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CMS RVU26D · Effective 2026-10-01

10160 in El Centro

Office / nonfacility

$138.05

Base rate per service

Facility setting

$94.12

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.

Dermatology procedure

About 10160: Abscess, hematoma, or bulla aspiration

Needle aspiration of an abscess, hematoma, or bulla is reported when a clinician evacuates the collection without performing incision and drainage.

A clinician uses a needle to aspirate fluid or material from an abscess, hematoma, or bulla. The service may be performed in an office, clinic, or hospital when aspiration is the chosen treatment for the collection. The record should identify the site and condition treated, the aspiration performed, and the clinical reason for intervention.

Report 10160 for aspiration rather than an incision-and-drainage service when the collection is treated by puncture. The 10-day global period includes related postoperative visits during that period. For multiple procedures in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 10160

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 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 RVU1.22 · 31%
  • Practice expense (office) RVU2.56 · 65%
  • Malpractice RVU0.16 · 4%

47.9K

Medicare services in 2024 · #799 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.

10160 compared with similar codes

Office rates for El Centro, from the same CMS release.

10140

Fluid drainage

Hematoma, seroma, or collection

$183.13

Choose 10160 for needle aspiration of an abscess, hematoma, or bulla; choose 10140 when a hematoma, seroma, or fluid collection is treated by incision and drainage.

10060

Abscess drainage

Simple, single abscess

$135.39

10160 is for aspiration of an abscess, hematoma, or bulla. 10060 describes incision and drainage of a simple abscess.

10061

Abscess drainage

Complex or multiple

$228.82

Use 10061 for incision and drainage of a complex or multiple abscesses; use 10160 when the collection is treated by aspiration.

10030

Fluid drainage

Image-guided, soft tissue

$666.97

10030 describes image-guided catheter drainage of a fluid collection. 10160 describes aspiration by puncture, without that catheter-drainage service.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 10160 is $138.49—$0.44 higher than the $138.05 rate in El Centro. Both use the same code, release and participation basis.

10160 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $138.05

  2. Bakersfield

    $138.49

    $0.44 higher than El Centro

  3. Chico

    $138.02

    $0.03 lower than El Centro

  4. Fresno

    $138.02

    $0.03 lower than El Centro

  5. Hanford-Corcoran

    $138.02

    $0.03 lower than El Centro

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

    $147.12

    $9.07 higher than El Centro

  7. Madera

    $138.02

    $0.03 lower than El Centro

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, 10160 ranges from $116.95 in Arkansas to $171.40 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 · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 10160

    Office

    $158.73

    Facility

    $105.90

    $20.68 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10160

    Office

    $146.29

    Facility

    $98.91

    $8.24 higher than El Centro for the office setting.

  • Redding

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10160

    Office

    $139.76

    Facility

    $95.83

    $1.71 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10160

    Office

    $144.52

    Facility

    $97.91

    $6.47 higher than El Centro for the office setting.

  • Salinas

    California · 10160

    Office

    $143.98

    Facility

    $97.52

    $5.93 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10160

    Office

    $147.13

    Facility

    $99.20

    $9.08 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10160

    Office

    $167.64

    Facility

    $111.12

    $29.59 higher than El Centro for the office setting.

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

    California · 10160

    Office

    $167.46

    Facility

    $110.94

    $29.41 higher than El Centro for the office setting.

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

    California · 10160

    Office

    $171.40

    Facility

    $113.60

    $33.35 higher than El Centro for the office setting.

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

    California · 10160

    Office

    $170.65

    Facility

    $112.86

    $32.60 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10160

    Office

    $141.70

    Facility

    $96.05

    $3.65 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 10160

    Office

    $148.36

    Facility

    $99.66

    $10.31 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 10160

    Office

    $144.45

    Facility

    $97.72

    $6.40 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 10160

    Office

    $149.84

    Facility

    $100.62

    $11.79 higher than El Centro for the office setting.

