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CMS RVU26D · Effective 2026-10-01

20102 in Manhattan

Office / nonfacility

$770.57

Base rate per service

Facility setting

$286.20

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.

Trauma surgery

About 20102: Penetrating wound exploration, abdomen or back

Operative exploration of a penetrating wound in the abdomen, flank, or back to assess the wound tract and underlying injury during acute trauma care.

A surgeon, often a trauma or general surgeon, explores a penetrating wound in the abdomen, flank, or back to assess the tract and identify injury to underlying structures. This is an operative service, typically performed in a facility during acute trauma care; it is distinct from simply examining or cleaning a wound at the bedside.

Select this code by the wound’s anatomic region, not by the severity of the injury or the structures ultimately found. The operative report should identify the penetrating wound site, describe the exploration performed, and distinguish it from any definitive repair or larger operation. Related postoperative visits are included in the 10-day global 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 descriptor. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 20102

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 RVU3.88 · 20%
  • Practice expense (office) RVU14.95 · 75%
  • Malpractice RVU0.99 · 5%

189

Medicare services in 2024 · #4366 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.

20102 compared with similar codes

Office rates for Manhattan, from the same CMS release.

20101

Wound exploration

Chest

$729.31

20101 applies to a penetrating wound in the chest. Use 20102 when the wound is in the abdomen, flank, or back.

20103

Wound exploration

Extremity wound

$685.67

20103 is for penetrating wound exploration of an extremity; 20102 is selected for the specified trunk regions.

49000

Abdominal exploration

Open laparotomy

No office rate

20102 describes exploration focused on a penetrating wound tract. 49000 describes exploratory laparotomy for a broader intra-abdominal survey.

The same code, a different location

How does Manhattan compare?

In Nyc Suburbs/Long Island, the office rate for 20102 is $793.01—$22.44 higher than the $770.57 rate in Manhattan. Both use the same code, release and participation basis.

20102 across payment areas

Same release and payment basis · bars start at $0

  1. Manhattan · This locality

    $770.57

  2. Nyc Suburbs/Long Island

    $793.01

    $22.44 higher than Manhattan

  3. Poughkpsie/N Nyc Suburbs

    $722.22

    $48.35 lower than Manhattan

  4. Queens

    $775.80

    $5.23 higher than Manhattan

  5. Rest Of New York

    $627.22

    $143.35 lower than Manhattan

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

    $747.59

    $22.98 lower than Manhattan

  7. Dc + Md/Va Suburbs

    $761.62

    $8.95 lower than Manhattan

Other payment areas listed in New York 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, 20102 ranges from $575.56 in Arkansas to $881.63 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

  • Miami

    Florida · 20102

    Office

    $733.04

    Facility

    $299.10

    $37.53 lower than Manhattan for the office setting.

  • Chicago

    Illinois · 20102

    Office

    $708.23

    Facility

    $289.30

    $62.34 lower than Manhattan for the office setting.

  • Alaska*

    Alaska · 20102

    Office

    $744.41

    Facility

    $300.48

    $26.16 lower than Manhattan for the office setting.

  • Alabama

    Alabama · 20102

    Office

    $585.24

    Facility

    $220.50

    $185.33 lower than Manhattan for the office setting.

  • Arkansas

    Arkansas · 20102

    Office

    $575.56

    Facility

    $217.49

    $195.01 lower than Manhattan for the office setting.

  • Arizona

    Arizona · 20102

    Office

    $641.76

    Facility

    $237.84

    $128.81 lower than Manhattan for the office setting.

  • Bakersfield

    California · 20102

    Office

    $699.48

    Facility

    $242.62

    $71.09 lower than Manhattan for the office setting.

  • Chico

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • El Centro

    California · 20102

    Office

    $696.97

    Facility

    $240.11

    $73.60 lower than Manhattan for the office setting.

  • Fresno

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Hanford-Corcoran

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Madera

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Merced

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Modesto

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Napa

    California · 20102

    Office

    $812.69

    Facility

    $263.29

    $42.12 higher than Manhattan for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 20102

    Office

    $744.05

    Facility

    $251.34

    $26.52 lower than Manhattan for the office setting.

