Overview

CPT 59612 applies when a provider performs a vaginal delivery only (VBAC), following a prior cesarean, without antepartum or postpartum care. It covers the delivery admission, labor management, vaginal delivery with or without episiotomy and/or forceps, delivery of the placenta, and immediate postpartum inpatient care, all occurring on the same date of service.

Purpose

This code ensures providers receive appropriate reimbursement for VBAC deliveries when only the delivery portion of the maternity episode is handled. It avoids overbilling and promotes revenue integrity for services rendered.

Clinical Scenarios Where CPT 59612 Applies

A patient with a previous cesarean delivers vaginally (VBAC), and the provider performs only the delivery, not antepartum visits or postpartum care.
The provider received the patient in active labor and performed VBAC, but did not manage prenatal care or subsequent postpartum visits.
Split-care situations where other clinicians or practices provided antepartum or postpartum services.

Procedure Overview for CPT 59612

Applies strictly to vaginal delivery following a previous cesarean, when provider performs delivery only.
Includes hospital admission, labor management (including fetal monitoring), use of episiotomy and/or forceps if needed, vaginal delivery of fetus and placenta, and immediate post-delivery inpatient care through discharge.
This does not include antepartum or postpartum visits, which must be billed separately if provided by you.

Documentation Requirements

Clear indication that delivery was a VBAC (previous cesarean history).
Documentation of labor management steps, interventions (e.g., forceps, episiotomy), and immediate postpartum care.
Explicit date of delivery service covering admission through discharge.
Note the absence of antepartum and/or postpartum services if they were managed by someone else.

Billing and Reimbursement Tips for CPT 59612

Bill once per pregnancy, covering the full delivery-only service.
Do not include antepartum or postpartum components in the same claim; separate billing is essential.
If you also perform postpartum care, use CPT 59614 for delivery including postpartum, only if allowed (and antepartum wasn’t provided by you).
Use modifiers like -52 (Reduced Services) or -AS/80 if applicable (e.g., assistant surgeon, split care), per payer guidelines.
Watch for payer policies that may bundle lab or monitoring into global codes, ensuring delivery-only code aligns with coverage.

Maximizing Revenue with BillingFreedom For OBGYN Medical Billing Services

Maximizing Revenue for VBAC Delivery Only With BillingFreedom

VBAC deliveries require precise coding to ensure you get the payment you deserve, especially when you’re only performing the delivery portion. With BillingFreedom’s OBGYN medical billing services, you can bill CPT 59612 confidently and compliantly.

We help you:

Accurately bill for VBAC deliveries when only delivery services are provided.
Avoid revenue loss by separating delivery from antepartum and postpartum care in line with payer rules.
Prevent denials by using correct modifiers, submitting clean claims, and maintaining thorough documentation.
Simplify split-care situations so you can focus on patient care while we handle the billing complexity.

Every VBAC delivery matters, and BillingFreedom ensures you get paid for every step you take.

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