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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.

10060

Abscess drainage

Simple, single abscess

$135.37

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.

10061

Abscess drainage

Complex or multiple

$228.76

10061 describes complicated or multiple cutaneous abscess drainage. 10180 identifies complex drainage of a postoperative wound infection.

10140

Fluid drainage

Hematoma, seroma, or collection

$183.10

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

  1. Madera · This locality

    $300.66

  2. $1.37 higher than Madera

  3. Chico

    $300.66

    The same base rate than Madera

  4. El Centro

    $300.74

    $0.08 higher than Madera

  5. Fresno

    $300.66

    The same base rate than Madera

  6. The same base rate than Madera

  7. $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 / territoryRate rangeLocalities
AK$330.951
AL$256.411
AR$252.411
AZ$279.751
CA$300.66–$375.6929
CO$298.081
CT$308.401
DC$329.201
DE$284.581
FL$287.99–$321.853
GA$270.21–$294.982
GU$308.171
HI$308.171
IA$261.461
ID$263.711
IL$280.54–$311.384
IN$265.301
KS$261.081
KY$264.991
LA$264.92–$278.912
MA$296.48–$327.652
MD$289.99–$329.203
ME$266.20–$280.322
MI$273.29–$292.822
MN$282.201
MO$260.67–$278.843
MS$256.551
MT$288.221
NC$269.041
ND$278.331
NE$262.711
NH$294.231
NJ$310.96–$325.582
NM$275.281
NV$285.661
NY$273.45–$344.535
OH$271.271
OK$263.481
OR$282.50–$307.012
PA$271.20–$300.892
PR$290.161
RI$294.361
SC$270.791
SD$277.161
TN$262.611
TX$269.36–$297.918
UT$274.741
VA$280.00–$329.202
VI$290.161
VT$278.031
WA$295.66–$333.592
WI$268.431
WV$269.681
WY$283.911

Explore 10180 on the national rate map →

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.

See the inputs behind this difference →

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.

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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 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
Office / nonfacility calculation for 10180 in Madera
ComponentRVULocality factorAdjusted
Physician work2.24× 1.0172.2781
Practice expense5.89× 1.0966.4554
Malpractice0.50× 0.5360.2680
Total RVUs9.0015
Conversion factor× 33.4009

Office / nonfacility rate, Madera$300.66

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

Open 10180 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.241.017
Practice expense5.891.096
Malpractice0.50.536

(2.24 × 1.017 + 5.89 × 1.096 + 0.5 × 0.536) × $33.4009 = $300.66

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.241.017
Practice expense2.521.096
Malpractice0.50.536

(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.

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

    $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.

  2. 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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$300.66$177.29RVU26D
2026-07-01$300.66$177.29RVU26C
2026-04-01$300.66$177.29RVU26B
2026-01-01$300.66$177.29RVU26A
2025-10-01$264.81$177.49RVU25D
2025-07-01$264.81$177.49RVU25C
2025-04-01$264.81$177.49RVU25B
2025-01-01$264.81$177.49RVU25A

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.

RVUs for 10180PPRRVU2026_Oct_nonQPP.csv, line 1,116 (RVU26D)
Geographic factors for MaderaGPCI2026.csv, line 14 (RVU26D)