CPT code 15004: Wound preparation, face, hands, feet, and similar sites2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $390.73 for 15004 in the office and $215.05 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.

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 South Dakota 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. South Dakota pays $390.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

15004 rates by state

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

See 15004 in every payment locality

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.

Payment rules and modifiers for 15004

The CMS indicators that decide how 15004 is paid alongside other services.

Codes related to 15004

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

How 15004 has changed in South Dakota

Price 15004 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

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

Open CMS sourceHow we calculate rates