CPT code 15004: Wound preparation, face, hands, feet, and similar sites2026 Medicare rate & RVUs in Combine, Texas
CPT 15004: $390.52–$401.95 office ($223.79–$226.96 facility) across 2 localities in Combine, TX in 2026 Medicare. Compare each area.
Medicare pays $390.52–$401.95 for 15004 in the office in Combine, Texas, from Rest of Texas to Dallas, TX. Which amount applies depends on the service address.
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 6 sections
Where 15004 pays more and less in Combine, Texas
Combine, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Dallas, TX | $401.95 | $226.96 |
| Rest of Texas | $390.52 | $223.79 |
How payment areas work in Combine
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Dallas · Dallas County
- Rest Of State · Kaufman County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
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.
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. |
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
Fee sheets · Coming soon
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Your codes at your locality, with payer contracts beside Medicare.
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