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Billing code 59620: VBAC deliveryMedicare rate & RVUs

Reports the delivery-only service for a trial of labor after a prior cesarean when the attempt does not result in vaginal birth.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $852.39 for 59620 nationally in a facility.

Medicare rate · 59620

VBAC delivery

Swap in your local Medicare rate.

Work RVUs
16.66
Total RVUs
25.52
Global days
MMM

National rate · 2026

$852.39

Facility setting, before claim adjustments.

See every locality for 59620 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 59620 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 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.

Where 59620 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

59620 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$760.39
Alaska*Unavailable$1,058.35
ArizonaUnavailable$823.10
ArkansasUnavailable$749.42
AtlantaUnavailable$891.73
AustinUnavailable$840.05
BakersfieldUnavailable$804.67
Baltimore/Surr. CntysUnavailable$912.09
BeaumontUnavailable$829.14
BrazoriaUnavailable$816.62

59620 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
59620 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 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

Swap in your local Medicare rate.

Work 16.66Practice expense 3.53Malpractice 5.33

25.5200 adjusted RVUs×$33.4009 conversion factor=$852.39

All indexes start 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

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)2Paid.
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

59620 without 51 · national facility

$852.39

VBAC delivery

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%).

When to use modifier 51

59620 compared with similar codes

Compare codes

59620 vs 59612 vs 59618 vs 59622: national Medicare rates

Swap in your local Medicare rate.

  • 59620
    VBAC delivery · 16.66 wRVU
    —
  • 59612
    VBAC delivery · 16.09 wRVU
    —
  • 59618
    Attempted VBAC · 41.57 wRVU
    —
  • 59622
    Postpartum care · 23.32 wRVU
    —

How to choose

59612VBAC delivery
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 VBAC
59618 includes antepartum and postpartum care with the attempted VBAC service. 59620 is limited to the delivery portion.
59622Postpartum care
59622 represents postpartum care only after attempted VBAC care; 59620 represents the attempted VBAC delivery service.

Codes related to 59620

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

Codes related to 59620
CodeHow it relatesNational office range
Used instead
59612VBAC deliveryDelivery-only code for a successful VBAC rather than an attempted VBAC without vaginal birth.No office rate
59610VBAC careComplete maternity-care package for a successful VBAC.No office rate
Same family
59618Attempted VBACCovers attempted VBAC with antepartum and postpartum care, rather than delivery alone.No office rate
59622Postpartum carePostpartum-care-only code associated with attempted VBAC care.No office rate

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
RVUs for 59620PPRRVU2026_Oct_nonQPP.csv, line 6,671 (RVU26D)

Open CMS sourceHow we calculate rates

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