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.
In Connecticut, Medicare pays $878.97 for 59612 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Connecticut · this page$878.97
- Los Angeles, CA · California$808.41−$70.56
- Washington, DC area · District of Columbia$892.06+$13.09
- Miami, FL · Florida$1,091.01+$212.04
- Chicago, IL · Illinois$1,050.42+$171.45
- Manhattan, NY · New York$976.98+$98.01
- Alaska · Alaska$1,022.21+$143.24
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $763.59 |
| Merced, CACalifornia | — | $763.59 |
| Modesto, CACalifornia | — | $763.59 |
| Napa, CACalifornia | — | $808.78 |
| Oxnard, CACalifornia | — | $794.26 |
| Redding, CACalifornia | — | $763.59 |
| Rest of CaliforniaCalifornia | — | $763.59 |
| Riverside, CACalifornia | — | $818.65 |
| Sacramento, CACalifornia | — | $781.43 |
| Salinas, CACalifornia | — | $778.29 |
| San Diego, CACalifornia | — | $783.00 |
| Marin County, CACalifornia | — | $828.03 |
| San Francisco, CACalifornia | — | $822.18 |
| San Benito County, CACalifornia | — | $852.98 |
| Santa Clara County, CACalifornia | — | $829.07 |
| San Luis Obispo, CACalifornia | — | $768.49 |
| Santa Cruz, CACalifornia | — | $779.29 |
| Santa Maria, CACalifornia | — | $777.47 |
| Santa Rosa, CACalifornia | — | $785.61 |
| Stockton, CACalifornia | — | $763.59 |
| Vallejo, CACalifornia | — | $800.35 |
| Visalia, CACalifornia | — | $763.59 |
| Yuba City, CACalifornia | — | $763.59 |
| ColoradoColorado | — | $799.40 |
| DelawareDelaware | — | $807.28 |
| Fort Lauderdale, FLFlorida | — | $963.80 |
| Rest of FloridaFlorida | — | $904.84 |
| Atlanta, GAGeorgia | — | $861.34 |
| Rest of GeorgiaGeorgia | — | $844.06 |
| Hawaii, Guam, HIHawaii | — | $766.52 |
| IowaIowa | — | $709.93 |
| IdahoIdaho | — | $723.57 |
| East St. Louis, ILIllinois | — | $988.64 |
| Rest of IllinoisIllinois | — | $910.27 |
| Suburban Chicago, ILIllinois | — | $962.96 |
| IndianaIndiana | — | $726.60 |
| KansasKansas | — | $727.08 |
| KentuckyKentucky | — | $796.07 |
| New Orleans, LALouisiana | — | $840.01 |
| Rest of LouisianaLouisiana | — | $803.01 |
| Metropolitan Boston, MAMassachusetts | — | $848.54 |
| Rest of MassachusettsMassachusetts | — | $803.05 |
| Baltimore area, MDMaryland | — | $881.01 |
| Rest of MarylandMaryland | — | $815.97 |
| Rest of MaineMaine | — | $749.20 |
| Southern Maine, MEMaine | — | $758.83 |
| Detroit, MIMichigan | — | $937.35 |
| Rest of MichiganMichigan | — | $835.61 |
| MinnesotaMinnesota | — | $705.54 |
| Metropolitan Kansas City, MOMissouri | — | $812.43 |
| Metropolitan St. Louis, MOMissouri | — | $818.21 |
| Rest of MissouriMissouri | — | $803.14 |
| MississippiMississippi | — | $762.60 |
| MontanaMontana | — | $822.99 |
| North CarolinaNorth Carolina | — | $753.60 |
| North DakotaNorth Dakota | — | $721.16 |
| NebraskaNebraska | — | $707.57 |
| New HampshireNew Hampshire | — | $806.50 |
| Northern New JerseyNew Jersey | — | $887.11 |
| Rest of New JerseyNew Jersey | — | $871.99 |
| New MexicoNew Mexico | — | $848.45 |
| NevadaNevada | — | $794.72 |
| NYC suburbs and Long Island, NYNew York | — | $1,026.67 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $894.46 |
| Queens, NYNew York | — | $954.49 |
| Rest of New YorkNew York | — | $766.55 |
| OhioOhio | — | $814.80 |
| OklahomaOklahoma | — | $772.79 |
| Portland, OROregon | — | $800.54 |
| Rest of OregonOregon | — | $771.79 |
| Metropolitan Philadelphia, PAPennsylvania | — | $870.87 |
| Rest of PennsylvaniaPennsylvania | — | $804.53 |
| Puerto RicoPuerto Rico | — | $822.00 |
| Rhode IslandRhode Island | — | $818.72 |
| South CarolinaSouth Carolina | — | $788.87 |
| South DakotaSouth Dakota | — | $709.11 |
| TennesseeTennessee | — | $733.32 |
| Austin, TXTexas | — | $811.40 |
| Beaumont, TXTexas | — | $800.87 |
| Brazoria, TXTexas | — | $788.76 |
| Dallas, TXTexas | — | $803.29 |
| Fort Worth, TXTexas | — | $804.38 |
| Galveston, TXTexas | — | $797.25 |
| Houston, TXTexas | — | $891.51 |
| Rest of TexasTexas | — | $800.84 |
| UtahUtah | — | $798.95 |
| VirginiaVirginia | — | $770.82 |
| Virgin Islands, VIUnited States Virgin Islands | — | $822.00 |
| VermontVermont | — | $737.22 |
| Rest of WashingtonWashington | — | $795.24 |
| King County, WAWashington | — | $844.58 |
| WisconsinWisconsin | — | $699.51 |
| West VirginiaWest Virginia | — | $882.55 |
| WyomingWyoming | — | $778.61 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.09 | × 1.020 | 16.4118 |
| Practice expense | 3.41 | × 1.077 | 3.6726 |
| Malpractice | 5.15 | × 1.210 | 6.2315 |
| Total RVUs | 26.3159 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | MMM | Maternity care: global rules don’t follow the standard pattern. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $878.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $878.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $878.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $878.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $941.97 | RVU25D |
| 2025-07-01 | Not available in this setting | $941.97 | RVU25C |
| 2025-04-01 | Not available in this setting | $941.97 | RVU25B |
| 2025-01-01 | Not available in this setting | $941.97 | RVU25A |
| 2024-10-01 | Not available in this setting | $970.22 | RVU24D |
| 2024-07-01 | Not available in this setting | $970.22 | RVU24C |
| 2024-04-01 | Not available in this setting | $970.22 | RVU24B |
| 2024-03-09 | Not available in this setting | $970.22 | RVU24AR |
| 2024-01-01 | Not available in this setting | $954.38 | RVU24A |
| 2023-10-01 | Not available in this setting | $968.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $968.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $968.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $968.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $961.14 | RVU22D |
| 2022-07-01 | Not available in this setting | $961.14 | RVU22C |
| 2022-04-01 | Not available in this setting | $961.14 | RVU22B |
| 2022-01-01 | Not available in this setting | $961.14 | RVU22A |
| 2021-10-01 | Not available in this setting | $966.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $966.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $966.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $966.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,016.24 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,016.24 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,016.24 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,016.24 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,024.16 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,024.16 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,024.16 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,024.16 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,025.63 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,025.63 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,025.63 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,025.63 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,031.28 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,031.28 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,031.28 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,031.28 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,027.08 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,027.08 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,027.08 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,027.08 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,034.81 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,034.81 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,029.66 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,029.66 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,040.67 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,040.67 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,040.67 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,040.67 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,014.52 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,014.52 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,014.52 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,014.52 | RVU13AR |
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
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
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