59618 Attempted vbac delivery
Also known as: TOLAC with repeat cesarean, VBAC failed attempt
Trial of labor after cesarean section with cesarean delivery (unsuccessful vaginal birth attempt) including comprehensive obstetrical care.
In Plain Language
attempted vaginal birth after c-section resulting in c-section
Clinical Context
Trial of labor after cesarean that results in cesarean delivery due to maternal or fetal indication; full obstetrical care included.
RVU Breakdown
| Work RVU | 41.57 |
| Total RVU | 41.57 |
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 41.57, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 59618?
CPT 59618 (Attempted vbac delivery) is a Surgery code. Trial of labor after cesarean section with cesarean delivery (unsuccessful vaginal birth attempt) including comprehensive obstetrical care.
What is the wRVU value for CPT 59618?
The work RVU for CPT 59618 is 41.57. This code is primarily used by Obstetrics and Gynecology.
When is CPT 59618 used?
Trial of labor after cesarean that results in cesarean delivery due to maternal or fetal indication; full obstetrical care included.
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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.