Billing code 59622: Postpartum careMedicare rate & RVUs in Chico
Reports postpartum-only obstetric care after a patient with a prior cesarean attempts vaginal birth but ultimately delivers by cesarean.
In Chico, Medicare pays $1,183.23 for 59622 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 59622 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 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.
How Chico compares for 59622
Across 109 of 109 payment localities, the facility rate for 59622 runs from $1,080.70 in Wisconsin to $1,654.34 in Miami. Chico pays $1,183.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Chico · this page$1,183.23
- Bakersfield · California$1,203.01+$19.78
- El Centro · California$1,184.48+$1.25
- Fresno · California$1,183.23
- Hanford-Corcoran · California$1,183.23
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$1,254.29+$71.06
- Madera · California$1,183.23
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MercedCalifornia | — | $1,183.23 |
| ModestoCalifornia | — | $1,183.23 |
| NapaCalifornia | — | $1,264.21 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $1,233.70 |
| ReddingCalifornia | — | $1,183.23 |
| Rest Of CaliforniaCalifornia | — | $1,183.23 |
| Riverside-San Bernardino-OntarioCalifornia | — | $1,263.11 |
| Sacramento-Roseville-FolsomCalifornia | — | $1,213.77 |
| SalinasCalifornia | — | $1,208.93 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $1,218.34 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $1,298.51 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $1,290.02 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $1,336.92 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $1,302.24 |
| San Luis Obispo-Paso RoblesCalifornia | — | $1,193.33 |
| Santa Cruz-WatsonvilleCalifornia | — | $1,214.29 |
| Santa Maria-Santa BarbaraCalifornia | — | $1,208.24 |
| Santa Rosa-PetalumaCalifornia | — | $1,224.36 |
| StocktonCalifornia | — | $1,183.23 |
| VallejoCalifornia | — | $1,251.98 |
| VisaliaCalifornia | — | $1,183.23 |
| Yuba CityCalifornia | — | $1,183.23 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $1,375.27 |
| MiamiFlorida | — | $1,654.34 |
| ChicagoIllinois | — | $1,592.96 |
| ManhattanNew York | — | $1,497.32 |
| Alaska*Alaska | — | $1,555.91 |
| AlabamaAlabama | — | $1,125.59 |
| ArkansasArkansas | — | $1,109.10 |
| ArizonaArizona | — | $1,220.01 |
| ColoradoColorado | — | $1,232.96 |
| ConnecticutConnecticut | — | $1,349.28 |
| DelawareDelaware | — | $1,239.10 |
| Fort LauderdaleFlorida | — | $1,467.87 |
| Rest Of FloridaFlorida | — | $1,378.39 |
| AtlantaGeorgia | — | $1,319.47 |
| Rest Of GeorgiaGeorgia | — | $1,285.77 |
| Hawaii, GuamHawaii | — | $1,190.35 |
| IowaIowa | — | $1,092.81 |
| IdahoIdaho | — | $1,112.95 |
| East St. LouisIllinois | — | $1,497.44 |
| Rest Of IllinoisIllinois | — | $1,383.26 |
| Suburban ChicagoIllinois | — | $1,467.63 |
| IndianaIndiana | — | $1,117.84 |
| KansasKansas | — | $1,116.93 |
| KentuckyKentucky | — | $1,215.95 |
| New OrleansLouisiana | — | $1,283.30 |
| Rest Of LouisianaLouisiana | — | $1,225.74 |
| Metropolitan BostonMassachusetts | — | $1,313.26 |
| Rest Of MassachusettsMassachusetts | — | $1,237.48 |
| Baltimore/Surr. CntysMaryland | — | $1,351.96 |
| Rest Of MarylandMaryland | — | $1,253.37 |
| Rest Of MaineMaine | — | $1,150.12 |
| Southern MaineMaine | — | $1,169.04 |
| DetroitMichigan | — | $1,426.16 |
| Rest Of MichiganMichigan | — | $1,274.98 |
| MinnesotaMinnesota | — | $1,094.38 |
| Metropolitan Kansas CityMissouri | — | $1,243.16 |
| Metropolitan St. LouisMissouri | — | $1,252.45 |
| Rest Of MissouriMissouri | — | $1,224.33 |
| MississippiMississippi | — | $1,165.46 |
| Montana**Montana | — | $1,262.72 |
| North CarolinaNorth Carolina | — | $1,157.42 |
| North Dakota**North Dakota | — | $1,115.02 |
| NebraskaNebraska | — | $1,089.95 |
| New HampshireNew Hampshire | — | $1,241.66 |
| Northern NjNew Jersey | — | $1,366.83 |
| Rest Of New JerseyNew Jersey | — | $1,340.18 |
| New MexicoNew Mexico | — | $1,293.88 |
| Nevada**Nevada | — | $1,221.79 |
| Nyc Suburbs/Long IslandNew York | — | $1,571.28 |
| Poughkpsie/N Nyc SuburbsNew York | — | $1,372.98 |
| QueensNew York | — | $1,466.09 |
| Rest Of New YorkNew York | — | $1,177.38 |
