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CMS RVU26D · Effective 2026-10-01

16030 in Austin

Office / nonfacility

$219.90

Base rate per service

Facility setting

$123.78

Base rate per service

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.

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 rates for Austin, from the same CMS release.

16020

Burn wound care

Small partial-thickness burns

$96.26

This is the small-area sibling for partial-thickness burn dressing and/or debridement; 16030 represents the large-area level.

16025

Burn care

Medium, 5%-10% TBSA

$170.55

This is the medium-area sibling. Use 16030 when the treated partial-thickness burn area meets the large-area threshold.

16000

Burn treatment

First-degree burn

$92.92

This represents initial burn treatment rather than the large-area dressing and/or debridement service reported with 16030.

16035

Escharotomy

First incision

No office rate

This is an escharotomy code for an incision to release constricting eschar, not burn dressing or debridement.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 16030 is $200.90—$19.00 lower than the $219.90 rate in Austin. Both use the same code, release and participation basis.

16030 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $219.90

  2. Beaumont

    $200.90

    $19.00 lower than Austin

  3. Brazoria

    $209.96

    $9.94 lower than Austin

  4. Dallas

    $211.81

    $8.09 lower than Austin

  5. Fort Worth

    $210.68

    $9.22 lower than Austin

  6. Galveston

    $210.92

    $8.98 lower than Austin

  7. Houston

    $218.79

    $1.11 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 16030 ranges from $188.24 in Arkansas to $272.73 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 16030

    Office

    $205.66

    Facility

    $119.44

    $14.24 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 16030

    Office

    $235.80

    Facility

    $128.33

    $15.90 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 16030

    Office

    $242.47

    Facility

    $135.45

    $22.57 higher than Austin for the office setting.

  • Miami

    Florida · 16030

    Office

    $241.12

    Facility

    $146.55

    $21.22 higher than Austin for the office setting.

  • Chicago

    Illinois · 16030

    Office

    $233.50

    Facility

    $142.19

    $13.60 higher than Austin for the office setting.

  • Manhattan

    New York · 16030

    Office

    $247.84

    Facility

    $142.27

    $27.94 higher than Austin for the office setting.

  • Alaska*

    Alaska · 16030

    Office

    $249.77

    Facility

    $153.02

    $29.87 higher than Austin for the office setting.

  • Alabama

    Alabama · 16030

    Office

    $191.08

    Facility

    $111.59

    $28.82 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 16030

    Office

    $188.24

    Facility

    $110.20

    $31.66 lower than Austin for the office setting.

  • Arizona

    Arizona · 16030

    Office

    $207.62

    Facility

    $119.58

    $12.28 lower than Austin for the office setting.

  • Bakersfield

    California · 16030

    Office

    $222.07

    Facility

    $122.50

    $2.17 higher than Austin for the office setting.

  • Chico

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • El Centro

    California · 16030

    Office

    $220.96

    Facility

    $121.39

    $1.06 higher than Austin for the office setting.

  • Fresno

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Madera

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Merced

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Modesto

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Napa

    California · 16030

    Office

    $252.82

    Facility

    $133.08

    $32.92 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 16030

    Office

    $234.20

    Facility

    $126.82

    $14.30 higher than Austin for the office setting.

  • Redding

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Rest Of California

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 16030

    Office

    $225.51

    Facility

    $125.94

    $5.61 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 16030

    Office

    $230.99

    Facility

    $125.33

    $11.09 higher than Austin for the office setting.

  • Salinas

    California · 16030

    Office

    $230.13

    Facility

    $124.83

    $10.23 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 16030

    Office

    $235.02

    Facility

    $126.36

    $15.12 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 16030

    Office

    $266.39

    Facility

    $138.29

    $46.49 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 16030

    Office

    $265.90

    Facility

    $137.81

    $46.00 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 16030

    Office

    $272.73

    Facility

    $141.72

    $52.83 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 16030

    Office

    $270.73

    Facility

    $139.72

    $50.83 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 16030

    Office

    $226.55

    Facility

    $123.07

    $6.65 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 16030

    Office

    $236.82

    Facility

    $126.44

    $16.92 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 16030

    Office

    $230.85

    Facility

    $124.91

    $10.95 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 16030

    Office

    $239.14

    Facility

    $127.58

    $19.24 higher than Austin for the office setting.

  • Stockton

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Vallejo

    California · 16030

    Office

    $252.12

    Facility

    $132.38

    $32.22 higher than Austin for the office setting.

  • Visalia

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Yuba City

    California · 16030

    Office

    $220.89

    Facility

    $121.32

    $0.99 higher than Austin for the office setting.

  • Colorado

    Colorado · 16030

    Office

    $219.86

    Facility

    $123.19

    $0.04 lower than Austin for the office setting.

