No office rate
Both involve ischial ulcer excision and direct closure. 15941 includes ostectomy; 15940 does not.
On this page
CMS RVU26D · Effective 2026-10-01
15941 Pressure ulcer excision Medicare reimbursement rates
Reports excision of an ischial pressure ulcer with removal of underlying bone and direct suture closure, rather than closure with a flap. Compare 15941 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 15941?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 15941 pays more and less
Pressure ulcer surgery
About 15941: Ischial ulcer excision with ostectomy
Reports excision of an ischial pressure ulcer with removal of underlying bone and direct suture closure, rather than closure with a flap.
This operation removes a pressure ulcer over the ischial area and excises underlying bone as an ostectomy, followed by direct primary suture closure. It is typically performed in an operating room by a plastic or reconstructive surgeon, or another surgeon managing complex pressure injuries. A common clinical setting is a chronic ulcer over the ischial tuberosity in a patient with limited mobility, such as someone who uses a wheelchair.
Select this code when the operative report supports both ostectomy and primary closure; a skin or muscle flap represents a different technique. Documentation should identify the ischial site, ulcer excision, bone removal, and closure method. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in one session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 15941
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.10 · 47%
- Practice expense (office) RVU11.58 · 45%
- Malpractice RVU2.25 · 9%
60
Medicare services in 2024 · #5235 by national volume
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.
15941 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Both include ischial ulcer excision and ostectomy. 15945 uses skin-flap closure, while 15941 uses primary suture closure.
No office rate
This is the ischial muscle or myocutaneous flap pathway. Use 15941 when the documented closure is primary suture after ostectomy.
No office rate
This code concerns a sacral pressure ulcer with primary suture closure. 15941 is for the ischial site and includes ostectomy.
See how rates vary across the country
15941 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 15941 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $785.12 |
| Alaska* | Office Unavailable | Facility $1059.56 |
| Arizona | Office Unavailable | Facility $843.27 |
| Arkansas | Office Unavailable | Facility $775.10 |
| Atlanta | Office Unavailable | Facility $888.59 |
| Austin | Office Unavailable | Facility $880.76 |
| Bakersfield | Office Unavailable | Facility $881.51 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $918.60 |
| Beaumont | Office Unavailable | Facility $825.94 |
| Brazoria | Office Unavailable | Facility $849.30 |
| Chicago | Office Unavailable | Facility $968.17 |
| Chico | Office Unavailable | Facility $875.22 |
| Colorado | Office Unavailable | Facility $879.23 |
| Connecticut | Office Unavailable | Facility $919.73 |
| Dallas | Office Unavailable | Facility $857.50 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $965.25 |
| Delaware | Office Unavailable | Facility $855.87 |
| Detroit | Office Unavailable | Facility $904.10 |
| East St. Louis | Office Unavailable | Facility $911.35 |
| El Centro | Office Unavailable | Facility $875.59 |
| Fort Lauderdale | Office Unavailable | Facility $931.84 |
| Fort Worth | Office Unavailable | Facility $854.61 |
| Fresno | Office Unavailable | Facility $875.22 |
| Galveston | Office Unavailable | Facility $853.68 |
| Hanford-Corcoran | Office Unavailable | Facility $875.22 |
| Hawaii, Guam | Office Unavailable | Facility $887.44 |
| Houston | Office Unavailable | Facility $894.87 |
| Idaho | Office Unavailable | Facility $795.54 |
| Indiana | Office Unavailable | Facility $799.22 |
| Iowa | Office Unavailable | Facility $787.89 |
| Kansas | Office Unavailable | Facility $791.68 |
| Kentucky | Office Unavailable | Facility $816.76 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $928.19 |
| Madera | Office Unavailable | Facility $875.22 |
| Manhattan | Office Unavailable | Facility $998.65 |
| Merced | Office Unavailable | Facility $875.22 |
| Metropolitan Boston | Office Unavailable | Facility $949.42 |
| Metropolitan Kansas City | Office Unavailable | Facility $840.76 |
| Metropolitan Philadelphia | Office Unavailable | Facility $903.72 |
| Metropolitan St. Louis | Office Unavailable | Facility $847.67 |
| Miami | Office Unavailable | Facility $996.85 |
| Minnesota | Office Unavailable | Facility $824.40 |
| Mississippi | Office Unavailable | Facility $792.71 |
| Modesto | Office Unavailable | Facility $875.22 |
| Montana** | Office Unavailable | Facility $865.94 |
| Napa | Office Unavailable | Facility $977.57 |
| Nebraska | Office Unavailable | Facility $789.56 |
| Nevada** | Office Unavailable | Facility $853.92 |
| New Hampshire | Office Unavailable | Facility $872.55 |
| New Mexico | Office Unavailable | Facility $849.09 |
| New Orleans | Office Unavailable | Facility $853.49 |
| North Carolina | Office Unavailable | Facility $813.04 |
| North Dakota** | Office Unavailable | Facility $821.45 |
| Northern Nj | Office Unavailable | Facility $958.54 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1029.46 |
| Ohio | Office Unavailable | Facility $833.04 |
| Oklahoma | Office Unavailable | Facility $807.94 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $919.46 |
| Portland | Office Unavailable | Facility $896.25 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $936.80 |
| Puerto Rico | Office Unavailable | Facility $869.21 |
| Queens | Office Unavailable | Facility $995.56 |
| Redding | Office Unavailable | Facility $875.22 |
| Rest Of California | Office Unavailable | Facility $875.22 |
| Rest Of Florida | Office Unavailable | Facility $886.87 |
| Rest Of Georgia | Office Unavailable | Facility $838.74 |
| Rest Of Illinois | Office Unavailable | Facility $874.75 |
| Rest Of Louisiana | Office Unavailable | Facility $818.45 |
| Rest Of Maine | Office Unavailable | Facility $806.74 |
| Rest Of Maryland | Office Unavailable | Facility $868.61 |
| Rest Of Massachusetts | Office Unavailable | Facility $877.80 |
| Rest Of Michigan | Office Unavailable | Facility $842.13 |
| Rest Of Missouri | Office Unavailable | Facility $810.76 |
| Rest Of New Jersey | Office Unavailable | Facility $925.13 |
| Rest Of New York | Office Unavailable | Facility $824.43 |
| Rest Of Oregon | Office Unavailable | Facility $842.22 |
| Rest Of Pennsylvania | Office Unavailable | Facility $830.24 |
| Rest Of Texas | Office Unavailable | Facility $839.07 |
| Rest Of Washington | Office Unavailable | Facility $873.88 |
| Rhode Island | Office Unavailable | Facility $878.41 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $899.44 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $908.81 |
| Salinas | Office Unavailable | Facility $905.24 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $919.60 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1022.40 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1019.85 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1046.63 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1036.18 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $891.85 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $922.86 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $906.74 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $931.53 |
| Seattle (King Cnty) | Office Unavailable | Facility $960.34 |
| South Carolina | Office Unavailable | Facility $825.42 |
| South Dakota** | Office Unavailable | Facility $816.18 |
| Southern Maine | Office Unavailable | Facility $834.87 |
| Stockton | Office Unavailable | Facility $875.22 |
| Suburban Chicago | Office Unavailable | Facility $937.37 |
| Tennessee | Office Unavailable | Facility $796.09 |
| Utah | Office Unavailable | Facility $835.21 |
| Vallejo | Office Unavailable | Facility $973.89 |
| Vermont | Office Unavailable | Facility $825.09 |
| Virgin Islands | Office Unavailable | Facility $869.21 |
| Virginia | Office Unavailable | Facility $837.42 |
| Visalia | Office Unavailable | Facility $875.22 |
| West Virginia | Office Unavailable | Facility $847.81 |
| Wisconsin | Office Unavailable | Facility $797.84 |
| Wyoming** | Office Unavailable | Facility $846.55 |
| Yuba City | Office Unavailable | Facility $875.22 |
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15941 billing questions
How does this differ from 15940?
Both describe ischial pressure-ulcer excision with primary suture closure, but 15941 also includes ostectomy. Use the operative technique, not ulcer stage alone, to distinguish them.
Can the ostectomy or primary closure be billed separately?
Both are part of the service described by this code. The key distinction is that bone is removed and the wound is closed directly rather than with a flap.
When is a flap code more appropriate?
Choose a flap procedure when the surgeon closes the defect with a skin flap or prepares a muscle or myocutaneous flap, rather than using primary suture closure.
Should modifier 50 be used for ulcers on both sides?
No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate for its descriptor or anatomy.
What documentation supports reporting 15941?
The operative report should establish the ischial ulcer site, excision of the ulcer, removal of underlying bone, and direct primary suture closure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,59915936,,Exc sac pr ulc prep mus flap,A,,12.83,9.28,NA,9.28,,2.98,25.09,25.09,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60015937,,Exc sac pr ulc prep mus ostc,A,,14.76,10.05,NA,10.05,,2.72,27.53,27.53,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60115940,,Exc ischial pr ulc prim sutr,A,,9.95,7.67,NA,7.67,,2.27,19.89,19.89,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60215941,,Exc isch pr ulc prm sut ostc,A,,12.10,11.58,NA,11.58,,2.25,25.93,25.93,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60315944,,Exc isch pr ulc skn flp clsr,A,,12.13,11.10,NA,11.10,,2.25,25.48,25.48,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60415945,,Exc isch pr ulc skn flp ostc,A,,13.41,11.85,NA,11.85,,2.49,27.75,27.75,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60515946,,Exc isch pr ulc prep mus flp,A,,23.52,15.33,NA,15.33,,4.88,43.73,43.73,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00