Choose 10060 for drainage of a simple cutaneous or subcutaneous abscess. Choose 10180 when the infection is in a postoperative wound and requires complex drainage.
On this page
CMS RVU26D · Effective 2026-10-01
10180 in Madera
Office / nonfacility
$300.66
Base rate per service
Facility setting
$177.29
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.
Surgical procedure
About 10180: Complex postoperative wound infection drainage
Report complex incision and drainage when a postoperative wound infection requires operative opening and drainage rather than treatment of a routine skin abscess.
This service involves opening a previously operated wound to drain an infection that requires complex incision and drainage. A surgeon or other physician managing the surgical wound may perform it in an office, outpatient department, or facility. The work centers on the infected postoperative site; it is distinct from draining an uncomplicated skin abscess or evacuating a noninfected fluid collection.
Report 10180 when the operative note supports drainage of a complex infection in a postoperative wound. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 10180
- 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 RVU2.24 · 26%
- Practice expense (office) RVU5.89 · 68%
- Malpractice RVU0.50 · 6%
5.7K
Medicare services in 2024 · #1794 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.
10180 compared with similar codes
Office rates for Madera, from the same CMS release.
10061 describes complicated or multiple cutaneous abscess drainage. 10180 identifies complex drainage of a postoperative wound infection.
10140 is for drainage of a hematoma, seroma, or fluid collection. 10180 is for a complex infection of a postoperative wound.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for 10180 is $302.03—$1.37 higher than the $300.66 rate in Madera. Both use the same code, release and participation basis.
10180 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$300.66
$302.03
$1.37 higher than Madera
$300.66
The same base rate than Madera
$300.74
$0.08 higher than Madera
$300.66
The same base rate than Madera
$300.66
The same base rate than Madera
$21.05 higher than Madera
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, 10180 ranges from $252.41 in Arkansas to $375.69 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 · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Modesto
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Napa
California · 10180
Office
$347.31
Facility
$198.95
$46.65 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 10180
Office
$319.85
Facility
$186.81
$19.19 higher than Madera for the office setting.
Redding
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Rest Of California
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · 10180
Office
$306.03
Facility
$182.66
$5.37 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · 10180
Office
$315.26
Facility
$184.35
$14.60 higher than Madera for the office setting.
Salinas
California · 10180
Office
$314.10
Facility
$183.64
$13.44 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · 10180
Office
$321.40
Facility
$186.78
$20.74 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 10180
Office
$366.98
Facility
$208.27
$66.32 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 10180
Office
$366.41
Facility
$207.70
$65.75 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 10180
Office
$375.69
Facility
$213.37
$75.03 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 10180
Office
$373.36
Facility
$211.05
$72.70 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · 10180
Office
$309.12
Facility
$180.91
$8.46 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · 10180
Office
$324.37
Facility
$187.61
$23.71 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · 10180
Office
$315.25
Facility
$184.01
$14.59 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · 10180
Office
$327.60
Facility
$189.38
$26.94 higher than Madera for the office setting.
Stockton
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Vallejo
California · 10180
Office
$346.49
Facility
$198.13
$45.83 higher than Madera for the office setting.
Visalia
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Yuba City
California · 10180
Office
$300.66
Facility
$177.29
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 10180
Office
$329.20
Facility
$196.60
$28.54 higher than Madera for the office setting.
Miami
Florida · 10180
Office
$321.85
Facility
$204.67
$21.19 higher than Madera for the office setting.
Chicago
Illinois · 10180
Office
$311.38
Facility
$198.26
$10.72 higher than Madera for the office setting.
Manhattan
New York · 10180
Office
$334.70
Facility
$203.90
$34.04 higher than Madera for the office setting.
Alaska*
Alaska · 10180
Office
$330.95
Facility
$211.07
$30.29 higher than Madera for the office setting.
Alabama
Alabama · 10180
Office
$256.41
Facility
$157.92
$44.25 lower than Madera for the office setting.
Arkansas
Arkansas · 10180
Office
$252.41
Facility
$155.72
$48.25 lower than Madera for the office setting.
Arizona
Arizona · 10180
Office
$279.75
Facility
$170.67
$20.91 lower than Madera for the office setting.
Colorado
Colorado · 10180
Office
$298.08
Facility
$178.32
$2.58 lower than Madera for the office setting.
Connecticut
Connecticut · 10180
Office
$308.40
Facility
$187.17
$7.74 higher than Madera for the office setting.
Delaware
Delaware · 10180
Office
$284.58
Facility
$173.37
$16.08 lower than Madera for the office setting.
Fort Lauderdale
Florida · 10180
Office
$304.30
Facility
$190.28
$3.64 higher than Madera for the office setting.
Rest Of Florida
Florida · 10180
Office
$287.99
Facility
$180.39
$12.67 lower than Madera for the office setting.
Atlanta
Georgia · 10180
Office
$294.98
Facility
$180.62
$5.68 lower than Madera for the office setting.
Rest Of Georgia
Georgia · 10180
Office
$270.21
Facility
$169.80
$30.45 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · 10180
Office
$308.17
Facility
$180.19
$7.51 higher than Madera for the office setting.
Iowa
Iowa · 10180
Office
$261.46
Facility
$158.46
$39.20 lower than Madera for the office setting.
Idaho
Idaho · 10180
Office
$263.71
Facility
$160.15
$36.95 lower than Madera for the office setting.
East St. Louis
Illinois · 10180
Office
$289.45
Facility
$185.89
$11.21 lower than Madera for the office setting.
Rest Of Illinois
Illinois · 10180
Office
$280.54
Facility
$177.77
$20.12 lower than Madera for the office setting.
Suburban Chicago
Illinois · 10180
Office
$306.98
Facility
$191.38
$6.32 higher than Madera for the office setting.
Indiana
Indiana · 10180
Office
$265.30
Facility
$160.96
$35.36 lower than Madera for the office setting.
Kansas
Kansas · 10180
Office
$261.08
Facility
$159.32
$39.58 lower than Madera for the office setting.
Kentucky
Kentucky · 10180
Office
$264.99
Facility
$164.93
$35.67 lower than Madera for the office setting.
New Orleans
Louisiana · 10180
Office
$278.91
Facility
$172.99
$21.75 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · 10180
Office
$264.92
Facility
$165.31
$35.74 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · 10180
Office
$327.65
Facility
$193.25
$26.99 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · 10180
Office
$296.48
Facility
$177.96
$4.18 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · 10180
Office
$307.77
Facility
$186.99
$7.11 higher than Madera for the office setting.
Rest Of Maryland
Maryland · 10180
Office
$289.99
Facility
$176.08
$10.67 lower than Madera for the office setting.
Rest Of Maine
Maine · 10180
Office
$266.20
Facility
$162.64
$34.46 lower than Madera for the office setting.
Southern Maine
Maine · 10180
Office
$280.32
Facility
$168.77
$20.34 lower than Madera for the office setting.
Detroit
Michigan · 10180
Office
$292.82
Facility
$184.20
$7.84 lower than Madera for the office setting.
Rest Of Michigan
Michigan · 10180
Office
$273.29
Facility
$170.52
$27.37 lower than Madera for the office setting.
Minnesota
Minnesota · 10180
Office
$282.20
Facility
$166.37
$18.46 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · 10180
Office
$275.87
Facility
$170.17
$24.79 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · 10180
Office
$278.84
Facility
$171.68
$21.82 lower than Madera for the office setting.
Rest Of Missouri
Missouri · 10180
Office
$260.67
Facility
$163.64
$39.99 lower than Madera for the office setting.
Mississippi
Mississippi · 10180
Office
$256.55
Facility
$159.63
$44.11 lower than Madera for the office setting.
Montana**
Montana · 10180
Office
$288.22
Facility
$175.66
$12.44 lower than Madera for the office setting.
North Carolina
North Carolina · 10180
Office
$269.04
Facility
$164.02
$31.62 lower than Madera for the office setting.
North Dakota**
North Dakota · 10180
Office
$278.33
Facility
$165.77
$22.33 lower than Madera for the office setting.
Nebraska
Nebraska · 10180
Office
$262.71
Facility
$158.82
$37.95 lower than Madera for the office setting.
New Hampshire
New Hampshire · 10180
Office
$294.23
Facility
$177.05
$6.43 lower than Madera for the office setting.
Northern Nj
New Jersey · 10180
Office
$325.58
Facility
$195.01
$24.92 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · 10180
Office
$310.96
Facility
$188.05
$10.30 higher than Madera for the office setting.
New Mexico
New Mexico · 10180
Office
$275.28
Facility
$172.06
$25.38 lower than Madera for the office setting.
Nevada**
Nevada · 10180
Office
$285.66
Facility
$172.98
$15.00 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · 10180
Office
$344.53
Facility
$210.70
$43.87 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 10180
Office
$313.81
Facility
$190.56
$13.15 higher than Madera for the office setting.
Queens
New York · 10180
Office
$336.22
Facility
$203.18
$35.56 higher than Madera for the office setting.
Rest Of New York
New York · 10180
Office
$273.45
Facility
$166.52
$27.21 lower than Madera for the office setting.
Ohio
Ohio · 10180
Office
$271.27
Facility
$168.50
$29.39 lower than Madera for the office setting.
Oklahoma
Oklahoma · 10180
Office
$263.48
Facility
$162.96
$37.18 lower than Madera for the office setting.
Portland
Oregon · 10180
Office
$307.01
Facility
$181.95
$6.35 higher than Madera for the office setting.
Rest Of Oregon
Oregon · 10180
Office
$282.50
Facility
$170.39
$18.16 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · 10180
Office
$300.89
Facility
$183.71
$0.23 higher than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · 10180
Office
$271.20
Facility
$167.87
$29.46 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · 10180
Office
$290.16
Facility
$176.36
$10.50 lower than Madera for the office setting.
Rhode Island
Rhode Island · 10180
Office
$294.36
Facility
$178.08
$6.30 lower than Madera for the office setting.
South Carolina
South Carolina · 10180
Office
$270.79
Facility
$166.79
$29.87 lower than Madera for the office setting.
South Dakota**
South Dakota · 10180
Office
$277.16
Facility
$164.60
$23.50 lower than Madera for the office setting.
Tennessee
Tennessee · 10180
Office
$262.61
Facility
$160.30
$38.05 lower than Madera for the office setting.
Austin
Texas · 10180
Office
$297.91
Facility
$178.82
$2.75 lower than Madera for the office setting.
Beaumont
Texas · 10180
Office
$269.36
Facility
$166.93
$31.30 lower than Madera for the office setting.
Brazoria
Texas · 10180
Office
$283.40
Facility
$171.86
$17.26 lower than Madera for the office setting.
Dallas
Texas · 10180
Office
$285.76
Facility
$173.65
$14.90 lower than Madera for the office setting.
Fort Worth
Texas · 10180
Office
$284.01
Facility
$173.03
$16.65 lower than Madera for the office setting.
Galveston
Texas · 10180
Office
$284.60
Facility
$172.83
$16.06 lower than Madera for the office setting.
Houston
Texas · 10180
Office
$293.75
Facility
$181.98
$6.91 lower than Madera for the office setting.
Rest Of Texas
Texas · 10180
Office
$276.60
Facility
$169.78
$24.06 lower than Madera for the office setting.
Utah
Utah · 10180
Office
$274.74
Facility
$168.94
$25.92 lower than Madera for the office setting.
Virginia
Virginia · 10180
Office
$280.00
Facility
$169.35
$20.66 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · 10180
Office
$290.16
Facility
$176.36
$10.50 lower than Madera for the office setting.
Vermont
Vermont · 10180
Office
$278.03
Facility
$166.60
$22.63 lower than Madera for the office setting.
Rest Of Washington
Washington · 10180
Office
$295.66
Facility
$177.13
$5.00 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · 10180
Office
$333.59
Facility
$195.48
$32.93 higher than Madera for the office setting.
Wisconsin
Wisconsin · 10180
Office
$268.43
Facility
$160.60
$32.23 lower than Madera for the office setting.
West Virginia
West Virginia · 10180
Office
$269.68
Facility
$171.86
$30.98 lower than Madera for the office setting.
Wyoming**
Wyoming · 10180
Office
$283.91
Facility
$171.35
$16.75 lower than Madera for the office setting.
See how rates vary across the country
10180 · 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.
$252.41
$338.18
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $330.95 | 1 |
| AL | $256.41 | 1 |
| AR | $252.41 | 1 |
| AZ | $279.75 | 1 |
| CA | $300.66–$375.69 | 29 |
| CO | $298.08 | 1 |
| CT | $308.40 | 1 |
| DC | $329.20 | 1 |
| DE | $284.58 | 1 |
| FL | $287.99–$321.85 | 3 |
| GA | $270.21–$294.98 | 2 |
| GU | $308.17 | 1 |
| HI | $308.17 | 1 |
| IA | $261.46 | 1 |
| ID | $263.71 | 1 |
| IL | $280.54–$311.38 | 4 |
| IN | $265.30 | 1 |
| KS | $261.08 | 1 |
| KY | $264.99 | 1 |
| LA | $264.92–$278.91 | 2 |
| MA | $296.48–$327.65 | 2 |
| MD | $289.99–$329.20 | 3 |
| ME | $266.20–$280.32 | 2 |
| MI | $273.29–$292.82 | 2 |
| MN | $282.20 | 1 |
| MO | $260.67–$278.84 | 3 |
| MS | $256.55 | 1 |
| MT | $288.22 | 1 |
| NC | $269.04 | 1 |
| ND | $278.33 | 1 |
| NE | $262.71 | 1 |
| NH | $294.23 | 1 |
| NJ | $310.96–$325.58 | 2 |
| NM | $275.28 | 1 |
| NV | $285.66 | 1 |
| NY | $273.45–$344.53 | 5 |
| OH | $271.27 | 1 |
| OK | $263.48 | 1 |
| OR | $282.50–$307.01 | 2 |
| PA | $271.20–$300.89 | 2 |
| PR | $290.16 | 1 |
| RI | $294.36 | 1 |
| SC | $270.79 | 1 |
| SD | $277.16 | 1 |
| TN | $262.61 | 1 |
| TX | $269.36–$297.91 | 8 |
| UT | $274.74 | 1 |
| VA | $280.00–$329.20 | 2 |
| VI | $290.16 | 1 |
| VT | $278.03 | 1 |
| WA | $295.66–$333.59 | 2 |
| WI | $268.43 | 1 |
| WV | $269.68 | 1 |
| WY | $283.91 | 1 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 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.
Why are the office and facility amounts different?
For 10180 in Madera, the physician’s office rate is $300.66 and the facility-setting rate is $177.29: a difference of $123.37.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 10180 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$330.73
$300.66 × 110% = $330.73
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.
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 10180 in Madera.
PPRRVU2026_Oct_nonQPP.csv
1,116
- Code
- 10180
- Physician work
- 2.24
- Practice expense
- 5.89
- Malpractice
- 0.50
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.24 | × 1.017 | 2.2781 |
| Practice expense | 5.89 | × 1.096 | 6.4554 |
| Malpractice | 0.50 | × 0.536 | 0.2680 |
| Total RVUs | 9.0015 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$300.66
Open 10180 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.24 | 1.017 |
| Practice expense | 5.89 | 1.096 |
| Malpractice | 0.5 | 0.536 |
(2.24 × 1.017 + 5.89 × 1.096 + 0.5 × 0.536) × $33.4009 = $300.66
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.24 | 1.017 |
| Practice expense | 2.52 | 1.096 |
| Malpractice | 0.5 | 0.536 |
(2.24 × 1.017 + 2.52 × 1.096 + 0.5 × 0.536) × $33.4009 = $177.29
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
10180 · Office / nonfacility
$300.66
Effective 2026-10-01
The base rate is $35.85 higher than on 2025-10-01, moving from $264.81 to $300.66 (13.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$264.81changed to$300.66
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.30 changed to 2.24
- Practice expense RVU 5.09 changed to 5.89
- Malpractice RVU 0.52 changed to 0.50
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $264.81
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
10180 billing questions
When should 10180 be selected instead of 10060 or 10061?
Use 10180 for complex drainage of an infected postoperative wound. Codes 10060 and 10061 describe drainage of cutaneous or subcutaneous abscesses, not the postoperative wound infection service.
How does 10180 differ from 10140?
10180 is for a complex infection in a postoperative wound. 10140 is used to drain a hematoma, seroma, or other fluid collection.
What documentation supports reporting 10180?
Document the prior operative site, the wound infection, and the complex incision-and-drainage work performed. The record should distinguish an infected postoperative wound from a simple abscess or an uninfected fluid collection.
Are related postoperative visits included?
Yes. CMS assigns 10180 a 10-day global period, which includes related postoperative visits during those 10 days.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for 10180. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in the same session are subject to a 50% reduction.
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.
