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CPT code 59612: VBAC delivery, delivery only2026 Medicare rate & RVUs

Reports the delivery service when a patient with a prior cesarean gives birth vaginally and the clinician provides delivery care only.

CMS RVU26DEffective Oct 1, 2026109 payment localities42 Medicare services in 2024

Medicare pays $823.33 for 59612 nationally in a facility.

Medicare rate · 59612

VBAC delivery, delivery only

Office or facility?

Work RVUs
16.09
Total RVUs
24.65
Global days
MMM

National rate · 2026

$823.33

Facility setting, before claim adjustments.

See every locality for 59612 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 59612 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 59612 covers

This code represents the clinician’s delivery service when a patient with a prior cesarean gives birth vaginally, with or without episiotomy or forceps. It covers the delivery portion alone, rather than the complete obstetric package. An obstetrician or family physician commonly reports it for a hospital birth after labor following cesarean ends in vaginal delivery.

Report 59612 when the billing clinician furnishes the vaginal delivery but not the antepartum and postpartum care represented by the comprehensive maternity code. Documentation should establish the prior cesarean, vaginal delivery, and which obstetric-care components the clinician provided. Do not use it when the trial of labor ends in cesarean delivery. CMS treats this as a maternity code, so usual global surgery rules do not apply. If another procedure subject to the standard multiple-procedure rule is performed in the same session, the highest-valued procedure is paid in full and the others at 50%.

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.

Where 59612 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

59612 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$734.44
AlaskaUnavailable$1,022.21
ArizonaUnavailable$795.03
ArkansasUnavailable$723.85
Atlanta, GAUnavailable$861.34
Austin, TXUnavailable$811.40
Bakersfield, CAUnavailable$777.22
Baltimore area, MDUnavailable$881.01
Beaumont, TXUnavailable$800.87
Brazoria, TXUnavailable$788.76

59612 rates by state

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

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Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
59612 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 59612 rate is calculated

Each of 59612’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.

How the rate is built · 59612

RVUs × geographic indexes × conversion factor

Office or facility?

Work16.09

16.09 RVUs× 1.000 GPCI

Practice expense3.41

3.41 RVUs× 1.000 GPCI

Malpractice5.15

5.15 RVUs× 1.000 GPCI

Adjusted RVUs

24.6500

Conversion factor

$33.4009

Medicare rate

$823.33

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 59612

The CMS indicators that decide how 59612 is paid alongside other services.

CMS payment indicators · 59612

VBAC delivery, delivery only

RuleCMS valueWhat it means
Global periodMMMMaternity care: global rules don’t follow the standard pattern.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

59612 without 51 · national facility

$823.33

VBAC delivery, delivery only

59612-51 · Second procedure: 50%

$411.67

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

59612 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 59612

    VBAC delivery, delivery only16.09 wRVU

    Not priced

  • 59610

    VBAC care, complete care through postpartum38.71 wRVU

    Not priced

  • 59409

    Vaginal delivery, delivery only14.37 wRVU

    Not priced

  • 59620

    VBAC delivery, attempted, delivery only16.66 wRVU

    Not priced

  • 59618

    Attempted VBAC, complete care, cesarean outcome41.57 wRVU

    Not priced

How to choose

59610VBAC careComplete care through postpartum
59610 includes routine antepartum and postpartum care along with vaginal delivery after a prior cesarean. 59612 is limited to the delivery service.
59409Vaginal deliveryDelivery only
59409 is the delivery-only vaginal birth code when the prior-cesarean circumstance is not present. 59612 is specific to vaginal delivery after a prior cesarean.
59620VBAC deliveryAttempted, delivery only
59620 is for cesarean delivery only after attempted vaginal delivery following a prior cesarean. 59612 applies when that delivery is vaginal.
59618Attempted VBACComplete care, cesarean outcome
59618 covers routine obstetric care through attempted vaginal delivery and cesarean after a prior cesarean. 59612 covers delivery only when the birth is vaginal.

Codes related to 59612

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

Codes related to 59612
CodeHow it relatesNational office range
Same family
59610VBAC care, complete care through postpartumComprehensive obstetric care through vaginal delivery after a prior cesarean.No office rate
59614VBAC delivery, includes postpartum carePostpartum care only following vaginal delivery after a prior cesarean.No office rate
Used instead
59618Attempted VBAC, complete care, cesarean outcomeComprehensive care when attempted vaginal delivery after prior cesarean ends in cesarean delivery.No office rate
59620VBAC delivery, attempted, delivery onlyCesarean delivery only after attempted vaginal delivery following a prior cesarean.No office rate
59409Vaginal delivery, delivery onlyDelivery-only vaginal birth code for a patient without the prior-cesarean circumstance.No office rate

59612 billing questions

How does 59612 differ from 59610?

59612 reports the vaginal delivery only. Use 59610 when the clinician provides the comprehensive obstetric care package, including antepartum care, delivery, and postpartum care.

Does 59612 include antepartum or postpartum care?

No. It represents the vaginal delivery service only; report the appropriate maternity-care code when the clinician also provides other obstetric-care components.

What if labor after the prior cesarean ends in cesarean delivery?

Use the code matching the care furnished and delivery outcome. 59620 represents cesarean delivery only after attempted vaginal delivery following a prior cesarean; 59618 includes routine care through that attempted delivery and cesarean.

What should the record support?

The record should show the prior cesarean, the successful vaginal delivery, and that the billed clinician furnished the delivery service rather than the full antepartum and postpartum package.

Does the usual surgical global period apply?

No. CMS identifies 59612 as a maternity code, for which the usual global surgery rules do not apply.

How is it paid when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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

Show the CMS file lines behind this rate
RVUs for 59612PPRRVU2026_Oct_nonQPP.csv, line 6,668 (RVU26D)

Open CMS sourceHow we calculate rates

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