No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
59620 VBAC delivery Medicare reimbursement rates in New Mexico
Reports the delivery-only service for a trial of labor after a prior cesarean when the attempt does not result in vaginal birth. Compare 59620 office and facility rates across CMS payment localities in New Mexico.
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 59620 in New Mexico?
New Mexico 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
$878.39
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Obstetrics
About 59620: Attempted VBAC delivery service
Reports the delivery-only service for a trial of labor after a prior cesarean when the attempt does not result in vaginal birth.
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%.
CMS billing rules for 59620
- 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 RVU16.66 · 65%
- Practice expense (office) RVU3.53 · 14%
- Malpractice RVU5.33 · 21%
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.
59620 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
59618 includes antepartum and postpartum care with the attempted VBAC service. 59620 is limited to the delivery portion.
No office rate
59622 represents postpartum care only after attempted VBAC care; 59620 represents the attempted VBAC delivery service.
Compare 59620 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$878.39
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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 59620 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
6,671
- Code
- 59620
- Physician work
- 16.66
- Practice expense
- 3.53
- Malpractice
- 5.33
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.66 | × 1.000 | 16.6600 |
| Practice expense | 3.53 | × 0.917 | 3.2370 |
| Malpractice | 5.33 | × 1.201 | 6.4013 |
| Total RVUs | 26.2983 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$878.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.66 | 1 |
| Practice expense | 3.53 | 0.917 |
| Malpractice | 5.33 | 1.201 |
(16.66 × 1 + 3.53 × 0.917 + 5.33 × 1.201) × $33.4009 = $878.39
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.
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 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.
6,66859612,,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
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
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210