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CMS RVU26D · Effective 2026-10-01

23930 in Beaumont

Office / nonfacility

$355.97

Base rate per service

Facility setting

$195.79

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.

Musculoskeletal surgery

About 23930: Deep upper arm or elbow drainage

Surgical drainage of a deep abscess or hematoma in the upper arm or elbow area when the collection requires operative access.

Code 23930 covers operative opening and evacuation of a deep abscess or hematoma in the upper arm or elbow region. An orthopedic or other surgeon typically performs it when the collection lies beyond a superficial skin or subcutaneous pocket and requires deeper exposure for drainage. The procedure may take place in an operating room or, when appropriate, an office procedure room. The target is a deep collection, not an elbow bursa.

Report the service for the documented drainage, specifying the side and region, the collection and its depth, and the work performed to expose and evacuate it. Documentation should distinguish a deep collection from a skin-level abscess or bursal process. CMS assigns a 10-day minor-procedure global period, including related postoperative visits during that period. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral performance with modifier 50 is paid at 150%. An assistant at surgery is not paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 23930

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 procedure with modifier 50 is paid at 150%.
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 RVU2.92 · 26%
  • Practice expense (office) RVU7.88 · 69%
  • Malpractice RVU0.61 · 5%

1.1K

Medicare services in 2024 · #2888 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.

23930 compared with similar codes

Office rates for Beaumont, from the same CMS release.

23931

Bursal drainage

Upper arm or elbow

$300.43

23931 is for drainage of an upper-arm or elbow bursa. Choose 23930 when the target is a deep abscess or hematoma outside the bursa.

23030

Shoulder drainage

Deep abscess or hematoma

$441.91

Both address deep abscess or hematoma drainage, but 23030 is for the shoulder region; 23930 is for the upper arm or elbow area.

10060

Abscess drainage

Simple, single abscess

$120.68

10060 describes simple drainage of a superficial skin or subcutaneous abscess. Use 23930 for a deep upper-arm or elbow collection requiring deeper exposure.

10140

Fluid drainage

Hematoma, seroma, or collection

$163.42

10140 describes drainage of a hematoma, seroma, or fluid collection. Consider 23930 when the service is deep drainage in the upper arm or elbow region.

The same code, a different location

How does Beaumont compare?

In Austin, the office rate for 23930 is $394.24—$38.27 higher than the $355.97 rate in Beaumont. Both use the same code, release and participation basis.

23930 across payment areas

Same release and payment basis · bars start at $0

  1. Beaumont · This locality

    $355.97

  2. Austin

    $394.24

    $38.27 higher than Beaumont

  3. Brazoria

    $375.03

    $19.06 higher than Beaumont

  4. Dallas

    $378.04

    $22.07 higher than Beaumont

  5. Fort Worth

    $375.67

    $19.70 higher than Beaumont

  6. Galveston

    $376.54

    $20.57 higher than Beaumont

  7. Houston

    $387.70

    $31.73 higher than Beaumont

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, 23930 ranges from $334.11 in Arkansas to $498.71 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 · 23930

    Office

    $365.70

    Facility

    $198.66

    $9.73 higher than Beaumont for the office setting.

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

    California · 23930

    Office

    $426.42

    Facility

    $218.19

    $70.45 higher than Beaumont for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 23930

    Office

    $435.52

    Facility

    $228.17

    $79.55 higher than Beaumont for the office setting.

  • Miami

    Florida · 23930

    Office

    $423.05

    Facility

    $239.81

    $67.08 higher than Beaumont for the office setting.

  • Chicago

    Illinois · 23930

    Office

    $409.49

    Facility

    $232.59

    $53.52 higher than Beaumont for the office setting.

  • Manhattan

    New York · 23930

    Office

    $441.92

    Facility

    $237.39

    $85.95 higher than Beaumont for the office setting.

  • Alaska*

    Alaska · 23930

    Office

    $437.83

    Facility

    $250.37

    $81.86 higher than Beaumont for the office setting.

  • Alabama

    Alabama · 23930

    Office

    $339.36

    Facility

    $185.34

    $16.61 lower than Beaumont for the office setting.

  • Arkansas

    Arkansas · 23930

    Office

    $334.11

    Facility

    $182.91

    $21.86 lower than Beaumont for the office setting.

  • Arizona

    Arizona · 23930

    Office

    $370.01

    Facility

    $199.45

    $14.04 higher than Beaumont for the office setting.

  • Bakersfield

    California · 23930

    Office

    $400.26

    Facility

    $207.34

    $44.29 higher than Beaumont for the office setting.

  • Chico

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • El Centro

    California · 23930

    Office

    $398.68

    Facility

    $205.76

    $42.71 higher than Beaumont for the office setting.

  • Fresno

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Hanford-Corcoran

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Madera

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Merced

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Modesto

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Napa

    California · 23930

    Office

    $460.92

    Facility

    $228.92

    $104.95 higher than Beaumont for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 23930

    Office

    $424.06

    Facility

    $216.00

    $68.09 higher than Beaumont for the office setting.

  • Redding

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Rest Of California

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 23930

    Office

    $405.13

    Facility

    $212.21

    $49.16 higher than Beaumont for the office setting.

  • Sacramento-Roseville-Folsom

    California · 23930

    Office

    $418.06

    Facility

    $213.35

    $62.09 higher than Beaumont for the office setting.

  • Salinas

    California · 23930

    Office

    $416.52

    Facility

    $212.51

    $60.55 higher than Beaumont for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 23930

    Office

    $426.29

    Facility

    $215.76

    $70.32 higher than Beaumont for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 23930

    Office

    $487.26

    Facility

    $239.07

    $131.29 higher than Beaumont for the office setting.

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

    California · 23930

    Office

    $486.57

    Facility

    $238.37

    $130.60 higher than Beaumont for the office setting.

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

    California · 23930

    Office

    $498.71

    Facility

    $244.89

    $142.74 higher than Beaumont for the office setting.

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

    California · 23930

    Office

    $495.88

    Facility

    $242.06

    $139.91 higher than Beaumont for the office setting.

  • San Luis Obispo-Paso Robles

    California · 23930

    Office

    $409.89

    Facility

    $209.40

    $53.92 higher than Beaumont for the office setting.

  • Santa Cruz-Watsonville

    California · 23930

    Office

    $430.29

    Facility

    $216.42

    $74.32 higher than Beaumont for the office setting.

  • Santa Maria-Santa Barbara

    California · 23930

    Office

    $418.07

    Facility

    $212.83

    $62.10 higher than Beaumont for the office setting.

  • Santa Rosa-Petaluma

    California · 23930

    Office

    $434.59

    Facility

    $218.43

    $78.62 higher than Beaumont for the office setting.

  • Stockton

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Vallejo

    California · 23930

    Office

    $459.92

    Facility

    $227.93

    $103.95 higher than Beaumont for the office setting.

  • Visalia

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Yuba City

    California · 23930

    Office

    $398.58

    Facility

    $205.65

    $42.61 higher than Beaumont for the office setting.

  • Colorado

    Colorado · 23930

    Office

    $394.66

    Facility

    $207.37

    $38.69 higher than Beaumont for the office setting.

  • Connecticut

    Connecticut · 23930

    Office

    $407.60

    Facility

    $218.02

    $51.63 higher than Beaumont for the office setting.

  • Delaware

    Delaware · 23930

    Office

    $376.38

    Facility

    $202.47

    $20.41 higher than Beaumont for the office setting.

  • Fort Lauderdale

    Florida · 23930

    Office

    $400.99

    Facility

    $222.68

    $45.02 higher than Beaumont for the office setting.

  • Rest Of Florida

    Florida · 23930

    Office

    $379.77

    Facility

    $211.49

    $23.80 higher than Beaumont for the office setting.

  • Atlanta

    Georgia · 23930

    Office

    $389.70

    Facility

    $210.86

    $33.73 higher than Beaumont for the office setting.

  • Rest Of Georgia

    Georgia · 23930

    Office

    $356.59

    Facility

    $199.58

    $0.62 higher than Beaumont for the office setting.

  • Hawaii, Guam

    Hawaii · 23930

    Office

    $408.58

    Facility

    $208.45

    $52.61 higher than Beaumont for the office setting.

  • Iowa

    Iowa · 23930

    Office

    $346.45

    Facility

    $185.39

    $9.52 lower than Beaumont for the office setting.

  • Idaho

    Idaho · 23930

    Office

    $349.31

    Facility

    $187.37

    $6.66 lower than Beaumont for the office setting.

  • East St. Louis

    Illinois · 23930

    Office

    $380.71

    Facility

    $218.77

    $24.74 higher than Beaumont for the office setting.

  • Rest Of Illinois

    Illinois · 23930

    Office

    $369.68

    Facility

    $208.97

    $13.71 higher than Beaumont for the office setting.

  • Suburban Chicago

    Illinois · 23930

    Office

    $404.62

    Facility

    $223.85

    $48.65 higher than Beaumont for the office setting.

  • Indiana

    Indiana · 23930

    Office

    $351.42

    Facility

    $188.25

    $4.55 lower than Beaumont for the office setting.

  • Kansas

    Kansas · 23930

    Office

    $345.73

    Facility

    $186.61

    $10.24 lower than Beaumont for the office setting.

  • Kentucky

    Kentucky · 23930

    Office

    $350.16

    Facility

    $193.67

    $5.81 lower than Beaumont for the office setting.

  • New Orleans

    Louisiana · 23930

    Office

    $368.35

    Facility

    $202.71

    $12.38 higher than Beaumont for the office setting.

  • Rest Of Louisiana

    Louisiana · 23930

    Office

    $349.98

    Facility

    $194.20

    $5.99 lower than Beaumont for the office setting.

  • Metropolitan Boston

    Massachusetts · 23930

    Office

    $433.92

    Facility

    $223.75

    $77.95 higher than Beaumont for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 23930

    Office

    $392.48

    Facility

    $207.13

    $36.51 higher than Beaumont for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 23930

    Office

    $406.71

    Facility

    $217.83

    $50.74 higher than Beaumont for the office setting.

  • Rest Of Maryland

    Maryland · 23930

    Office

    $383.57

    Facility

    $205.43

    $27.60 higher than Beaumont for the office setting.

  • Rest Of Maine

    Maine · 23930

    Office

    $352.35

    Facility

    $190.41

    $3.62 lower than Beaumont for the office setting.

  • Southern Maine

    Maine · 23930

    Office

    $371.22

    Facility

    $196.78

    $15.25 higher than Beaumont for the office setting.

  • Detroit

    Michigan · 23930

    Office

    $385.87

    Facility

    $216.01

    $29.90 higher than Beaumont for the office setting.

  • Rest Of Michigan

    Michigan · 23930

    Office

    $360.83

    Facility

    $200.13

    $4.86 higher than Beaumont for the office setting.

  • Minnesota

    Minnesota · 23930

    Office

    $374.39

    Facility

    $193.27

    $18.42 higher than Beaumont for the office setting.

  • Metropolitan Kansas City

    Missouri · 23930

    Office

    $364.58

    Facility

    $199.30

    $8.61 higher than Beaumont for the office setting.

  • Metropolitan St. Louis

    Missouri · 23930

    Office

    $368.51

    Facility

    $200.94

    $12.54 higher than Beaumont for the office setting.

  • Rest Of Missouri

    Missouri · 23930

    Office

    $344.25

    Facility

    $192.52

    $11.72 lower than Beaumont for the office setting.

  • Mississippi

    Mississippi · 23930

    Office

    $339.20

    Facility

    $187.65

    $16.77 lower than Beaumont for the office setting.

  • Montana**

    Montana · 23930

    Office

    $381.06

    Facility

    $205.04

    $25.09 higher than Beaumont for the office setting.

  • North Carolina

    North Carolina · 23930

    Office

    $356.11

    Facility

    $191.89

    $0.14 higher than Beaumont for the office setting.

  • North Dakota**

    North Dakota · 23930

    Office

    $369.00

    Facility

    $192.98

    $13.03 higher than Beaumont for the office setting.

  • Nebraska

    Nebraska · 23930

    Office

    $348.16

    Facility

    $185.70

    $7.81 lower than Beaumont for the office setting.

  • New Hampshire

    New Hampshire · 23930

    Office

    $389.35

    Facility

    $206.11

    $33.38 higher than Beaumont for the office setting.

  • Northern Nj

    New Jersey · 23930

    Office

    $430.75

    Facility

    $226.56

    $74.78 higher than Beaumont for the office setting.

  • Rest Of New Jersey

    New Jersey · 23930

    Office

    $411.20

    Facility

    $218.98

    $55.23 higher than Beaumont for the office setting.

  • New Mexico

    New Mexico · 23930

    Office

    $363.35

    Facility

    $201.94

    $7.38 higher than Beaumont for the office setting.

  • Nevada**

    Nevada · 23930

    Office

    $377.96

    Facility

    $201.77

    $21.99 higher than Beaumont for the office setting.

  • Nyc Suburbs/Long Island

    New York · 23930

    Office

    $454.55

    Facility

    $245.26

    $98.58 higher than Beaumont for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 23930

    Office

    $414.78

    Facility

    $222.03

    $58.81 higher than Beaumont for the office setting.

  • Queens

    New York · 23930

    Office

    $444.25

    Facility

    $236.20

    $88.28 higher than Beaumont for the office setting.

  • Rest Of New York

    New York · 23930

    Office

    $361.89

    Facility

    $194.67

    $5.92 higher than Beaumont for the office setting.

  • Ohio

    Ohio · 23930

    Office

    $358.37

    Facility

    $197.66

    $2.40 higher than Beaumont for the office setting.

  • Oklahoma

    Oklahoma · 23930

    Office

    $348.40

    Facility

    $191.21

    $7.57 lower than Beaumont for the office setting.

  • Portland

    Oregon · 23930

    Office

    $406.66

    Facility

    $211.10

    $50.69 higher than Beaumont for the office setting.

  • Rest Of Oregon

    Oregon · 23930

    Office

    $374.00

    Facility

    $198.68

    $18.03 higher than Beaumont for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 23930

    Office

    $397.58

    Facility

    $214.34

    $41.61 higher than Beaumont for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 23930

    Office

    $358.40

    Facility

    $196.81

    $2.43 higher than Beaumont for the office setting.

  • Puerto Rico

    Puerto Rico · 23930

    Office

    $383.69

    Facility

    $205.73

    $27.72 higher than Beaumont for the office setting.

  • Rhode Island

    Rhode Island · 23930

    Office

    $389.44

    Facility

    $207.61

    $33.47 higher than Beaumont for the office setting.

  • South Carolina

    South Carolina · 23930

    Office

    $358.04

    Facility

    $195.40

    $2.07 higher than Beaumont for the office setting.

  • South Dakota**

    South Dakota · 23930

    Office

    $367.58

    Facility

    $191.55

    $11.61 higher than Beaumont for the office setting.

  • Tennessee

    Tennessee · 23930

    Office

    $347.72

    Facility

    $187.72

    $8.25 lower than Beaumont for the office setting.

  • Utah

    Utah · 23930

    Office

    $363.23

    Facility

    $197.77

    $7.26 higher than Beaumont for the office setting.

  • Virginia

    Virginia · 23930

    Office

    $370.64

    Facility

    $197.61

    $14.67 higher than Beaumont for the office setting.

  • Virgin Islands

    United States Virgin Islands · 23930

    Office

    $383.69

    Facility

    $205.73

    $27.72 higher than Beaumont for the office setting.

  • Vermont

    Vermont · 23930

    Office

    $368.41

    Facility

    $194.14

    $12.44 higher than Beaumont for the office setting.

  • Rest Of Washington

    Washington · 23930

    Office

    $391.45

    Facility

    $206.10

    $35.48 higher than Beaumont for the office setting.

  • Seattle (King Cnty)

    Washington · 23930

    Office

    $442.00

    Facility

    $226.02

    $86.03 higher than Beaumont for the office setting.

  • Wisconsin

    Wisconsin · 23930

    Office

    $355.95

    Facility

    $187.32

    $0.02 lower than Beaumont for the office setting.

  • West Virginia

    West Virginia · 23930

    Office

    $355.41

    Facility

    $202.44

    $0.56 lower than Beaumont for the office setting.

  • Wyoming**

    Wyoming · 23930

    Office

    $375.81

    Facility

    $199.78

    $19.84 higher than Beaumont for the office setting.

See how rates vary across the country

23930 · 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.

