No office rate
59610 includes routine antepartum and postpartum care along with vaginal delivery after a prior cesarean. 59612 is limited to the delivery service.
On this page
CMS RVU26D · Effective 2026-10-01
59612 VBAC delivery Medicare reimbursement rates
Reports the delivery service when a patient with a prior cesarean gives birth vaginally and the clinician provides delivery care only. Compare 59612 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 59612?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 59612 pays more and less
Obstetrics
About 59612: Vaginal delivery after prior cesarean
Reports the delivery service when a patient with a prior cesarean gives birth vaginally and the clinician provides delivery care only.
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%.
CMS billing rules for 59612
- Global period
- Maternity code: the usual global surgery rules do not apply.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Where the value comes from
- Work RVU16.09 · 65%
- Practice expense (office) RVU3.41 · 14%
- Malpractice RVU5.15 · 21%
42
Medicare services in 2024 · #5471 by national volume
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.
59612 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
59409 is the delivery-only vaginal birth code when the prior-cesarean circumstance is not present. 59612 is specific to vaginal delivery after a prior cesarean.
No office rate
59620 is for cesarean delivery only after attempted vaginal delivery following a prior cesarean. 59612 applies when that delivery is vaginal.
No office rate
59618 covers routine obstetric care through attempted vaginal delivery and cesarean after a prior cesarean. 59612 covers delivery only when the birth is vaginal.
See how rates vary across the country
59612 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 59612 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $734.44 |
| Alaska* | Office Unavailable | Facility $1022.21 |
| Arizona | Office Unavailable | Facility $795.03 |
| Arkansas | Office Unavailable | Facility $723.85 |
| Atlanta | Office Unavailable | Facility $861.34 |
| Austin | Office Unavailable | Facility $811.40 |
| Bakersfield | Office Unavailable | Facility $777.22 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $881.01 |
| Beaumont | Office Unavailable | Facility $800.87 |
| Brazoria | Office Unavailable | Facility $788.76 |
| Chicago | Office Unavailable | Facility $1050.42 |
| Chico | Office Unavailable | Facility $763.59 |
| Colorado | Office Unavailable | Facility $799.40 |
| Connecticut | Office Unavailable | Facility $878.97 |
| Dallas | Office Unavailable | Facility $803.29 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $892.06 |
| Delaware | Office Unavailable | Facility $807.28 |
| Detroit | Office Unavailable | Facility $937.35 |
| East St. Louis | Office Unavailable | Facility $988.64 |
| El Centro | Office Unavailable | Facility $764.45 |
| Fort Lauderdale | Office Unavailable | Facility $963.80 |
| Fort Worth | Office Unavailable | Facility $804.38 |
| Fresno | Office Unavailable | Facility $763.59 |
| Galveston | Office Unavailable | Facility $797.25 |
| Hanford-Corcoran | Office Unavailable | Facility $763.59 |
| Hawaii, Guam | Office Unavailable | Facility $766.52 |
| Houston | Office Unavailable | Facility $891.51 |
| Idaho | Office Unavailable | Facility $723.57 |
| Indiana | Office Unavailable | Facility $726.60 |
| Iowa | Office Unavailable | Facility $709.93 |
| Kansas | Office Unavailable | Facility $727.08 |
| Kentucky | Office Unavailable | Facility $796.07 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $808.41 |
| Madera | Office Unavailable | Facility $763.59 |
| Manhattan | Office Unavailable | Facility $976.98 |
| Merced | Office Unavailable | Facility $763.59 |
| Metropolitan Boston | Office Unavailable | Facility $848.54 |
| Metropolitan Kansas City | Office Unavailable | Facility $812.43 |
| Metropolitan Philadelphia | Office Unavailable | Facility $870.87 |
| Metropolitan St. Louis | Office Unavailable | Facility $818.21 |
| Miami | Office Unavailable | Facility $1091.01 |
| Minnesota | Office Unavailable | Facility $705.54 |
| Mississippi | Office Unavailable | Facility $762.60 |
| Modesto | Office Unavailable | Facility $763.59 |
| Montana** | Office Unavailable | Facility $822.99 |
| Napa | Office Unavailable | Facility $808.78 |
| Nebraska | Office Unavailable | Facility $707.57 |
| Nevada** | Office Unavailable | Facility $794.72 |
| New Hampshire | Office Unavailable | Facility $806.50 |
| New Mexico | Office Unavailable | Facility $848.45 |
| New Orleans | Office Unavailable | Facility $840.01 |
| North Carolina | Office Unavailable | Facility $753.60 |
| North Dakota** | Office Unavailable | Facility $721.16 |
| Northern Nj | Office Unavailable | Facility $887.11 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1026.67 |
| Ohio | Office Unavailable | Facility $814.80 |
| Oklahoma | Office Unavailable | Facility $772.79 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $794.26 |
| Portland | Office Unavailable | Facility $800.54 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $894.46 |
| Puerto Rico | Office Unavailable | Facility $822.00 |
| Queens | Office Unavailable | Facility $954.49 |
| Redding | Office Unavailable | Facility $763.59 |
| Rest Of California | Office Unavailable | Facility $763.59 |
| Rest Of Florida | Office Unavailable | Facility $904.84 |
| Rest Of Georgia | Office Unavailable | Facility $844.06 |
| Rest Of Illinois | Office Unavailable | Facility $910.27 |
| Rest Of Louisiana | Office Unavailable | Facility $803.01 |
| Rest Of Maine | Office Unavailable | Facility $749.20 |
| Rest Of Maryland | Office Unavailable | Facility $815.97 |
| Rest Of Massachusetts | Office Unavailable | Facility $803.05 |
| Rest Of Michigan | Office Unavailable | Facility $835.61 |
| Rest Of Missouri | Office Unavailable | Facility $803.14 |
| Rest Of New Jersey | Office Unavailable | Facility $871.99 |
| Rest Of New York | Office Unavailable | Facility $766.55 |
| Rest Of Oregon | Office Unavailable | Facility $771.79 |
| Rest Of Pennsylvania | Office Unavailable | Facility $804.53 |
| Rest Of Texas | Office Unavailable | Facility $800.84 |
| Rest Of Washington | Office Unavailable | Facility $795.24 |
| Rhode Island | Office Unavailable | Facility $818.72 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $818.65 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $781.43 |
| Salinas | Office Unavailable | Facility $778.29 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $783.00 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $828.03 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $822.18 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $852.98 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $829.07 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $768.49 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $779.29 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $777.47 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $785.61 |
| Seattle (King Cnty) | Office Unavailable | Facility $844.58 |
| South Carolina | Office Unavailable | Facility $788.87 |
| South Dakota** | Office Unavailable | Facility $709.11 |
| Southern Maine | Office Unavailable | Facility $758.83 |
| Stockton | Office Unavailable | Facility $763.59 |
| Suburban Chicago | Office Unavailable | Facility $962.96 |
| Tennessee | Office Unavailable | Facility $733.32 |
| Utah | Office Unavailable | Facility $798.95 |
| Vallejo | Office Unavailable | Facility $800.35 |
| Vermont | Office Unavailable | Facility $737.22 |
| Virgin Islands | Office Unavailable | Facility $822.00 |
| Virginia | Office Unavailable | Facility $770.82 |
| Visalia | Office Unavailable | Facility $763.59 |
| West Virginia | Office Unavailable | Facility $882.55 |
| Wisconsin | Office Unavailable | Facility $699.51 |
| Wyoming** | Office Unavailable | Facility $778.61 |
| Yuba City | Office Unavailable | Facility $763.59 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66659525,,Remove uterus after cesarean,A,,8.32,1.77,NA,1.77,,2.67,12.76,12.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66759610,,Vbac delivery,A,,38.71,18.63,NA,18.63,,12.44,69.78,69.78,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66859612,,Vbac delivery only,A,,16.09,3.41,NA,3.41,,5.15,24.65,24.65,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66959614,,Vbac care after delivery,A,,20.48,4.88,NA,4.88,,6.57,31.93,31.93,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67059618,,Attempted vbac delivery,A,,41.57,19.93,NA,19.93,,13.36,74.86,74.86,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67159620,,Attempted vbac delivery only,A,,16.66,3.53,NA,3.53,,5.33,25.52,25.52,0,MMM,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00