CPT code 10061: Abscess drainage, complex or multiple2026 Medicare rate & RVUs in South Dakota

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 South Dakota, Medicare pays $212.79 for 10061 in the office and $166.03 when it’s performed in a hospital or facility.

$212.79Office (non-facility)
$166.03Hospital or facility
−3.3%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 South Dakota
  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 South Dakota 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. South Dakota pays $212.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

10061 in South Dakota vs other payment areas
  1. South Dakota · this page$212.79
  2. Los Angeles, CA · California$243.34+$30.55
  3. Washington, DC area · District of Columbia$248.68+$35.89
  4. Miami, FL · Florida$242.26+$29.47
  5. Chicago, IL · Illinois$235.59+$22.80
  6. Manhattan, NY · New York$252.62+$39.83
  7. Alaska · Alaska$263.48+$50.69

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

10061 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$199.17$158.25
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

10061 rates by state

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

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 10061 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0002.3900
Practice expense3.87× 1.0003.8700
Malpractice0.33× 0.3360.1109
Total RVUs6.3709
Conversion factor× 33.4009

Office rate, South Dakota$212.79

Office: (2.39 × 1 + 3.87 × 1 + 0.33 × 0.336) × $33.4009 = $212.79

Facility: (2.39 × 1 + 2.47 × 1 + 0.33 × 0.336) × $33.4009 = $166.03

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

How 10061 has changed in South Dakota

10061 · Office / nonfacility

$212.79

Effective 2026-10-01

The base rate is $10.48 higher than on 2025-10-01, moving from $202.31 to $212.79 (5.2%).

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

    $202.31changed to$212.79

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $208.79changed to$202.31

    • 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

    $205.38changed to$208.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $209.40changed to$205.38

    • 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
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $211.48changed to$209.40

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $209.62changed to$211.48

    • 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

    $208.16changed to$209.62

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $204.94changed to$208.16

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $204.94changed to$204.94

    • 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

    $203.79changed to$204.94

    • 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
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $203.01changed to$203.79

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.10 changed to 3.11
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $203.74changed to$203.01

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $202.73changed to$203.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $200.99changed to$202.73

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $202.42changed to$200.99

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $202.42

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$212.79$166.03RVU26D
2026-07-01$212.79$166.03RVU26C
2026-04-01$212.79$166.03RVU26B
2026-01-01$212.79$166.03RVU26A
2025-10-01$202.31$173.85RVU25D
2025-07-01$202.31$173.85RVU25C
2025-04-01$202.31$173.85RVU25B
2025-01-01$202.31$173.85RVU25A
2024-10-01$208.79$178.50RVU24D
2024-07-01$208.79$178.50RVU24C
2024-04-01$208.79$178.50RVU24B
2024-03-09$208.79$178.50RVU24AR
2024-01-01$205.38$175.58RVU24A
2023-10-01$209.40$178.90RVU23D
2023-07-01$209.40$178.90RVU23C
2023-04-01$209.40$178.90RVU23B
2023-01-01$209.40$178.90RVU23A
2022-10-01$211.48$179.64RVU22D
2022-07-01$211.48$179.64RVU22C
2022-04-01$211.48$179.64RVU22B
2022-01-01$211.48$179.64RVU22A
2021-10-01$209.62$178.92RVU21D
2021-07-01$209.62$178.92RVU21C
2021-04-01$209.62$178.92RVU21B
2021-01-01$209.62$178.92RVU21A
2020-10-01$208.16$180.73RVU20D
2020-07-01$208.16$180.73RVU20C
2020-04-01$208.16$180.73RVU20B
2020-01-01$208.16$180.73RVU20A
2019-10-01$204.94$179.36RVU19D
2019-07-01$204.94$179.36RVU19C
2019-04-01$204.94$179.36RVU19B
2019-01-01$204.94$179.36RVU19A
2018-10-01$204.94$178.66RVU18D
2018-07-01$204.94$178.66RVU18C
2018-04-01$204.94$178.66RVU18B
2018-01-01$204.94$178.66RVU18AR1
2017-10-01$203.79$177.60RVU17D
2017-07-01$203.79$177.60RVU17C
2017-04-01$203.79$177.60RVU17B
2017-01-01$203.79$177.60RVU17A
2016-10-01$203.01$176.87RVU16D
2016-07-01$203.01$176.87RVU16C
2016-04-01$203.01$176.87RVU16B
2016-01-01$203.01$176.87RVU16A
2015-10-01$203.74$177.87RVU15D
2015-07-01$203.74$177.87RVU15C
2015-04-01$202.73$176.99RVU15B
2015-01-01$202.73$176.99RVU15A
2014-10-01$200.99$175.55RVU14D
2014-07-01$200.99$175.55RVU14C
2014-04-01$200.99$175.55RVU14B
2014-01-01$200.99$175.55RVU14A
2013-10-01$202.42$175.55RVU13D
2013-07-01$202.42$175.55RVU13C
2013-04-01$202.42$175.55RVU13B
2013-01-01$202.42$175.55RVU13AR

Price 10061 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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