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CMS RVU26D · Effective 2026-10-01

10060 in Redding

Office / nonfacility

$135.37

Base rate per service

Facility setting

$104.62

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.

Skin procedure

About 10060: Simple incision and drainage of abscess

Report 10060 for straightforward incision and drainage of one abscess, such as a cutaneous boil, when the procedure is simple rather than complex or multiple.

A clinician makes an incision to release pus from a single, straightforward abscess, commonly a skin or subcutaneous boil or localized abscess. The service is typically performed by a physician or other qualified practitioner in an office, urgent care setting, or emergency department. The code describes the drainage procedure, not evaluation of an abscess without drainage or needle aspiration alone.

Choose 10060 when the documented service treats one abscess with a simple drainage approach; use 10061 when the procedure is complex or involves multiple abscesses. Document the site, findings, and drainage performed so the record supports the level selected. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 10060

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU1.19 · 31%
  • Practice expense (office) RVU2.53 · 66%
  • Malpractice RVU0.13 · 3%

266.3K

Medicare services in 2024 · #332 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.

10060 compared with similar codes

Office rates for Redding, from the same CMS release.

10061

Abscess drainage

Complex or multiple

$228.76

Choose 10060 for simple drainage of one abscess. Choose 10061 when the documented drainage is complex or involves multiple abscesses.

10080

Pilonidal drainage

Simple incision and drainage

$288.54

10080 is for simple incision and drainage of a pilonidal cyst. Use 10060 for a simple, single abscess outside that pilonidal-specific service.

10160

Lesion aspiration

Abscess, hematoma, or bulla

$138.02

10060 involves incision and drainage; 10160 describes aspiration by needle of an abscess or other collection.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 10060 is $135.76—$0.39 higher than the $135.37 rate in Redding. Both use the same code, release and participation basis.

10060 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $135.37

  2. $0.39 higher than Redding

  3. Chico

    $135.37

    The same base rate than Redding

  4. El Centro

    $135.39

    $0.02 higher than Redding

  5. Fresno

    $135.37

    The same base rate than Redding

  6. The same base rate than Redding

  7. $8.86 higher than Redding

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, 10060 ranges from $114.57 in Arkansas to $168.30 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 · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Merced

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Modesto

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Napa

    California · 10060

    Office

    $155.83

    Facility

    $118.85

    $20.46 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 10060

    Office

    $143.45

    Facility

    $110.29

    $8.08 higher than Redding for the office setting.

  • Rest Of California

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 10060

    Office

    $136.78

    Facility

    $106.03

    $1.41 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 10060

    Office

    $141.78

    Facility

    $109.15

    $6.41 higher than Redding for the office setting.

  • Salinas

    California · 10060

    Office

    $141.25

    Facility

    $108.73

    $5.88 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 10060

    Office

    $144.36

    Facility

    $110.80

    $8.99 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 10060

    Office

    $164.67

    Facility

    $125.11

    $29.30 higher than Redding for the office setting.

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

    California · 10060

    Office

    $164.52

    Facility

    $124.96

    $29.15 higher than Redding for the office setting.

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

    California · 10060

    Office

    $168.30

    Facility

    $127.84

    $32.93 higher than Redding for the office setting.

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

    California · 10060

    Office

    $167.70

    Facility

    $127.24

    $32.33 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 10060

    Office

    $139.00

    Facility

    $107.04

    $3.63 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 10060

    Office

    $145.58

    Facility

    $111.49

    $10.21 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 10060

    Office

    $141.72

    Facility

    $109.01

    $6.35 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 10060

    Office

    $147.04

    Facility

    $112.58

    $11.67 higher than Redding for the office setting.

  • Stockton

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 10060

    Office

    $155.62

    Facility

    $118.64

    $20.25 higher than Redding for the office setting.

  • Visalia

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 10060

    Office

    $135.37

    Facility

    $104.62

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 10060

    Office

    $146.27

    Facility

    $113.22

    $10.90 higher than Redding for the office setting.

  • Miami

    Florida · 10060

    Office

    $138.70

    Facility

    $109.49

    $3.33 higher than Redding for the office setting.

  • Chicago

    Illinois · 10060

    Office

    $134.92

    Facility

    $106.72

    $0.45 lower than Redding for the office setting.

  • Manhattan

    New York · 10060

    Office

    $147.37

    Facility

    $114.77

    $12.00 higher than Redding for the office setting.

  • Alaska*

    Alaska · 10060

    Office

    $152.01

    Facility

    $122.13

    $16.64 higher than Redding for the office setting.

  • Alabama

    Alabama · 10060

    Office

    $116.15

    Facility

    $91.60

    $19.22 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 10060

    Office

    $114.57

    Facility

    $90.47

    $20.80 lower than Redding for the office setting.

  • Arizona

    Arizona · 10060

    Office

    $125.35

    Facility

    $98.16

    $10.02 lower than Redding for the office setting.

  • Colorado

    Colorado · 10060

    Office

    $133.53

    Facility

    $103.68

    $1.84 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 10060

    Office

    $136.81

    Facility

    $106.59

    $1.44 higher than Redding for the office setting.

  • Delaware

    Delaware · 10060

    Office

    $127.34

    Facility

    $99.62

    $8.03 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 10060

    Office

    $133.20

    Facility

    $104.78

    $2.17 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 10060

    Office

    $127.06

    Facility

    $100.24

    $8.31 lower than Redding for the office setting.

  • Atlanta

    Georgia · 10060

    Office

    $130.94

    Facility

    $102.43

    $4.43 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 10060

    Office

    $120.30

    Facility

    $95.27

    $15.07 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 10060

    Office

    $138.34

    Facility

    $106.44

    $2.97 higher than Redding for the office setting.

  • Iowa

    Iowa · 10060

    Office

    $118.79

    Facility

    $93.12

    $16.58 lower than Redding for the office setting.

  • Idaho

    Idaho · 10060

    Office

    $119.54

    Facility

    $93.73

    $15.83 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 10060

    Office

    $126.24

    Facility

    $100.42

    $9.13 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 10060

    Office

    $123.69

    Facility

    $98.07

    $11.68 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 10060

    Office

    $134.51

    Facility

    $105.69

    $0.86 lower than Redding for the office setting.

  • Indiana

    Indiana · 10060

    Office

    $120.19

    Facility

    $94.18

    $15.18 lower than Redding for the office setting.

  • Kansas

    Kansas · 10060

    Office

    $118.33

    Facility

    $92.96

    $17.04 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 10060

    Office

    $118.84

    Facility

    $93.90

    $16.53 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 10060

    Office

    $124.20

    Facility

    $97.80

    $11.17 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 10060

    Office

    $118.69

    Facility

    $93.86

    $16.68 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 10060

    Office

    $146.14

    Facility

    $112.64

    $10.77 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 10060

    Office

    $132.83

    Facility

    $103.28

    $2.54 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 10060

    Office

    $136.43

    Facility

    $106.32

    $1.06 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 10060

    Office

    $129.65

    Facility

    $101.26

    $5.72 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 10060

    Office

    $120.19

    Facility

    $94.38

    $15.18 lower than Redding for the office setting.

  • Southern Maine

    Maine · 10060

    Office

    $126.23

    Facility

    $98.43

    $9.14 lower than Redding for the office setting.

  • Detroit

    Michigan · 10060

    Office

    $128.61

    Facility

    $101.54

    $6.76 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 10060

    Office

    $121.80

    Facility

    $96.19

    $13.57 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 10060

    Office

    $127.99

    Facility

    $99.12

    $7.38 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 10060

    Office

    $123.34

    Facility

    $96.99

    $12.03 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 10060

    Office

    $124.55

    Facility

    $97.84

    $10.82 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 10060

    Office

    $116.82

    Facility

    $92.63

    $18.55 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 10060

    Office

    $115.71

    Facility

    $91.56

    $19.66 lower than Redding for the office setting.

  • Montana**

    Montana · 10060

    Office

    $128.58

    Facility

    $100.53

    $6.79 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 10060

    Office

    $121.36

    Facility

    $95.19

    $14.01 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 10060

    Office

    $126.01

    Facility

    $97.96

    $9.36 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 10060

    Office

    $119.39

    Facility

    $93.49

    $15.98 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 10060

    Office

    $131.52

    Facility

    $102.31

    $3.85 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 10060

    Office

    $144.91

    Facility

    $112.37

    $9.54 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 10060

    Office

    $138.38

    Facility

    $107.74

    $3.01 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 10060

    Office

    $122.45

    Facility

    $96.72

    $12.92 lower than Redding for the office setting.

  • Nevada**

    Nevada · 10060

    Office

    $127.95

    Facility

    $99.87

    $7.42 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 10060

    Office

    $150.83

    Facility

    $117.47

    $15.46 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 10060

    Office

    $139.32

    Facility

    $108.60

    $3.95 higher than Redding for the office setting.

  • Queens

    New York · 10060

    Office

    $148.44

    Facility

    $115.27

    $13.07 higher than Redding for the office setting.

  • Rest Of New York

    New York · 10060

    Office

    $123.08

    Facility

    $96.42

    $12.29 lower than Redding for the office setting.

  • Ohio

    Ohio · 10060

    Office

    $121.28

    Facility

    $95.66

    $14.09 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 10060

    Office

    $118.58

    Facility

    $93.53

    $16.79 lower than Redding for the office setting.

  • Portland

    Oregon · 10060

    Office

    $137.50

    Facility

    $106.33

    $2.13 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 10060

    Office

    $126.97

    Facility

    $99.02

    $8.40 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 10060

    Office

    $133.61

    Facility

    $104.40

    $1.76 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 10060

    Office

    $121.43

    Facility

    $95.67

    $13.94 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 10060

    Office

    $129.46

    Facility

    $101.09

    $5.91 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 10060

    Office

    $131.67

    Facility

    $102.69

    $3.70 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 10060

    Office

    $121.52

    Facility

    $95.60

    $13.85 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 10060

    Office

    $125.71

    Facility

    $97.65

    $9.66 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 10060

    Office

    $118.89

    Facility

    $93.39

    $16.48 lower than Redding for the office setting.

  • Austin

    Texas · 10060

    Office

    $133.08

    Facility

    $103.40

    $2.29 lower than Redding for the office setting.

  • Beaumont

    Texas · 10060

    Office

    $120.68

    Facility

    $95.15

    $14.69 lower than Redding for the office setting.

  • Brazoria

    Texas · 10060

    Office

    $127.20

    Facility

    $99.39

    $8.17 lower than Redding for the office setting.

  • Dallas

    Texas · 10060

    Office

    $128.00

    Facility

    $100.05

    $7.37 lower than Redding for the office setting.

  • Fort Worth

    Texas · 10060

    Office

    $127.21

    Facility

    $99.54

    $8.16 lower than Redding for the office setting.

  • Galveston

    Texas · 10060

    Office

    $127.57

    Facility

    $99.71

    $7.80 lower than Redding for the office setting.

  • Houston

    Texas · 10060

    Office

    $129.95

    Facility

    $102.09

    $5.42 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 10060

    Office

    $123.86

    Facility

    $97.24

    $11.51 lower than Redding for the office setting.

  • Utah

    Utah · 10060

    Office

    $123.08

    Facility

    $96.71

    $12.29 lower than Redding for the office setting.

  • Virginia

    Virginia · 10060

    Office

    $125.88

    Facility

    $98.30

    $9.49 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 10060

    Office

    $129.46

    Facility

    $101.09

    $5.91 lower than Redding for the office setting.

  • Vermont

    Vermont · 10060

    Office

    $125.60

    Facility

    $97.83

    $9.77 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 10060

    Office

    $132.55

    Facility

    $103.01

    $2.82 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 10060

    Office

    $148.97

    Facility

    $114.54

    $13.60 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 10060

    Office

    $122.04

    Facility

    $95.16

    $13.33 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 10060

    Office

    $119.39

    Facility

    $95.01

    $15.98 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 10060

    Office

    $127.46

    Facility

    $99.41

    $7.91 lower than Redding for the office setting.

See how rates vary across the country

10060 · 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.

$114.57

$152.01

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$152.011
AL$116.151
AR$114.571
AZ$125.351
CA$135.37–$168.3029
CO$133.531
CT$136.811
DC$146.271
DE$127.341
FL$127.06–$138.703
GA$120.30–$130.942
GU$138.341
HI$138.341
IA$118.791
ID$119.541
IL$123.69–$134.924
IN$120.191
KS$118.331
KY$118.841
LA$118.69–$124.202
MA$132.83–$146.142
MD$129.65–$146.273
ME$120.19–$126.232
MI$121.80–$128.612
MN$127.991
MO$116.82–$124.553
MS$115.711
MT$128.581
NC$121.361
ND$126.011
NE$119.391
NH$131.521
NJ$138.38–$144.912
NM$122.451
NV$127.951
NY$123.08–$150.835
OH$121.281
OK$118.581
OR$126.97–$137.502
PA$121.43–$133.612
PR$129.461
RI$131.671
SC$121.521
SD$125.711
TN$118.891
TX$120.68–$133.088
UT$123.081
VA$125.88–$146.272
VI$129.461
VT$125.601
WA$132.55–$148.972
WI$122.041
WV$119.391
WY$127.461

Explore 10060 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 10060 in Redding, the physician’s office rate is $135.37 and the facility-setting rate is $104.62: a difference of $30.75.

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 10060 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$148.91

$135.37 × 110% = $148.91

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 10060 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,087

Code
10060
Physician work
1.19
Practice expense
2.53
Malpractice
0.13

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 10060 in Redding
ComponentRVULocality factorAdjusted
Physician work1.19× 1.0171.2102
Practice expense2.53× 1.0962.7729
Malpractice0.13× 0.5360.0697
Total RVUs4.0528
Conversion factor× 33.4009

Office / nonfacility rate, Redding$135.37

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

Open 10060 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.191.017
Practice expense2.531.096
Malpractice0.130.536

(1.19 × 1.017 + 2.53 × 1.096 + 0.13 × 0.536) × $33.4009 = $135.37

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.191.017
Practice expense1.691.096
Malpractice0.130.536

(1.19 × 1.017 + 1.69 × 1.096 + 0.13 × 0.536) × $33.4009 = $104.62

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

10060 · Office / nonfacility

$135.37

Effective 2026-10-01

The base rate is $4.97 higher than on 2025-10-01, moving from $130.40 to $135.37 (3.8%).

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

    $130.40changed to$135.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 2.49 changed to 2.53
    • 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: $130.40

    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$135.37$104.62RVU26D
2026-07-01$135.37$104.62RVU26C
2026-04-01$135.37$104.62RVU26B
2026-01-01$135.37$104.62RVU26A
2025-10-01$130.40$109.19RVU25D
2025-07-01$130.40$109.19RVU25C
2025-04-01$130.40$109.19RVU25B
2025-01-01$130.40$109.19RVU25A

10060 billing questions

How do I choose between 10060 and 10061?

Use 10060 for a simple drainage of one abscess. Use 10061 when the drainage is complex or multiple abscesses are treated; documentation should support the procedure’s extent and complexity.

Can I report an office E/M service on the same date?

A separately identifiable E/M service may be reported when it is beyond the work associated with the drainage and is documented separately; append modifier 25 to the E/M code when appropriate.

Are related follow-up visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in 10060.

Should I append modifier 50 for abscesses on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. If multiple abscesses are drained, assess whether the documented work supports 10061 rather than reporting bilateral 10060.

Can an assistant or co-surgeon be billed for 10060?

Medicare does not pay for an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How is 10060 affected when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 10060PPRRVU2026_Oct_nonQPP.csv, line 1,087 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)