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

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 Houston, TX, Medicare pays $176.59 for 10140 in the office and $118.22 when it’s performed in a hospital or facility.

$176.59Office (non-facility)
$118.22Hospital or facility
+1.3%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $176.59. The RVUs are the same everywhere; the geographic indexes change the dollars.

10140 in Houston, TX vs other payment areas
  1. Houston, TX · this page$176.59
  2. Austin, TX · Texas$180.38+$3.79
  3. Beaumont, TX · Texas$163.42−$13.17
  4. Brazoria, TX · Texas$172.18−$4.41
  5. Dallas, TX · Texas$173.36−$3.23
  6. Fort Worth, TX · Texas$172.29−$4.30
  7. Galveston, TX · Texas$172.75−$3.84

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

Every other payment area

10140 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$167.76$111.97
Los Angeles, CACalifornia$195.31$125.77
Washington, DC areaDistrict of Columbia$198.55$129.30
Miami, FLFlorida$189.83$128.63
Chicago, ILIllinois$184.38$125.30
Manhattan, NYNew York$200.53$132.22
AlaskaAlaska$204.46$141.85
AlabamaAlabama$156.82$105.38

10140 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.

$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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 10140 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.54× 1.0081.5523
Practice expense3.47× 0.9933.4457
Malpractice0.21× 1.3760.2890
Total RVUs5.2870
Conversion factor× 33.4009

Office rate, Houston, TX$176.59

Office: (1.54 × 1.008 + 3.47 × 0.993 + 0.21 × 1.376) × $33.4009 = $176.59

Facility: (1.54 × 1.008 + 1.71 × 0.993 + 0.21 × 1.376) × $33.4009 = $118.22

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

Codes related to 10140

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

Codes related to 10140
CodeHow it relatesOffice range, Houston, TX
Used instead
10160Lesion aspiration, abscess, hematoma, or bullaUses puncture or aspiration to drain a collection rather than an incision.$133.34
10060Abscess drainage, simple, single abscessFor incision and drainage of a simple or single abscess rather than a hematoma or seroma.$129.95
10061Abscess drainage, complex or multipleFor more extensive or multiple abscess drainage rather than a non-abscess fluid collection.$223.99
10180Wound drainage, complex postoperative infectionFor complex drainage of a postoperative wound infection, not routine seroma or hematoma drainage.$293.75

How 10140 has changed in Houston, TX

10140 · Office / nonfacility

$176.59

Effective 2026-10-01

The base rate is $8.13 higher than on 2025-10-01, moving from $168.46 to $176.59 (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

    $168.46changed to$176.59

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $174.36changed to$168.46

    • 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

    $171.51changed to$174.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $175.87changed to$171.51

    • 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
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $179.77changed to$175.87

    • 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
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $180.54changed to$179.77

    • 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

    $178.07changed to$180.54

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $173.88changed to$178.07

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $170.77changed to$173.88

    • 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

    $167.83changed to$170.77

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.85 changed to 2.91
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $166.78changed to$167.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.84 changed to 2.85
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $167.40changed to$166.78

    • 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

    $166.57changed to$167.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $164.49changed to$166.57

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.80 changed to 2.85
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $166.54changed to$164.49

    • 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
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $166.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$176.59$118.22RVU26D
2026-07-01$176.59$118.22RVU26C
2026-04-01$176.59$118.22RVU26B
2026-01-01$176.59$118.22RVU26A
2025-10-01$168.46$120.12RVU25D
2025-07-01$168.46$120.12RVU25C
2025-04-01$168.46$120.12RVU25B
2025-01-01$168.46$120.12RVU25A
2024-10-01$174.36$122.61RVU24D
2024-07-01$174.36$122.61RVU24C
2024-04-01$174.36$122.61RVU24B
2024-03-09$174.36$122.61RVU24AR
2024-01-01$171.51$120.61RVU24A
2023-10-01$175.87$122.16RVU23D
2023-07-01$175.87$122.16RVU23C
2023-04-01$175.87$122.16RVU23B
2023-01-01$175.87$122.16RVU23A
2022-10-01$179.77$122.79RVU22D
2022-07-01$179.77$122.79RVU22C
2022-04-01$179.77$122.79RVU22B
2022-01-01$179.77$122.79RVU22A
2021-10-01$180.54$123.45RVU21D
2021-07-01$180.54$123.45RVU21C
2021-04-01$180.54$123.45RVU21B
2021-01-01$180.54$123.45RVU21A
2020-10-01$178.07$125.06RVU20D
2020-07-01$178.07$125.06RVU20C
2020-04-01$178.07$125.06RVU20B
2020-01-01$178.07$125.06RVU20A
2019-10-01$173.88$123.91RVU19D
2019-07-01$173.88$123.91RVU19C
2019-04-01$173.88$123.91RVU19B
2019-01-01$173.88$123.91RVU19A
2018-10-01$170.77$123.78RVU18D
2018-07-01$170.77$123.78RVU18C
2018-04-01$170.77$123.78RVU18B
2018-01-01$170.77$123.78RVU18AR1
2017-10-01$167.83$122.57RVU17D
2017-07-01$167.83$122.57RVU17C
2017-04-01$167.83$122.57RVU17B
2017-01-01$167.83$122.57RVU17A
2016-10-01$166.78$122.11RVU16D
2016-07-01$166.78$122.11RVU16C
2016-04-01$166.78$122.11RVU16B
2016-01-01$166.78$122.11RVU16A
2015-10-01$167.40$122.57RVU15D
2015-07-01$167.40$122.57RVU15C
2015-04-01$166.57$121.96RVU15B
2015-01-01$166.57$121.96RVU15A
2014-10-01$164.49$120.97RVU14D
2014-07-01$164.49$120.97RVU14C
2014-04-01$164.49$120.97RVU14B
2014-01-01$164.49$120.97RVU14A
2013-10-01$166.54$120.18RVU13D
2013-07-01$166.54$120.18RVU13C
2013-04-01$166.54$120.18RVU13B
2013-01-01$166.54$120.18RVU13AR

Price 10140 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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