FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

97608 in Chico

Office / nonfacility

$432.21

Base rate per service

Facility setting

$21.11

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.

Wound care

About 97608: Disposable negative pressure wound therapy, large area

Reports a session of negative pressure wound therapy using disposable equipment when the total treated wound surface area exceeds 50 square centimeters.

This service covers a session of negative pressure wound therapy delivered with disposable equipment. A wound-care clinician may use it for wounds such as chronic ulcers, pressure injuries, diabetic wounds, or surgical wounds that need negative pressure treatment. The service includes the treatment application, wound assessment, and instruction for ongoing care, and may be performed in settings where wound care is provided.

Select this code when the total surface area of the treated wound or wounds is greater than 50 square centimeters and the system is disposable. Document the equipment type, wound dimensions supporting the combined area, assessment, and care provided during the session. The size threshold is based on the total area of the wound or wounds treated, rather than requiring each wound to exceed 50 square centimeters.

Where the value comes from

  • Work RVU0.45 · 4%
  • Practice expense (office) RVU11.35 · 96%
  • Malpractice RVU0.08 · 1%

2.4K

Medicare services in 2024 · #2341 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.

97608 compared with similar codes

Office rates for Chico, from the same CMS release.

97607

Negative pressure therapy

Nonpowered, up to 50 cm²

$400.50

Both use disposable negative pressure equipment. Choose 97608 for a combined treated area greater than 50 square centimeters and 97607 for 50 square centimeters or less.

97606

Negative pressure therapy

DME, over 50 sq cm

$53.53

The area threshold is greater than 50 square centimeters for both codes. The equipment distinguishes them: 97608 uses disposable equipment, while 97606 uses durable medical equipment.

97605

Wound therapy

DME, 50 sq cm or less

$44.51

Both use durable medical equipment, not disposable equipment. 97605 is for a total treated area of 50 square centimeters or less; 97608 is for a larger area with disposable equipment.

97602

Wound(s) care non-selective

No office rate

97602 describes nonselective wound care, whereas 97608 describes a session of negative pressure treatment using disposable equipment for a total area greater than 50 square centimeters.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 97608 is $432.44—$0.23 higher than the $432.21 rate in Chico. Both use the same code, release and participation basis.

97608 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $432.21

  2. Bakersfield

    $432.44

    $0.23 higher than Chico

  3. El Centro

    $432.23

    $0.02 higher than Chico

  4. Fresno

    $432.21

    The same base rate than Chico

  5. Hanford-Corcoran

    $432.21

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $465.90

    $33.69 higher than Chico

  7. Madera

    $432.21

    The same base rate than Chico

Other payment areas listed in California 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, 97608 ranges from $342.05 in Arkansas to $564.78 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

  • Merced

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Modesto

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Napa

    California · 97608

    Office

    $516.99

    Facility

    $22.62

    $84.78 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97608

    Office

    $465.21

    Facility

    $21.85

    $33.00 higher than Chico for the office setting.

  • Redding

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97608

    Office

    $433.07

    Facility

    $21.97

    $0.86 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97608

    Office

    $457.90

    Facility

    $21.67

    $25.69 higher than Chico for the office setting.

  • Salinas

    California · 97608

    Office

    $456.31

    Facility

    $21.57

    $24.10 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97608

    Office

    $470.33

    Facility

    $21.72

    $38.12 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97608

    Office

    $552.22

    Facility

    $23.34

    $120.01 higher than Chico for the office setting.

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

    California · 97608

    Office

    $552.13

    Facility

    $23.25

    $119.92 higher than Chico for the office setting.

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

    California · 97608

    Office

    $564.78

    Facility

    $23.90

    $132.57 higher than Chico for the office setting.

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

    California · 97608

    Office

    $564.41

    Facility

    $23.52

    $132.20 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97608

    Office

    $448.51

    Facility

    $21.28

    $16.30 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 97608

    Office

    $477.39

    Facility

    $21.65

    $45.18 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 97608

    Office

    $458.91

    Facility

    $21.56

    $26.70 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 97608

    Office

    $482.45

    Facility

    $21.84

    $50.24 higher than Chico for the office setting.

  • Stockton

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 97608

    Office

    $516.86

    Facility

    $22.49

    $84.65 higher than Chico for the office setting.

  • Visalia

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 97608

    Office

    $432.21

    Facility

    $21.11

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97608

    Office

    $465.40

    Facility

    $23.54

    $33.19 higher than Chico for the office setting.

  • Miami

    Florida · 97608

    Office

    $416.43

    Facility

    $25.96

    $15.78 lower than Chico for the office setting.

  • Chicago

    Illinois · 97608

    Office

    $402.26

    Facility

    $25.30

    $29.95 lower than Chico for the office setting.

  • Manhattan

    New York · 97608

    Office

    $460.74

    Facility

    $24.89

    $28.53 higher than Chico for the office setting.

  • Alaska*

    Alaska · 97608

    Office

    $427.76

    Facility

    $28.29

    $4.45 lower than Chico for the office setting.

  • Alabama

    Alabama · 97608

    Office

    $348.26

    Facility

    $20.05

    $83.95 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 97608

    Office

    $342.05

    Facility

    $19.85

    $90.16 lower than Chico for the office setting.

  • Arizona

    Arizona · 97608

    Office

    $384.67

    Facility

    $21.20

    $47.54 lower than Chico for the office setting.

  • Colorado

    Colorado · 97608

    Office

    $420.66

    Facility

    $21.56

    $11.55 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 97608

    Office

    $426.86

    Facility

    $22.88

    $5.35 lower than Chico for the office setting.

  • Delaware

    Delaware · 97608

    Office

    $392.06

    Facility

    $21.47

    $40.15 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 97608

    Office

    $403.89

    Facility

    $23.92

    $28.32 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 97608

    Office

    $381.47

    Facility

    $22.88

    $50.74 lower than Chico for the office setting.

  • Atlanta

    Georgia · 97608

    Office

    $403.45

    Facility

    $22.36

    $28.76 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 97608

    Office

    $356.37

    Facility

    $21.79

    $75.84 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 97608

    Office

    $447.61

    Facility

    $21.13

    $15.40 higher than Chico for the office setting.

  • Iowa

    Iowa · 97608

    Office

    $362.97

    Facility

    $19.76

    $69.24 lower than Chico for the office setting.

  • Idaho

    Idaho · 97608

    Office

    $365.07

    Facility

    $19.98

    $67.14 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 97608

    Office

    $369.18

    Facility

    $24.10

    $63.03 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 97608

    Office

    $365.33

    Facility

    $22.87

    $66.88 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 97608

    Office

    $409.21

    Facility

    $23.99

    $23.00 lower than Chico for the office setting.

  • Indiana

    Indiana · 97608

    Office

    $367.75

    Facility

    $20.04

    $64.46 lower than Chico for the office setting.

  • Kansas

    Kansas · 97608

    Office

    $359.08

    Facility

    $20.00

    $73.13 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 97608

    Office

    $354.50

    Facility

    $21.04

    $77.71 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 97608

    Office

    $374.80

    Facility

    $21.84

    $57.41 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 97608

    Office

    $353.09

    Facility

    $21.14

    $79.12 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 97608

    Office

    $470.67

    Facility

    $22.81

    $38.46 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97608

    Office

    $416.59

    Facility

    $21.62

    $15.62 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97608

    Office

    $425.35

    Facility

    $22.88

    $6.86 lower than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 97608

    Office

    $401.28

    Facility

    $21.69

    $30.93 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 97608

    Office

    $365.46

    Facility

    $20.38

    $66.75 lower than Chico for the office setting.

  • Southern Maine

    Maine · 97608

    Office

    $392.40

    Facility

    $20.69

    $39.81 lower than Chico for the office setting.

  • Detroit

    Michigan · 97608

    Office

    $385.37

    Facility

    $23.40

    $46.84 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 97608

    Office

    $364.17

    Facility

    $21.71

    $68.04 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 97608

    Office

    $405.92

    Facility

    $19.95

    $26.29 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 97608

    Office

    $373.62

    Facility

    $21.40

    $58.59 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 97608

    Office

    $378.61

    Facility

    $21.52

    $53.60 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 97608

    Office

    $344.42

    Facility

    $21.09

    $87.79 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 97608

    Office

    $343.41

    Facility

    $20.46

    $88.80 lower than Chico for the office setting.

  • Montana**

    Montana · 97608

    Office

    $396.80

    Facility

    $21.71

    $35.41 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 97608

    Office

    $370.44

    Facility

    $20.48

    $61.77 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 97608

    Office

    $395.22

    Facility

    $20.12

    $36.99 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 97608

    Office

    $365.95

    Facility

    $19.74

    $66.26 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 97608

    Office

    $412.01

    Facility

    $21.54

    $20.20 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 97608

    Office

    $458.59

    Facility

    $23.48

    $26.38 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 97608

    Office

    $432.54

    Facility

    $22.94

    $0.33 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 97608

    Office

    $365.87

    Facility

    $21.91

    $66.34 lower than Chico for the office setting.

  • Nevada**

    Nevada · 97608

    Office

    $396.74

    Facility

    $21.27

    $35.47 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97608

    Office

    $471.70

    Facility

    $25.72

    $39.49 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97608

    Office

    $434.05

    Facility

    $23.33

    $1.84 higher than Chico for the office setting.

  • Queens

    New York · 97608

    Office

    $467.94

    Facility

    $24.58

    $35.73 higher than Chico for the office setting.

  • Rest Of New York

    New York · 97608

    Office

    $377.05

    Facility

    $20.72

    $55.16 lower than Chico for the office setting.

  • Ohio

    Ohio · 97608

    Office

    $363.84

    Facility

    $21.38

    $68.37 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 97608

    Office

    $355.64

    Facility

    $20.69

    $76.57 lower than Chico for the office setting.

  • Portland

    Oregon · 97608

    Office

    $438.44

    Facility

    $21.71

    $6.23 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 97608

    Office

    $394.49

    Facility

    $20.90

    $37.72 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97608

    Office

    $413.13

    Facility

    $22.66

    $19.08 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97608

    Office

    $365.57

    Facility

    $21.23

    $66.64 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 97608

    Office

    $400.93

    Facility

    $21.71

    $31.28 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 97608

    Office

    $409.31

    Facility

    $21.84

    $22.90 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 97608

    Office

    $367.59

    Facility

    $21.01

    $64.62 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 97608

    Office

    $395.03

    Facility

    $19.94

    $37.18 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 97608

    Office

    $361.07

    Facility

    $20.11

    $71.14 lower than Chico for the office setting.

  • Austin

    Texas · 97608

    Office

    $418.52

    Facility

    $21.67

    $13.69 lower than Chico for the office setting.

  • Beaumont

    Texas · 97608

    Office

    $362.49

    Facility

    $21.16

    $69.72 lower than Chico for the office setting.

  • Brazoria

    Texas · 97608

    Office

    $392.92

    Facility

    $21.21

    $39.29 lower than Chico for the office setting.

  • Dallas

    Texas · 97608

    Office

    $395.04

    Facility

    $21.45

    $37.17 lower than Chico for the office setting.

  • Fort Worth

    Texas · 97608

    Office

    $391.29

    Facility

    $21.45

    $40.92 lower than Chico for the office setting.

  • Galveston

    Texas · 97608

    Office

    $393.81

    Facility

    $21.34

    $38.40 lower than Chico for the office setting.

  • Houston

    Texas · 97608

    Office

    $395.27

    Facility

    $22.81

    $36.94 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 97608

    Office

    $377.21

    Facility

    $21.25

    $55.00 lower than Chico for the office setting.

  • Utah

    Utah · 97608

    Office

    $373.78

    Facility

    $21.20

    $58.43 lower than Chico for the office setting.

  • Virginia

    Virginia · 97608

    Office

    $389.57

    Facility

    $20.86

    $42.64 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97608

    Office

    $400.93

    Facility

    $21.71

    $31.28 lower than Chico for the office setting.

  • Vermont

    Vermont · 97608

    Office

    $391.69

    Facility

    $20.35

    $40.52 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 97608

    Office

    $416.45

    Facility

    $21.48

    $15.76 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 97608

    Office

    $483.12

    Facility

    $22.88

    $50.91 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 97608

    Office

    $379.03

    Facility

    $19.69

    $53.18 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 97608

    Office

    $348.29

    Facility

    $22.34

    $83.92 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 97608

    Office

    $396.11

    Facility

    $21.02

    $36.10 lower than Chico for the office setting.

See how rates vary across the country

97608 · 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.

$342.05

$498.50

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$427.761
AL$348.261
AR$342.051
AZ$384.671
CA$432.21–$564.7829
CO$420.661
CT$426.861
DC$465.401
DE$392.061
FL$381.47–$416.433
GA$356.37–$403.452
GU$447.611
HI$447.611
IA$362.971
ID$365.071
IL$365.33–$409.214
IN$367.751
KS$359.081
KY$354.501
LA$353.09–$374.802
MA$416.59–$470.672
MD$401.28–$465.403
ME$365.46–$392.402
MI$364.17–$385.372
MN$405.921
MO$344.42–$378.613
MS$343.411
MT$396.801
NC$370.441
ND$395.221
NE$365.951
NH$412.011
NJ$432.54–$458.592
NM$365.871
NV$396.741
NY$377.05–$471.705
OH$363.841
OK$355.641
OR$394.49–$438.442
PA$365.57–$413.132
PR$400.931
RI$409.311
SC$367.591
SD$395.031
TN$361.071
TX$362.49–$418.528
UT$373.781
VA$389.57–$465.402
VI$400.931
VT$391.691
WA$416.45–$483.122
WI$379.031
WV$348.291
WY$396.111

Explore 97608 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 97608 in Chico, the physician’s office rate is $432.21 and the facility-setting rate is $21.11: a difference of $411.10.

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 97608 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$475.43

$432.21 × 110% = $475.43

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 97608 in Chico.

PPRRVU2026_Oct_nonQPP.csv

12,905

Code
97608
Physician work
0.45
Practice expense
11.35
Malpractice
0.08

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 97608 in Chico
ComponentRVULocality factorAdjusted
Physician work0.45× 1.0170.4576
Practice expense11.35× 1.09612.4396
Malpractice0.08× 0.5360.0429
Total RVUs12.9401
Conversion factor× 33.4009

Office / nonfacility rate, Chico$432.21

Open 97608 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.451.017
Practice expense11.351.096
Malpractice0.080.536

(0.45 × 1.017 + 11.35 × 1.096 + 0.08 × 0.536) × $33.4009 = $432.21

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.451.017
Practice expense0.121.096
Malpractice0.080.536

(0.45 × 1.017 + 0.12 × 1.096 + 0.08 × 0.536) × $33.4009 = $21.11

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

97608 · Office / nonfacility

$432.21

Effective 2026-10-01

The base rate is $66.37 higher than on 2025-10-01, moving from $365.84 to $432.21 (18.1%).

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

    $365.84changed to$432.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.46 changed to 0.45
    • Practice expense RVU 9.88 changed to 11.35
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $365.84

    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$432.21$21.11RVU26D
2026-07-01$432.21$21.11RVU26C
2026-04-01$432.21$21.11RVU26B
2026-01-01$432.21$21.11RVU26A
2025-10-01$365.84$23.25RVU25D
2025-07-01$365.84$23.25RVU25C
2025-04-01$365.84$23.25RVU25B
2025-01-01$365.84$23.25RVU25A

97608 billing questions

When should 97608 be selected instead of 97607?

Both describe disposable negative pressure wound therapy. Use 97608 when the total treated wound area is greater than 50 square centimeters; 97607 is for 50 square centimeters or less.

How does 97608 differ from 97606?

The wound-area threshold is the same, but 97608 is for disposable equipment and 97606 is for durable medical equipment.

How is the wound-area threshold determined when treating multiple wounds?

Use the combined surface area of the wounds treated during the session. The combined area must exceed 50 square centimeters for 97608.

Are wound assessment and care instructions included?

Yes. The session includes wound assessment and instructions for ongoing care, along with the negative pressure treatment application.

What documentation supports reporting 97608?

Document that disposable negative pressure equipment was used, identify the wounds treated, and record dimensions supporting a combined surface area greater than 50 square centimeters.

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 97608PPRRVU2026_Oct_nonQPP.csv, line 12,905 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet