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CMS RVU26D · Effective 2026-10-01

97598 in Merced

Office / nonfacility

$49.93

Base rate per service

Facility setting

$21.38

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound care

About 97598: Additional selective wound debridement

Reports additional selective debridement of open-wound surface area beyond the initial area covered by the primary debridement service.

97598 represents additional selective removal of devitalized tissue and wound debris from open wounds, beyond the area covered by the primary service. The clinician works to remove nonviable tissue while preserving viable tissue; the service may involve sharp instruments or other selective methods. Physicians and wound-care clinicians, including physical or occupational therapists, may perform it in settings such as an outpatient wound clinic, hospital outpatient department, or office.

Report 97598 only with its primary code, 97597. Count the additional area debrided in increments of 20 cm² or less; the final increment may be a fraction of 20 cm². Documentation should identify the wound area actually treated, the selective debridement performed, and the tissue removed. CMS classifies 97598 as an add-on code and pays it within the primary procedure's global period.

CMS billing rules for 97598

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU0.49 · 34%
  • Practice expense (office) RVU0.88 · 62%
  • Malpractice RVU0.06 · 4%

135.2K

Medicare services in 2024 · #475 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.

97598 compared with similar codes

Office rates for Merced, from the same CMS release.

97597

Selective wound debridement

First 20 sq cm or less

$108.37

97597 covers the initial wound area; 97598 reports each additional 20 cm² or portion. Report 97598 only with 97597.

11042

Wound debridement

Subcutaneous tissue, first 20 sq cm

$140.31

11042 is used for excisional debridement into subcutaneous tissue. 97598 is the add-on for additional area treated through selective debridement.

97602

Wound(s) care non-selective

No office rate

97602 describes nonselective wound debridement. 97598 applies to additional area treated by selective debridement and requires 97597.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 97598 is $50.11—$0.18 higher than the $49.93 rate in Merced. Both use the same code, release and participation basis.

97598 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $49.93

  2. Bakersfield

    $50.11

    $0.18 higher than Merced

  3. Chico

    $49.93

    The same base rate than Merced

  4. El Centro

    $49.94

    $0.01 higher than Merced

  5. Fresno

    $49.93

    The same base rate than Merced

  6. Hanford-Corcoran

    $49.93

    The same base rate than Merced

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

    $53.14

    $3.21 higher than Merced

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, 97598 ranges from $42.65 in Arkansas to $61.63 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

  • Madera

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Modesto

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Napa

    California · 97598

    Office

    $57.16

    Facility

    $22.82

    $7.23 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97598

    Office

    $52.82

    Facility

    $22.02

    $2.89 higher than Merced for the office setting.

  • Redding

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97598

    Office

    $50.58

    Facility

    $22.03

    $0.65 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97598

    Office

    $52.21

    Facility

    $21.91

    $2.28 higher than Merced for the office setting.

  • Salinas

    California · 97598

    Office

    $52.01

    Facility

    $21.82

    $2.08 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97598

    Office

    $53.10

    Facility

    $21.94

    $3.17 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97598

    Office

    $60.28

    Facility

    $23.55

    $10.35 higher than Merced for the office setting.

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

    California · 97598

    Office

    $60.22

    Facility

    $23.48

    $10.29 higher than Merced for the office setting.

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

    California · 97598

    Office

    $61.63

    Facility

    $24.06

    $11.70 higher than Merced for the office setting.

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

    California · 97598

    Office

    $61.35

    Facility

    $23.78

    $11.42 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97598

    Office

    $51.20

    Facility

    $21.52

    $1.27 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 97598

    Office

    $53.50

    Facility

    $21.84

    $3.57 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 97598

    Office

    $52.17

    Facility

    $21.79

    $2.24 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 97598

    Office

    $54.03

    Facility

    $22.03

    $4.10 higher than Merced for the office setting.

  • Stockton

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 97598

    Office

    $57.06

    Facility

    $22.72

    $7.13 higher than Merced for the office setting.

  • Visalia

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 97598

    Office

    $49.93

    Facility

    $21.38

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97598

    Office

    $54.11

    Facility

    $23.42

    $4.18 higher than Merced for the office setting.

  • Miami

    Florida · 97598

    Office

    $52.03

    Facility

    $24.91

    $2.10 higher than Merced for the office setting.

  • Chicago

    Illinois · 97598

    Office

    $50.62

    Facility

    $24.44

    $0.69 higher than Merced for the office setting.

  • Manhattan

    New York · 97598

    Office

    $54.75

    Facility

    $24.47

    $4.82 higher than Merced for the office setting.

  • Alaska*

    Alaska · 97598

    Office

    $56.96

    Facility

    $29.21

    $7.03 higher than Merced for the office setting.

  • Alabama

    Alabama · 97598

    Office

    $43.22

    Facility

    $20.42

    $6.71 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 97598

    Office

    $42.65

    Facility

    $20.27

    $7.28 lower than Merced for the office setting.

  • Arizona

    Arizona · 97598

    Office

    $46.56

    Facility

    $21.32

    $3.37 lower than Merced for the office setting.

  • Colorado

    Colorado · 97598

    Office

    $49.40

    Facility

    $21.68

    $0.53 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 97598

    Office

    $50.77

    Facility

    $22.72

    $0.84 higher than Merced for the office setting.

  • Delaware

    Delaware · 97598

    Office

    $47.29

    Facility

    $21.55

    $2.64 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 97598

    Office

    $49.76

    Facility

    $23.37

    $0.17 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 97598

    Office

    $47.48

    Facility

    $22.57

    $2.45 lower than Merced for the office setting.

  • Atlanta

    Georgia · 97598

    Office

    $48.69

    Facility

    $22.22

    $1.24 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 97598

    Office

    $44.97

    Facility

    $21.73

    $4.96 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 97598

    Office

    $50.95

    Facility

    $21.32

    $1.02 higher than Merced for the office setting.

  • Iowa

    Iowa · 97598

    Office

    $44.06

    Facility

    $20.22

    $5.87 lower than Merced for the office setting.

  • Idaho

    Idaho · 97598

    Office

    $44.36

    Facility

    $20.39

    $5.57 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 97598

    Office

    $47.44

    Facility

    $23.48

    $2.49 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 97598

    Office

    $46.33

    Facility

    $22.55

    $3.60 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 97598

    Office

    $50.22

    Facility

    $23.46

    $0.29 higher than Merced for the office setting.

  • Indiana

    Indiana · 97598

    Office

    $44.59

    Facility

    $20.44

    $5.34 lower than Merced for the office setting.

  • Kansas

    Kansas · 97598

    Office

    $43.95

    Facility

    $20.40

    $5.98 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 97598

    Office

    $44.33

    Facility

    $21.17

    $5.60 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 97598

    Office

    $46.30

    Facility

    $21.79

    $3.63 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 97598

    Office

    $44.30

    Facility

    $21.24

    $5.63 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 97598

    Office

    $53.92

    Facility

    $22.81

    $3.99 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97598

    Office

    $49.18

    Facility

    $21.74

    $0.75 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97598

    Office

    $50.65

    Facility

    $22.69

    $0.72 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 97598

    Office

    $48.12

    Facility

    $21.75

    $1.81 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 97598

    Office

    $44.65

    Facility

    $20.69

    $5.28 lower than Merced for the office setting.

  • Southern Maine

    Maine · 97598

    Office

    $46.76

    Facility

    $20.94

    $3.17 lower than Merced for the office setting.

  • Detroit

    Michigan · 97598

    Office

    $48.11

    Facility

    $22.97

    $1.82 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 97598

    Office

    $45.46

    Facility

    $21.68

    $4.47 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 97598

    Office

    $47.20

    Facility

    $20.40

    $2.73 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 97598

    Office

    $45.92

    Facility

    $21.46

    $4.01 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 97598

    Office

    $46.36

    Facility

    $21.55

    $3.57 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 97598

    Office

    $43.65

    Facility

    $21.20

    $6.28 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 97598

    Office

    $43.15

    Facility

    $20.72

    $6.78 lower than Merced for the office setting.

  • Montana**

    Montana · 97598

    Office

    $47.76

    Facility

    $21.71

    $2.17 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 97598

    Office

    $45.07

    Facility

    $20.76

    $4.86 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 97598

    Office

    $46.57

    Facility

    $20.52

    $3.36 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 97598

    Office

    $44.25

    Facility

    $20.21

    $5.68 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 97598

    Office

    $48.72

    Facility

    $21.60

    $1.21 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 97598

    Office

    $53.63

    Facility

    $23.41

    $3.70 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 97598

    Office

    $51.32

    Facility

    $22.87

    $1.39 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 97598

    Office

    $45.73

    Facility

    $21.84

    $4.20 lower than Merced for the office setting.

  • Nevada**

    Nevada · 97598

    Office

    $47.46

    Facility

    $21.38

    $2.47 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97598

    Office

    $56.08

    Facility

    $25.11

    $6.15 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97598

    Office

    $51.71

    Facility

    $23.19

    $1.78 higher than Merced for the office setting.

  • Queens

    New York · 97598

    Office

    $55.05

    Facility

    $24.25

    $5.12 higher than Merced for the office setting.

  • Rest Of New York

    New York · 97598

    Office

    $45.70

    Facility

    $20.95

    $4.23 lower than Merced for the office setting.

  • Ohio

    Ohio · 97598

    Office

    $45.22

    Facility

    $21.44

    $4.71 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 97598

    Office

    $44.17

    Facility

    $20.91

    $5.76 lower than Merced for the office setting.

  • Portland

    Oregon · 97598

    Office

    $50.77

    Facility

    $21.83

    $0.84 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 97598

    Office

    $47.05

    Facility

    $21.10

    $2.88 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97598

    Office

    $49.65

    Facility

    $22.53

    $0.28 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97598

    Office

    $45.24

    Facility

    $21.33

    $4.69 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 97598

    Office

    $48.06

    Facility

    $21.72

    $1.87 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 97598

    Office

    $48.83

    Facility

    $21.92

    $1.10 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 97598

    Office

    $45.23

    Facility

    $21.16

    $4.70 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 97598

    Office

    $46.43

    Facility

    $20.38

    $3.50 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 97598

    Office

    $44.16

    Facility

    $20.48

    $5.77 lower than Merced for the office setting.

  • Austin

    Texas · 97598

    Office

    $49.27

    Facility

    $21.71

    $0.66 lower than Merced for the office setting.

  • Beaumont

    Texas · 97598

    Office

    $44.98

    Facility

    $21.27

    $4.95 lower than Merced for the office setting.

  • Brazoria

    Texas · 97598

    Office

    $47.19

    Facility

    $21.37

    $2.74 lower than Merced for the office setting.

  • Dallas

    Texas · 97598

    Office

    $47.51

    Facility

    $21.56

    $2.42 lower than Merced for the office setting.

  • Fort Worth

    Texas · 97598

    Office

    $47.24

    Facility

    $21.55

    $2.69 lower than Merced for the office setting.

  • Galveston

    Texas · 97598

    Office

    $47.34

    Facility

    $21.47

    $2.59 lower than Merced for the office setting.

  • Houston

    Texas · 97598

    Office

    $48.44

    Facility

    $22.57

    $1.49 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 97598

    Office

    $46.07

    Facility

    $21.35

    $3.86 lower than Merced for the office setting.

  • Utah

    Utah · 97598

    Office

    $45.80

    Facility

    $21.31

    $4.13 lower than Merced for the office setting.

  • Virginia

    Virginia · 97598

    Office

    $46.67

    Facility

    $21.06

    $3.26 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97598

    Office

    $48.06

    Facility

    $21.72

    $1.87 lower than Merced for the office setting.

  • Vermont

    Vermont · 97598

    Office

    $46.48

    Facility

    $20.69

    $3.45 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 97598

    Office

    $49.05

    Facility

    $21.62

    $0.88 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 97598

    Office

    $54.89

    Facility

    $22.92

    $4.96 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 97598

    Office

    $45.14

    Facility

    $20.18

    $4.79 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 97598

    Office

    $44.78

    Facility

    $22.14

    $5.15 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 97598

    Office

    $47.24

    Facility

    $21.19

    $2.69 lower than Merced for the office setting.

See how rates vary across the country

97598 · 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.

$42.65

$56.96

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$56.961
AL$43.221
AR$42.651
AZ$46.561
CA$49.93–$61.6329
CO$49.401
CT$50.771
DC$54.111
DE$47.291
FL$47.48–$52.033
GA$44.97–$48.692
GU$50.951
HI$50.951
IA$44.061
ID$44.361
IL$46.33–$50.624
IN$44.591
KS$43.951
KY$44.331
LA$44.30–$46.302
MA$49.18–$53.922
MD$48.12–$54.113
ME$44.65–$46.762
MI$45.46–$48.112
MN$47.201
MO$43.65–$46.363
MS$43.151
MT$47.761
NC$45.071
ND$46.571
NE$44.251
NH$48.721
NJ$51.32–$53.632
NM$45.731
NV$47.461
NY$45.70–$56.085
OH$45.221
OK$44.171
OR$47.05–$50.772
PA$45.24–$49.652
PR$48.061
RI$48.831
SC$45.231
SD$46.431
TN$44.161
TX$44.98–$49.278
UT$45.801
VA$46.67–$54.112
VI$48.061
VT$46.481
WA$49.05–$54.892
WI$45.141
WV$44.781
WY$47.241

Explore 97598 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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 97598 in Merced, the physician’s office rate is $49.93 and the facility-setting rate is $21.38: a difference of $28.55.

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 97598 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$54.92

$49.93 × 110% = $54.92

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 97598 in Merced.

PPRRVU2026_Oct_nonQPP.csv

12,900

Code
97598
Physician work
0.49
Practice expense
0.88
Malpractice
0.06

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 97598 in Merced
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0170.4983
Practice expense0.88× 1.0960.9645
Malpractice0.06× 0.5360.0322
Total RVUs1.4950
Conversion factor× 33.4009

Office / nonfacility rate, Merced$49.93

Open 97598 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.881.096
Malpractice0.060.536

(0.49 × 1.017 + 0.88 × 1.096 + 0.06 × 0.536) × $33.4009 = $49.93

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.491.017
Practice expense0.11.096
Malpractice0.060.536

(0.49 × 1.017 + 0.1 × 1.096 + 0.06 × 0.536) × $33.4009 = $21.38

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

97598 · Office / nonfacility

$49.93

Effective 2026-10-01

The base rate is $4.69 higher than on 2025-10-01, moving from $45.24 to $49.93 (10.4%).

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

    $45.24changed to$49.93

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.79 changed to 0.88
    • Malpractice RVU 0.05 changed to 0.06
    • 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: $45.24

    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$49.93$21.38RVU26D
2026-07-01$49.93$21.38RVU26C
2026-04-01$49.93$21.38RVU26B
2026-01-01$49.93$21.38RVU26A
2025-10-01$45.24$23.32RVU25D
2025-07-01$45.24$23.32RVU25C
2025-04-01$45.24$23.32RVU25B
2025-01-01$45.24$23.32RVU25A

97598 billing questions

Can 97598 be reported by itself?

No. It is an add-on code and must be reported with the primary selective debridement service, 97597.

How many units should be reported?

Report one unit for each additional 20 cm² or portion thereof debrided after the area covered by 97597. Base units on the area actually treated, not simply the wound's overall dimensions.

What documentation supports 97598?

Document the wound or wounds treated, the area selectively debrided, and the procedure and tissue removed. The record should support the additional area beyond the primary service.

When should 11042 be considered instead?

Use 11042 when the service is excisional debridement extending into subcutaneous tissue. 97598 describes additional selective debridement and is reported with 97597.

How does the global-period rule affect payment?

CMS treats 97598 as an add-on paid within the global period of its primary procedure. It is not a standalone primary service.

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 97598PPRRVU2026_Oct_nonQPP.csv, line 12,900 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet