CPT code 15004: Wound preparation, face, hands, feet, and similar sites2026 Medicare rate & RVUs in Montana
Reports surgical preparation of a wound recipient site on specified complex body areas before grafting or reconstruction, measured by the prepared area.
In Montana, Medicare pays $404.44 for 15004 in the office and $228.75 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 15004 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 15004 covers
This service prepares a wound bed on the face, scalp, eyelids, mouth, neck, ears, around the eyes, genitalia, hands, feet, or multiple digits. The surgeon excises nonviable wound tissue, burn eschar, or scar, including involved subcutaneous tissue, to create a suitable recipient site for reconstruction. Plastic surgeons, burn surgeons, and other surgeons performing reconstruction may provide it in an operating room or another appropriate procedural setting. The code represents site preparation, not placement of a graft or other reconstructive material.
Report 15004 for the first 100 sq cm, or the applicable 1% body-surface-area unit for infants and children; use 15005 for each additional unit. Document the anatomic site, prepared area, tissue removed, and the operative work that created the recipient bed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Montana compares for 15004
Across 109 of 109 payment localities, the office rate for 15004 runs from $361.38 in Arkansas to $514.94 in San Benito County, CA. Montana pays $404.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$404.44
- Los Angeles, CA · California$446.56+$42.12
- Washington, DC area · District of Columbia$456.62+$52.18
- Miami, FL · Florida$445.76+$41.32
- Chicago, IL · Illinois$433.52+$29.08
- Manhattan, NY · New York$464.16+$59.72
- Alaska · Alaska$485.08+$80.64
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $366.19 | $212.46 |
| ArkansasArkansas | $361.38 | $210.46 |
| ArizonaArizona | $394.23 | $223.99 |
| Bakersfield, CACalifornia | $421.73 | $229.18 |
| Chico, CACalifornia | $419.92 | $227.37 |
| El Centro, CACalifornia | $420.03 | $227.47 |
| Fresno, CACalifornia | $419.92 | $227.37 |
| Hanford, CACalifornia | $419.92 | $227.37 |
| Madera, CACalifornia | $419.92 | $227.37 |
| Merced, CACalifornia | $419.92 | $227.37 |
| Modesto, CACalifornia | $419.92 | $227.37 |
| Napa, CACalifornia | $478.27 | $246.71 |
| Oxnard, CACalifornia | $443.53 | $235.87 |
| Redding, CACalifornia | $419.92 | $227.37 |
| Rest of CaliforniaCalifornia | $419.92 | $227.37 |
| Riverside, CACalifornia | $426.64 | $234.08 |
| Sacramento, CACalifornia | $438.47 | $234.14 |
| Salinas, CACalifornia | $436.79 | $233.16 |
| San Diego, CACalifornia | $445.44 | $235.31 |
| Marin County, CACalifornia | $503.60 | $255.88 |
| San Francisco, CACalifornia | $502.90 | $255.17 |
| San Benito County, CACalifornia | $514.94 | $261.59 |
| Santa Clara County, CACalifornia | $512.06 | $258.72 |
| San Luis Obispo, CACalifornia | $430.01 | $229.90 |
| Santa Cruz, CACalifornia | $448.42 | $234.96 |
| Santa Maria, CACalifornia | $437.98 | $233.13 |
| Santa Rosa, CACalifornia | $452.82 | $237.07 |
| Stockton, CACalifornia | $419.92 | $227.37 |
| Vallejo, CACalifornia | $477.25 | $245.69 |
| Visalia, CACalifornia | $419.92 | $227.37 |
| Yuba City, CACalifornia | $419.92 | $227.37 |
| ColoradoColorado | $416.75 | $229.81 |
| ConnecticutConnecticut | $429.87 | $240.66 |
| DelawareDelaware | $400.33 | $226.75 |
| Fort Lauderdale, FLFlorida | $424.27 | $246.29 |
| Rest of FloridaFlorida | $404.58 | $236.63 |
| Atlanta, GAGeorgia | $412.85 | $234.35 |
| Rest of GeorgiaGeorgia | $383.14 | $226.42 |
| Hawaii, Guam, HIHawaii | $427.89 | $228.13 |
| IowaIowa | $372.07 | $211.31 |
| IdahoIdaho | $374.81 | $213.18 |
| East St. Louis, ILIllinois | $406.73 | $245.09 |
| Rest of IllinoisIllinois | $395.74 | $235.34 |
| Suburban Chicago, ILIllinois | $427.85 | $247.42 |
| IndianaIndiana | $376.72 | $213.86 |
| KansasKansas | $371.70 | $212.88 |
| KentuckyKentucky | $376.70 | $220.51 |
| New Orleans, LALouisiana | $393.47 | $228.14 |
| Rest of LouisianaLouisiana | $376.65 | $221.17 |
| Metropolitan Boston, MAMassachusetts | $453.82 | $244.04 |
| Rest of MassachusettsMassachusetts | $415.10 | $230.10 |
| Baltimore area, MDMaryland | $428.90 | $240.38 |
| Rest of MarylandMaryland | $407.09 | $229.30 |
| Rest of MaineMaine | $377.90 | $216.27 |
| Southern Maine, MEMaine | $394.73 | $220.63 |
| Detroit, MIMichigan | $410.48 | $240.94 |
| Rest of MichiganMichigan | $386.76 | $226.35 |
| MinnesotaMinnesota | $396.71 | $215.92 |
| Metropolitan Kansas City, MOMissouri | $389.71 | $224.73 |
| Metropolitan St. Louis, MOMissouri | $393.27 | $226.02 |
| Rest of MissouriMissouri | $371.59 | $220.15 |
| MississippiMississippi | $366.49 | $215.22 |
| North CarolinaNorth Carolina | $381.30 | $217.38 |
| North DakotaNorth Dakota | $392.18 | $216.50 |
| NebraskaNebraska | $373.55 | $211.39 |
| New HampshireNew Hampshire | $411.51 | $228.62 |
| Northern New JerseyNew Jersey | $452.81 | $249.02 |
| Rest of New JerseyNew Jersey | $434.04 | $242.19 |
| New MexicoNew Mexico | $389.19 | $228.08 |
| NevadaNevada | $401.26 | $225.40 |
| NYC suburbs and Long Island, NYNew York | $476.10 | $267.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $437.83 | $245.45 |
| Queens, NYNew York | $465.87 | $258.20 |
| Rest of New YorkNew York | $386.61 | $219.71 |
| OhioOhio | $384.25 | $223.85 |
| OklahomaOklahoma | $374.78 | $217.89 |
| Portland, OROregon | $427.60 | $232.41 |
| Rest of OregonOregon | $397.40 | $222.41 |
| Metropolitan Philadelphia, PAPennsylvania | $420.78 | $237.89 |
| Rest of PennsylvaniaPennsylvania | $384.12 | $222.84 |
| Puerto RicoPuerto Rico | $406.75 | $229.13 |
| Rhode IslandRhode Island | $412.82 | $231.34 |
| South CarolinaSouth Carolina | $383.56 | $221.22 |
| South DakotaSouth Dakota | $390.73 | $215.05 |
| TennesseeTennessee | $373.56 | $213.86 |
| Austin, TXTexas | $416.02 | $230.14 |
| Beaumont, TXTexas | $381.91 | $222.04 |
| Brazoria, TXTexas | $399.01 | $224.91 |
| Dallas, TXTexas | $401.95 | $226.96 |
| Fort Worth, TXTexas | $399.87 | $226.65 |
| Galveston, TXTexas | $400.48 | $226.02 |
| Houston, TXTexas | $411.82 | $237.37 |
| Rest of TexasTexas | $390.52 | $223.79 |
| UtahUtah | $388.30 | $223.16 |
| VirginiaVirginia | $394.41 | $221.71 |
| Virgin Islands, VIUnited States Virgin Islands | $406.75 | $229.13 |
| VermontVermont | $391.91 | $217.98 |
| Rest of WashingtonWashington | $413.90 | $228.90 |
| King County, WAWashington | $461.39 | $245.82 |
| WisconsinWisconsin | $380.31 | $212.00 |
| West VirginiaWest Virginia | $382.69 | $230.02 |
| WyomingWyoming | $399.10 | $223.41 |
15004 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.
$361.38
$485.08
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $485.08 | 1 |
| AL | $366.19 | 1 |
| AR | $361.38 | 1 |
| AZ | $394.23 | 1 |
| CA | $419.92–$514.94 | 29 |
| CO | $416.75 | 1 |
| CT | $429.87 | 1 |
| DC | $456.62 | 1 |
| DE | $400.33 | 1 |
| FL | $404.58–$445.76 | 3 |
| GA | $383.14–$412.85 | 2 |
| GU | $427.89 | 1 |
| HI | $427.89 | 1 |
| IA | $372.07 | 1 |
| ID | $374.81 | 1 |
| IL | $395.74–$433.52 | 4 |
| IN | $376.72 | 1 |
| KS | $371.70 | 1 |
| KY | $376.70 | 1 |
| LA | $376.65–$393.47 | 2 |
| MA | $415.10–$453.82 | 2 |
| MD | $407.09–$456.62 | 3 |
| ME | $377.90–$394.73 | 2 |
| MI | $386.76–$410.48 | 2 |
| MN | $396.71 | 1 |
| MO | $371.59–$393.27 | 3 |
| MS | $366.49 | 1 |
| MT | $404.44 | 1 |
| NC | $381.30 | 1 |
| ND | $392.18 | 1 |
| NE | $373.55 | 1 |
| NH | $411.51 | 1 |
| NJ | $434.04–$452.81 | 2 |
| NM | $389.19 | 1 |
| NV | $401.26 | 1 |
| NY | $386.61–$476.10 | 5 |
| OH | $384.25 | 1 |
| OK | $374.78 | 1 |
| OR | $397.40–$427.60 | 2 |
| PA | $384.12–$420.78 | 2 |
| PR | $406.75 | 1 |
| RI | $412.82 | 1 |
| SC | $383.56 | 1 |
| SD | $390.73 | 1 |
| TN | $373.56 | 1 |
| TX | $381.91–$416.02 | 8 |
| UT | $388.30 | 1 |
| VA | $394.41–$456.62 | 2 |
| VI | $406.75 | 1 |
| VT | $391.91 | 1 |
| WA | $413.90–$461.39 | 2 |
| WI | $380.31 | 1 |
| WV | $382.69 | 1 |
| WY | $399.10 | 1 |
How the 15004 rate is calculated
Each of 15004’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 · 15004
RVUs × geographic indexes × conversion factor
Work4.47
4.47 RVUs× 1.000 GPCI
Practice expense7.02
7.02 RVUs× 1.000 GPCI
Malpractice0.62
0.62 RVUs× 1.000 GPCI
Adjusted RVUs
12.1100
Conversion factor
$33.4009
Medicare rate
$404.48
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,468
- Code
- 15004
- Physician work
- 4.47
- Practice expense
- 7.02
- Malpractice
- 0.62
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.47 | × 1.000 | 4.4700 |
| Practice expense | 7.02 | × 1.000 | 7.0200 |
| Malpractice | 0.62 | × 0.998 | 0.6188 |
| Total RVUs | 12.1088 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$404.44
Office: (4.47 × 1 + 7.02 × 1 + 0.62 × 0.998) × $33.4009 = $404.44
Facility: (4.47 × 1 + 1.76 × 1 + 0.62 × 0.998) × $33.4009 = $228.75
Payment rules and modifiers for 15004
The CMS indicators that decide how 15004 is paid alongside other services.
CMS payment indicators · 15004
Wound preparation, face, hands, feet, and similar sites
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 15004 has changed in Montana
15004 · Office / nonfacility
$404.44
Effective 2026-10-01
The base rate is $24.82 higher than on 2025-10-01, moving from $379.62 to $404.44 (6.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$379.62changed to$404.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.58 changed to 4.47
- Practice expense RVU 6.54 changed to 7.02
- Malpractice RVU 0.63 changed to 0.62
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$391.01changed to$379.62
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.56 changed to 6.54
- Malpractice RVU 0.62 changed to 0.63
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$384.63changed to$391.01
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$399.39changed to$384.63
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.58 changed to 6.56
- Malpractice RVU 0.64 changed to 0.62
January 1, 2023
RVU23A
$408.18changed to$399.39
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.65 changed to 0.64
- Malpractice GPCI 0.977 changed to 0.978
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$412.27changed to$408.18
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.61 changed to 6.58
- Malpractice RVU 0.64 changed to 0.65
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$419.67changed to$412.27
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.24 changed to 6.61
- Malpractice RVU 0.62 changed to 0.64
- Malpractice GPCI 1.304 changed to 0.977
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$424.22changed to$419.67
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.18 changed to 6.24
- Malpractice GPCI 1.631 changed to 1.304
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$423.76changed to$424.22
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$418.47changed to$423.76
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.63 changed to 0.62
- Malpractice GPCI 1.429 changed to 1.631
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$413.27changed to$418.47
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 6.19 changed to 6.18
- Malpractice GPCI 1.226 changed to 1.429
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$415.48changed to$413.27
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 6.21 changed to 6.19
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$413.41changed to$415.48
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$410.73changed to$413.41
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 6.14 changed to 6.21
- Malpractice RVU 0.64 changed to 0.63
- Malpractice GPCI 1.165 changed to 1.226
Held through RVU15B.
January 1, 2014
RVU14A
$411.64changed to$410.73
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 6.78 changed to 6.14
- Malpractice RVU 0.67 changed to 0.64
- Malpractice GPCI 1.103 changed to 1.165
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $411.64
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $404.44 | $228.75 | RVU26D |
| 2026-07-01 | $404.44 | $228.75 | RVU26C |
| 2026-04-01 | $404.44 | $228.75 | RVU26B |
| 2026-01-01 | $404.44 | $228.75 | RVU26A |
| 2025-10-01 | $379.62 | $252.18 | RVU25D |
| 2025-07-01 | $379.62 | $252.18 | RVU25C |
| 2025-04-01 | $379.62 | $252.18 | RVU25B |
| 2025-01-01 | $379.62 | $252.18 | RVU25A |
| 2024-10-01 | $391.01 | $256.19 | RVU24D |
| 2024-07-01 | $391.01 | $256.19 | RVU24C |
| 2024-04-01 | $391.01 | $256.19 | RVU24B |
| 2024-03-09 | $391.01 | $256.19 | RVU24AR |
| 2024-01-01 | $384.63 | $252.01 | RVU24A |
| 2023-10-01 | $399.39 | $260.79 | RVU23D |
| 2023-07-01 | $399.39 | $260.79 | RVU23C |
| 2023-04-01 | $399.39 | $260.79 | RVU23B |
| 2023-01-01 | $399.39 | $260.79 | RVU23A |
| 2022-10-01 | $408.18 | $264.91 | RVU22D |
| 2022-07-01 | $408.18 | $264.91 | RVU22C |
| 2022-04-01 | $408.18 | $264.91 | RVU22B |
| 2022-01-01 | $408.18 | $264.91 | RVU22A |
| 2021-10-01 | $412.27 | $266.77 | RVU21D |
| 2021-07-01 | $412.27 | $266.77 | RVU21C |
| 2021-04-01 | $412.27 | $266.77 | RVU21B |
| 2021-01-01 | $412.27 | $266.77 | RVU21A |
| 2020-10-01 | $419.67 | $282.89 | RVU20D |
| 2020-07-01 | $419.67 | $282.89 | RVU20C |
| 2020-04-01 | $419.67 | $282.89 | RVU20B |
| 2020-01-01 | $419.67 | $282.89 | RVU20A |
| 2019-10-01 | $424.22 | $290.88 | RVU19D |
| 2019-07-01 | $424.22 | $290.88 | RVU19C |
| 2019-04-01 | $424.22 | $290.88 | RVU19B |
| 2019-01-01 | $424.22 | $290.88 | RVU19A |
| 2018-10-01 | $423.76 | $292.36 | RVU18D |
| 2018-07-01 | $423.76 | $292.36 | RVU18C |
| 2018-04-01 | $423.76 | $292.36 | RVU18B |
| 2018-01-01 | $423.76 | $292.36 | RVU18AR1 |
| 2017-10-01 | $418.47 | $288.91 | RVU17D |
| 2017-07-01 | $418.47 | $288.91 | RVU17C |
| 2017-04-01 | $418.47 | $288.91 | RVU17B |
| 2017-01-01 | $418.47 | $288.91 | RVU17A |
| 2016-10-01 | $413.27 | $284.01 | RVU16D |
| 2016-07-01 | $413.27 | $284.01 | RVU16C |
| 2016-04-01 | $413.27 | $284.01 | RVU16B |
| 2016-01-01 | $413.27 | $284.01 | RVU16A |
| 2015-10-01 | $415.48 | $285.76 | RVU15D |
| 2015-07-01 | $415.48 | $285.76 | RVU15C |
| 2015-04-01 | $413.41 | $284.33 | RVU15B |
| 2015-01-01 | $413.41 | $284.33 | RVU15A |
| 2014-10-01 | $410.73 | $283.56 | RVU14D |
| 2014-07-01 | $410.73 | $283.56 | RVU14C |
| 2014-04-01 | $410.73 | $283.56 | RVU14B |
| 2014-01-01 | $410.73 | $283.56 | RVU14A |
| 2013-10-01 | $411.64 | $276.57 | RVU13D |
| 2013-07-01 | $411.64 | $276.57 | RVU13C |
| 2013-04-01 | $411.64 | $276.57 | RVU13B |
| 2013-01-01 | $411.64 | $276.57 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
15004 billing questions
When should 15004 be chosen instead of 15002?
Use 15004 for recipient-site preparation on the face, scalp, eyelids, mouth, neck, ears, around the eyes, genitalia, hands, feet, or multiple digits. Code 15002 is for the corresponding preparation on the trunk, arms, or legs.
How is additional prepared area reported?
Report 15004 for the initial area unit and 15005 for each additional 100 sq cm, or applicable additional 1% body-surface-area unit for infants and children. The operative report should support the measured area.
Does 15004 include placement of a skin graft?
No. It represents preparation of the recipient bed, not graft placement. When a graft is also placed, the graft service is represented by its applicable graft code.
Can modifier 50 be used for preparation on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 15004. Report the service according to the prepared area and applicable code-family instructions.
What same-day care is included in the payment?
The 0-day global period includes same-day preoperative and postoperative care. Assistant-at-surgery payment requires documentation of medical necessity; 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
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