No office rate
This code includes antepartum and postpartum care with the VBAC delivery. 59612 is limited to the delivery service.
On this page
CMS RVU26D · Effective 2026-10-01
59610 VBAC care Medicare reimbursement rates in Rhode Island
Report this code when a patient with a prior cesarean receives complete maternity care and delivers vaginally after attempting labor. Compare 59610 office and facility rates across CMS payment localities in Rhode Island.
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 59610 in Rhode Island?
Rhode Island 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
$2330.94
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 59610: Complete VBAC maternity care
Report this code when a patient with a prior cesarean receives complete maternity care and delivers vaginally after attempting labor.
This code represents complete maternity care for a patient with a previous cesarean who attempts labor and delivers vaginally. The package includes antepartum care, the vaginal delivery, and postpartum care. Obstetricians and other qualified maternity clinicians typically provide the care, with the delivery occurring in a hospital or birth center. The defining clinical distinction is a successful vaginal birth after cesarean, rather than a repeat cesarean delivery.
Select this code when the reporting clinician or group provides the complete course of care represented by the package. The record should support the prior cesarean, prenatal care, labor and vaginal delivery, and postpartum care. CMS classifies this as a maternity code, so the usual surgical global-period rules do not apply; the maternity services are described by the obstetric code itself. If multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.
CMS billing rules for 59610
- 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 RVU38.71 · 55%
- Practice expense (office) RVU18.63 · 27%
- Malpractice RVU12.44 · 18%
44
Medicare services in 2024 · #5438 by national volume
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.
59610 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
No office rate
This code includes antepartum care as well as delivery and postpartum care. 59614 covers delivery with postpartum care, without the complete antepartum package.
No office rate
Use this code for complete maternity care ending in vaginal delivery after a prior cesarean. 59618 describes an attempted VBAC that ends in cesarean delivery.
No office rate
Both represent complete maternity care ending in vaginal delivery, but this code is for a patient with a prior cesarean; 59400 is for routine obstetric care without that history.
Compare 59610 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$2330.94
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 59610 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,667
- Code
- 59610
- Physician work
- 38.71
- Practice expense
- 18.63
- Malpractice
- 12.44
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.71 | × 1.019 | 39.4455 |
| Practice expense | 18.63 | × 1.033 | 19.2448 |
| Malpractice | 12.44 | × 0.892 | 11.0965 |
| Total RVUs | 69.7868 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$2330.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 38.71 | 1.019 |
| Practice expense | 18.63 | 1.033 |
| Malpractice | 12.44 | 0.892 |
(38.71 × 1.019 + 18.63 × 1.033 + 12.44 × 0.892) × $33.4009 = $2330.94
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.
59610 billing questions
When should this code be selected instead of a delivery-only code?
Use this code when the reported care includes antepartum care, vaginal delivery after a previous cesarean, and postpartum care. A delivery-only code is for circumstances in which the clinician reports only the delivery service.
Does this code include postpartum care?
Yes. The complete maternity package includes postpartum care along with antepartum care and the vaginal delivery.
What if the attempted VBAC ends in a cesarean delivery?
This code describes a vaginal birth after the prior cesarean. When the attempt results in cesarean delivery, consider the attempted-VBAC maternity code instead.
What documentation supports reporting this code?
Document the prior cesarean, the prenatal care provided, the labor attempt and vaginal delivery, and the postpartum care included in the reported package.
How does CMS apply multiple-procedure reduction?
When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures to 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.
6,66459514,,Cesarean delivery only,A,,16.13,3.52,NA,3.52,,5.01,24.66,24.66,0,MMM,0.00,0.00,0.00,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66559515,,Cesarean delivery,A,,22.79,6.62,NA,6.62,,7.26,36.67,36.67,0,MMM,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66659525,,Remove uterus after cesarean,A,,8.32,1.77,NA,1.77,,2.67,12.76,12.76,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66759610,,Vbac delivery,A,,38.71,18.63,NA,18.63,,12.44,69.78,69.78,0,MMM,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,66859612,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537