Billing code 59622: Postpartum careMedicare rate & RVUs in Illinois
Reports postpartum-only obstetric care after a patient with a prior cesarean attempts vaginal birth but ultimately delivers by cesarean.
CMS doesn’t publish an office rate for 59622 in Illinois.
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 9 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.
Where 59622 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $1,592.96 |
| East St. Louis | Unavailable | $1,497.44 |
| Rest Of Illinois | Unavailable | $1,383.26 |
| Suburban Chicago | Unavailable | $1,467.63 |
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.
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%).
59622 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 59618Attempted VBAC
- 59618 represents the broader maternity-care package for an attempted VBAC ending in cesarean delivery; 59622 is limited to postpartum care.
- 59620VBAC delivery
- 59620 represents the cesarean delivery service only after attempted VBAC. Choose 59622 when reporting postpartum care alone.
- 59614VBAC delivery
- 59614 is for postpartum-only care after vaginal delivery following a prior cesarean; 59622 follows an attempted VBAC ending in cesarean delivery.
- 59430Postpartum care
- 59430 represents postpartum-only care without the attempted-VBAC circumstance specified for 59622.
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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