CPT 10140: Fluid drainageMedicare rate & RVUs

Report incision and drainage when a clinician opens and evacuates a hematoma, seroma, or other fluid collection rather than aspirating it.

CMS RVU26DEffective Oct 1, 2026109 payment localities41.6K Medicare services in 2024

Medicare pays $174.35 for 10140 nationally in the office and $115.57 in a hospital or facility. Local office rates run $154.61–$227.98.

Medicare rate · 10140

Fluid drainage

Swap in your local Medicare rate.

Work RVUs
1.54
Total RVUs
5.22
Global days
010

National rate · 2026

$174.35

Office setting, before claim adjustments.

See every locality for 10140 →

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 10 sections
  1. Medicare rate
  2. What 10140 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 10140 covers

This service involves making an incision to drain a hematoma, seroma, or other localized fluid collection. A clinician may perform it in an office, clinic, or facility when a collection—such as a postoperative seroma or a localized hematoma—requires drainage through an incision. The procedure is distinct from needle aspiration and from drainage directed at an abscess or a complex infected postoperative wound.

Document the collection’s location and clinical nature, the incision and drainage performed, and the circumstances supporting that approach. The code has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.

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.

Where 10140 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$154.61 to $227.98

$154.61$191.30$227.98
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

10140 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$156.82$105.38
Alaska*$204.46$141.85
Arizona$169.75$112.79
Arkansas$154.61$104.11
Atlanta$177.77$118.05
Austin$180.38$118.18
Bakersfield$183.71$119.28
Baltimore/Surr. Cntys$185.30$122.22
Beaumont$163.42$109.93
Brazoria$172.18$113.92

10140 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.

$154.61

$205.54

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

View every state and territory as a table
10140 office rate range by state
State / territoryOffice rate rangeLocalities
AK$204.461
AL$156.821
AR$154.611
AZ$169.751
CA$183.10–$227.9829
CO$180.851
CT$185.781
DC$198.551
DE$172.511
FL$172.78–$189.833
GA$163.18–$177.772
GU$187.281
HI$187.281
IA$160.271
ID$161.381
IL$168.22–$184.384
IN$162.291
KS$159.751
KY$160.891
LA$160.73–$168.472
MA$179.89–$198.172
MD$175.68–$198.553
ME$162.43–$170.722
MI$165.17–$175.112
MN$172.781
MO$158.18–$168.803
MS$156.411
MT$174.341
NC$164.061
ND$170.191
NE$161.071
NH$178.231
NJ$187.75–$196.612
NM$166.141
NV$173.301
NY$166.47–$205.565
OH$164.331
OK$160.391
OR$171.81–$186.252
PA$164.46–$181.382
PR$175.521
RI$178.401
SC$164.491
SD$169.701
TN$160.561
TX$163.42–$180.388
UT$166.681
VA$170.32–$198.552
VI$175.521
VT$169.731
WA$179.49–$201.952
WI$164.631
WV$162.191
WY$172.531

How the 10140 rate is calculated

Each of 10140’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 · 10140

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.54Practice expense 3.47Malpractice 0.21

5.2200 adjusted RVUs×$33.4009 conversion factor=$174.35

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 10140

10140 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 10140

Fluid drainage

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 10140

Fluid drainage

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

10140 without 51 · national office

$174.35

Fluid drainage

10140-51 · Second procedure: 50%

$87.18

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

10140 compared with similar codes

Compare codes

10140 vs 10160 vs 10060 vs 10180: national Medicare rates

Swap in your local Medicare rate.

  • 10140
    Fluid drainage · 1.54 wRVU
    $174.35
  • 10160
    Lesion aspiration · 1.22 wRVU
    $131.60−$42.75
  • 10060
    Abscess drainage · 1.19 wRVU
    $128.59−$45.76
  • 10180
    Wound drainage · 2.24 wRVU
    $288.25+$113.90

How to choose

10160Lesion aspiration
Choose 10140 when the clinician incises the collection to drain it. Choose 10160 when drainage is performed by puncture or aspiration.
10060Abscess drainage
Code 10060 describes incision and drainage of a simple or single abscess. Code 10140 is for a hematoma, seroma, or other fluid collection.
10180Wound drainage
Code 10180 is for complex drainage of a postoperative wound infection. Use 10140 for drainage of a hematoma, seroma, or other fluid collection when the service is not that complex infection procedure.

10140 billing questions

When should I report 10140 instead of 10160?

Report 10140 when the clinician uses an incision to drain the collection. Code 10160 describes drainage by puncture or aspiration.

How does 10140 differ from abscess drainage?

10140 is for a hematoma, seroma, or other fluid collection. For incision and drainage of a simple or single abscess, consider 10060; more extensive or multiple abscess drainage is described by 10061.

Are related postoperative visits separately payable during the global period?

Related postoperative visits for 10 days are included in the global period for 10140.

Can modifier 50 be reported for bilateral drainage?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple procedure reduction affect 10140?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 10140. Co-surgeons and team surgery are not permitted.

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 10140PPRRVU2026_Oct_nonQPP.csv, line 1,109 (RVU26D)

Open CMS sourceHow we calculate rates

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