CPT code 15005: Wound preparation, additional area, face or hand2026 Medicare rate & RVUs in Washington, DC area

Reports additional recipient-site preparation on the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits beyond the initial treated area.

CMS RVU26DEffective Oct 1, 2026One payment locality5.1K Medicare services in 2024

In Washington, DC area, Medicare pays $139.56 for 15005 in the office and $84.87 when it’s performed in a hospital or facility.

$139.56Office (non-facility)
$84.87Hospital or facility
+12.0%vs the national office rate ($124.59)

Check a contract rate as a % of Medicare · 15005 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 15005 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 15005 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 15005 covers

This add-on reports further surgical preparation of a recipient site in the specified areas by excising an open wound, burn eschar, or scar, including subcutaneous tissue. A plastic, reconstructive, or burn surgeon may perform the work before grafting or another reconstructive service in an operating room or outpatient surgical setting. Examples include preparing additional wound area on a hand or face after removal of devitalized tissue or scar.

Report 15005 only with the applicable primary preparation service, 15004. The additional area is measured in 100-square-centimeter increments, or in 1% body-area increments for infants and children. Documentation should identify the treated site, the tissue excised, the area prepared, and the additional extent beyond the initial area. CMS classifies 15005 as an add-on code; payment is within the primary procedure’s global period.

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 Washington, DC area compares for 15005

Across 109 of 109 payment localities, the office rate for 15005 runs from $110.46 in Arkansas to $152.06 in San Benito County, CA. Washington, DC area pays $139.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

15005 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$139.56
  2. Los Angeles, CA · California$134.09−$5.47
  3. Miami, FL · Florida$144.46+$4.90
  4. Chicago, IL · Illinois$139.96+$0.40
  5. Manhattan, NY · New York$144.48+$4.92
  6. Alaska · Alaska$149.51+$9.95
  7. Alabama · Alabama$112.02−$27.54

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

15005 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$110.46$70.58
ArizonaArizona$121.06$76.07
Bakersfield, CACalifornia$127.00$76.12
Chico, CACalifornia$126.07$75.19
El Centro, CACalifornia$126.13$75.24
Fresno, CACalifornia$126.07$75.19
Hanford, CACalifornia$126.07$75.19
Madera, CACalifornia$126.07$75.19

15005 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$110.46

$149.51

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

View every state and territory as a table
15005 office rate range by state
State / territoryOffice rate rangeLocalities
AK$149.511
AL$112.021
AR$110.461
AZ$121.061
CA$126.07–$152.0629
CO$126.641
CT$132.721
DC$139.561
DE$122.971
FL$127.61–$144.463
GA$120.16–$128.002
GU$128.181
HI$128.181
IA$112.541
ID$113.711
IL$125.66–$139.964
IN$114.291
KS$113.081
KY$116.841
LA$117.08–$122.522
MA$126.35–$137.332
MD$124.91–$139.563
ME$115.40–$119.842
MI$120.73–$130.242
MN$118.361
MO$115.86–$121.673
MS$113.131
MT$124.561
NC$116.391
ND$117.841
NE$112.821
NH$125.671
NJ$133.39–$138.422
NM$121.791
NV$122.751
NY$118.16–$149.205
OH$119.361
OK$115.511
OR$120.97–$129.302
PA$118.95–$130.222
PR$125.091
RI$126.371
SC$118.241
SD$117.041
TN$113.771
TX$118.28–$128.848
UT$119.761
VA$120.21–$139.562
VI$125.091
VT$118.361
WA$125.79–$138.992
WI$114.161
WV$121.471
WY$121.631

See 15005 in every payment locality

How the 15005 rate is calculated

Each of 15005’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 · 15005

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.56

1.56 RVUs× 1.000 GPCI

Practice expense1.83

1.83 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

3.7300

Conversion factor

$33.4009

Medicare rate

$124.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,469

Code
15005
Physician work
1.56
Practice expense
1.83
Malpractice
0.34

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 15005 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.56× 1.0541.6442
Practice expense1.83× 1.1782.1557
Malpractice0.34× 1.1130.3784
Total RVUs4.1784
Conversion factor× 33.4009

Office rate, Washington, DC area$139.56

Office: (1.56 × 1.054 + 1.83 × 1.178 + 0.34 × 1.113) × $33.4009 = $139.56

Facility: (1.56 × 1.054 + 0.44 × 1.178 + 0.34 × 1.113) × $33.4009 = $84.87

Open 15005 in the RVU calculator

Payment rules and modifiers for 15005

The CMS indicators that decide how 15005 is paid alongside other services.

CMS payment indicators · 15005

Wound preparation, additional area, face or hand

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 15005 has changed in Washington, DC area

15005 · Office / nonfacility

$139.56

Effective 2026-10-01

The base rate is $11.86 higher than on 2025-10-01, moving from $127.70 to $139.56 (9.3%).

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

    $127.70changed to$139.56

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.60 changed to 1.56
    • Practice expense RVU 1.56 changed to 1.83
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $130.63changed to$127.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.55 changed to 1.56
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $128.50changed to$130.63

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $134.36changed to$128.50

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.56 changed to 1.55
    • Malpractice RVU 0.31 changed to 0.33
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $140.29changed to$134.36

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.57 changed to 1.56
    • Malpractice RVU 0.33 changed to 0.31
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $143.16changed to$140.29

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.62 changed to 1.57
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $144.94changed to$143.16

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.58 changed to 1.62
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $144.26changed to$144.94

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.61 changed to 1.58
    • Malpractice RVU 0.31 changed to 0.32
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $145.80changed to$144.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.67 changed to 1.61
    • Malpractice RVU 0.29 changed to 0.31

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $145.63changed to$145.80

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $145.12changed to$145.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.66 changed to 1.67
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $145.62changed to$145.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.67 changed to 1.66
    • Malpractice RVU 0.28 changed to 0.29

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $144.89changed to$145.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $144.18changed to$144.89

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.65 changed to 1.67
    • Malpractice RVU 0.30 changed to 0.28
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $142.80changed to$144.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.81 changed to 1.65
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $142.80

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$139.56$84.87RVU26D
2026-07-01$139.56$84.87RVU26C
2026-04-01$139.56$84.87RVU26B
2026-01-01$139.56$84.87RVU26A
2025-10-01$127.70$96.08RVU25D
2025-07-01$127.70$96.08RVU25C
2025-04-01$127.70$96.08RVU25B
2025-01-01$127.70$96.08RVU25A
2024-10-01$130.63$98.09RVU24D
2024-07-01$130.63$98.09RVU24C
2024-04-01$130.63$98.09RVU24B
2024-03-09$130.63$98.09RVU24AR
2024-01-01$128.50$96.49RVU24A
2023-10-01$134.36$100.63RVU23D
2023-07-01$134.36$100.63RVU23C
2023-04-01$134.36$100.63RVU23B
2023-01-01$134.36$100.63RVU23A
2022-10-01$140.29$105.22RVU22D
2022-07-01$140.29$105.22RVU22C
2022-04-01$140.29$105.22RVU22B
2022-01-01$140.29$105.22RVU22A
2021-10-01$143.16$105.64RVU21D
2021-07-01$143.16$105.64RVU21C
2021-04-01$143.16$105.64RVU21B
2021-01-01$143.16$105.64RVU21A
2020-10-01$144.94$107.93RVU20D
2020-07-01$144.94$107.93RVU20C
2020-04-01$144.94$107.93RVU20B
2020-01-01$144.94$107.93RVU20A
2019-10-01$144.26$106.05RVU19D
2019-07-01$144.26$106.05RVU19C
2019-04-01$144.26$106.05RVU19B
2019-01-01$144.26$106.05RVU19A
2018-10-01$145.80$105.46RVU18D
2018-07-01$145.80$105.46RVU18C
2018-04-01$145.80$105.46RVU18B
2018-01-01$145.80$105.46RVU18AR1
2017-10-01$145.63$105.84RVU17D
2017-07-01$145.63$105.84RVU17C
2017-04-01$145.63$105.84RVU17B
2017-01-01$145.63$105.84RVU17A
2016-10-01$145.12$105.43RVU16D
2016-07-01$145.12$105.43RVU16C
2016-04-01$145.12$105.43RVU16B
2016-01-01$145.12$105.43RVU16A
2015-10-01$145.62$105.35RVU15D
2015-07-01$145.62$105.35RVU15C
2015-04-01$144.89$104.82RVU15B
2015-01-01$144.89$104.82RVU15A
2014-10-01$144.18$104.57RVU14D
2014-07-01$144.18$104.57RVU14C
2014-04-01$144.18$104.57RVU14B
2014-01-01$144.18$104.57RVU14A
2013-10-01$142.80$101.22RVU13D
2013-07-01$142.80$101.22RVU13C
2013-04-01$142.80$101.22RVU13B
2013-01-01$142.80$101.22RVU13AR

Price 15005 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

15005 billing questions

When should 15005 be chosen instead of 15004?

Use 15004 for the initial recipient-site preparation in the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits. Report 15005 for additional qualifying area beyond that initial service.

Can 15005 be billed by itself?

No. It is an add-on code and must be reported with the applicable primary service, 15004.

Can wound preparation be reported with a skin graft?

It may be reported with a graft service when the surgeon performs and documents distinct recipient-site preparation in addition to graft application. The graft code represents the grafting work, not the additional area preparation described by 15005.

How is the additional area counted?

Document the additional area prepared in 100-square-centimeter increments. For infants and children, the descriptor uses additional 1% body-area increments.

What documentation supports 15005?

Record the qualifying anatomic site, the open wound, burn eschar, or scar excised, the tissue depth involved, and the additional area prepared beyond the initial area reported with 15004.

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 15005PPRRVU2026_Oct_nonQPP.csv, line 1,469 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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