CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 59618 RVU and Medicare Payment (2026)
Attempted vbac delivery — 41.57 work RVU, about $2,500.39 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 41.57
- PE RVU (non-facility)
- 19.93
- PE RVU (facility)
- 19.93
- MP RVU
- 13.36
- Office payment
- $2,500.39
- Facility payment
- $2,500.39
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 59618 in a non-facility setting with national GPCI: (41.57 + 19.93 + 13.36) × $33.4009 ≈ $2,500.39. The same code in a facility setting pays about $2,500.39 because facility PE RVU (19.93) replaces office PE RVU.
What changes by locality
GPCI moves 59618 non-facility payment from $2,163.64 to $3,209.98 across CMS localities — from Wisconsin to Miami. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 59618?
41.57. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 59618 in 2026?
About $2,500.39 non-facility ($2,500.39 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (41.57) and malpractice RVU stay fixed; only practice expense changes (19.93 office vs 19.93 facility). That is the entire office-vs-facility payment gap.