CPT code 97606: Negative pressure therapy, DME, over 50 sq cm2026 Medicare rate & RVUs in Suburban Chicago, IL
Reports a session of negative pressure wound therapy using durable medical equipment when the combined treated wound surface area exceeds 50 square centimeters.
In Suburban Chicago, IL, Medicare pays $51.65 for 97606 in the office and $23.52 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 97606 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 97606 covers
This service covers a session managing negative pressure wound therapy delivered with durable medical equipment, such as a pump-based vacuum system. The treating clinician assesses the wound, applies or manages the therapy dressings, and provides care instructions as part of the session. It is used for wounds requiring negative pressure treatment in settings such as a physician office or hospital outpatient department.
Select this code when the total surface area of the wound or wounds treated during the session is greater than 50 square centimeters and the equipment is durable medical equipment. Document the wound locations and measurements, the combined area, use of the DME system, and the work performed during the session. The code is reported per session, rather than per wound or dressing. CMS assigns work, practice expense, and malpractice RVUs; the practice expense RVU differs between office and facility settings.
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 Suburban Chicago, IL compares for 97606
Across 109 of 109 payment localities, the office rate for 97606 runs from $45.99 in Arkansas to $65.88 in San Benito County, CA. Suburban Chicago, IL pays $51.65. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Suburban Chicago, IL · this page$51.65
- Chicago, IL · Illinois$51.16−$0.49
- East St. Louis, IL · Illinois$48.34−$3.31
- Rest of Illinois · Illinois$47.98−$3.67
- Los Angeles, CA · California$56.69+$5.04
- Washington, DC area · District of Columbia$56.95+$5.30
- Miami, FL · Florida$52.19+$0.54
Other areas in Illinois first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NYNew York | $56.82 | $24.99 |
| AlaskaAlaska | $62.11 | $32.95 |
| AlabamaAlabama | $46.49 | $22.53 |
| ArkansasArkansas | $45.99 | $22.46 |
| ArizonaArizona | $49.45 | $22.91 |
| Bakersfield, CACalifornia | $53.60 | $23.58 |
| Chico, CACalifornia | $53.53 | $23.52 |
| El Centro, CACalifornia | $53.53 | $23.52 |
| Fresno, CACalifornia | $53.53 | $23.52 |
| Hanford, CACalifornia | $53.53 | $23.52 |
| Madera, CACalifornia | $53.53 | $23.52 |
| Merced, CACalifornia | $53.53 | $23.52 |
| Modesto, CACalifornia | $53.53 | $23.52 |
| Napa, CACalifornia | $61.18 | $25.08 |
| Oxnard, CACalifornia | $56.39 | $24.02 |
| Redding, CACalifornia | $53.53 | $23.52 |
| Rest of CaliforniaCalifornia | $53.53 | $23.52 |
| Riverside, CACalifornia | $53.66 | $23.64 |
| Sacramento, CACalifornia | $55.94 | $24.09 |
| Salinas, CACalifornia | $55.72 | $23.98 |
| San Diego, CACalifornia | $56.83 | $24.07 |
| Marin County, CACalifornia | $64.59 | $25.97 |
| San Francisco, CACalifornia | $64.58 | $25.96 |
| San Benito County, CACalifornia | $65.88 | $26.39 |
| Santa Clara County, CACalifornia | $65.84 | $26.34 |
| San Luis Obispo, CACalifornia | $54.84 | $23.64 |
| Santa Cruz, CACalifornia | $57.23 | $23.95 |
| Santa Maria, CACalifornia | $55.88 | $23.94 |
| Santa Rosa, CACalifornia | $57.80 | $24.17 |
| Stockton, CACalifornia | $53.53 | $23.52 |
| Vallejo, CACalifornia | $61.16 | $25.06 |
| Visalia, CACalifornia | $53.53 | $23.52 |
| Yuba City, CACalifornia | $53.53 | $23.52 |
| ColoradoColorado | $52.54 | $23.40 |
| ConnecticutConnecticut | $53.24 | $23.74 |
| DelawareDelaware | $50.14 | $23.08 |
| Fort Lauderdale, FLFlorida | $51.10 | $23.36 |
| Rest of FloridaFlorida | $49.27 | $23.08 |
| Atlanta, GAGeorgia | $51.05 | $23.22 |
| Rest of GeorgiaGeorgia | $47.22 | $22.79 |
| Hawaii, Guam, HIHawaii | $54.46 | $23.32 |
| IowaIowa | $47.65 | $22.59 |
| IdahoIdaho | $47.83 | $22.63 |
| IndianaIndiana | $48.04 | $22.66 |
| KansasKansas | $47.35 | $22.59 |
| KentuckyKentucky | $47.03 | $22.68 |
| New Orleans, LALouisiana | $48.69 | $22.91 |
| Rest of LouisianaLouisiana | $46.93 | $22.69 |
| Metropolitan Boston, MAMassachusetts | $57.10 | $24.40 |
| Rest of MassachusettsMassachusetts | $52.29 | $23.45 |
| Baltimore area, MDMaryland | $53.05 | $23.66 |
| Rest of MarylandMaryland | $50.97 | $23.25 |
| Rest of MaineMaine | $47.88 | $22.68 |
| Southern Maine, MEMaine | $50.04 | $22.90 |
| Detroit, MIMichigan | $49.60 | $23.17 |
| Rest of MichiganMichigan | $47.83 | $22.83 |
| MinnesotaMinnesota | $51.08 | $22.90 |
| Metropolitan Kansas City, MOMissouri | $48.57 | $22.86 |
| Metropolitan St. Louis, MOMissouri | $48.98 | $22.90 |
| Rest of MissouriMissouri | $46.23 | $22.62 |
| MississippiMississippi | $46.12 | $22.54 |
| MontanaMontana | $50.43 | $23.05 |
| North CarolinaNorth Carolina | $48.28 | $22.72 |
| North DakotaNorth Dakota | $50.24 | $22.85 |
| NebraskaNebraska | $47.89 | $22.61 |
| New HampshireNew Hampshire | $51.64 | $23.13 |
| Northern New JerseyNew Jersey | $56.56 | $24.79 |
| Rest of New JerseyNew Jersey | $54.05 | $24.14 |
| New MexicoNew Mexico | $47.98 | $22.86 |
| NevadaNevada | $50.41 | $22.99 |
| NYC suburbs and Long Island, NYNew York | $57.73 | $25.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $54.28 | $24.29 |
| Queens, NYNew York | $57.38 | $25.00 |
| Rest of New YorkNew York | $48.82 | $22.80 |
| OhioOhio | $47.79 | $22.79 |
| OklahomaOklahoma | $47.11 | $22.65 |
| Portland, OROregon | $54.04 | $23.61 |
| Rest of OregonOregon | $50.21 | $22.94 |
| Metropolitan Philadelphia, PAPennsylvania | $52.10 | $23.59 |
| Rest of PennsylvaniaPennsylvania | $47.92 | $22.78 |
| Puerto RicoPuerto Rico | $50.76 | $23.07 |
| Rhode IslandRhode Island | $51.78 | $23.48 |
| South CarolinaSouth Carolina | $48.08 | $22.77 |
| South DakotaSouth Dakota | $50.21 | $22.82 |
| TennesseeTennessee | $47.51 | $22.62 |
| Austin, TXTexas | $52.20 | $23.22 |
| Beaumont, TXTexas | $47.68 | $22.75 |
| Brazoria, TXTexas | $50.25 | $23.10 |
| Dallas, TXTexas | $50.44 | $23.16 |
| Fort Worth, TXTexas | $50.14 | $23.14 |
| Galveston, TXTexas | $50.32 | $23.13 |
| Houston, TXTexas | $50.51 | $23.31 |
| Rest of TexasTexas | $48.85 | $22.86 |
| UtahUtah | $48.58 | $22.83 |
| VirginiaVirginia | $49.82 | $22.90 |
| Virgin Islands, VIUnited States Virgin Islands | $50.76 | $23.07 |
| VermontVermont | $49.97 | $22.85 |
| Rest of WashingtonWashington | $52.22 | $23.38 |
| King County, WAWashington | $58.26 | $24.65 |
| WisconsinWisconsin | $48.93 | $22.69 |
| West VirginiaWest Virginia | $46.60 | $22.80 |
| WyomingWyoming | $50.35 | $22.96 |
97606 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.
$45.99
$62.11
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 | $62.11 | 1 |
| AL | $46.49 | 1 |
| AR | $45.99 | 1 |
| AZ | $49.45 | 1 |
| CA | $53.53–$65.88 | 29 |
| CO | $52.54 | 1 |
| CT | $53.24 | 1 |
| DC | $56.95 | 1 |
| DE | $50.14 | 1 |
| FL | $49.27–$52.19 | 3 |
| GA | $47.22–$51.05 | 2 |
| GU | $54.46 | 1 |
| HI | $54.46 | 1 |
| IA | $47.65 | 1 |
| ID | $47.83 | 1 |
| IL | $47.98–$51.65 | 4 |
| IN | $48.04 | 1 |
| KS | $47.35 | 1 |
| KY | $47.03 | 1 |
| LA | $46.93–$48.69 | 2 |
| MA | $52.29–$57.10 | 2 |
| MD | $50.97–$56.95 | 3 |
| ME | $47.88–$50.04 | 2 |
| MI | $47.83–$49.60 | 2 |
| MN | $51.08 | 1 |
| MO | $46.23–$48.98 | 3 |
| MS | $46.12 | 1 |
| MT | $50.43 | 1 |
| NC | $48.28 | 1 |
| ND | $50.24 | 1 |
| NE | $47.89 | 1 |
| NH | $51.64 | 1 |
| NJ | $54.05–$56.56 | 2 |
| NM | $47.98 | 1 |
| NV | $50.41 | 1 |
| NY | $48.82–$57.73 | 5 |
| OH | $47.79 | 1 |
| OK | $47.11 | 1 |
| OR | $50.21–$54.04 | 2 |
| PA | $47.92–$52.10 | 2 |
| PR | $50.76 | 1 |
| RI | $51.78 | 1 |
| SC | $48.08 | 1 |
| SD | $50.21 | 1 |
| TN | $47.51 | 1 |
| TX | $47.68–$52.20 | 8 |
| UT | $48.58 | 1 |
| VA | $49.82–$56.95 | 2 |
| VI | $50.76 | 1 |
| VT | $49.97 | 1 |
| WA | $52.22–$58.26 | 2 |
| WI | $48.93 | 1 |
| WV | $46.60 | 1 |
| WY | $50.35 | 1 |
How the 97606 rate is calculated
Each of 97606’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 · 97606
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense0.91
0.91 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.5100
Conversion factor
$33.4009
Medicare rate
$50.44
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Suburban Chicago, IL inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,903
- Code
- 97606
- Physician work
- 0.59
- Practice expense
- 0.91
- Malpractice
- 0.01
GPCI2026.csv
50
- Locality
- Suburban Chicago, IL
- Physician work
- 1.007
- Practice expense
- 1.027
- Malpractice
- 1.772
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.007 | 0.5941 |
| Practice expense | 0.91 | × 1.027 | 0.9346 |
| Malpractice | 0.01 | × 1.772 | 0.0177 |
| Total RVUs | 1.5464 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Suburban Chicago, IL$51.65
Office: (0.59 × 1.007 + 0.91 × 1.027 + 0.01 × 1.772) × $33.4009 = $51.65
Facility: (0.59 × 1.007 + 0.09 × 1.027 + 0.01 × 1.772) × $33.4009 = $23.52
Payment rules and modifiers for 97606
97606 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 97606
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$50.44
- Non-facility (office)
- $50.44
- Facility
- $23.05
Higher because the practice carries its own overhead.
How 97606 has changed in Suburban Chicago, IL
97606 · Office / nonfacility
$51.65
Effective 2026-10-01
The base rate is $0.26 lower than on 2025-10-01, moving from $51.91 to $51.65 (0.5%).
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
$51.91changed to$51.65
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.60 changed to 0.59
- Practice expense RVU 0.94 changed to 0.91
- Practice expense GPCI 1.048 changed to 1.027
- Malpractice GPCI 1.556 changed to 1.772
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$52.72changed to$51.91
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.92 changed to 0.94
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$51.86changed to$52.72
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$53.53changed to$51.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.91 changed to 0.92
- Practice expense GPCI 1.055 changed to 1.048
- Malpractice GPCI 1.530 changed to 1.556
January 1, 2023
RVU23A
$53.54changed to$53.53
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.86 changed to 0.91
- Malpractice RVU 0.02 changed to 0.01
- Work GPCI 1.006 changed to 1.007
- Practice expense GPCI 1.062 changed to 1.055
- Malpractice GPCI 1.504 changed to 1.530
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$53.61changed to$53.54
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.85 changed to 0.86
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$54.98changed to$53.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.84 changed to 0.85
- Work GPCI 1.008 changed to 1.006
- Practice expense GPCI 1.057 changed to 1.062
- Malpractice GPCI 1.535 changed to 1.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$54.82changed to$54.98
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.009 changed to 1.008
- Practice expense GPCI 1.053 changed to 1.057
- Malpractice GPCI 1.565 changed to 1.535
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$55.52changed to$54.82
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.86 changed to 0.84
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$51.69changed to$55.52
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.76 changed to 0.86
- Work GPCI 1.011 changed to 1.009
- Practice expense GPCI 1.055 changed to 1.053
- Malpractice GPCI 1.601 changed to 1.565
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$51.30changed to$51.69
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.75 changed to 0.76
- Work GPCI 1.012 changed to 1.011
- Practice expense GPCI 1.057 changed to 1.055
- Malpractice GPCI 1.636 changed to 1.601
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$56.77changed to$51.30
- Conversion factor 35.9335 changed to 35.8043
- Malpractice RVU 0.11 changed to 0.02
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$56.49changed to$56.77
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$50.02changed to$56.49
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.58 changed to 0.75
- Malpractice RVU 0.10 changed to 0.11
- Work GPCI 1.019 changed to 1.012
- Practice expense GPCI 1.065 changed to 1.057
- Malpractice GPCI 1.671 changed to 1.636
Held through RVU15B.
January 1, 2014
RVU14A
$49.71changed to$50.02
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.63 changed to 0.58
- Work GPCI 1.025 changed to 1.019
- Practice expense GPCI 1.072 changed to 1.065
- Malpractice GPCI 1.706 changed to 1.671
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$49.71
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $51.65 | $23.52 | RVU26D |
| 2026-07-01 | $51.65 | $23.52 | RVU26C |
| 2026-04-01 | $51.65 | $23.52 | RVU26B |
| 2026-01-01 | $51.65 | $23.52 | RVU26A |
| 2025-10-01 | $51.91 | $26.15 | RVU25D |
| 2025-07-01 | $51.91 | $26.15 | RVU25C |
| 2025-04-01 | $51.91 | $26.15 | RVU25B |
| 2025-01-01 | $51.91 | $26.15 | RVU25A |
| 2024-10-01 | $52.72 | $26.91 | RVU24D |
| 2024-07-01 | $52.72 | $26.91 | RVU24C |
| 2024-04-01 | $52.72 | $26.91 | RVU24B |
| 2024-03-09 | $52.72 | $26.91 | RVU24AR |
| 2024-01-01 | $51.86 | $26.47 | RVU24A |
| 2023-10-01 | $53.53 | $27.43 | RVU23D |
| 2023-07-01 | $53.53 | $27.43 | RVU23C |
| 2023-04-01 | $53.53 | $27.43 | RVU23B |
| 2023-01-01 | $53.53 | $27.43 | RVU23A |
| 2022-10-01 | $53.54 | $28.54 | RVU22D |
| 2022-07-01 | $53.54 | $28.54 | RVU22C |
| 2022-04-01 | $53.54 | $28.54 | RVU22B |
| 2022-01-01 | $53.54 | $28.54 | RVU22A |
| 2021-10-01 | $53.61 | $28.78 | RVU21D |
| 2021-07-01 | $53.61 | $28.78 | RVU21C |
| 2021-04-01 | $53.61 | $28.78 | RVU21B |
| 2021-01-01 | $53.61 | $28.78 | RVU21A |
| 2020-10-01 | $54.98 | $29.80 | RVU20D |
| 2020-07-01 | $54.98 | $29.80 | RVU20C |
| 2020-04-01 | $54.98 | $29.80 | RVU20B |
| 2020-01-01 | $54.98 | $29.80 | RVU20A |
| 2019-10-01 | $54.82 | $29.78 | RVU19D |
| 2019-07-01 | $54.82 | $29.78 | RVU19C |
| 2019-04-01 | $54.82 | $29.78 | RVU19B |
| 2019-01-01 | $54.82 | $29.78 | RVU19A |
| 2018-10-01 | $55.52 | $29.74 | RVU18D |
| 2018-07-01 | $55.52 | $29.74 | RVU18C |
| 2018-04-01 | $55.52 | $29.74 | RVU18B |
| 2018-01-01 | $55.52 | $29.74 | RVU18AR1 |
| 2017-10-01 | $51.69 | $28.60 | RVU17D |
| 2017-07-01 | $51.69 | $28.60 | RVU17C |
| 2017-04-01 | $51.69 | $28.60 | RVU17B |
| 2017-01-01 | $51.69 | $28.60 | RVU17A |
| 2016-10-01 | $51.30 | $28.59 | RVU16D |
| 2016-07-01 | $51.30 | $28.59 | RVU16C |
| 2016-04-01 | $51.30 | $28.59 | RVU16B |
| 2016-01-01 | $51.30 | $28.59 | RVU16A |
| 2015-10-01 | $56.77 | $33.98 | RVU15D |
| 2015-07-01 | $56.77 | $33.98 | RVU15C |
| 2015-04-01 | $56.49 | $33.81 | RVU15B |
| 2015-01-01 | $56.49 | $33.81 | RVU15A |
| 2014-10-01 | $50.02 | $33.61 | RVU14D |
| 2014-07-01 | $50.02 | $33.61 | RVU14C |
| 2014-04-01 | $50.02 | $33.61 | RVU14B |
| 2014-01-01 | $50.02 | $33.61 | RVU14A |
| 2013-10-01 | $49.71 | $32.56 | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Suburban Chicago, IL rate applies
Suburban Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 178 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.
- 97606 in Chicago · multiple payment areas
- Addison
- 97606 in Algonquin · multiple payment areas
- Andres
- Antioch
- Arbury Hills
- 97606 in Aurora · multiple payment areas
- Bannockburn
97606 billing questions
How is this code distinguished from 97605?
Both describe DME-based negative pressure wound therapy. Use 97606 when the combined treated wound surface area is greater than 50 square centimeters; 97605 is for 50 square centimeters or less.
Does the wound area refer to each wound or all wounds treated?
Use the combined surface area of the wound or wounds treated during the session. Document the individual measurements and the total used to select the code.
When is 97608 used instead?
97608 describes negative pressure wound therapy for a total wound area greater than 50 square centimeters using a disposable, non-DME system. This code is for DME.
Is the code reported per wound or per session?
It is reported per session. The code selection reflects the total area treated in that session, not the number of wounds or dressings.
What documentation supports reporting this code?
Record wound locations and measurements, the combined treated area, use of a DME negative pressure system, and the therapy management performed during the session.
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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