CPT 59610: Vaginal Delivery After Previous Cesarean, Global Care
Medicare pays $2336 and commercial payers pay $3046 on average nationally for this procedure.
CPT code 59610 describes a global obstetric service that includes comprehensive antepartum care beginning in early pregnancy, admission for labor and delivery with intensive intrapartum management (including fetal monitoring, low forceps, and episiotomy if performed), vaginal delivery of the fetus and placenta after a prior cesarean, and routine inpatient and outpatient postpartum care; service type: global obstetric care; typical site of service: outpatient prenatal clinics and inpatient hospital labor/delivery and postpartum units.
For related coverage guidance, see recent payer policy updates: Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders, Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric or Substance Use Disorders.
Customize your policy alerts
Sign up for cpt 59610 policy alerts
Get alerted when payer policies referencing 59610 are released or updated.
Monitor payer policy activity
National Reimbursement Benchmarks
Commercial averages sit above Medicare: Blue Cross Blue Shield, Cigna, Aetna, UnitedHealth Group and BUCA all show mean commercial rates higher than Medicare’s mean of $2,336.10, with BUCA’s mean at $3,046.30 notably about $710.20 above Medicare. This gap underscores that average commercial reimbursements for CPT 59610 are substantially higher than Medicare’s locality-weighted mean across the 47 localities captured.
Dispersion (P75 minus P25) highlights variation across payers. Blue Cross Blue Shield’s interquartile spread is $1,270.80, Cigna’s is $2,431.10 and UnitedHealth Group’s is $2,164.50; Aetna’s spread is $2,067.00 and BUCA’s is $1,785.90. The tightest distribution by this measure is Blue Cross Blue Shield, while Cigna shows the widest IQR, indicating the greatest mid‑range variability among the commercial payers listed.