CPT code 59620: VBAC delivery, attempted, delivery only2026 Medicare rate & RVUs in Guam
Reports the delivery-only service for a trial of labor after a prior cesarean when the attempt does not result in vaginal birth.
CMS doesn’t publish an office rate for 59620 in Guam.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 59620 covers
This code covers the delivery service when a patient with a prior cesarean undergoes a trial of labor intended to achieve vaginal birth, but the attempt ends without a vaginal delivery. It is generally used by the obstetrician or other qualified clinician managing the labor and delivery when a cesarean delivery follows the attempted VBAC. The service is limited to the delivery portion of care, rather than a complete maternity-care package.
Report it when documentation supports the prior cesarean, the attempted trial of labor, and the delivery outcome. Antepartum and postpartum care are outside this delivery-only service and may be reported separately when appropriate. This maternity code is not subject to the usual global surgery rules. If procedures subject to the standard multiple-procedure reduction are 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.
59620 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | Unavailable | $793.59 |
How the 59620 rate is calculated
Each of 59620’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 · 59620
RVUs × geographic indexes × conversion factor
Work16.66
16.66 RVUs× 1.000 GPCI
Practice expense3.53
3.53 RVUs× 1.000 GPCI
Malpractice5.33
5.33 RVUs× 1.000 GPCI
Adjusted RVUs
25.5200
Conversion factor
$33.4009
Medicare rate
$852.39
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 59620
The CMS indicators that decide how 59620 is paid alongside other services.
CMS payment indicators · 59620
VBAC delivery, attempted, 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) | 2 | Paid. |
| 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
59620 without 51 · national facility
$852.39
VBAC delivery, attempted, delivery only
59620-51 · Second procedure: 50%
$426.20
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%).
59620 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 59612VBAC deliveryDelivery only
- Choose 59612 for delivery-only care when the patient achieves vaginal birth after a prior cesarean. Choose 59620 when the attempted VBAC does not result in vaginal birth.
- 59618Attempted VBACComplete care, cesarean outcome
- 59618 includes antepartum and postpartum care with the attempted VBAC service. 59620 is limited to the delivery portion.
- 59622Postpartum careAfter attempted VBAC
- 59622 represents postpartum care only after attempted VBAC care; 59620 represents the attempted VBAC delivery service.
59620 billing questions
When should 59620 be chosen instead of 59612?
Use 59620 when the attempted trial of labor after a prior cesarean does not result in vaginal birth. Code 59612 describes a successful VBAC delivery only.
Does 59620 include antepartum and postpartum care?
No. It covers the delivery portion only; antepartum care and postpartum care are not included in this delivery-only service.
What documentation supports reporting 59620?
Document the prior cesarean, the trial of labor intended to achieve vaginal birth, and the delivery outcome showing that vaginal birth was not achieved.
How does 59620 differ from 59618?
59620 is for the attempted VBAC delivery service only. 59618 describes the broader maternity-care package, including antepartum and postpartum care.
How does the multiple-procedure rule affect 59620?
When procedures subject to the standard multiple-procedure reduction occur in the same session, the highest-valued procedure is paid in full and the others 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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