CPT code 97598: Wound debridement, each additional 20 cm²2026 Medicare rate & RVUs in North Dakota
Reports additional selective debridement of open-wound surface area beyond the initial area covered by the primary debridement service.
In North Dakota, Medicare pays $46.57 for 97598 in the office and $20.52 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 97598 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 97598 covers
97598 represents additional selective removal of devitalized tissue and wound debris from open wounds, beyond the area covered by the primary service. The clinician works to remove nonviable tissue while preserving viable tissue; the service may involve sharp instruments or other selective methods. Physicians and wound-care clinicians, including physical or occupational therapists, may perform it in settings such as an outpatient wound clinic, hospital outpatient department, or office.
Report 97598 only with its primary code, 97597. Count the additional area debrided in increments of 20 cm² or less; the final increment may be a fraction of 20 cm². Documentation should identify the wound area actually treated, the selective debridement performed, and the tissue removed. CMS classifies 97598 as an add-on code and pays it 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 North Dakota compares for 97598
Across 109 of 109 payment localities, the office rate for 97598 runs from $42.65 in Arkansas to $61.63 in San Benito County, CA. North Dakota pays $46.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$46.57
- Los Angeles, CA · California$53.14+$6.57
- Washington, DC area · District of Columbia$54.11+$7.54
- Miami, FL · Florida$52.03+$5.46
- Chicago, IL · Illinois$50.62+$4.05
- Manhattan, NY · New York$54.75+$8.18
- Alaska · Alaska$56.96+$10.39
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $43.22 | $20.42 |
| ArkansasArkansas | $42.65 | $20.27 |
| ArizonaArizona | $46.56 | $21.32 |
| Bakersfield, CACalifornia | $50.11 | $21.56 |
| Chico, CACalifornia | $49.93 | $21.38 |
| El Centro, CACalifornia | $49.94 | $21.39 |
| Fresno, CACalifornia | $49.93 | $21.38 |
| Hanford, CACalifornia | $49.93 | $21.38 |
| Madera, CACalifornia | $49.93 | $21.38 |
| Merced, CACalifornia | $49.93 | $21.38 |
| Modesto, CACalifornia | $49.93 | $21.38 |
| Napa, CACalifornia | $57.16 | $22.82 |
| Oxnard, CACalifornia | $52.82 | $22.02 |
| Redding, CACalifornia | $49.93 | $21.38 |
| Rest of CaliforniaCalifornia | $49.93 | $21.38 |
| Riverside, CACalifornia | $50.58 | $22.03 |
| Sacramento, CACalifornia | $52.21 | $21.91 |
| Salinas, CACalifornia | $52.01 | $21.82 |
| San Diego, CACalifornia | $53.10 | $21.94 |
| Marin County, CACalifornia | $60.28 | $23.55 |
| San Francisco, CACalifornia | $60.22 | $23.48 |
| San Benito County, CACalifornia | $61.63 | $24.06 |
| Santa Clara County, CACalifornia | $61.35 | $23.78 |
| San Luis Obispo, CACalifornia | $51.20 | $21.52 |
| Santa Cruz, CACalifornia | $53.50 | $21.84 |
| Santa Maria, CACalifornia | $52.17 | $21.79 |
| Santa Rosa, CACalifornia | $54.03 | $22.03 |
| Stockton, CACalifornia | $49.93 | $21.38 |
| Vallejo, CACalifornia | $57.06 | $22.72 |
| Visalia, CACalifornia | $49.93 | $21.38 |
| Yuba City, CACalifornia | $49.93 | $21.38 |
| ColoradoColorado | $49.40 | $21.68 |
| ConnecticutConnecticut | $50.77 | $22.72 |
| DelawareDelaware | $47.29 | $21.55 |
| Fort Lauderdale, FLFlorida | $49.76 | $23.37 |
| Rest of FloridaFlorida | $47.48 | $22.57 |
| Atlanta, GAGeorgia | $48.69 | $22.22 |
| Rest of GeorgiaGeorgia | $44.97 | $21.73 |
| Hawaii, Guam, HIHawaii | $50.95 | $21.32 |
| IowaIowa | $44.06 | $20.22 |
| IdahoIdaho | $44.36 | $20.39 |
| East St. Louis, ILIllinois | $47.44 | $23.48 |
| Rest of IllinoisIllinois | $46.33 | $22.55 |
| Suburban Chicago, ILIllinois | $50.22 | $23.46 |
| IndianaIndiana | $44.59 | $20.44 |
| KansasKansas | $43.95 | $20.40 |
| KentuckyKentucky | $44.33 | $21.17 |
| New Orleans, LALouisiana | $46.30 | $21.79 |
| Rest of LouisianaLouisiana | $44.30 | $21.24 |
| Metropolitan Boston, MAMassachusetts | $53.92 | $22.81 |
| Rest of MassachusettsMassachusetts | $49.18 | $21.74 |
| Baltimore area, MDMaryland | $50.65 | $22.69 |
| Rest of MarylandMaryland | $48.12 | $21.75 |
| Rest of MaineMaine | $44.65 | $20.69 |
| Southern Maine, MEMaine | $46.76 | $20.94 |
| Detroit, MIMichigan | $48.11 | $22.97 |
| Rest of MichiganMichigan | $45.46 | $21.68 |
| MinnesotaMinnesota | $47.20 | $20.40 |
| Metropolitan Kansas City, MOMissouri | $45.92 | $21.46 |
| Metropolitan St. Louis, MOMissouri | $46.36 | $21.55 |
| Rest of MissouriMissouri | $43.65 | $21.20 |
| MississippiMississippi | $43.15 | $20.72 |
| MontanaMontana | $47.76 | $21.71 |
| North CarolinaNorth Carolina | $45.07 | $20.76 |
| NebraskaNebraska | $44.25 | $20.21 |
| New HampshireNew Hampshire | $48.72 | $21.60 |
| Northern New JerseyNew Jersey | $53.63 | $23.41 |
| Rest of New JerseyNew Jersey | $51.32 | $22.87 |
| New MexicoNew Mexico | $45.73 | $21.84 |
| NevadaNevada | $47.46 | $21.38 |
| NYC suburbs and Long Island, NYNew York | $56.08 | $25.11 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $51.71 | $23.19 |
| Queens, NYNew York | $55.05 | $24.25 |
| Rest of New YorkNew York | $45.70 | $20.95 |
| OhioOhio | $45.22 | $21.44 |
| OklahomaOklahoma | $44.17 | $20.91 |
| Portland, OROregon | $50.77 | $21.83 |
| Rest of OregonOregon | $47.05 | $21.10 |
| Metropolitan Philadelphia, PAPennsylvania | $49.65 | $22.53 |
| Rest of PennsylvaniaPennsylvania | $45.24 | $21.33 |
| Puerto RicoPuerto Rico | $48.06 | $21.72 |
| Rhode IslandRhode Island | $48.83 | $21.92 |
| South CarolinaSouth Carolina | $45.23 | $21.16 |
| South DakotaSouth Dakota | $46.43 | $20.38 |
| TennesseeTennessee | $44.16 | $20.48 |
| Austin, TXTexas | $49.27 | $21.71 |
| Beaumont, TXTexas | $44.98 | $21.27 |
| Brazoria, TXTexas | $47.19 | $21.37 |
| Dallas, TXTexas | $47.51 | $21.56 |
| Fort Worth, TXTexas | $47.24 | $21.55 |
| Galveston, TXTexas | $47.34 | $21.47 |
| Houston, TXTexas | $48.44 | $22.57 |
| Rest of TexasTexas | $46.07 | $21.35 |
| UtahUtah | $45.80 | $21.31 |
| VirginiaVirginia | $46.67 | $21.06 |
| Virgin Islands, VIUnited States Virgin Islands | $48.06 | $21.72 |
| VermontVermont | $46.48 | $20.69 |
| Rest of WashingtonWashington | $49.05 | $21.62 |
| King County, WAWashington | $54.89 | $22.92 |
| WisconsinWisconsin | $45.14 | $20.18 |
| West VirginiaWest Virginia | $44.78 | $22.14 |
| WyomingWyoming | $47.24 | $21.19 |
97598 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.
$42.65
$56.96
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 | $56.96 | 1 |
| AL | $43.22 | 1 |
| AR | $42.65 | 1 |
| AZ | $46.56 | 1 |
| CA | $49.93–$61.63 | 29 |
| CO | $49.40 | 1 |
| CT | $50.77 | 1 |
| DC | $54.11 | 1 |
| DE | $47.29 | 1 |
| FL | $47.48–$52.03 | 3 |
| GA | $44.97–$48.69 | 2 |
| GU | $50.95 | 1 |
| HI | $50.95 | 1 |
| IA | $44.06 | 1 |
| ID | $44.36 | 1 |
| IL | $46.33–$50.62 | 4 |
| IN | $44.59 | 1 |
| KS | $43.95 | 1 |
| KY | $44.33 | 1 |
| LA | $44.30–$46.30 | 2 |
| MA | $49.18–$53.92 | 2 |
| MD | $48.12–$54.11 | 3 |
| ME | $44.65–$46.76 | 2 |
| MI | $45.46–$48.11 | 2 |
| MN | $47.20 | 1 |
| MO | $43.65–$46.36 | 3 |
| MS | $43.15 | 1 |
| MT | $47.76 | 1 |
| NC | $45.07 | 1 |
| ND | $46.57 | 1 |
| NE | $44.25 | 1 |
| NH | $48.72 | 1 |
| NJ | $51.32–$53.63 | 2 |
| NM | $45.73 | 1 |
| NV | $47.46 | 1 |
| NY | $45.70–$56.08 | 5 |
| OH | $45.22 | 1 |
| OK | $44.17 | 1 |
| OR | $47.05–$50.77 | 2 |
| PA | $45.24–$49.65 | 2 |
| PR | $48.06 | 1 |
| RI | $48.83 | 1 |
| SC | $45.23 | 1 |
| SD | $46.43 | 1 |
| TN | $44.16 | 1 |
| TX | $44.98–$49.27 | 8 |
| UT | $45.80 | 1 |
| VA | $46.67–$54.11 | 2 |
| VI | $48.06 | 1 |
| VT | $46.48 | 1 |
| WA | $49.05–$54.89 | 2 |
| WI | $45.14 | 1 |
| WV | $44.78 | 1 |
| WY | $47.24 | 1 |
How the 97598 rate is calculated
Each of 97598’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 · 97598
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense0.88
0.88 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
1.4300
Conversion factor
$33.4009
Medicare rate
$47.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,900
- Code
- 97598
- Physician work
- 0.49
- Practice expense
- 0.88
- Malpractice
- 0.06
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 0.88 | × 1.000 | 0.8800 |
| Malpractice | 0.06 | × 0.406 | 0.0244 |
| Total RVUs | 1.3944 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$46.57
Office: (0.49 × 1 + 0.88 × 1 + 0.06 × 0.406) × $33.4009 = $46.57
Facility: (0.49 × 1 + 0.1 × 1 + 0.06 × 0.406) × $33.4009 = $20.52
Payment rules and modifiers for 97598
The CMS indicators that decide how 97598 is paid alongside other services.
CMS payment indicators · 97598
Wound debridement, each additional 20 cm²
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 97598 has changed in North Dakota
97598 · Office / nonfacility
$46.57
Effective 2026-10-01
The base rate is $4.01 higher than on 2025-10-01, moving from $42.56 to $46.57 (9.4%).
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
$42.56changed to$46.57
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.50 changed to 0.49
- Practice expense RVU 0.79 changed to 0.88
- Malpractice RVU 0.05 changed to 0.06
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$43.97changed to$42.56
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$43.26changed to$43.97
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$44.34changed to$43.26
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.78 changed to 0.79
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$45.34changed to$44.34
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.07 changed to 0.06
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$45.76changed to$45.34
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.79 changed to 0.78
- Malpractice RVU 0.05 changed to 0.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$46.16changed to$45.76
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.75 changed to 0.79
- Malpractice RVU 0.06 changed to 0.05
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$28.31changed to$46.16
- Conversion factor 36.0391 changed to 36.0896
- Work RVU 0.24 changed to 0.50
- Practice expense RVU 0.54 changed to 0.75
- Malpractice RVU 0.01 changed to 0.06
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$28.27changed to$28.31
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$24.96changed to$28.27
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.45 changed to 0.54
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$24.55changed to$24.96
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.44 changed to 0.45
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$25.03changed to$24.55
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.03 changed to 0.01
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$24.91changed to$25.03
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$24.94changed to$24.91
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$25.02changed to$24.94
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.48 changed to 0.44
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $25.02
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $46.57 | $20.52 | RVU26D |
| 2026-07-01 | $46.57 | $20.52 | RVU26C |
| 2026-04-01 | $46.57 | $20.52 | RVU26B |
| 2026-01-01 | $46.57 | $20.52 | RVU26A |
| 2025-10-01 | $42.56 | $22.51 | RVU25D |
| 2025-07-01 | $42.56 | $22.51 | RVU25C |
| 2025-04-01 | $42.56 | $22.51 | RVU25B |
| 2025-01-01 | $42.56 | $22.51 | RVU25A |
| 2024-10-01 | $43.97 | $23.34 | RVU24D |
| 2024-07-01 | $43.97 | $23.34 | RVU24C |
| 2024-04-01 | $43.97 | $23.34 | RVU24B |
| 2024-03-09 | $43.97 | $23.34 | RVU24AR |
| 2024-01-01 | $43.26 | $22.95 | RVU24A |
| 2023-10-01 | $44.34 | $23.67 | RVU23D |
| 2023-07-01 | $44.34 | $23.67 | RVU23C |
| 2023-04-01 | $44.34 | $23.67 | RVU23B |
| 2023-01-01 | $44.34 | $23.67 | RVU23A |
| 2022-10-01 | $45.34 | $24.23 | RVU22D |
| 2022-07-01 | $45.34 | $24.23 | RVU22C |
| 2022-04-01 | $45.34 | $24.23 | RVU22B |
| 2022-01-01 | $45.34 | $24.23 | RVU22A |
| 2021-10-01 | $45.76 | $24.48 | RVU21D |
| 2021-07-01 | $45.76 | $24.48 | RVU21C |
| 2021-04-01 | $45.76 | $24.48 | RVU21B |
| 2021-01-01 | $45.76 | $24.48 | RVU21A |
| 2020-10-01 | $46.16 | $25.59 | RVU20D |
| 2020-07-01 | $46.16 | $25.59 | RVU20C |
| 2020-04-01 | $46.16 | $25.59 | RVU20B |
| 2020-01-01 | $46.16 | $25.59 | RVU20A |
| 2019-10-01 | $28.31 | $11.37 | RVU19D |
| 2019-07-01 | $28.31 | $11.37 | RVU19C |
| 2019-04-01 | $28.31 | $11.37 | RVU19B |
| 2019-01-01 | $28.31 | $11.37 | RVU19A |
| 2018-10-01 | $28.27 | $11.35 | RVU18D |
| 2018-07-01 | $28.27 | $11.35 | RVU18C |
| 2018-04-01 | $28.27 | $11.35 | RVU18B |
| 2018-01-01 | $28.27 | $11.35 | RVU18AR1 |
| 2017-10-01 | $24.96 | $10.96 | RVU17D |
| 2017-07-01 | $24.96 | $10.96 | RVU17C |
| 2017-04-01 | $24.96 | $10.96 | RVU17B |
| 2017-01-01 | $24.96 | $10.96 | RVU17A |
| 2016-10-01 | $24.55 | $10.94 | RVU16D |
| 2016-07-01 | $24.55 | $10.94 | RVU16C |
| 2016-04-01 | $24.55 | $10.94 | RVU16B |
| 2016-01-01 | $24.55 | $10.94 | RVU16A |
| 2015-10-01 | $25.03 | $11.38 | RVU15D |
| 2015-07-01 | $25.03 | $11.38 | RVU15C |
| 2015-04-01 | $24.91 | $11.32 | RVU15B |
| 2015-01-01 | $24.91 | $11.32 | RVU15A |
| 2014-10-01 | $24.94 | $11.32 | RVU14D |
| 2014-07-01 | $24.94 | $11.32 | RVU14C |
| 2014-04-01 | $24.94 | $11.32 | RVU14B |
| 2014-01-01 | $24.94 | $11.32 | RVU14A |
| 2013-10-01 | $25.02 | $10.73 | RVU13D |
| 2013-07-01 | $25.02 | $10.73 | RVU13C |
| 2013-04-01 | $25.02 | $10.73 | RVU13B |
| 2013-01-01 | $25.02 | $10.73 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
97598 billing questions
Can 97598 be reported by itself?
No. It is an add-on code and must be reported with the primary selective debridement service, 97597.
How many units should be reported?
Report one unit for each additional 20 cm² or portion thereof debrided after the area covered by 97597. Base units on the area actually treated, not simply the wound's overall dimensions.
What documentation supports 97598?
Document the wound or wounds treated, the area selectively debrided, and the procedure and tissue removed. The record should support the additional area beyond the primary service.
When should 11042 be considered instead?
Use 11042 when the service is excisional debridement extending into subcutaneous tissue. 97598 describes additional selective debridement and is reported with 97597.
How does the global-period rule affect payment?
CMS treats 97598 as an add-on paid within the global period of its primary procedure. It is not a standalone primary service.
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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