# CPT 59610: Vaginal delivery after previous cesarean (VBAC)

Medicare CPT 59610 pays $2,330.71 in a non-facility setting and $2,330.71 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,017.05 in Wisconsin to $2,831.07 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/59610-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Obstetrics & Gynecology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,330.71 |
| National facility | $2,330.71 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,831.07 | $2,831.07 |
| Florida | $2,726.14 | $2,726.14 |
| Illinois | $2,692.77 | $2,692.77 |
| New York | $2,613.35 | $2,613.35 |
| District of Columbia | $2,558.25 | $2,558.25 |
| New Jersey | $2,509.98 | $2,509.98 |
| Connecticut | $2,491.74 | $2,491.74 |
| Michigan | $2,462.07 | $2,462.07 |
| West Virginia | $2,428.28 | $2,428.28 |
| Maryland | $2,406.17 | $2,406.17 |
| Georgia | $2,385.68 | $2,385.68 |
| Massachusetts | $2,379.39 | $2,379.39 |
| Washington | $2,370.89 | $2,370.89 |
| New Mexico | $2,362.58 | $2,362.58 |
| Pennsylvania | $2,358.27 | $2,358.27 |
| Puerto Rico | $2,331.33 | $2,331.33 |
| Virgin Islands | $2,331.33 | $2,331.33 |
| Rhode Island | $2,330.94 | $2,330.94 |
| Montana | $2,329.88 | $2,329.88 |
| New Hampshire | $2,304.29 | $2,304.29 |
| California | $2,300.92 | $2,300.92 |
| Texas | $2,298.63 | $2,298.63 |
| Louisiana | $2,296.11 | $2,296.11 |
| Colorado | $2,295.06 | $2,295.06 |
| Delaware | $2,287.75 | $2,287.75 |
| Ohio | $2,279.90 | $2,279.90 |
| Missouri | $2,272.97 | $2,272.97 |
| Nevada | $2,261.95 | $2,261.95 |
| Oregon | $2,259.46 | $2,259.46 |
| Arizona | $2,251.59 | $2,251.59 |
| Utah | $2,251.00 | $2,251.00 |
| Hawaii | $2,241.04 | $2,241.04 |
| Kentucky | $2,226.33 | $2,226.33 |
| Wyoming | $2,222.68 | $2,222.68 |
| South Carolina | $2,221.10 | $2,221.10 |
| Virginia | $2,197.98 | $2,197.98 |
| Oklahoma | $2,171.48 | $2,171.48 |
| Maine | $2,147.83 | $2,147.83 |
| North Carolina | $2,139.03 | $2,139.03 |
| Mississippi | $2,135.77 | $2,135.77 |
| Vermont | $2,119.23 | $2,119.23 |
| North Dakota | $2,083.90 | $2,083.90 |
| Tennessee | $2,081.71 | $2,081.71 |
| Alabama | $2,072.60 | $2,072.60 |
| Indiana | $2,071.72 | $2,071.72 |
| Kansas | $2,064.89 | $2,064.89 |
| Idaho | $2,061.96 | $2,061.96 |
| Minnesota | $2,056.24 | $2,056.24 |
| South Dakota | $2,054.82 | $2,054.82 |
| Arkansas | $2,041.46 | $2,041.46 |
| Iowa | $2,027.27 | $2,027.27 |
| Nebraska | $2,024.36 | $2,024.36 |
| Wisconsin | $2,017.05 | $2,017.05 |

## Related codes

- 54150: Circumcision, using clamp/device, newborn — https://www.med-reveal.com/rates/54150-cpt-fee-schedule
- 54160: Circumcision, surgical excision, other than clamp, newborn — https://www.med-reveal.com/rates/54160-cpt-fee-schedule
- 54161: Circumcision, surgical excision, older than 28 days — https://www.med-reveal.com/rates/54161-cpt-fee-schedule
- 54405: Insertion of multi-component inflatable penile prosthesis — https://www.med-reveal.com/rates/54405-cpt-fee-schedule
- 54500: Biopsy of testis — https://www.med-reveal.com/rates/54500-cpt-fee-schedule
- 54520: Orchiectomy, simple — https://www.med-reveal.com/rates/54520-cpt-fee-schedule
- 54522: Orchiectomy, partial — https://www.med-reveal.com/rates/54522-cpt-fee-schedule
- 54600: Reduction of torsion of testis — https://www.med-reveal.com/rates/54600-cpt-fee-schedule

Commercial negotiated rates for 59610 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules