CPT 59414
Global MMM ActiveDeliver placenta
CPT 59414 Billing & Documentation Guide
CPT code 59414 (Deliver placenta) is classified under Surgery (Urinary/Reproductive) with a global period indicator of MMM. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.61, a non-facility practice expense RVU of 0.35, and a malpractice RVU of 0.5, a total non-facility RVU of 2.46 and facility RVU of 2.46. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $81.37, though rates vary from $70.12 to $108.18 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 59414, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 59414 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Maternity codes (separate billing rules)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 59414 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 59414
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.61 | 1.61 |
| Practice Expense RVU | 0.35 | 0.35 |
| Malpractice RVU | 0.5 | 0.5 |
| Total RVU | 2.46 | 2.46 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 59414
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $78.59 | $78.59 | $76.45 - $85.5 | 29 |
| Florida | $98.01 | $98.01 | $90.05 - $108.18 | 3 |
| Georgia | $84.99 | $84.99 | $84.11 - $85.87 | 2 |
| Illinois | $97.18 | $97.18 | $90.55 - $104.23 | 4 |
| Michigan | $88.26 | $88.26 | $83.3 - $93.21 | 2 |
| North Carolina | $75.35 | $75.35 | $75.35 - $75.35 | 1 |
| New York | $92.07 | $92.07 | $76.62 - $102.13 | 5 |
| Ohio | $81.28 | $81.28 | $81.28 - $81.28 | 1 |
| Pennsylvania | $83.57 | $83.57 | $80.29 - $86.84 | 2 |
| Texas | $81.09 | $81.09 | $78.82 - $88.79 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 59414
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 59414 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01960 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01967 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 59414
What does CPT code 59414 mean? +
CPT code 59414 represents: Deliver placenta. It's in the Surgery (Urinary/Reproductive) category with a global period of MMM.
What is the Medicare reimbursement for CPT 59414? +
The 2026 Medicare national average non-facility payment for CPT 59414 is $81.37. Rates range from $70.12 to $108.18 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 59414? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 59414? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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