 59612.

Source: CMSSource: ACOGSource: CMS MPFS 2026

When to use 59614

Report 59614 for the vaginal delivery after a prior cesarean plus the routine postpartum window: recovery care and the outpatient postpartum visits. The typical patient transferred in during the third trimester, attempted and completed a VBAC with you, and stays for follow-up. The antepartum thresholds are the same ones that govern the whole delivery hub: 1 to 3 visits as E/M, 4 to 6 as 59425, 7 or more as 59426. If the labor trial had ended in a repeat cesarean, the parallel code is 59622. Document the prior cesarean and the trial of labor; they are what justify the VBAC family over the plain 59410.

Documentation checklist

The claim needs the VBAC history, the delivery, the postpartum care, and the transfer story, each anchored to a date.

✓ Prior cesarean documented with the diagnosis on the claim

✓ Delivery note showing vaginal delivery after trial of labor

✓ Transfer date establishing when care became yours

✓ Antepartum visit count supporting the paired antepartum code

✓ Postpartum visits documented within the payer's global window

✓ One billing entity across delivery and postpartum care

Global package rules

59614 is the VBAC global package 59610 minus antepartum care. Outside-the-bundle services are unchanged: ultrasounds, non-stress tests, labs, and E/M for distinct problems bill separately, while routine postpartum visits stay inside the code. The bundling trap is the same as with 59410: billing routine postpartum E/M on top of a postpartum-inclusive delivery code invites a CO-97. See The Global OB Package, explained. ACOG When postpartum care stands alone without a delivery claim, see postpartum visit coding.

Reimbursement

2026 · national Medicare averages

Component	Work RVU	Total RVU	2026 rate
59614Delivery + postpartum	20.48	31.93	$1,066.49

National amounts under the 2026 Medicare Physician Fee Schedule (non-facility total RVU x $33.4009 conversion factor, no locality/MAC adjustment). Commercial and Medicaid rates differ. Verify current values with your MAC before billing.

Common denials

CO-97 Routine postpartum E/M billed separately

Why it happens

Follow-up visits inside the postpartum-inclusive code were billed as standalone E/M services.

How to fix

Routine postpartum care is inside 59614. Bill separate E/M only for distinct problems with their own diagnoses, with modifier 24 where a global period applies.

Source: NCCI

CO-16 VBAC history missing from the claim

Why it happens

The claim lacked a prior-cesarean diagnosis to support the VBAC code family.

How to fix

Resubmit with the history coded and documented in the obstetric record.

Source: CMS

CO-236 Billed with a global code

Why it happens

59614 appeared alongside 59610 for the same pregnancy, duplicating delivery and postpartum payment.

How to fix

Choose the structure matching the actual care span and remove the other line.

Source: NCCI

CO-50 Payer read the care as global-eligible

Why it happens

Visit history suggested your practice provided the full antepartum course, so components looked like unbundling.

How to fix

If the whole span was yours, rebill 59610. Otherwise appeal with the transfer date and the prior practice's antepartum claims.

Source: ACOG

CO-119 Global fee already paid elsewhere

Why it happens

The transferring practice billed a global code across the handoff.

How to fix

Coordinate the correction to antepartum-only codes on their side, then resubmit yours.

Source: CMS

FAQ

What is the CPT code description for 59614?

In plain language, 59614 covers a vaginal delivery in a patient with a prior cesarean, plus routine postpartum care afterward, without the antepartum visits, which bill separately by count.

When do I use 59614 rather than 59610?

When the antepartum care was mostly elsewhere. A third-trimester transfer who completes a VBAC with you and stays through postpartum is the textbook 59614 patient.

Which antepartum code goes with it after a late transfer?

Whatever your visit count earns: individual E/M for 1 to 3 visits, 59425 for 4 to 6, 59426 for 7 or more.

What if the VBAC attempt converts to a cesarean?

Bill 59622 instead, the cesarean-after-attempted-VBAC code with postpartum care. Outcome picks the code within the family.

Is postpartum depression screening inside the postpartum bundle?

The screening service is typically separately reportable with its own code and diagnosis, payer permitting, even when the visit itself is inside the package. See the payer's preventive-services policy.

CPT® is a registered trademark of the American Medical Association. Educational reference only, not billing, legal, or medical advice. Maintained by Ouma Health, a maternal-fetal telemedicine practice. Printed from obcodingguide.com, content current as of July 2026.