CPT code 97607: Negative pressure therapy, nonpowered, up to 50 cm²2026 Medicare rate & RVUs in Washington, DC area
Report this service for applying disposable, nonpowered negative-pressure wound therapy to one or more wounds with a combined surface area of 50 cm² or less.
In Washington, DC area, Medicare pays $431.02 for 97607 in the office and $20.25 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 97607 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 97607 covers
This service covers applying a disposable, nonpowered negative-pressure system to one or more wounds, with a combined treated surface area no greater than 50 cm². It may be used for wound management when negative pressure is selected to support drainage and healing, including care of chronic ulcers or postoperative wounds. The clinician applies the system and topical materials, assesses the wound, and gives instructions for continuing care; provision of the disposable equipment is included.
Select this code when the system is nonpowered and the total surface area treated during the session is 50 cm² or less. Use the related powered-equipment code when the service uses DME, or the larger-area code when nonpowered therapy covers more than 50 cm². Document the device type, wound dimensions and total area, assessment, application, and care instructions. Application, topical materials, wound assessment, and instructions are elements of this service.
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 97607
Across 109 of 109 payment localities, the office rate for 97607 runs from $316.80 in Arkansas to $523.55 in San Benito County, CA. Washington, DC area pays $431.02. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$431.02
- Los Angeles, CA · California$431.71+$0.69
- Miami, FL · Florida$384.91−$46.11
- Chicago, IL · Illinois$371.86−$59.16
- Manhattan, NY · New York$426.47−$4.55
- Alaska · Alaska$396.07−$34.95
- Alabama · Alabama$322.53−$108.49
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $316.80 | $17.26 |
| ArizonaArizona | $356.21 | $18.31 |
| Bakersfield, CACalifornia | $400.68 | $18.50 |
| Chico, CACalifornia | $400.50 | $18.32 |
| El Centro, CACalifornia | $400.51 | $18.33 |
| Fresno, CACalifornia | $400.50 | $18.32 |
| Hanford, CACalifornia | $400.50 | $18.32 |
| Madera, CACalifornia | $400.50 | $18.32 |
| Merced, CACalifornia | $400.50 | $18.32 |
| Modesto, CACalifornia | $400.50 | $18.32 |
| Napa, CACalifornia | $479.22 | $19.62 |
| Oxnard, CACalifornia | $431.10 | $18.93 |
| Redding, CACalifornia | $400.50 | $18.32 |
| Rest of CaliforniaCalifornia | $400.50 | $18.32 |
| Riverside, CACalifornia | $401.15 | $18.97 |
| Sacramento, CACalifornia | $424.34 | $18.80 |
| Salinas, CACalifornia | $422.87 | $18.72 |
| San Diego, CACalifornia | $435.89 | $18.84 |
| Marin County, CACalifornia | $511.93 | $20.26 |
| San Francisco, CACalifornia | $511.87 | $20.19 |
| San Benito County, CACalifornia | $523.55 | $20.72 |
| Santa Clara County, CACalifornia | $523.28 | $20.44 |
| San Luis Obispo, CACalifornia | $415.64 | $18.47 |
| Santa Cruz, CACalifornia | $442.45 | $18.77 |
| Santa Maria, CACalifornia | $425.29 | $18.70 |
| Santa Rosa, CACalifornia | $447.15 | $18.94 |
| Stockton, CACalifornia | $400.50 | $18.32 |
| Vallejo, CACalifornia | $479.12 | $19.52 |
| Visalia, CACalifornia | $400.50 | $18.32 |
| Yuba City, CACalifornia | $400.50 | $18.32 |
| ColoradoColorado | $389.66 | $18.64 |
| ConnecticutConnecticut | $395.21 | $19.65 |
| DelawareDelaware | $363.05 | $18.53 |
| Fort Lauderdale, FLFlorida | $373.61 | $20.37 |
| Rest of FloridaFlorida | $352.93 | $19.57 |
| Atlanta, GAGeorgia | $373.49 | $19.20 |
| Rest of GeorgiaGeorgia | $329.77 | $18.73 |
| Hawaii, Guam, HIHawaii | $414.80 | $18.32 |
| IowaIowa | $336.28 | $17.21 |
| IdahoIdaho | $338.19 | $17.38 |
| East St. Louis, ILIllinois | $341.28 | $20.47 |
| Rest of IllinoisIllinois | $337.91 | $19.54 |
| Suburban Chicago, ILIllinois | $378.56 | $20.44 |
| IndianaIndiana | $340.68 | $17.43 |
| KansasKansas | $332.62 | $17.39 |
| KentuckyKentucky | $328.16 | $18.16 |
| New Orleans, LALouisiana | $346.91 | $18.78 |
| Rest of LouisianaLouisiana | $326.84 | $18.24 |
| Metropolitan Boston, MAMassachusetts | $436.03 | $19.68 |
| Rest of MassachusettsMassachusetts | $385.88 | $18.69 |
| Baltimore area, MDMaryland | $393.80 | $19.64 |
| Rest of MarylandMaryland | $371.60 | $18.71 |
| Rest of MaineMaine | $338.49 | $17.68 |
| Southern Maine, MEMaine | $363.50 | $17.93 |
| Detroit, MIMichigan | $356.46 | $19.96 |
| Rest of MichiganMichigan | $337.04 | $18.67 |
| MinnesotaMinnesota | $376.21 | $17.39 |
| Metropolitan Kansas City, MOMissouri | $345.89 | $18.45 |
| Metropolitan St. Louis, MOMissouri | $350.52 | $18.55 |
| Rest of MissouriMissouri | $318.78 | $18.19 |
| MississippiMississippi | $317.95 | $17.72 |
| MontanaMontana | $367.41 | $18.70 |
| North CarolinaNorth Carolina | $343.10 | $17.76 |
| North DakotaNorth Dakota | $366.22 | $17.51 |
| NebraskaNebraska | $339.06 | $17.20 |
| New HampshireNew Hampshire | $381.59 | $18.59 |
| Northern New JerseyNew Jersey | $424.72 | $20.22 |
| Rest of New JerseyNew Jersey | $400.53 | $19.74 |
| New MexicoNew Mexico | $338.59 | $18.83 |
| NevadaNevada | $367.43 | $18.37 |
| NYC suburbs and Long Island, NYNew York | $436.52 | $21.91 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $401.88 | $20.04 |
| Queens, NYNew York | $433.22 | $21.05 |
| Rest of New YorkNew York | $349.21 | $17.94 |
| OhioOhio | $336.80 | $18.43 |
| OklahomaOklahoma | $329.29 | $17.90 |
| Portland, OROregon | $406.19 | $18.78 |
| Rest of OregonOregon | $365.41 | $18.10 |
| Metropolitan Philadelphia, PAPennsylvania | $382.47 | $19.47 |
| Rest of PennsylvaniaPennsylvania | $338.43 | $18.32 |
| Puerto RicoPuerto Rico | $371.25 | $18.71 |
| Rhode IslandRhode Island | $379.06 | $18.85 |
| South CarolinaSouth Carolina | $340.35 | $18.15 |
| South DakotaSouth Dakota | $366.08 | $17.37 |
| TennesseeTennessee | $334.45 | $17.47 |
| Austin, TXTexas | $387.63 | $18.70 |
| Beaumont, TXTexas | $335.58 | $18.26 |
| Brazoria, TXTexas | $363.91 | $18.34 |
| Dallas, TXTexas | $365.84 | $18.53 |
| Fort Worth, TXTexas | $362.34 | $18.52 |
| Galveston, TXTexas | $364.71 | $18.44 |
| Houston, TXTexas | $365.81 | $19.54 |
| Rest of TexasTexas | $349.26 | $18.34 |
| UtahUtah | $346.08 | $18.30 |
| VirginiaVirginia | $360.84 | $18.06 |
| Virgin Islands, VIUnited States Virgin Islands | $371.25 | $18.71 |
| VermontVermont | $362.90 | $17.68 |
| Rest of WashingtonWashington | $385.76 | $18.58 |
| King County, WAWashington | $447.63 | $19.76 |
| WisconsinWisconsin | $351.24 | $17.18 |
| West VirginiaWest Virginia | $322.16 | $19.13 |
| WyomingWyoming | $366.89 | $18.18 |
97607 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.
$316.80
$462.03
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 | $396.07 | 1 |
| AL | $322.53 | 1 |
| AR | $316.80 | 1 |
| AZ | $356.21 | 1 |
| CA | $400.50–$523.55 | 29 |
| CO | $389.66 | 1 |
| CT | $395.21 | 1 |
| DC | $431.02 | 1 |
| DE | $363.05 | 1 |
| FL | $352.93–$384.91 | 3 |
| GA | $329.77–$373.49 | 2 |
| GU | $414.80 | 1 |
| HI | $414.80 | 1 |
| IA | $336.28 | 1 |
| ID | $338.19 | 1 |
| IL | $337.91–$378.56 | 4 |
| IN | $340.68 | 1 |
| KS | $332.62 | 1 |
| KY | $328.16 | 1 |
| LA | $326.84–$346.91 | 2 |
| MA | $385.88–$436.03 | 2 |
| MD | $371.60–$431.02 | 3 |
| ME | $338.49–$363.50 | 2 |
| MI | $337.04–$356.46 | 2 |
| MN | $376.21 | 1 |
| MO | $318.78–$350.52 | 3 |
| MS | $317.95 | 1 |
| MT | $367.41 | 1 |
| NC | $343.10 | 1 |
| ND | $366.22 | 1 |
| NE | $339.06 | 1 |
| NH | $381.59 | 1 |
| NJ | $400.53–$424.72 | 2 |
| NM | $338.59 | 1 |
| NV | $367.43 | 1 |
| NY | $349.21–$436.52 | 5 |
| OH | $336.80 | 1 |
| OK | $329.29 | 1 |
| OR | $365.41–$406.19 | 2 |
| PA | $338.43–$382.47 | 2 |
| PR | $371.25 | 1 |
| RI | $379.06 | 1 |
| SC | $340.35 | 1 |
| SD | $366.08 | 1 |
| TN | $334.45 | 1 |
| TX | $335.58–$387.63 | 8 |
| UT | $346.08 | 1 |
| VA | $360.84–$431.02 | 2 |
| VI | $371.25 | 1 |
| VT | $362.90 | 1 |
| WA | $385.76–$447.63 | 2 |
| WI | $351.24 | 1 |
| WV | $322.16 | 1 |
| WY | $366.89 | 1 |
How the 97607 rate is calculated
Each of 97607’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 · 97607
RVUs × geographic indexes × conversion factor
Work0.40
0.40 RVUs× 1.000 GPCI
Practice expense10.54
10.54 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
11.0000
Conversion factor
$33.4009
Medicare rate
$367.41
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
12,904
- Code
- 97607
- Physician work
- 0.40
- Practice expense
- 10.54
- Malpractice
- 0.06
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.40 | × 1.054 | 0.4216 |
| Practice expense | 10.54 | × 1.178 | 12.4161 |
| Malpractice | 0.06 | × 1.113 | 0.0668 |
| Total RVUs | 12.9045 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$431.02
Office: (0.4 × 1.054 + 10.54 × 1.178 + 0.06 × 1.113) × $33.4009 = $431.02
Facility: (0.4 × 1.054 + 0.1 × 1.178 + 0.06 × 1.113) × $33.4009 = $20.25
Payment rules and modifiers for 97607
97607 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 · 97607
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$367.41
- Non-facility (office)
- $367.41
- Facility
- $18.70
Higher because the practice carries its own overhead.
How 97607 has changed in Washington, DC area
97607 · Office / nonfacility
$431.02
Effective 2026-10-01
The base rate is $47.66 higher than on 2025-10-01, moving from $383.36 to $431.02 (12.4%).
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
$383.36changed to$431.02
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.41 changed to 0.40
- Practice expense RVU 9.53 changed to 10.54
- Malpractice RVU 0.05 changed to 0.06
- 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.
January 1, 2025
RVU25A
$412.75changed to$383.36
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 9.98 changed to 9.53
- Malpractice RVU 0.06 changed to 0.05
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$406.02changed to$412.75
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$448.73changed to$406.02
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 10.48 changed to 9.98
- Malpractice RVU 0.07 changed to 0.06
- 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
January 1, 2023
RVU23A
$488.19changed to$448.73
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 10.98 changed to 10.48
- Malpractice RVU 0.08 changed to 0.07
- 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.
January 1, 2022
RVU22A
$432.31changed to$488.19
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 9.58 changed to 10.98
- Malpractice RVU 0.09 changed to 0.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$416.24changed to$432.31
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 9.01 changed to 9.58
- Malpractice RVU 0.08 changed to 0.09
- 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.
January 1, 2020
RVU20A
No ratechanged to$416.24
Held through RVU20B, RVU20C, RVU20D.
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $431.02 | $20.25 | RVU26D |
| 2026-07-01 | $431.02 | $20.25 | RVU26C |
| 2026-04-01 | $431.02 | $20.25 | RVU26B |
| 2026-01-01 | $431.02 | $20.25 | RVU26A |
| 2025-10-01 | $383.36 | $22.46 | RVU25D |
| 2025-07-01 | $383.36 | $22.46 | RVU25C |
| 2025-04-01 | $383.36 | $22.46 | RVU25B |
| 2025-01-01 | $383.36 | $22.46 | RVU25A |
| 2024-10-01 | $412.75 | $23.11 | RVU24D |
| 2024-07-01 | $412.75 | $23.11 | RVU24C |
| 2024-04-01 | $412.75 | $23.11 | RVU24B |
| 2024-03-09 | $412.75 | $23.11 | RVU24AR |
| 2024-01-01 | $406.02 | $22.73 | RVU24A |
| 2023-10-01 | $448.73 | $24.59 | RVU23D |
| 2023-07-01 | $448.73 | $24.59 | RVU23C |
| 2023-04-01 | $448.73 | $24.59 | RVU23B |
| 2023-01-01 | $448.73 | $24.59 | RVU23A |
| 2022-10-01 | $488.19 | $25.81 | RVU22D |
| 2022-07-01 | $488.19 | $25.81 | RVU22C |
| 2022-04-01 | $488.19 | $25.81 | RVU22B |
| 2022-01-01 | $488.19 | $25.81 | RVU22A |
| 2021-10-01 | $432.31 | $26.47 | RVU21D |
| 2021-07-01 | $432.31 | $26.47 | RVU21C |
| 2021-04-01 | $432.31 | $26.47 | RVU21B |
| 2021-01-01 | $432.31 | $26.47 | RVU21A |
| 2020-10-01 | $416.24 | $26.26 | RVU20D |
| 2020-07-01 | $416.24 | $26.26 | RVU20C |
| 2020-04-01 | $416.24 | $26.26 | RVU20B |
| 2020-01-01 | $416.24 | $26.26 | RVU20A |
| 2019-10-01 | Contractor-priced | Contractor-priced | RVU19D |
| 2019-07-01 | Contractor-priced | Contractor-priced | RVU19C |
| 2019-04-01 | Contractor-priced | Contractor-priced | RVU19B |
| 2019-01-01 | Contractor-priced | Contractor-priced | RVU19A |
| 2018-10-01 | Contractor-priced | Contractor-priced | RVU18D |
| 2018-07-01 | Contractor-priced | Contractor-priced | RVU18C |
| 2018-04-01 | Contractor-priced | Contractor-priced | RVU18B |
| 2018-01-01 | Contractor-priced | Contractor-priced | RVU18AR1 |
| 2017-10-01 | Contractor-priced | Contractor-priced | RVU17D |
| 2017-07-01 | Contractor-priced | Contractor-priced | RVU17C |
| 2017-04-01 | Contractor-priced | Contractor-priced | RVU17B |
| 2017-01-01 | Contractor-priced | Contractor-priced | RVU17A |
| 2016-10-01 | Contractor-priced | Contractor-priced | RVU16D |
| 2016-07-01 | Contractor-priced | Contractor-priced | RVU16C |
| 2016-04-01 | Contractor-priced | Contractor-priced | RVU16B |
| 2016-01-01 | Contractor-priced | Contractor-priced | RVU16A |
| 2015-10-01 | Contractor-priced | Contractor-priced | RVU15D |
| 2015-07-01 | Contractor-priced | Contractor-priced | RVU15C |
| 2015-04-01 | Contractor-priced | Contractor-priced | RVU15B |
| 2015-01-01 | Contractor-priced | Contractor-priced | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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
97607 billing questions
How does 97607 differ from 97605?
Both cover negative-pressure wound therapy for a total wound area of 50 cm² or less. 97607 is for nonpowered disposable equipment; 97605 is for powered equipment supplied as DME.
Which code applies when the treated area is exactly 50 cm²?
For nonpowered disposable therapy, 97607 covers a combined treated area of exactly 50 cm². Use 97608 when the combined area exceeds 50 cm².
Is the code reported once for each wound?
The service is reported per session, and code selection is based on the combined surface area of the wound or wounds treated during that session.
Can the application and wound assessment be billed separately?
Application, topical materials, wound assessment, instructions for ongoing care, and provision of disposable equipment are included in this service.
What documentation supports 97607?
Record the device type, dimensions and combined area of the wounds treated, wound findings, therapy application, and instructions given for ongoing care.
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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