  • Stockton

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 10160

    Office

    $158.47

    Facility

    $105.64

    $20.42 higher than El Centro for the office setting.

  • Visalia

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 10160

    Office

    $138.02

    Facility

    $94.09

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 10160

    Office

    $149.62

    Facility

    $102.41

    $11.57 higher than El Centro for the office setting.

  • Miami

    Florida · 10160

    Office

    $143.28

    Facility

    $101.55

    $5.23 higher than El Centro for the office setting.

  • Chicago

    Illinois · 10160

    Office

    $139.23

    Facility

    $98.95

    $1.18 higher than El Centro for the office setting.

  • Manhattan

    New York · 10160

    Office

    $151.19

    Facility

    $104.62

    $13.14 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 10160

    Office

    $155.13

    Facility

    $112.45

    $17.08 higher than El Centro for the office setting.

  • Alabama

    Alabama · 10160

    Office

    $118.59

    Facility

    $83.52

    $19.46 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 10160

    Office

    $116.95

    Facility

    $82.52

    $21.10 lower than El Centro for the office setting.

  • Arizona

    Arizona · 10160

    Office

    $128.18

    Facility

    $89.34

    $9.87 lower than El Centro for the office setting.

  • Colorado

    Colorado · 10160

    Office

    $136.39

    Facility

    $93.74

    $1.66 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 10160

    Office

    $140.12

    Facility

    $96.95

    $2.07 higher than El Centro for the office setting.

  • Delaware

    Delaware · 10160

    Office

    $130.24

    Facility

    $90.64

    $7.81 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 10160

    Office

    $137.03

    Facility

    $96.43

    $1.02 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 10160

    Office

    $130.53

    Facility

    $92.21

    $7.52 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 10160

    Office

    $134.16

    Facility

    $93.44

    $3.89 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 10160

    Office

    $123.39

    Facility

    $87.64

    $14.66 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 10160

    Office

    $141.06

    Facility

    $95.49

    $3.01 higher than El Centro for the office setting.

  • Iowa

    Iowa · 10160

    Office

    $121.11

    Facility

    $84.43

    $16.94 lower than El Centro for the office setting.

  • Idaho

    Idaho · 10160

    Office

    $121.94

    Facility

    $85.07

    $16.11 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 10160

    Office

    $130.18

    Facility

    $93.30

    $7.87 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 10160

    Office

    $127.17

    Facility

    $90.58

    $10.88 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 10160

    Office

    $138.32

    Facility

    $97.16

    $0.27 higher than El Centro for the office setting.

  • Indiana

    Indiana · 10160

    Office

    $122.61

    Facility

    $85.46

    $15.44 lower than El Centro for the office setting.

  • Kansas

    Kansas · 10160

    Office

    $120.74

    Facility

    $84.51

    $17.31 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 10160

    Office

    $121.65

    Facility

    $86.02

    $16.40 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 10160

    Office

    $127.28

    Facility

    $89.57

    $10.77 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 10160

    Office

    $121.54

    Facility

    $86.07

    $16.51 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 10160

    Office

    $149.27

    Facility

    $101.41

    $11.22 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10160

    Office

    $135.70

    Facility

    $93.49

    $2.35 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10160

    Office

    $139.76

    Facility

    $96.75

    $1.71 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 10160

    Office

    $132.59

    Facility

    $92.03

    $5.46 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 10160

    Office

    $122.74

    Facility

    $85.86

    $15.31 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 10160

    Office

    $128.86

    Facility

    $89.14

    $9.19 lower than El Centro for the office setting.

  • Detroit

    Michigan · 10160

    Office

    $132.27

    Facility

    $93.59

    $5.78 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 10160

    Office

    $124.85

    Facility

    $88.26

    $13.20 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 10160

    Office

    $130.32

    Facility

    $89.07

    $7.73 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 10160

    Office

    $126.26

    Facility

    $88.62

    $11.79 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 10160

    Office

    $127.51

    Facility

    $89.35

    $10.54 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 10160

    Office

    $119.66

    Facility

    $85.11

    $18.39 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 10160

    Office

    $118.32

    Facility

    $83.81

    $19.73 lower than El Centro for the office setting.

  • Montana**

    Montana · 10160

    Office

    $131.59

    Facility

    $91.51

    $6.46 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 10160

    Office

    $123.94

    Facility

    $86.55

    $14.11 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 10160

    Office

    $128.43

    Facility

    $88.34

    $9.62 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 10160

    Office

    $121.69

    Facility

    $84.70

    $16.36 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 10160

    Office

    $134.44

    Facility

    $92.71

    $3.61 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 10160

    Office

    $148.21

    Facility

    $101.72

    $10.16 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 10160

    Office

    $141.61

    Facility

    $97.85

    $3.56 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 10160

    Office

    $125.58

    Facility

    $88.82

    $12.47 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 10160

    Office

    $130.79

    Facility

    $90.67

    $7.26 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10160

    Office

    $154.95

    Facility

    $107.29

    $16.90 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10160

    Office

    $142.68

    Facility

    $98.79

    $4.63 higher than El Centro for the office setting.

  • Queens

    New York · 10160

    Office

    $152.13

    Facility

    $104.76

    $14.08 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 10160

    Office

    $125.74

    Facility

    $87.66

    $12.31 lower than El Centro for the office setting.

  • Ohio

    Ohio · 10160

    Office

    $124.20

    Facility

    $87.61

    $13.85 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 10160

    Office

    $121.26

    Facility

    $85.47

    $16.79 lower than El Centro for the office setting.

  • Portland

    Oregon · 10160

    Office

    $140.37

    Facility

    $95.84

    $2.32 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 10160

    Office

    $129.67

    Facility

    $89.75

    $8.38 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10160

    Office

    $136.87

    Facility

    $95.15

    $1.18 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10160

    Office

    $124.29

    Facility

    $87.50

    $13.76 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 10160

    Office

    $132.46

    Facility

    $91.94

    $5.59 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 10160

    Office

    $134.62

    Facility

    $93.21

    $3.43 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 10160

    Office

    $124.30

    Facility

    $87.26

    $13.75 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 10160

    Office

    $128.05

    Facility

    $87.97

    $10.00 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 10160

    Office

    $121.34

    Facility

    $84.91

    $16.71 lower than El Centro for the office setting.

  • Austin

    Texas · 10160

    Office

    $136.03

    Facility

    $93.63

    $2.02 lower than El Centro for the office setting.

  • Beaumont

    Texas · 10160

    Office

    $123.52

    Facility

    $87.05

    $14.53 lower than El Centro for the office setting.

  • Brazoria

    Texas · 10160

    Office

    $129.98

    Facility

    $90.26

    $8.07 lower than El Centro for the office setting.

  • Dallas

    Texas · 10160

    Office

    $130.87

    Facility

    $90.94

    $7.18 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 10160

    Office

    $130.08

    Facility

    $90.56

    $7.97 lower than El Centro for the office setting.

  • Galveston

    Texas · 10160

    Office

    $130.41

    Facility

    $90.61

    $7.64 lower than El Centro for the office setting.

  • Houston

    Texas · 10160

    Office

    $133.34

    Facility

    $93.54

    $4.71 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 10160

    Office

    $126.72

    Facility

    $88.68

    $11.33 lower than El Centro for the office setting.

  • Utah

    Utah · 10160

    Office

    $125.92

    Facility

    $88.25

    $12.13 lower than El Centro for the office setting.

  • Virginia

    Virginia · 10160

    Office

    $128.57

    Facility

    $89.18

    $9.48 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10160

    Office

    $132.46

    Facility

    $91.94

    $5.59 lower than El Centro for the office setting.

  • Vermont

    Vermont · 10160

    Office

    $128.10

    Facility

    $88.42

    $9.95 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 10160

    Office

    $135.38

    Facility

    $93.18

    $2.67 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 10160

    Office

    $152.07

    Facility

    $102.89

    $14.02 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 10160

    Office

    $124.31

    Facility

    $85.91

    $13.74 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 10160

    Office

    $122.70

    Facility

    $87.87

    $15.35 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 10160

    Office

    $130.21

    Facility

    $90.13

    $7.84 lower than El Centro for the office setting.

See how rates vary across the country

10160 · 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.

$116.95

$155.13

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$155.131
AL$118.591
AR$116.951
AZ$128.181
CA$138.02–$171.4029
CO$136.391
CT$140.121
DC$149.621
DE$130.241
FL$130.53–$143.283
GA$123.39–$134.162
GU$141.061
HI$141.061
IA$121.111
ID$121.941
IL$127.17–$139.234
IN$122.611
KS$120.741
KY$121.651
LA$121.54–$127.282
MA$135.70–$149.272
MD$132.59–$149.623
ME$122.74–$128.862
MI$124.85–$132.272
MN$130.321
MO$119.66–$127.513
MS$118.321
MT$131.591
NC$123.941
ND$128.431
NE$121.691
NH$134.441
NJ$141.61–$148.212
NM$125.581
NV$130.791
NY$125.74–$154.955
OH$124.201
OK$121.261
OR$129.67–$140.372
PA$124.29–$136.872
PR$132.461
RI$134.621
SC$124.301
SD$128.051
TN$121.341
TX$123.52–$136.038
UT$125.921
VA$128.57–$149.622
VI$132.461
VT$128.101
WA$135.38–$152.072
WI$124.311
WV$122.701
WY$130.211

Explore 10160 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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 10160 in El Centro, the physician’s office rate is $138.05 and the facility-setting rate is $94.12: a difference of $43.93.

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 10160 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$151.86

$138.05 × 110% = $151.86

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.

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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 10160 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,113

Code
10160
Physician work
1.22
Practice expense
2.56
Malpractice
0.16

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 10160 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0171.2407
Practice expense2.56× 1.0962.8058
Malpractice0.16× 0.5410.0866
Total RVUs4.1331
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$138.05

Open 10160 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense2.561.096
Malpractice0.160.541

(1.22 × 1.017 + 2.56 × 1.096 + 0.16 × 0.541) × $33.4009 = $138.05

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221.017
Practice expense1.361.096
Malpractice0.160.541

(1.22 × 1.017 + 1.36 × 1.096 + 0.16 × 0.541) × $33.4009 = $94.12

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

10160 · Office / nonfacility

$138.05

Effective 2026-10-01

The base rate is $5.71 higher than on 2025-10-01, moving from $132.34 to $138.05 (4.3%).

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

    $132.34changed to$138.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 2.50 changed to 2.56
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $132.34

    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$138.05$94.12RVU26D
2026-07-01$138.05$94.12RVU26C
2026-04-01$138.05$94.12RVU26B
2026-01-01$138.05$94.12RVU26A
2025-10-01$132.34$97.69RVU25D
2025-07-01$132.34$97.69RVU25C
2025-04-01$132.34$97.69RVU25B
2025-01-01$132.34$97.69RVU25A

10160 billing questions

When should 10160 be chosen instead of an incision-and-drainage code?

Use 10160 when the abscess, hematoma, or bulla is treated by needle aspiration. If the clinician incises and drains the collection, consider the code describing that procedure instead.

How does 10160 differ from 10140?

10160 describes puncture aspiration of an abscess, hematoma, or bulla. 10140 describes incision and drainage of a hematoma, seroma, or other fluid collection.

Can modifier 50 be reported for bilateral aspiration?

No. CMS identifies bilateral adjustment as inappropriate for 10160.

Are related postoperative visits included?

Yes. The 10-day global period includes related postoperative visits during those 10 days.

Can an assistant, co-surgeon, or surgical team be billed?

CMS does not pay an assistant at surgery for 10160, and co-surgeon and team-surgery billing 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 10160PPRRVU2026_Oct_nonQPP.csv, line 1,113 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet