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CPT code 59622: Postpartum care, after attempted VBAC2026 Medicare rate & RVUs

Reports postpartum-only obstetric care after a patient with a prior cesarean attempts vaginal birth but ultimately delivers by cesarean.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,263.22 for 59622 nationally in a facility.

Medicare rate · 59622

Postpartum care, after attempted VBAC

Office or facility?

Work RVUs
23.32
Total RVUs
37.82
Global days
MMM

National rate · 2026

$1,263.22

Facility setting, before claim adjustments.

See every locality for 59622 →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 59622 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 59622 covers

This code represents postpartum-only obstetric management after a patient with a prior cesarean attempts labor for vaginal birth but ultimately has a cesarean delivery. It is for situations in which the reporting clinician provides postpartum care, rather than the antepartum and delivery services included in a complete maternity package. Obstetricians and other clinicians furnishing postpartum obstetric care may provide these services through hospital-linked follow-up or outpatient visits.

Select the code when the record supports a prior cesarean, an attempted vaginal birth, a cesarean delivery, and postpartum care furnished by the billing clinician. Documentation should identify the delivery circumstances and describe the postpartum management provided. As a maternity code, it is not governed by the usual global surgery rules. When the standard multiple-procedure reduction applies to procedures 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 59622 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

59622 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,125.59
AlaskaUnavailable$1,555.91
ArizonaUnavailable$1,220.01
ArkansasUnavailable$1,109.10
Atlanta, GAUnavailable$1,319.47
Austin, TXUnavailable$1,249.96
Bakersfield, CAUnavailable$1,203.01
Baltimore area, MDUnavailable$1,351.96
Beaumont, TXUnavailable$1,224.37
Brazoria, TXUnavailable$1,212.45

59622 rates by state

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

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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
59622 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 59622 rate is calculated

Each of 59622’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 · 59622

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.32

23.32 RVUs× 1.000 GPCI

Practice expense7.03

7.03 RVUs× 1.000 GPCI

Malpractice7.47

7.47 RVUs× 1.000 GPCI

Adjusted RVUs

37.8200

Conversion factor

$33.4009

Medicare rate

$1,263.22

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

Payment rules and modifiers for 59622

The CMS indicators that decide how 59622 is paid alongside other services.

CMS payment indicators · 59622

Postpartum care, after attempted VBAC

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

59622 without 51 · national facility

$1,263.22

Postpartum care, after attempted VBAC

59622-51 · Second procedure: 50%

$631.61

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

59622 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 59622

    Postpartum care, after attempted VBAC23.32 wRVU

    Not priced

  • 59618

    Attempted VBAC, complete care, cesarean outcome41.57 wRVU

    Not priced

  • 59620

    VBAC delivery, attempted, delivery only16.66 wRVU

    Not priced

  • 59614

    VBAC delivery, includes postpartum care20.48 wRVU

    Not priced

  • 59430

    Postpartum care, postpartum phase only3.22 wRVU

    $261.20

How to choose

59618Attempted VBACComplete care, cesarean outcome
59618 represents the broader maternity-care package for an attempted VBAC ending in cesarean delivery; 59622 is limited to postpartum care.
59620VBAC deliveryAttempted, delivery only
59620 represents the cesarean delivery service only after attempted VBAC. Choose 59622 when reporting postpartum care alone.
59614VBAC deliveryIncludes postpartum care
59614 is for postpartum-only care after vaginal delivery following a prior cesarean; 59622 follows an attempted VBAC ending in cesarean delivery.
59430Postpartum carePostpartum phase only
59430 represents postpartum-only care without the attempted-VBAC circumstance specified for 59622.

Codes related to 59622

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

Codes related to 59622
CodeHow it relatesNational office range
Same family
59618Attempted VBAC, complete care, cesarean outcomeBroader maternity-care package for attempted VBAC resulting in cesarean delivery.No office rate
59620VBAC delivery, attempted, delivery onlyCesarean delivery service only after an attempted VBAC.No office rate
59614VBAC delivery, includes postpartum carePostpartum-only care after vaginal delivery following a prior cesarean.No office rate
59610VBAC care, complete care through postpartumMaternity-care package for vaginal delivery after a prior cesarean.No office rate
Used instead
59430Postpartum care, postpartum phase onlyPostpartum-only care in circumstances not represented by the attempted-VBAC code.$228.96–$317.64

59622 billing questions

When should this code be chosen instead of 59620?

Use 59622 for postpartum care only after an attempted VBAC ends in cesarean delivery. Code 59620 represents the cesarean delivery service only.

How does this differ from 59618?

Code 59618 represents the broader maternity-care package for an attempted VBAC resulting in cesarean delivery. Code 59622 is for postpartum care alone.

Can this code be used after a successful VBAC?

No. For postpartum-only care after vaginal delivery following a prior cesarean, compare 59614.

What should the documentation establish?

Document the prior cesarean, attempted labor for vaginal birth, cesarean delivery, and the postpartum services furnished by the reporting clinician.

How are same-session procedures paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session 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 59622PPRRVU2026_Oct_nonQPP.csv, line 6,672 (RVU26D)

Open CMS sourceHow we calculate rates

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