$81.63–$122.61
This is the small-area sibling for partial-thickness burn dressing and/or debridement; 16030 represents the large-area level.
On this page
CMS RVU26D · Effective 2026-10-01
16030 Burn dressing Medicare reimbursement rates
Reports dressing and/or debridement of large partial-thickness burns, generally involving more than 10% of total body surface area. Compare 16030 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 16030?
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
$188.24–$272.73
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $84.49 per service.
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 16030 pays more and less
109 payment localities
$188.24 to $272.73
Burn treatment
About 16030: Large partial-thickness burn dressing and debridement
Reports dressing and/or debridement of large partial-thickness burns, generally involving more than 10% of total body surface area.
This service covers wound care for a large area of partial-thickness burns, including cleansing, removal of devitalized tissue when needed, and application of appropriate dressings. A physician typically performs or directs the treatment in an emergency department, burn unit, or other setting managing acute or follow-up burn care. The relevant burn area may involve multiple sites; selection is based on the total body surface area affected, not simply the number of wounds.
Select this level when the partial-thickness burn area is large, generally more than 10% of total body surface area. Document burn depth, affected sites, estimated body surface area, and the dressing or debridement performed. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 16030
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.03 · 32%
- Practice expense (office) RVU3.94 · 62%
- Malpractice RVU0.43 · 7%
821
Medicare services in 2024 · #3120 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.
16030 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$147.21–$211.87
This is the medium-area sibling. Use 16030 when the treated partial-thickness burn area meets the large-area threshold.
$79.84–$115.86
This represents initial burn treatment rather than the large-area dressing and/or debridement service reported with 16030.
No office rate
This is an escharotomy code for an incision to release constricting eschar, not burn dressing or debridement.
See how rates vary across the country
16030 · 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.
$188.24
$249.77
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $249.77 | 1 |
| AL | $191.08 | 1 |
| AR | $188.24 | 1 |
| AZ | $207.62 | 1 |
| CA | $220.89–$272.73 | 29 |
| CO | $219.86 | 1 |
| CT | $228.27 | 1 |
| DC | $242.47 | 1 |
| DE | $211.07 | 1 |
| FL | $215.20–$241.12 | 3 |
| GA | $202.31–$218.96 | 2 |
| GU | $225.75 | 1 |
| HI | $225.75 | 1 |
| IA | $193.92 | 1 |
| ID | $195.67 | 1 |
| IL | $210.40–$233.50 | 4 |
| IN | $196.78 | 1 |
| KS | $194.01 | 1 |
| KY | $197.94 | 1 |
| LA | $198.03–$207.95 | 2 |
| MA | $218.91–$240.50 | 2 |
| MD | $214.85–$242.47 | 3 |
| ME | $197.81–$207.28 | 2 |
| MI | $204.17–$219.01 | 2 |
| MN | $207.47 | 1 |
| MO | $195.23–$207.48 | 3 |
| MS | $191.72 | 1 |
| MT | $213.74 | 1 |
| NC | $199.76 | 1 |
| ND | $205.23 | 1 |
| NE | $194.70 | 1 |
| NH | $217.37 | 1 |
| NJ | $229.98–$240.07 | 2 |
| NM | $205.73 | 1 |
| NV | $211.50 | 1 |
| NY | $202.92–$255.29 | 5 |
| OH | $202.43 | 1 |
| OK | $196.48 | 1 |
| OR | $208.97–$225.78 | 2 |
| PA | $202.18–$223.15 | 2 |
| PR | $215.00 | 1 |
| RI | $217.85 | 1 |
| SC | $201.61 | 1 |
| SD | $204.23 | 1 |
| TN | $195.14 | 1 |
| TX | $200.90–$219.90 | 8 |
| UT | $204.40 | 1 |
| VA | $207.31–$242.47 | 2 |
| VI | $215.00 | 1 |
| VT | $205.35 | 1 |
| WA | $218.19–$244.40 | 2 |
| WI | $198.30 | 1 |
| WV | $202.72 | 1 |
| WY | $210.03 | 1 |
Compare 16030 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 $191.08 | Facility $111.59 |
| Alaska* | Office $249.77 | Facility $153.02 |
| Arizona | Office $207.62 | Facility $119.58 |
| Arkansas | Office $188.24 | Facility $110.20 |
| Atlanta | Office $218.96 | Facility $126.66 |
| Austin | Office $219.90 | Facility $123.78 |
| Bakersfield | Office $222.07 | Facility $122.50 |
| Baltimore/Surr. Cntys | Office $227.86 | Facility $130.38 |
| Beaumont | Office $200.90 | Facility $118.23 |
| Brazoria | Office $209.96 | Facility $119.93 |
| Chicago | Office $233.50 | Facility $142.19 |
| Chico | Office $220.89 | Facility $121.32 |
| Colorado | Office $219.86 | Facility $123.19 |
| Connecticut | Office $228.27 | Facility $130.43 |
| Dallas | Office $211.81 | Facility $121.32 |
| Dc + Md/Va Suburbs | Office $242.47 | Facility $135.45 |
| Delaware | Office $211.07 | Facility $121.31 |
| Detroit | Office $219.01 | Facility $131.34 |
| East St. Louis | Office $217.80 | Facility $134.22 |
| El Centro | Office $220.96 | Facility $121.39 |
| Fort Lauderdale | Office $227.08 | Facility $135.05 |
| Fort Worth | Office $210.68 | Facility $121.10 |
| Fresno | Office $220.89 | Facility $121.32 |
| Galveston | Office $210.92 | Facility $120.70 |
| Hanford-Corcoran | Office $220.89 | Facility $121.32 |
| Hawaii, Guam | Office $225.75 | Facility $122.45 |
| Houston | Office $218.79 | Facility $128.57 |
| Idaho | Office $195.67 | Facility $112.09 |
| Indiana | Office $196.78 | Facility $112.56 |
| Iowa | Office $193.92 | Facility $110.79 |
| Kansas | Office $194.01 | Facility $111.88 |
| Kentucky | Office $197.94 | Facility $117.17 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $235.80 | Facility $128.33 |
| Madera | Office $220.89 | Facility $121.32 |
| Manhattan | Office $247.84 | Facility $142.27 |
| Merced | Office $220.89 | Facility $121.32 |
| Metropolitan Boston | Office $240.50 | Facility $132.02 |
| Metropolitan Kansas City | Office $205.41 | Facility $120.10 |
| Metropolitan Philadelphia | Office $223.15 | Facility $128.58 |
| Metropolitan St. Louis | Office $207.48 | Facility $120.99 |
| Miami | Office $241.12 | Facility $146.55 |
| Minnesota | Office $207.47 | Facility $113.99 |
| Mississippi | Office $191.72 | Facility $113.50 |
| Modesto | Office $220.89 | Facility $121.32 |
| Montana** | Office $213.74 | Facility $122.89 |
| Napa | Office $252.82 | Facility $133.08 |
| Nebraska | Office $194.70 | Facility $110.84 |
| Nevada** | Office $211.50 | Facility $120.56 |
| New Hampshire | Office $217.37 | Facility $122.79 |
| New Mexico | Office $205.73 | Facility $122.42 |
| New Orleans | Office $207.95 | Facility $122.46 |
| North Carolina | Office $199.76 | Facility $115.00 |
| North Dakota** | Office $205.23 | Facility $114.38 |
| Northern Nj | Office $240.07 | Facility $134.68 |
| Nyc Suburbs/Long Island | Office $255.29 | Facility $147.26 |
| Ohio | Office $202.43 | Facility $119.49 |
| Oklahoma | Office $196.48 | Facility $115.35 |
| Oxnard-Thousand Oaks-Ventura | Office $234.20 | Facility $126.82 |
| Portland | Office $225.78 | Facility $124.85 |
| Poughkpsie/N Nyc Suburbs | Office $232.33 | Facility $132.85 |
| Puerto Rico | Office $215.00 | Facility $123.15 |
| Queens | Office $248.40 | Facility $141.02 |
| Redding | Office $220.89 | Facility $121.32 |
| Rest Of California | Office $220.89 | Facility $121.32 |
| Rest Of Florida | Office $215.20 | Facility $128.35 |
| Rest Of Georgia | Office $202.31 | Facility $121.27 |
| Rest Of Illinois | Office $210.40 | Facility $127.46 |
| Rest Of Louisiana | Office $198.03 | Facility $117.63 |
| Rest Of Maine | Office $197.81 | Facility $114.23 |
| Rest Of Maryland | Office $214.85 | Facility $122.90 |
| Rest Of Massachusetts | Office $218.91 | Facility $123.24 |
| Rest Of Michigan | Office $204.17 | Facility $121.22 |
| Rest Of Missouri | Office $195.23 | Facility $116.92 |
| Rest Of New Jersey | Office $229.98 | Facility $130.77 |
| Rest Of New York | Office $202.92 | Facility $116.61 |
| Rest Of Oregon | Office $208.97 | Facility $118.49 |
| Rest Of Pennsylvania | Office $202.18 | Facility $118.78 |
| Rest Of Texas | Office $205.66 | Facility $119.44 |
| Rest Of Washington | Office $218.19 | Facility $122.52 |
| Rhode Island | Office $217.85 | Facility $124.00 |
| Riverside-San Bernardino-Ontario | Office $225.51 | Facility $125.94 |
| Sacramento-Roseville-Folsom | Office $230.99 | Facility $125.33 |
| Salinas | Office $230.13 | Facility $124.83 |
| San Diego-Chula Vista-Carlsbad | Office $235.02 | Facility $126.36 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $266.39 | Facility $138.29 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $265.90 | Facility $137.81 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $272.73 | Facility $141.72 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $270.73 | Facility $139.72 |
| San Luis Obispo-Paso Robles | Office $226.55 | Facility $123.07 |
| Santa Cruz-Watsonville | Office $236.82 | Facility $126.44 |
| Santa Maria-Santa Barbara | Office $230.85 | Facility $124.91 |
| Santa Rosa-Petaluma | Office $239.14 | Facility $127.58 |
| Seattle (King Cnty) | Office $244.40 | Facility $132.93 |
| South Carolina | Office $201.61 | Facility $117.66 |
| South Dakota** | Office $204.23 | Facility $113.38 |
| Southern Maine | Office $207.28 | Facility $117.25 |
| Stockton | Office $220.89 | Facility $121.32 |
| Suburban Chicago | Office $228.88 | Facility $135.58 |
| Tennessee | Office $195.14 | Facility $112.56 |
| Utah | Office $204.40 | Facility $119.01 |
| Vallejo | Office $252.12 | Facility $132.38 |
| Vermont | Office $205.35 | Facility $115.41 |
| Virgin Islands | Office $215.00 | Facility $123.15 |
| Virginia | Office $207.31 | Facility $118.00 |
| Visalia | Office $220.89 | Facility $121.32 |
| West Virginia | Office $202.72 | Facility $123.77 |
| Wisconsin | Office $198.30 | Facility $111.27 |
| Wyoming** | Office $210.03 | Facility $119.18 |
| Yuba City | Office $220.89 | Facility $121.32 |
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16030 billing questions
How does 16030 differ from 16025?
Choose by the total body surface area of partial-thickness burns treated. 16030 is the large-area level, generally more than 10%; 16025 is the medium level.
Can 16030 be reported for dressing alone?
Yes. The service may involve dressing, debridement, or both. Document the burn extent and the wound care actually performed.
Can routine wound preparation or dressing work be billed separately?
Do not separately report the cleansing, debridement, or dressing work that is part of the 16030 service.
Should modifier 50 be used for burns on both sides of the body?
No. Modifier 50 is inappropriate for this code; code selection reflects the total burn area treated rather than a bilateral service.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery; 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 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.
1,61316000,,Initial treatment of burn(s),A,,0.87,1.68,,0.24,,0.15,2.70,1.26,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61416020,,Dress/debrid p-thick burn s,A,,0.69,1.97,,0.82,,0.12,2.78,1.63,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61516025,,Dress/debrid p-thick burn m,A,,1.70,2.99,,1.08,,0.27,4.96,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61616030,,Dress/debrid p-thick burn l,A,,2.03,3.94,,1.22,,0.43,6.40,3.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61716035,,Escharotomy 1st incision,A,,3.65,1.05,NA,1.05,,0.65,5.35,5.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61816036,,Escharotomy ea addl incision,A,,1.46,0.38,NA,0.38,,0.36,2.20,2.20,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61917000,,Destruct premalg lesion,A,,0.59,1.34,,0.78,,0.06,1.99,1.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00