CPT code 10140: Fluid drainage, hematoma, seroma, or collection2026 Medicare rate & RVUs in South Dakota

Report incision and drainage when a clinician opens and evacuates a hematoma, seroma, or other fluid collection rather than aspirating it.

CMS RVU26DEffective Oct 1, 2026One payment locality41.6K Medicare services in 2024

In South Dakota, Medicare pays $169.70 for 10140 in the office and $110.91 when it’s performed in a hospital or facility.

$169.70Office (non-facility)
$110.91Hospital or facility
−2.7%vs the national office rate ($174.35)

Check a contract rate as a % of Medicare · 10140 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 10140 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 10140 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 10140 covers

This service involves making an incision to drain a hematoma, seroma, or other localized fluid collection. A clinician may perform it in an office, clinic, or facility when a collection—such as a postoperative seroma or a localized hematoma—requires drainage through an incision. The procedure is distinct from needle aspiration and from drainage directed at an abscess or a complex infected postoperative wound.

Document the collection’s location and clinical nature, the incision and drainage performed, and the circumstances supporting that approach. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for 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 10140

Across 109 of 109 payment localities, the office rate for 10140 runs from $154.61 in Arkansas to $227.98 in San Benito County, CA. South Dakota pays $169.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

10140 in South Dakota vs other payment areas
  1. South Dakota · this page$169.70
  2. Los Angeles, CA · California$195.31+$25.61
  3. Washington, DC area · District of Columbia$198.55+$28.85
  4. Miami, FL · Florida$189.83+$20.13
  5. Chicago, IL · Illinois$184.38+$14.68
  6. Manhattan, NY · New York$200.53+$30.83
  7. Alaska · Alaska$204.46+$34.76

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

Every other payment area

10140 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$156.82$105.38
ArkansasArkansas$154.61$104.11
ArizonaArizona$169.75$112.79
Bakersfield, CACalifornia$183.71$119.28
Chico, CACalifornia$183.10$118.67
El Centro, CACalifornia$183.13$118.71
Fresno, CACalifornia$183.10$118.67
Hanford, CACalifornia$183.10$118.67

10140 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.

$154.61

$205.54

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

View every state and territory as a table
10140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$204.461
AL$156.821
AR$154.611
AZ$169.751
CA$183.10–$227.9829
CO$180.851
CT$185.781
DC$198.551
DE$172.511
FL$172.78–$189.833
GA$163.18–$177.772
GU$187.281
HI$187.281
IA$160.271
ID$161.381
IL$168.22–$184.384
IN$162.291
KS$159.751
KY$160.891
LA$160.73–$168.472
MA$179.89–$198.172
MD$175.68–$198.553
ME$162.43–$170.722
MI$165.17–$175.112
MN$172.781
MO$158.18–$168.803
MS$156.411
MT$174.341
NC$164.061
ND$170.191
NE$161.071
NH$178.231
NJ$187.75–$196.612
NM$166.141
NV$173.301
NY$166.47–$205.565
OH$164.331
OK$160.391
OR$171.81–$186.252
PA$164.46–$181.382
PR$175.521
RI$178.401
SC$164.491
SD$169.701
TN$160.561
TX$163.42–$180.388
UT$166.681
VA$170.32–$198.552
VI$175.521
VT$169.731
WA$179.49–$201.952
WI$164.631
WV$162.191
WY$172.531

See 10140 in every payment locality

How the 10140 rate is calculated

Each of 10140’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 · 10140

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.54

1.54 RVUs× 1.000 GPCI

Practice expense3.47

3.47 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

5.2200

Conversion factor

$33.4009

Medicare rate

$174.35

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

1,109

Code
10140
Physician work
1.54
Practice expense
3.47
Malpractice
0.21

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 10140 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.54× 1.0001.5400
Practice expense3.47× 1.0003.4700
Malpractice0.21× 0.3360.0706
Total RVUs5.0806
Conversion factor× 33.4009

Office rate, South Dakota$169.70

Office: (1.54 × 1 + 3.47 × 1 + 0.21 × 0.336) × $33.4009 = $169.70

Facility: (1.54 × 1 + 1.71 × 1 + 0.21 × 0.336) × $33.4009 = $110.91

Open 10140 in the RVU calculator

Payment rules and modifiers for 10140

10140 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 10140

Fluid drainage, hematoma, seroma, or collection

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 · 10140

Fluid drainage, hematoma, seroma, or collection

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

10140 without 51 · national office

$174.35

Fluid drainage, hematoma, seroma, or collection

10140-51 · Second procedure: 50%

$87.18

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 10140 has changed in South Dakota

10140 · Office / nonfacility

$169.70

Effective 2026-10-01

The base rate is $9.25 higher than on 2025-10-01, moving from $160.45 to $169.70 (5.8%).

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

    $160.45changed to$169.70

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.58 changed to 1.54
    • Practice expense RVU 3.30 changed to 3.47
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $166.11changed to$160.45

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.33 changed to 3.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $163.40changed to$166.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $167.50changed to$163.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.29 changed to 3.33
    • Malpractice RVU 0.20 changed to 0.21
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $170.71changed to$167.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.28 changed to 3.29
    • Malpractice RVU 0.21 changed to 0.20
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $171.43changed to$170.71

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.26 changed to 3.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $170.02changed to$171.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.05 changed to 3.26
    • Malpractice RVU 0.22 changed to 0.21
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $167.50changed to$170.02

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.99 changed to 3.05
    • Malpractice RVU 0.20 changed to 0.22
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $164.44changed to$167.50

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.91 changed to 2.99

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $161.82changed to$164.44

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.85 changed to 2.91
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $161.12changed to$161.82

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.84 changed to 2.85
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $161.92changed to$161.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.85 changed to 2.84
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $161.11changed to$161.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $159.74changed to$161.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.80 changed to 2.85
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $162.51changed to$159.74

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.11 changed to 2.80
    • Malpractice RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $162.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$169.70$110.91RVU26D
2026-07-01$169.70$110.91RVU26C
2026-04-01$169.70$110.91RVU26B
2026-01-01$169.70$110.91RVU26A
2025-10-01$160.45$112.25RVU25D
2025-07-01$160.45$112.25RVU25C
2025-04-01$160.45$112.25RVU25B
2025-01-01$160.45$112.25RVU25A
2024-10-01$166.11$114.52RVU24D
2024-07-01$166.11$114.52RVU24C
2024-04-01$166.11$114.52RVU24B
2024-03-09$166.11$114.52RVU24AR
2024-01-01$163.40$112.65RVU24A
2023-10-01$167.50$114.63RVU23D
2023-07-01$167.50$114.63RVU23C
2023-04-01$167.50$114.63RVU23B
2023-01-01$167.50$114.63RVU23A
2022-10-01$170.71$115.34RVU22D
2022-07-01$170.71$115.34RVU22C
2022-04-01$170.71$115.34RVU22B
2022-01-01$170.71$115.34RVU22A
2021-10-01$171.43$115.95RVU21D
2021-07-01$171.43$115.95RVU21C
2021-04-01$171.43$115.95RVU21B
2021-01-01$171.43$115.95RVU21A
2020-10-01$170.02$118.05RVU20D
2020-07-01$170.02$118.05RVU20C
2020-04-01$170.02$118.05RVU20B
2020-01-01$170.02$118.05RVU20A
2019-10-01$167.50$118.13RVU19D
2019-07-01$167.50$118.13RVU19C
2019-04-01$167.50$118.13RVU19B
2019-01-01$167.50$118.13RVU19A
2018-10-01$164.44$118.00RVU18D
2018-07-01$164.44$118.00RVU18C
2018-04-01$164.44$118.00RVU18B
2018-01-01$164.44$118.00RVU18AR1
2017-10-01$161.82$116.96RVU17D
2017-07-01$161.82$116.96RVU17C
2017-04-01$161.82$116.96RVU17B
2017-01-01$161.82$116.96RVU17A
2016-10-01$161.12$116.72RVU16D
2016-07-01$161.12$116.72RVU16C
2016-04-01$161.12$116.72RVU16B
2016-01-01$161.12$116.72RVU16A
2015-10-01$161.92$117.36RVU15D
2015-07-01$161.92$117.36RVU15C
2015-04-01$161.11$116.77RVU15B
2015-01-01$161.11$116.77RVU15A
2014-10-01$159.74$116.39RVU14D
2014-07-01$159.74$116.39RVU14C
2014-04-01$159.74$116.39RVU14B
2014-01-01$159.74$116.39RVU14A
2013-10-01$162.51$116.24RVU13D
2013-07-01$162.51$116.24RVU13C
2013-04-01$162.51$116.24RVU13B
2013-01-01$162.51$116.24RVU13AR

Price 10140 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

10140 billing questions

When should I report 10140 instead of 10160?

Report 10140 when the clinician uses an incision to drain the collection. Code 10160 describes drainage by puncture or aspiration.

How does 10140 differ from abscess drainage?

10140 is for a hematoma, seroma, or other fluid collection. For incision and drainage of a simple or single abscess, consider 10060; more extensive or multiple abscess drainage is described by 10061.

Are related postoperative visits separately payable during the global period?

Related postoperative visits for 10 days are included in the global period for 10140.

Can modifier 50 be reported for bilateral drainage?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple procedure reduction affect 10140?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 10140. Co-surgeons and team surgery are not permitted.

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 10140PPRRVU2026_Oct_nonQPP.csv, line 1,109 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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