CPT code 59409: Vaginal delivery, delivery only2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $654.39 for 59409 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 59409 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 59409 covers

This code represents the clinician’s work for a vaginal birth, whether spontaneous or assisted with forceps, and includes an episiotomy when performed. Obstetricians and other qualified clinicians report it for the delivery encounter, commonly in a hospital or other delivery setting; it is the delivery-only option rather than a package that also captures antepartum or postpartum care.

Select 59409 when the billed clinician’s service is the vaginal delivery and not the related antepartum/postpartum package. The record should support the vaginal birth and delivery services provided, including any forceps or episiotomy. Routine global surgery rules do not apply to this maternity code. If other procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50% under the standard multiple-procedure rule.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Vermont compares for 59409

Across 109 of 109 payment localities, the facility rate for 59409 runs from $624.36 in Wisconsin to $931.50 in Miami, FL. Vermont pays $654.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

59409 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 59409 in every payment locality

How the 59409 rate is calculated

Each of 59409’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 59409

The CMS indicators that decide how 59409 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 59409

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 59409 has changed in Vermont

Price 59409 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates