CPT code 97608: Negative pressure therapy, disposable system, over 50 sq cm2026 Medicare rate & RVUs in Indiana

In Indiana, Medicare pays $367.75 for 97608 in the office and $20.04 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 97608 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 97608 covers

This service covers a session of negative pressure wound therapy delivered with disposable equipment. A wound-care clinician may use it for wounds such as chronic ulcers, pressure injuries, diabetic wounds, or surgical wounds that need negative pressure treatment. The service includes the treatment application, wound assessment, and instruction for ongoing care, and may be performed in settings where wound care is provided.

Select this code when the total surface area of the treated wound or wounds is greater than 50 square centimeters and the system is disposable. Document the equipment type, wound dimensions supporting the combined area, assessment, and care provided during the session. The size threshold is based on the total area of the wound or wounds treated, rather than requiring each wound to exceed 50 square centimeters.

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 Indiana compares for 97608

Across 109 of 109 payment localities, the office rate for 97608 runs from $342.05 in Arkansas to $564.78 in San Benito County, CA. Indiana pays $367.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

97608 rates by state

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

See 97608 in every payment locality

How the 97608 rate is calculated

Each of 97608’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.

Payment rules and modifiers for 97608

97608 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.

Codes related to 97608

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 97608 has changed in Indiana

Price 97608 for an earlier date of service

Where the Indiana rate applies

Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Abington
• Adams
• Adams Lake
• Advance
• Akron
• Alamo
• Albany

Browse all communities in Indiana

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

Open CMS sourceHow we calculate rates