  • Redding

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Rest Of California

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 20102

    Office

    $707.41

    Facility

    $250.55

    $63.16 lower than Manhattan for the office setting.

  • Sacramento-Roseville-Folsom

    California · 20102

    Office

    $732.72

    Facility

    $247.93

    $37.85 lower than Manhattan for the office setting.

  • Salinas

    California · 20102

    Office

    $730.08

    Facility

    $246.95

    $40.49 lower than Manhattan for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 20102

    Office

    $748.62

    Facility

    $250.08

    $21.95 lower than Manhattan for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 20102

    Office

    $861.16

    Facility

    $273.41

    $90.59 higher than Manhattan for the office setting.

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

    California · 20102

    Office

    $860.03

    Facility

    $272.29

    $89.46 higher than Manhattan for the office setting.

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

    California · 20102

    Office

    $881.63

    Facility

    $280.54

    $111.06 higher than Manhattan for the office setting.

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

    California · 20102

    Office

    $877.03

    Facility

    $275.94

    $106.46 higher than Manhattan for the office setting.

  • San Luis Obispo-Paso Robles

    California · 20102

    Office

    $718.27

    Facility

    $243.49

    $52.30 lower than Manhattan for the office setting.

  • Santa Cruz-Watsonville

    California · 20102

    Office

    $756.74

    Facility

    $250.28

    $13.83 lower than Manhattan for the office setting.

  • Santa Maria-Santa Barbara

    California · 20102

    Office

    $733.18

    Facility

    $247.14

    $37.39 lower than Manhattan for the office setting.

  • Santa Rosa-Petaluma

    California · 20102

    Office

    $764.40

    Facility

    $252.52

    $6.17 lower than Manhattan for the office setting.

  • Stockton

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Vallejo

    California · 20102

    Office

    $811.07

    Facility

    $261.67

    $40.50 higher than Manhattan for the office setting.

  • Visalia

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Yuba City

    California · 20102

    Office

    $696.80

    Facility

    $239.94

    $73.77 lower than Manhattan for the office setting.

  • Colorado

    Colorado · 20102

    Office

    $688.28

    Facility

    $244.76

    $82.29 lower than Manhattan for the office setting.

  • Connecticut

    Connecticut · 20102

    Office

    $709.99

    Facility

    $261.05

    $60.58 lower than Manhattan for the office setting.

  • Delaware

    Delaware · 20102

    Office

    $653.32

    Facility

    $241.48

    $117.25 lower than Manhattan for the office setting.

  • Fort Lauderdale

    Florida · 20102

    Office

    $695.22

    Facility

    $272.95

    $75.35 lower than Manhattan for the office setting.

  • Rest Of Florida

    Florida · 20102

    Office

    $656.67

    Facility

    $258.17

    $113.90 lower than Manhattan for the office setting.

  • Atlanta

    Georgia · 20102

    Office

    $677.03

    Facility

    $253.52

    $93.54 lower than Manhattan for the office setting.

  • Rest Of Georgia

    Georgia · 20102

    Office

    $614.43

    Facility

    $242.60

    $156.14 lower than Manhattan for the office setting.

  • Hawaii, Guam

    Hawaii · 20102

    Office

    $716.49

    Facility

    $242.54

    $54.08 lower than Manhattan for the office setting.

  • Iowa

    Iowa · 20102

    Office

    $599.62

    Facility

    $218.21

    $170.95 lower than Manhattan for the office setting.

  • Idaho

    Idaho · 20102

    Office

    $604.63

    Facility

    $221.14

    $165.94 lower than Manhattan for the office setting.

  • East St. Louis

    Illinois · 20102

    Office

    $655.59

    Facility

    $272.09

    $114.98 lower than Manhattan for the office setting.

  • Rest Of Illinois

    Illinois · 20102

    Office

    $637.18

    Facility

    $256.60

    $133.39 lower than Manhattan for the office setting.

  • Suburban Chicago

    Illinois · 20102

    Office

    $701.92

    Facility

    $273.82

    $68.65 lower than Manhattan for the office setting.

  • Indiana

    Indiana · 20102

    Office

    $608.56

    Facility

    $222.14

    $162.01 lower than Manhattan for the office setting.

  • Kansas

    Kansas · 20102

    Office

    $597.67

    Facility

    $220.84

    $172.90 lower than Manhattan for the office setting.

  • Kentucky

    Kentucky · 20102

    Office

    $603.77

    Facility

    $233.19

    $166.80 lower than Manhattan for the office setting.

  • New Orleans

    Louisiana · 20102

    Office

    $637.04

    Facility

    $244.79

    $133.53 lower than Manhattan for the office setting.

  • Rest Of Louisiana

    Louisiana · 20102

    Office

    $603.19

    Facility

    $234.29

    $167.38 lower than Manhattan for the office setting.

  • Metropolitan Boston

    Massachusetts · 20102

    Office

    $760.55

    Facility

    $262.84

    $10.02 lower than Manhattan for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 20102

    Office

    $683.83

    Facility

    $244.90

    $86.74 lower than Manhattan for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 20102

    Office

    $708.37

    Facility

    $261.10

    $62.20 lower than Manhattan for the office setting.

  • Rest Of Maryland

    Maryland · 20102

    Office

    $666.58

    Facility

    $244.74

    $103.99 lower than Manhattan for the office setting.

  • Rest Of Maine

    Maine · 20102

    Office

    $609.56

    Facility

    $226.06

    $161.01 lower than Manhattan for the office setting.

  • Southern Maine

    Maine · 20102

    Office

    $645.31

    Facility

    $232.22

    $125.26 lower than Manhattan for the office setting.

  • Detroit

    Michigan · 20102

    Office

    $667.21

    Facility

    $264.96

    $103.36 lower than Manhattan for the office setting.

  • Rest Of Michigan

    Michigan · 20102

    Office

    $622.83

    Facility

    $242.25

    $147.74 lower than Manhattan for the office setting.

  • Minnesota

    Minnesota · 20102

    Office

    $653.21

    Facility

    $224.28

    $117.36 lower than Manhattan for the office setting.

  • Metropolitan Kansas City

    Missouri · 20102

    Office

    $630.79

    Facility

    $239.37

    $139.78 lower than Manhattan for the office setting.

  • Metropolitan St. Louis

    Missouri · 20102

    Office

    $638.10

    Facility

    $241.27

    $132.47 lower than Manhattan for the office setting.

  • Rest Of Missouri

    Missouri · 20102

    Office

    $592.24

    Facility

    $232.92

    $178.33 lower than Manhattan for the office setting.

  • Mississippi

    Mississippi · 20102

    Office

    $583.97

    Facility

    $225.06

    $186.60 lower than Manhattan for the office setting.

  • Montana**

    Montana · 20102

    Office

    $661.94

    Facility

    $245.10

    $108.63 lower than Manhattan for the office setting.

  • North Carolina

    North Carolina · 20102

    Office

    $616.61

    Facility

    $227.70

    $153.96 lower than Manhattan for the office setting.

  • North Dakota**

    North Dakota · 20102

    Office

    $642.36

    Facility

    $225.52

    $128.21 lower than Manhattan for the office setting.

  • Nebraska

    Nebraska · 20102

    Office

    $602.99

    Facility

    $218.24

    $167.58 lower than Manhattan for the office setting.

  • New Hampshire

    New Hampshire · 20102

    Office

    $678.35

    Facility

    $244.41

    $92.22 lower than Manhattan for the office setting.

  • Northern Nj

    New Jersey · 20102

    Office

    $752.31

    Facility

    $268.78

    $18.26 lower than Manhattan for the office setting.

  • Rest Of New Jersey

    New Jersey · 20102

    Office

    $716.34

    Facility

    $261.14

    $54.23 lower than Manhattan for the office setting.

  • New Mexico

    New Mexico · 20102

    Office

    $627.21

    Facility

    $244.96

    $143.36 lower than Manhattan for the office setting.

  • Nevada**

    Nevada · 20102

    Office

    $656.98

    Facility

    $239.72

    $113.59 lower than Manhattan for the office setting.

  • Ohio

    Ohio · 20102

    Office

    $618.83

    Facility

    $238.25

    $151.74 lower than Manhattan for the office setting.

  • Oklahoma

    Oklahoma · 20102

    Office

    $601.20

    Facility

    $228.96

    $169.37 lower than Manhattan for the office setting.

  • Portland

    Oregon · 20102

    Office

    $711.04

    Facility

    $247.93

    $59.53 lower than Manhattan for the office setting.

  • Rest Of Oregon

    Oregon · 20102

    Office

    $650.19

    Facility

    $235.01

    $120.38 lower than Manhattan for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 20102

    Office

    $691.19

    Facility

    $257.26

    $79.38 lower than Manhattan for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 20102

    Office

    $619.24

    Facility

    $236.58

    $151.33 lower than Manhattan for the office setting.

  • Puerto Rico

    Puerto Rico · 20102

    Office

    $667.00

    Facility

    $245.57

    $103.57 lower than Manhattan for the office setting.

  • Rhode Island

    Rhode Island · 20102

    Office

    $677.38

    Facility

    $246.78

    $93.19 lower than Manhattan for the office setting.

  • South Carolina

    South Carolina · 20102

    Office

    $619.10

    Facility

    $233.93

    $151.47 lower than Manhattan for the office setting.

  • South Dakota**

    South Dakota · 20102

    Office

    $640.05

    Facility

    $223.21

    $130.52 lower than Manhattan for the office setting.

  • Tennessee

    Tennessee · 20102

    Office

    $601.26

    Facility

    $222.35

    $169.31 lower than Manhattan for the office setting.

  • Austin

    Texas · 20102

    Office

    $687.46

    Facility

    $246.44

    $83.11 lower than Manhattan for the office setting.

  • Beaumont

    Texas · 20102

    Office

    $614.72

    Facility

    $235.39

    $155.85 lower than Manhattan for the office setting.

  • Brazoria

    Texas · 20102

    Office

    $651.27

    Facility

    $238.18

    $119.30 lower than Manhattan for the office setting.

  • Dallas

    Texas · 20102

    Office

    $656.48

    Facility

    $241.30

    $114.09 lower than Manhattan for the office setting.

  • Fort Worth

    Texas · 20102

    Office

    $651.92

    Facility

    $240.91

    $118.65 lower than Manhattan for the office setting.

  • Galveston

    Texas · 20102

    Office

    $653.86

    Facility

    $239.93

    $116.71 lower than Manhattan for the office setting.

  • Houston

    Texas · 20102

    Office

    $671.98

    Facility

    $258.06

    $98.59 lower than Manhattan for the office setting.

  • Rest Of Texas

    Texas · 20102

    Office

    $633.33

    Facility

    $237.75

    $137.24 lower than Manhattan for the office setting.

  • Utah

    Utah · 20102

    Office

    $628.67

    Facility

    $236.84

    $141.90 lower than Manhattan for the office setting.

  • Virginia

    Virginia · 20102

    Office

    $643.80

    Facility

    $234.04

    $126.77 lower than Manhattan for the office setting.

  • Virgin Islands

    United States Virgin Islands · 20102

    Office

    $667.00

    Facility

    $245.57

    $103.57 lower than Manhattan for the office setting.

  • Vermont

    Vermont · 20102

    Office

    $640.68

    Facility

    $228.00

    $129.89 lower than Manhattan for the office setting.

  • Rest Of Washington

    Washington · 20102

    Office

    $682.25

    Facility

    $243.32

    $88.32 lower than Manhattan for the office setting.

  • Seattle (King Cnty)

    Washington · 20102

    Office

    $775.79

    Facility

    $264.32

    $5.22 higher than Manhattan for the office setting.

  • Wisconsin

    Wisconsin · 20102

    Office

    $618.15

    Facility

    $218.82

    $152.42 lower than Manhattan for the office setting.

  • West Virginia

    West Virginia · 20102

    Office

    $610.84

    Facility

    $248.61

    $159.73 lower than Manhattan for the office setting.

  • Wyoming**

    Wyoming · 20102

    Office

    $653.41

    Facility

    $236.57

    $117.16 lower than Manhattan for the office setting.

See how rates vary across the country

20102 · 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.