  • Connecticut

    Connecticut · 16030

    Office

    $228.27

    Facility

    $130.43

    $8.37 higher than Austin for the office setting.

  • Delaware

    Delaware · 16030

    Office

    $211.07

    Facility

    $121.31

    $8.83 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 16030

    Office

    $227.08

    Facility

    $135.05

    $7.18 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 16030

    Office

    $215.20

    Facility

    $128.35

    $4.70 lower than Austin for the office setting.

  • Atlanta

    Georgia · 16030

    Office

    $218.96

    Facility

    $126.66

    $0.94 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 16030

    Office

    $202.31

    Facility

    $121.27

    $17.59 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 16030

    Office

    $225.75

    Facility

    $122.45

    $5.85 higher than Austin for the office setting.

  • Iowa

    Iowa · 16030

    Office

    $193.92

    Facility

    $110.79

    $25.98 lower than Austin for the office setting.

  • Idaho

    Idaho · 16030

    Office

    $195.67

    Facility

    $112.09

    $24.23 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 16030

    Office

    $217.80

    Facility

    $134.22

    $2.10 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 16030

    Office

    $210.40

    Facility

    $127.46

    $9.50 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 16030

    Office

    $228.88

    Facility

    $135.58

    $8.98 higher than Austin for the office setting.

  • Indiana

    Indiana · 16030

    Office

    $196.78

    Facility

    $112.56

    $23.12 lower than Austin for the office setting.

  • Kansas

    Kansas · 16030

    Office

    $194.01

    Facility

    $111.88

    $25.89 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 16030

    Office

    $197.94

    Facility

    $117.17

    $21.96 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 16030

    Office

    $207.95

    Facility

    $122.46

    $11.95 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 16030

    Office

    $198.03

    Facility

    $117.63

    $21.87 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 16030

    Office

    $240.50

    Facility

    $132.02

    $20.60 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 16030

    Office

    $218.91

    Facility

    $123.24

    $0.99 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 16030

    Office

    $227.86

    Facility

    $130.38

    $7.96 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 16030

    Office

    $214.85

    Facility

    $122.90

    $5.05 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 16030

    Office

    $197.81

    Facility

    $114.23

    $22.09 lower than Austin for the office setting.

  • Southern Maine

    Maine · 16030

    Office

    $207.28

    Facility

    $117.25

    $12.62 lower than Austin for the office setting.

  • Detroit

    Michigan · 16030

    Office

    $219.01

    Facility

    $131.34

    $0.89 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 16030

    Office

    $204.17

    Facility

    $121.22

    $15.73 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 16030

    Office

    $207.47

    Facility

    $113.99

    $12.43 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 16030

    Office

    $205.41

    Facility

    $120.10

    $14.49 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 16030

    Office

    $207.48

    Facility

    $120.99

    $12.42 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 16030

    Office

    $195.23

    Facility

    $116.92

    $24.67 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 16030

    Office

    $191.72

    Facility

    $113.50

    $28.18 lower than Austin for the office setting.

  • Montana**

    Montana · 16030

    Office

    $213.74

    Facility

    $122.89

    $6.16 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 16030

    Office

    $199.76

    Facility

    $115.00

    $20.14 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 16030

    Office

    $205.23

    Facility

    $114.38

    $14.67 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 16030

    Office

    $194.70

    Facility

    $110.84

    $25.20 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 16030

    Office

    $217.37

    Facility

    $122.79

    $2.53 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 16030

    Office

    $240.07

    Facility

    $134.68

    $20.17 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 16030

    Office

    $229.98

    Facility

    $130.77

    $10.08 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 16030

    Office

    $205.73

    Facility

    $122.42

    $14.17 lower than Austin for the office setting.

  • Nevada**

    Nevada · 16030

    Office

    $211.50

    Facility

    $120.56

    $8.40 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 16030

    Office

    $255.29

    Facility

    $147.26

    $35.39 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 16030

    Office

    $232.33

    Facility

    $132.85

    $12.43 higher than Austin for the office setting.

  • Queens

    New York · 16030

    Office

    $248.40

    Facility

    $141.02

    $28.50 higher than Austin for the office setting.

  • Rest Of New York

    New York · 16030

    Office

    $202.92

    Facility

    $116.61

    $16.98 lower than Austin for the office setting.

  • Ohio

    Ohio · 16030

    Office

    $202.43

    Facility

    $119.49

    $17.47 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 16030

    Office

    $196.48

    Facility

    $115.35

    $23.42 lower than Austin for the office setting.

  • Portland

    Oregon · 16030

    Office

    $225.78

    Facility

    $124.85

    $5.88 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 16030

    Office

    $208.97

    Facility

    $118.49

    $10.93 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 16030

    Office

    $223.15

    Facility

    $128.58

    $3.25 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 16030

    Office

    $202.18

    Facility

    $118.78

    $17.72 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 16030

    Office

    $215.00

    Facility

    $123.15

    $4.90 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 16030

    Office

    $217.85

    Facility

    $124.00

    $2.05 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 16030

    Office

    $201.61

    Facility

    $117.66

    $18.29 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 16030

    Office

    $204.23

    Facility

    $113.38

    $15.67 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 16030

    Office

    $195.14

    Facility

    $112.56

    $24.76 lower than Austin for the office setting.

  • Utah

    Utah · 16030

    Office

    $204.40

    Facility

    $119.01

    $15.50 lower than Austin for the office setting.

  • Virginia

    Virginia · 16030

    Office

    $207.31

    Facility

    $118.00

    $12.59 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 16030

    Office

    $215.00

    Facility

    $123.15

    $4.90 lower than Austin for the office setting.

  • Vermont

    Vermont · 16030

    Office

    $205.35

    Facility

    $115.41

    $14.55 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 16030

    Office

    $218.19

    Facility

    $122.52

    $1.71 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 16030

    Office

    $244.40

    Facility

    $132.93

    $24.50 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 16030

    Office

    $198.30

    Facility

    $111.27

    $21.60 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 16030

    Office

    $202.72

    Facility

    $123.77

    $17.18 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 16030

    Office

    $210.03

    Facility

    $119.18

    $9.87 lower than Austin for the office setting.

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.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 / territoryRate rangeLocalities
AK$249.771
AL$191.081
AR$188.241
AZ$207.621
CA$220.89–$272.7329
CO$219.861
CT$228.271
DC$242.471
DE$211.071
FL$215.20–$241.123
GA$202.31–$218.962
GU$225.751
HI$225.751
IA$193.921
ID$195.671
IL$210.40–$233.504
IN$196.781
KS$194.011
KY$197.941
LA$198.03–$207.952
MA$218.91–$240.502
MD$214.85–$242.473
ME$197.81–$207.282
MI$204.17–$219.012
MN$207.471
MO$195.23–$207.483
MS$191.721
MT$213.741
NC$199.761
ND$205.231
NE$194.701
NH$217.371
NJ$229.98–$240.072
NM$205.731
NV$211.501
NY$202.92–$255.295
OH$202.431
OK$196.481
OR$208.97–$225.782
PA$202.18–$223.152
PR$215.001
RI$217.851
SC$201.611
SD$204.231
TN$195.141
TX$200.90–$219.908
UT$204.401
VA$207.31–$242.472
VI$215.001
VT$205.351
WA$218.19–$244.402
WI$198.301
WV$202.721
WY$210.031

Explore 16030 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 16030 in Austin, the physician’s office rate is $219.90 and the facility-setting rate is $123.78: a difference of $96.12.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 16030 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$241.89

$219.90 × 110% = $241.89

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 16030 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,616

Code
16030
Physician work
2.03
Practice expense
3.94
Malpractice
0.43

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 16030 in Austin
ComponentRVULocality factorAdjusted
Physician work2.03× 1.0022.0341
Practice expense3.94× 1.0584.1685
Malpractice0.43× 0.8860.3810
Total RVUs6.5836
Conversion factor× 33.4009

Office / nonfacility rate, Austin$219.90

Open 16030 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.031.002
Practice expense3.941.058
Malpractice0.430.886

(2.03 × 1.002 + 3.94 × 1.058 + 0.43 × 0.886) × $33.4009 = $219.90

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.031.002
Practice expense1.221.058
Malpractice0.430.886

(2.03 × 1.002 + 1.22 × 1.058 + 0.43 × 0.886) × $33.4009 = $123.78

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

16030 · Office / nonfacility

$219.90

Effective 2026-10-01

The base rate is $22.33 higher than on 2025-10-01, moving from $197.57 to $219.90 (11.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $197.57changed to$219.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.08 changed to 2.03
    • Practice expense RVU 3.44 changed to 3.94
    • Malpractice RVU 0.47 changed to 0.43
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $197.57

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$219.90$123.78RVU26D
2026-07-01$219.90$123.78RVU26C
2026-04-01$219.90$123.78RVU26B
2026-01-01$219.90$123.78RVU26A
2025-10-01$197.57$130.24RVU25D
2025-07-01$197.57$130.24RVU25C
2025-04-01$197.57$130.24RVU25B
2025-01-01$197.57$130.24RVU25A

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.

RVUs for 16030PPRRVU2026_Oct_nonQPP.csv, line 1,616 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet