No office rate
59618 represents the broader maternity-care package for an attempted VBAC ending in cesarean delivery; 59622 is limited to postpartum care.
On this page
CMS RVU26D · Effective 2026-10-01
59622 Postpartum care Medicare reimbursement rates in Alabama
Reports postpartum-only obstetric care after a patient with a prior cesarean attempts vaginal birth but ultimately delivers by cesarean. Compare 59622 office and facility rates across CMS payment localities in Alabama.
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 59622 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1125.59
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Obstetric care
About 59622: Postpartum care after attempted VBAC
Reports postpartum-only obstetric care after a patient with a prior cesarean attempts vaginal birth but ultimately delivers by cesarean.
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%.
CMS billing rules for 59622
- 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 RVU23.32 · 62%
- Practice expense (office) RVU7.03 · 19%
- Malpractice RVU7.47 · 20%
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.
59622 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
59620 represents the cesarean delivery service only after attempted VBAC. Choose 59622 when reporting postpartum care alone.
No office rate
59614 is for postpartum-only care after vaginal delivery following a prior cesarean; 59622 follows an attempted VBAC ending in cesarean delivery.
$232.49
59430 represents postpartum-only care without the attempted-VBAC circumstance specified for 59622.
Compare 59622 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.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$1125.59
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 59622 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,672
- Code
- 59622
- Physician work
- 23.32
- Practice expense
- 7.03
- Malpractice
- 7.47
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.32 | × 1.000 | 23.3200 |
| Practice expense | 7.03 | × 0.875 | 6.1513 |
| Malpractice | 7.47 | × 0.566 | 4.2280 |
| Total RVUs | 33.6993 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1125.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.32 | 1 |
| Practice expense | 7.03 | 0.875 |
| Malpractice | 7.47 | 0.566 |
(23.32 × 1 + 7.03 × 0.875 + 7.47 × 0.566) × $33.4009 = $1125.59
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 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.
6,66959614,,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
6,67259622,,Attempted vbac after care,A,,23.32,7.03,NA,7.03,,7.47,37.82,37.82,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67359812,,Treatment of miscarriage,A,,4.33,5.06,,2.67,,1.37,10.76,8.37,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67459820,,Care of miscarriage,A,,4.72,6.70,,4.30,,1.50,12.92,10.52,0,090,0.17,0.60,0.23,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,67559821,,Treatment of miscarriage,A,,4.96,6.25,,3.75,,1.59,12.80,10.30,0,090,0.17,0.60,0.23,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515