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

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, 2026One payment locality42 Medicare services in 2024

In Connecticut, Medicare pays $878.97 for 59612 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$878.97Hospital or facility

Check a contract rate as a % of Medicare · 59612 nationwide

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

We’ll open 59612 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 59612 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Connecticut compares for 59612

Across 109 of 109 payment localities, the facility rate for 59612 runs from $699.51 in Wisconsin to $1,091.01 in Miami, FL. Connecticut pays $878.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

59612 in Connecticut vs other payment areas
  1. Connecticut · this page$878.97
  2. Los Angeles, CA · California$808.41−$70.56
  3. Washington, DC area · District of Columbia$892.06+$13.09
  4. Miami, FL · Florida$1,091.01+$212.04
  5. Chicago, IL · Illinois$1,050.42+$171.45
  6. Manhattan, NY · New York$976.98+$98.01
  7. Alaska · Alaska$1,022.21+$143.24

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

59612 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$734.44
ArkansasArkansas—$723.85
ArizonaArizona—$795.03
Bakersfield, CACalifornia—$777.22
Chico, CACalifornia—$763.59
El Centro, CACalifornia—$764.45
Fresno, CACalifornia—$763.59
Hanford, CACalifornia—$763.59

59612 rates by state

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

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

See 59612 in every payment locality

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.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,668

Code
59612
Physician work
16.09
Practice expense
3.41
Malpractice
5.15

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 59612 in Connecticut
ComponentRVULocality factorAdjusted
Physician work16.09× 1.02016.4118
Practice expense3.41× 1.0773.6726
Malpractice5.15× 1.2106.2315
Total RVUs26.3159
Conversion factor× 33.4009

Facility rate, Connecticut$878.97

Facility: (16.09 × 1.02 + 3.41 × 1.077 + 5.15 × 1.21) × $33.4009 = $878.97

Open 59612 in the RVU calculator

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

How 59612 has changed in Connecticut

59612 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$878.97RVU26D
2026-07-01Not available in this setting$878.97RVU26C
2026-04-01Not available in this setting$878.97RVU26B
2026-01-01Not available in this setting$878.97RVU26A
2025-10-01Not available in this setting$941.97RVU25D
2025-07-01Not available in this setting$941.97RVU25C
2025-04-01Not available in this setting$941.97RVU25B
2025-01-01Not available in this setting$941.97RVU25A
2024-10-01Not available in this setting$970.22RVU24D
2024-07-01Not available in this setting$970.22RVU24C
2024-04-01Not available in this setting$970.22RVU24B
2024-03-09Not available in this setting$970.22RVU24AR
2024-01-01Not available in this setting$954.38RVU24A
2023-10-01Not available in this setting$968.29RVU23D
2023-07-01Not available in this setting$968.29RVU23C
2023-04-01Not available in this setting$968.29RVU23B
2023-01-01Not available in this setting$968.29RVU23A
2022-10-01Not available in this setting$961.14RVU22D
2022-07-01Not available in this setting$961.14RVU22C
2022-04-01Not available in this setting$961.14RVU22B
2022-01-01Not available in this setting$961.14RVU22A
2021-10-01Not available in this setting$966.87RVU21D
2021-07-01Not available in this setting$966.87RVU21C
2021-04-01Not available in this setting$966.87RVU21B
2021-01-01Not available in this setting$966.87RVU21A
2020-10-01Not available in this setting$1,016.24RVU20D
2020-07-01Not available in this setting$1,016.24RVU20C
2020-04-01Not available in this setting$1,016.24RVU20B
2020-01-01Not available in this setting$1,016.24RVU20A
2019-10-01Not available in this setting$1,024.16RVU19D
2019-07-01Not available in this setting$1,024.16RVU19C
2019-04-01Not available in this setting$1,024.16RVU19B
2019-01-01Not available in this setting$1,024.16RVU19A
2018-10-01Not available in this setting$1,025.63RVU18D
2018-07-01Not available in this setting$1,025.63RVU18C
2018-04-01Not available in this setting$1,025.63RVU18B
2018-01-01Not available in this setting$1,025.63RVU18AR1
2017-10-01Not available in this setting$1,031.28RVU17D
2017-07-01Not available in this setting$1,031.28RVU17C
2017-04-01Not available in this setting$1,031.28RVU17B
2017-01-01Not available in this setting$1,031.28RVU17A
2016-10-01Not available in this setting$1,027.08RVU16D
2016-07-01Not available in this setting$1,027.08RVU16C
2016-04-01Not available in this setting$1,027.08RVU16B
2016-01-01Not available in this setting$1,027.08RVU16A
2015-10-01Not available in this setting$1,034.81RVU15D
2015-07-01Not available in this setting$1,034.81RVU15C
2015-04-01Not available in this setting$1,029.66RVU15B
2015-01-01Not available in this setting$1,029.66RVU15A
2014-10-01Not available in this setting$1,040.67RVU14D
2014-07-01Not available in this setting$1,040.67RVU14C
2014-04-01Not available in this setting$1,040.67RVU14B
2014-01-01Not available in this setting$1,040.67RVU14A
2013-10-01Not available in this setting$1,014.52RVU13D
2013-07-01Not available in this setting$1,014.52RVU13C
2013-04-01Not available in this setting$1,014.52RVU13B
2013-01-01Not available in this setting$1,014.52RVU13AR

Price 59612 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

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)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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