CPT code 59620: VBAC delivery, attempted, delivery only2026 Medicare rate & RVUs in New Mexico
Reports the delivery-only service for a trial of labor after a prior cesarean when the attempt does not result in vaginal birth.
In New Mexico, Medicare pays $878.39 for 59620 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59620 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 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.
How New Mexico compares for 59620
Across 109 of 109 payment localities, the facility rate for 59620 runs from $724.24 in Wisconsin to $1,129.43 in Miami, FL. New Mexico pays $878.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$878.39
- Los Angeles, CA · California$836.97−$41.42
- Washington, DC area · District of Columbia$923.54+$45.15
- Miami, FL · Florida$1,129.43+$251.04
- Chicago, IL · Illinois$1,087.42+$209.03
- Manhattan, NY · New York$1,011.43+$133.04
- Alaska · Alaska$1,058.35+$179.96
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $760.39 |
| ArkansasArkansas | — | $749.42 |
| ArizonaArizona | — | $823.10 |
| Bakersfield, CACalifornia | — | $804.67 |
| Chico, CACalifornia | — | $790.57 |
| El Centro, CACalifornia | — | $791.46 |
| Fresno, CACalifornia | — | $790.57 |
| Hanford, CACalifornia | — | $790.57 |
| Madera, CACalifornia | — | $790.57 |
| Merced, CACalifornia | — | $790.57 |
| Modesto, CACalifornia | — | $790.57 |
| Napa, CACalifornia | — | $837.35 |
| Oxnard, CACalifornia | — | $822.31 |
| Redding, CACalifornia | — | $790.57 |
| Rest of CaliforniaCalifornia | — | $790.57 |
| Riverside, CACalifornia | — | $847.56 |
| Sacramento, CACalifornia | — | $809.04 |
| Salinas, CACalifornia | — | $805.78 |
| San Diego, CACalifornia | — | $810.66 |
| Marin County, CACalifornia | — | $857.28 |
| San Francisco, CACalifornia | — | $851.23 |
| San Benito County, CACalifornia | — | $883.11 |
| Santa Clara County, CACalifornia | — | $858.37 |
| San Luis Obispo, CACalifornia | — | $795.64 |
| Santa Cruz, CACalifornia | — | $806.82 |
| Santa Maria, CACalifornia | — | $804.94 |
| Santa Rosa, CACalifornia | — | $813.36 |
| Stockton, CACalifornia | — | $790.57 |
| Vallejo, CACalifornia | — | $828.63 |
| Visalia, CACalifornia | — | $790.57 |
| Yuba City, CACalifornia | — | $790.57 |
| ColoradoColorado | — | $827.63 |
| ConnecticutConnecticut | — | $909.98 |
| DelawareDelaware | — | $835.78 |
| Fort Lauderdale, FLFlorida | — | $997.77 |
| Rest of FloridaFlorida | — | $936.75 |
| Atlanta, GAGeorgia | — | $891.73 |
| Rest of GeorgiaGeorgia | — | $873.84 |
| Hawaii, Guam, HIHawaii | — | $793.59 |
| IowaIowa | — | $735.02 |
| IdahoIdaho | — | $749.14 |
| East St. Louis, ILIllinois | — | $1,023.48 |
| Rest of IllinoisIllinois | — | $942.36 |
| Suburban Chicago, ILIllinois | — | $996.91 |
| IndianaIndiana | — | $752.28 |
| KansasKansas | — | $752.77 |
| KentuckyKentucky | — | $824.17 |
| New Orleans, LALouisiana | — | $869.65 |
| Rest of LouisianaLouisiana | — | $831.35 |
| Metropolitan Boston, MAMassachusetts | — | $878.50 |
| Rest of MassachusettsMassachusetts | — | $831.40 |
| Baltimore area, MDMaryland | — | $912.09 |
| Rest of MarylandMaryland | — | $844.77 |
| Rest of MaineMaine | — | $775.66 |
| Southern Maine, MEMaine | — | $785.64 |
| Detroit, MIMichigan | — | $970.39 |
| Rest of MichiganMichigan | — | $865.10 |
| MinnesotaMinnesota | — | $730.48 |
| Metropolitan Kansas City, MOMissouri | — | $841.10 |
| Metropolitan St. Louis, MOMissouri | — | $847.09 |
| Rest of MissouriMissouri | — | $831.49 |
| MississippiMississippi | — | $789.54 |
| MontanaMontana | — | $852.03 |
| North CarolinaNorth Carolina | — | $780.22 |
| North DakotaNorth Dakota | — | $746.64 |
| NebraskaNebraska | — | $732.58 |
| New HampshireNew Hampshire | — | $834.97 |
| Northern New JerseyNew Jersey | — | $918.42 |
| Rest of New JerseyNew Jersey | — | $902.77 |
| NevadaNevada | — | $822.78 |
| NYC suburbs and Long Island, NYNew York | — | $1,062.86 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $926.02 |
| Queens, NYNew York | — | $988.15 |
| Rest of New YorkNew York | — | $793.62 |
| OhioOhio | — | $843.56 |
| OklahomaOklahoma | — | $800.08 |
| Portland, OROregon | — | $828.81 |
| Rest of OregonOregon | — | $799.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $901.60 |
| Rest of PennsylvaniaPennsylvania | — | $832.93 |
| Puerto RicoPuerto Rico | — | $851.02 |
| Rhode IslandRhode Island | — | $847.63 |
| South CarolinaSouth Carolina | — | $816.73 |
| South DakotaSouth Dakota | — | $734.18 |
| TennesseeTennessee | — | $759.24 |
| Austin, TXTexas | — | $840.05 |
| Beaumont, TXTexas | — | $829.14 |
| Brazoria, TXTexas | — | $816.62 |
| Dallas, TXTexas | — | $831.65 |
| Fort Worth, TXTexas | — | $832.78 |
| Galveston, TXTexas | — | $825.40 |
| Houston, TXTexas | — | $922.96 |
| Rest of TexasTexas | — | $829.11 |
| UtahUtah | — | $827.16 |
| VirginiaVirginia | — | $798.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $851.02 |
| VermontVermont | — | $763.27 |
| Rest of WashingtonWashington | — | $823.33 |
| King County, WAWashington | — | $874.40 |
| WisconsinWisconsin | — | $724.24 |
| West VirginiaWest Virginia | — | $913.67 |
| WyomingWyoming | — | $806.10 |
59620 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 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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,671
- Code
- 59620
- Physician work
- 16.66
- Practice expense
- 3.53
- Malpractice
- 5.33
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.66 | × 1.000 | 16.6600 |
| Practice expense | 3.53 | × 0.917 | 3.2370 |
| Malpractice | 5.33 | × 1.201 | 6.4013 |
| Total RVUs | 26.2983 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$878.39
Facility: (16.66 × 1 + 3.53 × 0.917 + 5.33 × 1.201) × $33.4009 = $878.39
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%).
How 59620 has changed in New Mexico
59620 · 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 | $878.39 | RVU26D |
| 2026-07-01 | Not available in this setting | $878.39 | RVU26C |
| 2026-04-01 | Not available in this setting | $878.39 | RVU26B |
| 2026-01-01 | Not available in this setting | $878.39 | RVU26A |
| 2025-10-01 | Not available in this setting | $919.57 | RVU25D |
| 2025-07-01 | Not available in this setting | $919.57 | RVU25C |
| 2025-04-01 | Not available in this setting | $919.57 | RVU25B |
| 2025-01-01 | Not available in this setting | $919.57 | RVU25A |
| 2024-10-01 | Not available in this setting | $947.97 | RVU24D |
| 2024-07-01 | Not available in this setting | $947.97 | RVU24C |
| 2024-04-01 | Not available in this setting | $947.97 | RVU24B |
| 2024-03-09 | Not available in this setting | $947.97 | RVU24AR |
| 2024-01-01 | Not available in this setting | $932.50 | RVU24A |
| 2023-10-01 | Not available in this setting | $958.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $958.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $958.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $958.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $964.76 | RVU22D |
| 2022-07-01 | Not available in this setting | $964.76 | RVU22C |
| 2022-04-01 | Not available in this setting | $964.76 | RVU22B |
| 2022-01-01 | Not available in this setting | $964.76 | RVU22A |
| 2021-10-01 | Not available in this setting | $967.31 | RVU21D |
| 2021-07-01 | Not available in this setting | $967.31 | RVU21C |
| 2021-04-01 | Not available in this setting | $967.31 | RVU21B |
| 2021-01-01 | Not available in this setting | $967.31 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,007.86 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,007.86 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,007.86 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,007.86 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,002.53 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,002.53 | RVU19C |
| 2019-04-01 | Not available in this setting | $993.54 | RVU19B |
| 2019-01-01 | Not available in this setting | $993.54 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,004.18 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,004.18 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,004.18 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,004.18 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $984.54 | RVU17D |
| 2017-07-01 | Not available in this setting | $984.54 | RVU17C |
| 2017-04-01 | Not available in this setting | $984.54 | RVU17B |
| 2017-01-01 | Not available in this setting | $984.54 | RVU17A |
| 2016-10-01 | Not available in this setting | $978.80 | RVU16D |
| 2016-07-01 | Not available in this setting | $978.80 | RVU16C |
| 2016-04-01 | Not available in this setting | $978.80 | RVU16B |
| 2016-01-01 | Not available in this setting | $978.80 | RVU16A |
| 2015-10-01 | Not available in this setting | $998.60 | RVU15D |
| 2015-07-01 | Not available in this setting | $998.60 | RVU15C |
| 2015-04-01 | Not available in this setting | $993.63 | RVU15B |
| 2015-01-01 | Not available in this setting | $993.63 | RVU15A |
| 2014-10-01 | Not available in this setting | $990.88 | RVU14D |
| 2014-07-01 | Not available in this setting | $990.88 | RVU14C |
| 2014-04-01 | Not available in this setting | $990.88 | RVU14B |
| 2014-01-01 | Not available in this setting | $990.88 | RVU14A |
| 2013-10-01 | Not available in this setting | $951.20 | RVU13D |
| 2013-07-01 | Not available in this setting | $951.20 | RVU13C |
| 2013-04-01 | Not available in this setting | $951.20 | RVU13B |
| 2013-01-01 | Not available in this setting | $951.20 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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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