$575.56

$789.21

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$744.411
AL$585.241
AR$575.561
AZ$641.761
CA$696.80–$881.6329
CO$688.281
CT$709.991
DC$761.621
DE$653.321
FL$656.67–$733.043
GA$614.43–$677.032
GU$716.491
HI$716.491
IA$599.621
ID$604.631
IL$637.18–$708.234
IN$608.561
KS$597.671
KY$603.771
LA$603.19–$637.042
MA$683.83–$760.552
MD$666.58–$761.623
ME$609.56–$645.312
MI$622.83–$667.212
MN$653.211
MO$592.24–$638.103
MS$583.971
MT$661.941
NC$616.611
ND$642.361
NE$602.991
NH$678.351
NJ$716.34–$752.312
NM$627.211
NV$656.981
NY$627.22–$793.015
OH$618.831
OK$601.201
OR$650.19–$711.042
PA$619.24–$691.192
PR$667.001
RI$677.381
SC$619.101
SD$640.051
TN$601.261
TX$614.72–$687.468
UT$628.671
VA$643.80–$761.622
VI$667.001
VT$640.681
WA$682.25–$775.792
WI$618.151
WV$610.841
WY$653.411

Explore 20102 on the national rate map →

Where does this rate apply?

Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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 New York →

Why are the office and facility amounts different?

For 20102 in Manhattan, the physician’s office rate is $770.57 and the facility-setting rate is $286.20: a difference of $484.37.

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 20102 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$847.63

$770.57 × 110% = $847.63

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 20102 in Manhattan.

PPRRVU2026_Oct_nonQPP.csv

1,718

Code
20102
Physician work
3.88
Practice expense
14.95
Malpractice
0.99

GPCI2026.csv

78

Locality
Manhattan
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office / nonfacility calculation for 20102 in Manhattan
ComponentRVULocality factorAdjusted
Physician work3.88× 1.0644.1283
Practice expense14.95× 1.16217.3719
Malpractice0.99× 1.5861.5701
Total RVUs23.0704
Conversion factor× 33.4009

Office / nonfacility rate, Manhattan$770.57

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

Open 20102 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.881.064
Practice expense14.951.162
Malpractice0.991.586

(3.88 × 1.064 + 14.95 × 1.162 + 0.99 × 1.586) × $33.4009 = $770.57

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.881.064
Practice expense2.471.162
Malpractice0.991.586

(3.88 × 1.064 + 2.47 × 1.162 + 0.99 × 1.586) × $33.4009 = $286.20

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

20102 · Office / nonfacility

$770.57

Effective 2026-10-01

The base rate is $96.20 higher than on 2025-10-01, moving from $674.37 to $770.57 (14.3%).

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

    $674.37changed to$770.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.98 changed to 3.88
    • Practice expense RVU 12.91 changed to 14.95
    • Malpractice RVU 0.94 changed to 0.99
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $674.37

    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$770.57$286.20RVU26D
2026-07-01$770.57$286.20RVU26C
2026-04-01$770.57$286.20RVU26B
2026-01-01$770.57$286.20RVU26A
2025-10-01$674.37$293.82RVU25D
2025-07-01$674.37$293.82RVU25C
2025-04-01$674.37$293.82RVU25B
2025-01-01$674.37$293.82RVU25A

20102 billing questions

How do I distinguish this code from 20101?

Choose by the wound location: 20102 is for the abdomen, flank, or back, while 20101 is for the chest.

When is a formal exploratory laparotomy a better fit?

Use 20102 for operative exploration of the penetrating wound tract in its specified region. A broad intra-abdominal exploration through a laparotomy is described by 49000.

Can wound exploration be reported separately from definitive repair?

Do not separately report exploration when it is integral to a more extensive procedure at the same site. The operative documentation should establish a distinct exploration service.

Can modifier 50 be used for wounds on both sides?

No. Modifier 50 is inappropriate for this descriptor and anatomy.

Are assistant, co-surgeon, or team-surgery claims payable?

Assistant-at-surgery services are not paid for this code. Co-surgeons and team surgery are not permitted.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure.

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 20102PPRRVU2026_Oct_nonQPP.csv, line 1,718 (RVU26D)
Geographic factors for ManhattanGPCI2026.csv, line 78 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet