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CPT code 10061: Abscess drainage, complex or multiple2026 Medicare rate & RVUs in Washington, DC area

Report this service for drainage of a complex skin abscess or multiple abscesses when the work exceeds a simple, single-site drainage.

CMS RVU26DEffective Oct 1, 2026One payment locality90K Medicare services in 2024

In Washington, DC area, Medicare pays $248.68 for 10061 in the office and $193.59 when it’s performed in a hospital or facility.

$248.68Office (non-facility)
$193.59Hospital or facility
+13.0%vs the national office rate ($220.11)

Check a contract rate as a % of Medicare · 10061 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 10061 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 10061 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 10061 covers

This service covers incision and drainage of a skin or subcutaneous abscess when the case involves multiple abscesses or greater procedural complexity than a straightforward single abscess. The clinician opens the collection and evacuates its contents; complex cases may require additional exploration or disruption of loculations. Dermatologists, primary care clinicians, surgeons, and emergency physicians commonly perform the procedure in an office, emergency department, or facility setting.

Choose this code based on the number of abscesses and the documented work, rather than simply the body site. The note should identify the sites treated, the number of collections, and the steps supporting complexity. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Washington, DC area compares for 10061

Across 109 of 109 payment localities, the office rate for 10061 runs from $196.54 in Arkansas to $280.91 in San Benito County, CA. Washington, DC area pays $248.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

10061 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$248.68
  2. Los Angeles, CA · California$243.34−$5.34
  3. Miami, FL · Florida$242.26−$6.42
  4. Chicago, IL · Illinois$235.59−$13.09
  5. Manhattan, NY · New York$252.62+$3.94
  6. Alaska · Alaska$263.48+$14.80
  7. Alabama · Alabama$199.17−$49.51

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

10061 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$196.54$156.37
ArizonaArizona$214.52$169.21
Bakersfield, CACalifornia$229.73$178.48
Chico, CACalifornia$228.76$177.51
El Centro, CACalifornia$228.82$177.57
Fresno, CACalifornia$228.76$177.51
Hanford, CACalifornia$228.76$177.51
Madera, CACalifornia$228.76$177.51

10061 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$196.54

$263.48

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
10061 office rate range by state
State / territoryOffice rate rangeLocalities
AK$263.481
AL$199.171
AR$196.541
AZ$214.521
CA$228.76–$280.9129
CO$226.931
CT$233.981
DC$248.681
DE$217.851
FL$219.97–$242.263
GA$208.27–$224.642
GU$233.181
HI$233.181
IA$202.481
ID$203.961
IL$215.07–$235.594
IN$205.011
KS$202.241
KY$204.831
LA$204.78–$213.982
MA$226.00–$247.252
MD$221.56–$248.683
ME$205.60–$214.882
MI$210.29–$223.152
MN$216.101
MO$201.99–$213.933
MS$199.271
MT$220.091
NC$207.471
ND$213.561
NE$203.301
NH$224.031
NJ$236.27–$246.572
NM$211.601
NV$218.401
NY$210.38–$259.105
OH$208.951
OK$203.821
OR$216.32–$232.922
PA$208.91–$228.982
PR$221.371
RI$224.701
SC$208.631
SD$212.791
TN$203.251
TX$207.70–$226.518
UT$211.231
VA$214.67–$248.682
VI$221.371
VT$213.371
WA$225.37–$251.432
WI$207.061
WV$207.931
WY$217.251

See 10061 in every payment locality

How the 10061 rate is calculated

Each of 10061’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 10061

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.39

2.39 RVUs× 1.000 GPCI

Practice expense3.87

3.87 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

6.5900

Conversion factor

$33.4009

Medicare rate

$220.11

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,088

Code
10061
Physician work
2.39
Practice expense
3.87
Malpractice
0.33

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 10061 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0542.5191
Practice expense3.87× 1.1784.5589
Malpractice0.33× 1.1130.3673
Total RVUs7.4452
Conversion factor× 33.4009

Office rate, Washington, DC area$248.68

Office: (2.39 × 1.054 + 3.87 × 1.178 + 0.33 × 1.113) × $33.4009 = $248.68

Facility: (2.39 × 1.054 + 2.47 × 1.178 + 0.33 × 1.113) × $33.4009 = $193.59

Open 10061 in the RVU calculator

Payment rules and modifiers for 10061

10061 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 10061

Abscess drainage, complex or multiple

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 10061

Abscess drainage, complex or multiple

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

10061 without 51 · national office

$220.11

Abscess drainage, complex or multiple

10061-51 · Second procedure: 50%

$110.06

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 10061

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 10061
CodeHow it relatesOffice range, Washington, DC area
Same family
10060Abscess drainage, simple, single abscessFor drainage of a simple, single abscess rather than a complex or multiple-abscess case.$146.27
Used instead
10080Pilonidal drainage, simple incision and drainageFor simple drainage of a pilonidal cyst, a site-specific service.$312.16
10081Pilonidal drainage, complicated incision and drainageFor complex drainage of a pilonidal cyst, rather than a general skin abscess.$436.61
10030Fluid drainage, image-guided, soft tissueFor image-guided catheter drainage of a soft-tissue fluid collection using a percutaneous approach.$719.59

How 10061 has changed in Washington, DC area

10061 · Office / nonfacility

$248.68

Effective 2026-10-01

The base rate is $11.30 higher than on 2025-10-01, moving from $237.38 to $248.68 (4.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $237.38changed to$248.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.45 changed to 2.39
    • Practice expense RVU 3.69 changed to 3.87
    • Malpractice RVU 0.30 changed to 0.33
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $245.46changed to$237.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.70 changed to 3.69
    • Malpractice RVU 0.32 changed to 0.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $241.45changed to$245.46

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $249.11changed to$241.45

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.62 changed to 3.70
    • Malpractice RVU 0.30 changed to 0.32
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $255.54changed to$249.11

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.55 changed to 3.62
    • Malpractice RVU 0.32 changed to 0.30
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $252.89changed to$255.54

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.45 changed to 3.55
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $248.51changed to$252.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.20 changed to 3.45
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $241.40changed to$248.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.12 changed to 3.20
    • Malpractice RVU 0.30 changed to 0.32
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $241.11changed to$241.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.13 changed to 3.12
    • Malpractice RVU 0.29 changed to 0.30

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $240.33changed to$241.11

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.11 changed to 3.13
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $239.69changed to$240.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.10 changed to 3.11
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $240.56changed to$239.69

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $239.36changed to$240.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $235.57changed to$239.36

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.04 changed to 3.10
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $236.33changed to$235.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.37 changed to 3.04
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $236.33

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$248.68$193.59RVU26D
2026-07-01$248.68$193.59RVU26C
2026-04-01$248.68$193.59RVU26B
2026-01-01$248.68$193.59RVU26A
2025-10-01$237.38$203.45RVU25D
2025-07-01$237.38$203.45RVU25C
2025-04-01$237.38$203.45RVU25B
2025-01-01$237.38$203.45RVU25A
2024-10-01$245.46$209.35RVU24D
2024-07-01$245.46$209.35RVU24C
2024-04-01$245.46$209.35RVU24B
2024-03-09$245.46$209.35RVU24AR
2024-01-01$241.45$205.93RVU24A
2023-10-01$249.11$212.09RVU23D
2023-07-01$249.11$212.09RVU23C
2023-04-01$249.11$212.09RVU23B
2023-01-01$249.11$212.09RVU23A
2022-10-01$255.54$216.19RVU22D
2022-07-01$255.54$216.19RVU22C
2022-04-01$255.54$216.19RVU22B
2022-01-01$255.54$216.19RVU22A
2021-10-01$252.89$214.94RVU21D
2021-07-01$252.89$214.94RVU21C
2021-04-01$252.89$214.94RVU21B
2021-01-01$252.89$214.94RVU21A
2020-10-01$248.51$215.02RVU20D
2020-07-01$248.51$215.02RVU20C
2020-04-01$248.51$215.02RVU20B
2020-01-01$248.51$215.02RVU20A
2019-10-01$241.40$210.56RVU19D
2019-07-01$241.40$210.56RVU19C
2019-04-01$241.40$210.56RVU19B
2019-01-01$241.40$210.56RVU19A
2018-10-01$241.11$209.44RVU18D
2018-07-01$241.11$209.44RVU18C
2018-04-01$241.11$209.44RVU18B
2018-01-01$241.11$209.44RVU18AR1
2017-10-01$240.33$208.76RVU17D
2017-07-01$240.33$208.76RVU17C
2017-04-01$240.33$208.76RVU17B
2017-01-01$240.33$208.76RVU17A
2016-10-01$239.69$208.19RVU16D
2016-07-01$239.69$208.19RVU16C
2016-04-01$239.69$208.19RVU16B
2016-01-01$239.69$208.19RVU16A
2015-10-01$240.56$209.38RVU15D
2015-07-01$240.56$209.38RVU15C
2015-04-01$239.36$208.34RVU15B
2015-01-01$239.36$208.34RVU15A
2014-10-01$235.57$205.00RVU14D
2014-07-01$235.57$205.00RVU14C
2014-04-01$235.57$205.00RVU14B
2014-01-01$235.57$205.00RVU14A
2013-10-01$236.33$204.13RVU13D
2013-07-01$236.33$204.13RVU13C
2013-04-01$236.33$204.13RVU13B
2013-01-01$236.33$204.13RVU13AR

Price 10061 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

10061 billing questions

How is this distinguished from 10060?

Use 10060 for drainage of a simple, single abscess. Use 10061 when multiple abscesses are treated or the documented procedure is more complex.

What documentation supports the complex level?

Record each site treated, the number of abscesses, and the procedural steps that made the drainage more involved than a simple, single abscess.

Should modifier 50 be reported for abscesses on both sides?

No. CMS specifies that bilateral adjustment does not apply and modifier 50 is inappropriate for this service.

Are related wound checks separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 10061PPRRVU2026_Oct_nonQPP.csv, line 1,088 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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