$334.11

$448.65

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$437.831
AL$339.361
AR$334.111
AZ$370.011
CA$398.58–$498.7129
CO$394.661
CT$407.601
DC$435.521
DE$376.381
FL$379.77–$423.053
GA$356.59–$389.702
GU$408.581
HI$408.581
IA$346.451
ID$349.311
IL$369.68–$409.494
IN$351.421
KS$345.731
KY$350.161
LA$349.98–$368.352
MA$392.48–$433.922
MD$383.57–$435.523
ME$352.35–$371.222
MI$360.83–$385.872
MN$374.391
MO$344.25–$368.513
MS$339.201
MT$381.061
NC$356.111
ND$369.001
NE$348.161
NH$389.351
NJ$411.20–$430.752
NM$363.351
NV$377.961
NY$361.89–$454.555
OH$358.371
OK$348.401
OR$374.00–$406.662
PA$358.40–$397.582
PR$383.691
RI$389.441
SC$358.041
SD$367.581
TN$347.721
TX$355.97–$394.248
UT$363.231
VA$370.64–$435.522
VI$383.691
VT$368.411
WA$391.45–$442.002
WI$355.951
WV$355.411
WY$375.811

Explore 23930 on the national rate map →

Where does this rate apply?

Beaumont is a Medicare payment area. Our Census mapping connects it to 13 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.

Why are the office and facility amounts different?

For 23930 in Beaumont, the physician’s office rate is $355.97 and the facility-setting rate is $195.79: a difference of $160.18.

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 23930 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$391.57

$355.97 × 110% = $391.57

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

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

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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 23930 in Beaumont.

PPRRVU2026_Oct_nonQPP.csv

2,253

Code
23930
Physician work
2.92
Practice expense
7.88
Malpractice
0.61

GPCI2026.csv

97

Locality
Beaumont
Physician work
1.000
Practice expense
0.910
Malpractice
0.929
Office / nonfacility calculation for 23930 in Beaumont
ComponentRVULocality factorAdjusted
Physician work2.92× 1.0002.9200
Practice expense7.88× 0.9107.1708
Malpractice0.61× 0.9290.5667
Total RVUs10.6575
Conversion factor× 33.4009

Office / nonfacility rate, Beaumont$355.97

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 23930 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.921
Practice expense7.880.91
Malpractice0.610.929

(2.92 × 1 + 7.88 × 0.91 + 0.61 × 0.929) × $33.4009 = $355.97

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.921
Practice expense2.610.91
Malpractice0.610.929

(2.92 × 1 + 2.61 × 0.91 + 0.61 × 0.929) × $33.4009 = $195.79

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

23930 · Office / nonfacility

$355.97

Effective 2026-10-01

The base rate is $30.82 higher than on 2025-10-01, moving from $325.15 to $355.97 (9.5%).

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

    $325.15changed to$355.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.99 changed to 2.92
    • Practice expense RVU 7.16 changed to 7.88
    • Malpractice RVU 0.63 changed to 0.61
    • Practice expense GPCI 0.903 changed to 0.910
    • Malpractice GPCI 0.947 changed to 0.929

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $325.15

    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$355.97$195.79RVU26D
2026-07-01$355.97$195.79RVU26C
2026-04-01$355.97$195.79RVU26B
2026-01-01$355.97$195.79RVU26A
2025-10-01$325.15$203.35RVU25D
2025-07-01$325.15$203.35RVU25C
2025-04-01$325.15$203.35RVU25B
2025-01-01$325.15$203.35RVU25A

23930 billing questions

How does this differ from drainage of an elbow bursa?

Use 23930 for a deep abscess or hematoma in the upper arm or elbow region. A collection specifically involving the bursa is described by 23931.

Can this code be used for a superficial skin abscess?

No. For a simple skin or subcutaneous abscess, consider 10060; 23930 is for a deep collection in the upper arm or elbow area.

What documentation supports reporting 23930?

Document the anatomical region and side, whether the target is an abscess or hematoma, its depth, and the operative exposure and drainage performed.

Are related postoperative visits separately included?

CMS assigns this procedure a 10-day global period. Related postoperative visits during those 10 days are included.

How does Medicare handle bilateral reporting and assistants?

CMS pays bilateral performance reported with modifier 50 at 150%. An assistant at surgery is not paid, and co-surgeons and team surgery are not permitted.

What happens when another procedure is performed in the same session?

CMS pays the highest-valued procedure in full and pays the other procedures at 50% when multiple procedures are performed in the same session.

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 23930PPRRVU2026_Oct_nonQPP.csv, line 2,253 (RVU26D)
Geographic factors for BeaumontGPCI2026.csv, line 97 (RVU26D)