| OhioOhio | — | $1,244.79 |
| OklahomaOklahoma | — | $1,182.46 |
| PortlandOregon | — | $1,237.88 |
| Rest Of OregonOregon | — | $1,188.18 |
| Metropolitan PhiladelphiaPennsylvania | — | $1,335.02 |
| Rest Of PennsylvaniaPennsylvania | — | $1,230.24 |
| Puerto RicoPuerto Rico | — | $1,262.06 |
| Rhode IslandRhode Island | — | $1,258.82 |
| South CarolinaSouth Carolina | — | $1,207.95 |
| South Dakota**South Dakota | — | $1,097.55 |
| TennesseeTennessee | — | $1,126.33 |
| AustinTexas | — | $1,249.96 |
| BeaumontTexas | — | $1,224.37 |
| BrazoriaTexas | — | $1,212.45 |
| DallasTexas | — | $1,233.86 |
| Fort WorthTexas | — | $1,234.76 |
| GalvestonTexas | — | $1,224.89 |
| HoustonTexas | — | $1,361.62 |
| Rest Of TexasTexas | — | $1,227.04 |
| UtahUtah | — | $1,223.68 |
| VirginiaVirginia | — | $1,185.88 |
| Virgin IslandsUnited States Virgin Islands | — | $1,262.06 |
| VermontVermont | — | $1,137.62 |
| Rest Of WashingtonWashington | — | $1,226.16 |
| Seattle (King Cnty)Washington | — | $1,309.81 |
| WisconsinWisconsin | — | $1,080.70 |
| West VirginiaWest Virginia | — | $1,340.00 |
| Wyoming**Wyoming | — | $1,198.35 |
59622 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 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
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.
The exact Chico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,672
- Code
- 59622
- Physician work
- 23.32
- Practice expense
- 7.03
- Malpractice
- 7.47
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.32 | × 1.017 | 23.7164 |
| Practice expense | 7.03 | × 1.096 | 7.7049 |
| Malpractice | 7.47 | × 0.536 | 4.0039 |
| Total RVUs | 35.4252 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$1183.23
Facility: (23.32 × 1.017 + 7.03 × 1.096 + 7.47 × 0.536) × $33.4009 = $1183.23
Payment rules and modifiers for 59622
The CMS indicators that decide how 59622 is paid alongside other services.
CMS payment indicators · 59622
Postpartum care
| 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) | 0 | Not paid without supporting documentation. |
| 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
59622 without 51 · national facility
$1,263.22
Postpartum care
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%).
How 59622 has changed in Chico
59622 · 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 | $1,183.23 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,183.23 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,183.23 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,183.23 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,292.98 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,292.98 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,292.98 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,292.98 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,334.10 | RVU24D |
| 2022-07-01 | Not available in this setting | $1,342.84 | RVU22C |
| 2021-04-01 | Not available in this setting | $1,345.18 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,345.18 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,328.17 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,328.17 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,328.17 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,328.17 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,303.83 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,303.83 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,303.83 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,303.83 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,295.78 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,295.78 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,295.78 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,295.78 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,310.10 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,310.10 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,310.10 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,310.10 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Chico rate applies
Chico is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
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
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