59409 Obstetrical care
Also known as: VBAC care, trial of labor after cesarean, vaginal delivery only
Obstetrical care package for vaginal delivery after previous cesarean section (Vaginal Birth After Cesarean), including antepartum through postpartum.
In Plain Language
complete care for vaginal birth after previous c-section
Clinical Context
Represents bundled care for candidates attempting vaginal delivery after prior cesarean with appropriate candidacy and facility availability.
RVU Breakdown
| Work RVU | 14.37 |
| Total RVU | 14.37 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 14.37, this code ranks in the 71st percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59409?
CPT 59409 (Obstetrical care) is a Surgery code. Obstetrical care package for vaginal delivery after previous cesarean section (Vaginal Birth After Cesarean), including antepartum through postpartum.
What is the wRVU value for CPT 59409?
The work RVU for CPT 59409 is 14.37. This code is primarily used by Obstetrics and Gynecology.
When is CPT 59409 used?
Represents bundled care for candidates attempting vaginal delivery after prior cesarean with appropriate candidacy and facility availability.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.