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CMS RVU26D · Effective 2026-10-01

97597 in Vallejo

Office / nonfacility

$126.01

Base rate per service

Facility setting

$33.12

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 97597: Selective open wound debridement, first 20 sq cm

Selective removal of devitalized tissue, fibrin, slough, or biofilm from an open wound, reported once per session for the first 20 square centimeters of total treated surface.

This service removes nonviable material from an open wound surface without removing subcutaneous tissue. Targets include fibrin, slough, exudate, debris, biofilm, and devitalized epidermis or dermis. Common methods are sharp selective debridement with forceps, scissors, scalpel, or curette, and high-pressure waterjet. The service includes wound assessment, topical applications, and instructions for ongoing care. Physicians, nurse practitioners, physician assistants, podiatrists, and physical therapists perform it in wound care clinics, offices, outpatient therapy departments, and nursing facilities. Typical wounds are diabetic foot ulcers, venous leg ulcers, pressure injuries, and slow-healing surgical wounds.

Report one unit per session for the first 20 sq cm or less of combined surface area across all wounds selectively debrided. Use 97598 for each additional 20 sq cm or part of it. Documentation should give each wound's location and length times width, the tissue removed, the instrument or method, and the depth reached. CMS assigns a 0-day global period, so same-day pre- and post-procedure care is included. Modifier 50 is inappropriate; no bilateral adjustment is available. Co-surgeons and team surgery are not permitted. An assistant is paid only when medical necessity is documented.

CMS billing rules for 97597

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.75 · 25%
  • Practice expense (office) RVU2.24 · 74%
  • Malpractice RVU0.05 · 2%

684.9K

Medicare services in 2024 · #187 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.

97597 compared with similar codes

Office rates for Vallejo, from the same CMS release.

11042

Wound debridement

Subcutaneous tissue, first 20 sq cm

$162.69

11042 applies when subcutaneous tissue is removed and is sized by the area debrided at that depth. 97597 covers selective removal from the wound surface, epidermis, or dermis without removal of subcutaneous tissue.

97602

Wound(s) care non-selective

No office rate

97602 is nonselective, for example enzymatic, wet-to-moist, or abrasion, and removes tissue without precise targeting. 97597 uses sharp instruments or waterjet to selectively remove material from the wound surface.

97598

Wound debridement

Each additional 20 cm²

$57.06

97598 is the add-on for each additional 20 sq cm beyond the first and is never reported alone. 97597 is reported once per session for the first 20 sq cm.

The same code, a different location

How does Vallejo compare?

In Bakersfield, the office rate for 97597 is $108.54—$17.47 lower than the $126.01 rate in Vallejo. Both use the same code, release and participation basis.

97597 across payment areas

Same release and payment basis · bars start at $0

  1. Vallejo · This locality

    $126.01

  2. Bakersfield

    $108.54

    $17.47 lower than Vallejo

  3. Chico

    $108.37

    $17.64 lower than Vallejo

  4. El Centro

    $108.38

    $17.63 lower than Vallejo

  5. Fresno

    $108.37

    $17.64 lower than Vallejo

  6. Hanford-Corcoran

    $108.37

    $17.64 lower than Vallejo

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

    $115.70

    $10.31 lower than Vallejo

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, 97597 ranges from $90.18 in Arkansas to $136.59 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 · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Merced

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Modesto

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Napa

    California · 97597

    Office

    $126.09

    Facility

    $33.20

    $0.08 higher than Vallejo for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97597

    Office

    $115.23

    Facility

    $31.92

    $10.78 lower than Vallejo for the office setting.

  • Redding

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Rest Of California

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97597

    Office

    $108.93

    Facility

    $31.69

    $17.08 lower than Vallejo for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97597

    Office

    $113.86

    Facility

    $31.90

    $12.15 lower than Vallejo for the office setting.

  • Salinas

    California · 97597

    Office

    $113.44

    Facility

    $31.75

    $12.57 lower than Vallejo for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97597

    Office

    $116.19

    Facility

    $31.90

    $9.82 lower than Vallejo for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97597

    Office

    $133.69

    Facility

    $34.32

    $7.68 higher than Vallejo for the office setting.

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

    California · 97597

    Office

    $133.63

    Facility

    $34.26

    $7.62 higher than Vallejo for the office setting.

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

    California · 97597

    Office

    $136.59

    Facility

    $34.96

    $10.58 higher than Vallejo for the office setting.

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

    California · 97597

    Office

    $136.36

    Facility

    $34.73

    $10.35 higher than Vallejo for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97597

    Office

    $111.59

    Facility

    $31.32

    $14.42 lower than Vallejo for the office setting.

  • Santa Cruz-Watsonville

    California · 97597

    Office

    $117.38

    Facility

    $31.75

    $8.63 lower than Vallejo for the office setting.

  • Santa Maria-Santa Barbara

    California · 97597

    Office

    $113.89

    Facility

    $31.71

    $12.12 lower than Vallejo for the office setting.

  • Santa Rosa-Petaluma

    California · 97597

    Office

    $118.57

    Facility

    $32.03

    $7.44 lower than Vallejo for the office setting.

  • Stockton

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Visalia

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Yuba City

    California · 97597

    Office

    $108.37

    Facility

    $31.13

    $17.64 lower than Vallejo for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97597

    Office

    $116.40

    Facility

    $33.38

    $9.61 lower than Vallejo for the office setting.

  • Miami

    Florida · 97597

    Office

    $107.16

    Facility

    $33.79

    $18.85 lower than Vallejo for the office setting.

  • Chicago

    Illinois · 97597

    Office

    $104.25

    Facility

    $33.42

    $21.76 lower than Vallejo for the office setting.

  • Manhattan

    New York · 97597

    Office

    $116.24

    Facility

    $34.35

    $9.77 lower than Vallejo for the office setting.

  • Alaska*

    Alaska · 97597

    Office

    $118.18

    Facility

    $43.12

    $7.83 lower than Vallejo for the office setting.

  • Alabama

    Alabama · 97597

    Office

    $91.46

    Facility

    $29.80

    $34.55 lower than Vallejo for the office setting.

  • Arkansas

    Arkansas · 97597

    Office

    $90.18

    Facility

    $29.64

    $35.83 lower than Vallejo for the office setting.

  • Arizona

    Arizona · 97597

    Office

    $98.98

    Facility

    $30.69

    $27.03 lower than Vallejo for the office setting.

  • Colorado

    Colorado · 97597

    Office

    $106.26

    Facility

    $31.28

    $19.75 lower than Vallejo for the office setting.

  • Connecticut

    Connecticut · 97597

    Office

    $108.15

    Facility

    $32.25

    $17.86 lower than Vallejo for the office setting.

  • Delaware

    Delaware · 97597

    Office

    $100.60

    Facility

    $30.97

    $25.41 lower than Vallejo for the office setting.

  • Fort Lauderdale

    Florida · 97597

    Office

    $103.86

    Facility

    $32.47

    $22.15 lower than Vallejo for the office setting.

  • Rest Of Florida

    Florida · 97597

    Office

    $99.09

    Facility

    $31.71

    $26.92 lower than Vallejo for the office setting.

  • Atlanta

    Georgia · 97597

    Office

    $103.15

    Facility

    $31.54

    $22.86 lower than Vallejo for the office setting.

  • Rest Of Georgia

    Georgia · 97597

    Office

    $93.78

    Facility

    $30.91

    $32.23 lower than Vallejo for the office setting.

  • Hawaii, Guam

    Hawaii · 97597

    Office

    $111.09

    Facility

    $30.95

    $14.92 lower than Vallejo for the office setting.

  • Iowa

    Iowa · 97597

    Office

    $94.17

    Facility

    $29.69

    $31.84 lower than Vallejo for the office setting.

  • Idaho

    Idaho · 97597

    Office

    $94.67

    Facility

    $29.84

    $31.34 lower than Vallejo for the office setting.

  • East St. Louis

    Illinois · 97597

    Office

    $97.25

    Facility

    $32.41

    $28.76 lower than Vallejo for the office setting.

  • Rest Of Illinois

    Illinois · 97597

    Office

    $95.97

    Facility

    $31.63

    $30.04 lower than Vallejo for the office setting.

  • Suburban Chicago

    Illinois · 97597

    Office

    $105.02

    Facility

    $32.64

    $20.99 lower than Vallejo for the office setting.

  • Indiana

    Indiana · 97597

    Office

    $95.22

    Facility

    $29.89

    $30.79 lower than Vallejo for the office setting.

  • Kansas

    Kansas · 97597

    Office

    $93.53

    Facility

    $29.82

    $32.48 lower than Vallejo for the office setting.

  • Kentucky

    Kentucky · 97597

    Office

    $93.09

    Facility

    $30.44

    $32.92 lower than Vallejo for the office setting.

  • New Orleans

    Louisiana · 97597

    Office

    $97.35

    Facility

    $31.03

    $28.66 lower than Vallejo for the office setting.

  • Rest Of Louisiana

    Louisiana · 97597

    Office

    $92.86

    Facility

    $30.49

    $33.15 lower than Vallejo for the office setting.

  • Metropolitan Boston

    Massachusetts · 97597

    Office

    $116.90

    Facility

    $32.75

    $9.11 lower than Vallejo for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97597

    Office

    $105.57

    Facility

    $31.35

    $20.44 lower than Vallejo for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97597

    Office

    $107.80

    Facility

    $32.18

    $18.21 lower than Vallejo for the office setting.

  • Rest Of Maryland

    Maryland · 97597

    Office

    $102.55

    Facility

    $31.23

    $23.46 lower than Vallejo for the office setting.

  • Rest Of Maine

    Maine · 97597

    Office

    $94.92

    Facility

    $30.08

    $31.09 lower than Vallejo for the office setting.

  • Southern Maine

    Maine · 97597

    Office

    $100.25

    Facility

    $30.41

    $25.76 lower than Vallejo for the office setting.

  • Detroit

    Michigan · 97597

    Office

    $100.07

    Facility

    $32.06

    $25.94 lower than Vallejo for the office setting.

  • Rest Of Michigan

    Michigan · 97597

    Office

    $95.25

    Facility

    $30.90

    $30.76 lower than Vallejo for the office setting.

  • Minnesota

    Minnesota · 97597

    Office

    $102.53

    Facility

    $30.01

    $23.48 lower than Vallejo for the office setting.

  • Metropolitan Kansas City

    Missouri · 97597

    Office

    $96.94

    Facility

    $30.76

    $29.07 lower than Vallejo for the office setting.

  • Metropolitan St. Louis

    Missouri · 97597

    Office

    $97.95

    Facility

    $30.86

    $28.06 lower than Vallejo for the office setting.

  • Rest Of Missouri

    Missouri · 97597

    Office

    $91.17

    Facility

    $30.42

    $34.84 lower than Vallejo for the office setting.

  • Mississippi

    Mississippi · 97597

    Office

    $90.70

    Facility

    $30.02

    $35.31 lower than Vallejo for the office setting.

  • Montana**

    Montana · 97597

    Office

    $101.54

    Facility

    $31.06

    $24.47 lower than Vallejo for the office setting.

  • North Carolina

    North Carolina · 97597

    Office

    $95.92

    Facility

    $30.17

    $30.09 lower than Vallejo for the office setting.

  • North Dakota**

    North Dakota · 97597

    Office

    $100.55

    Facility

    $30.07

    $25.46 lower than Vallejo for the office setting.

  • Nebraska

    Nebraska · 97597

    Office

    $94.74

    Facility

    $29.69

    $31.27 lower than Vallejo for the office setting.

  • New Hampshire

    New Hampshire · 97597

    Office

    $104.40

    Facility

    $31.03

    $21.61 lower than Vallejo for the office setting.

  • Northern Nj

    New Jersey · 97597

    Office

    $115.20

    Facility

    $33.45

    $10.81 lower than Vallejo for the office setting.

  • Rest Of New Jersey

    New Jersey · 97597

    Office

    $109.59

    Facility

    $32.63

    $16.42 lower than Vallejo for the office setting.

  • New Mexico

    New Mexico · 97597

    Office

    $95.66

    Facility

    $31.04

    $30.35 lower than Vallejo for the office setting.

  • Nevada**

    Nevada · 97597

    Office

    $101.33

    Facility

    $30.79

    $24.68 lower than Vallejo for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97597

    Office

    $118.71

    Facility

    $34.92

    $7.30 lower than Vallejo for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97597

    Office

    $110.12

    Facility

    $32.95

    $15.89 lower than Vallejo for the office setting.

  • Queens

    New York · 97597

    Office

    $117.50

    Facility

    $34.19

    $8.51 lower than Vallejo for the office setting.

  • Rest Of New York

    New York · 97597

    Office

    $97.30

    Facility

    $30.35

    $28.71 lower than Vallejo for the office setting.

  • Ohio

    Ohio · 97597

    Office

    $95.04

    Facility

    $30.70

    $30.97 lower than Vallejo for the office setting.

  • Oklahoma

    Oklahoma · 97597

    Office

    $93.16

    Facility

    $30.23

    $32.85 lower than Vallejo for the office setting.

  • Portland

    Oregon · 97597

    Office

    $109.82

    Facility

    $31.52

    $16.19 lower than Vallejo for the office setting.

  • Rest Of Oregon

    Oregon · 97597

    Office

    $100.74

    Facility

    $30.55

    $25.27 lower than Vallejo for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97597

    Office

    $105.38

    Facility

    $32.01

    $20.63 lower than Vallejo for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97597

    Office

    $95.31

    Facility

    $30.61

    $30.70 lower than Vallejo for the office setting.

  • Puerto Rico

    Puerto Rico · 97597

    Office

    $102.34

    Facility

    $31.09

    $23.67 lower than Vallejo for the office setting.

  • Rhode Island

    Rhode Island · 97597

    Office

    $104.30

    Facility

    $31.50

    $21.71 lower than Vallejo for the office setting.

  • South Carolina

    South Carolina · 97597

    Office

    $95.60

    Facility

    $30.48

    $30.41 lower than Vallejo for the office setting.

  • South Dakota**

    South Dakota · 97597

    Office

    $100.43

    Facility

    $29.95

    $25.58 lower than Vallejo for the office setting.

  • Tennessee

    Tennessee · 97597

    Office

    $93.96

    Facility

    $29.89

    $32.05 lower than Vallejo for the office setting.

  • Austin

    Texas · 97597

    Office

    $105.74

    Facility

    $31.17

    $20.27 lower than Vallejo for the office setting.

  • Beaumont

    Texas · 97597

    Office

    $94.69

    Facility

    $30.55

    $31.32 lower than Vallejo for the office setting.

  • Brazoria

    Texas · 97597

    Office

    $100.70

    Facility

    $30.86

    $25.31 lower than Vallejo for the office setting.

  • Dallas

    Texas · 97597

    Office

    $101.23

    Facility

    $31.03

    $24.78 lower than Vallejo for the office setting.

  • Fort Worth

    Texas · 97597

    Office

    $100.50

    Facility

    $31.01

    $25.51 lower than Vallejo for the office setting.

  • Galveston

    Texas · 97597

    Office

    $100.93

    Facility

    $30.95

    $25.08 lower than Vallejo for the office setting.

  • Houston

    Texas · 97597

    Office

    $101.84

    Facility

    $31.86

    $24.17 lower than Vallejo for the office setting.

  • Rest Of Texas

    Texas · 97597

    Office

    $97.56

    Facility

    $30.68

    $28.45 lower than Vallejo for the office setting.

  • Utah

    Utah · 97597

    Office

    $96.88

    Facility

    $30.63

    $29.13 lower than Vallejo for the office setting.

  • Virginia

    Virginia · 97597

    Office

    $99.78

    Facility

    $30.50

    $26.23 lower than Vallejo for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97597

    Office

    $102.34

    Facility

    $31.09

    $23.67 lower than Vallejo for the office setting.

  • Vermont

    Vermont · 97597

    Office

    $99.97

    Facility

    $30.19

    $26.04 lower than Vallejo for the office setting.

  • Rest Of Washington

    Washington · 97597

    Office

    $105.43

    Facility

    $31.22

    $20.58 lower than Vallejo for the office setting.

  • Seattle (King Cnty)

    Washington · 97597

    Office

    $119.47

    Facility

    $33.00

    $6.54 lower than Vallejo for the office setting.

  • Wisconsin

    Wisconsin · 97597

    Office

    $97.24

    Facility

    $29.72

    $28.77 lower than Vallejo for the office setting.

  • West Virginia

    West Virginia · 97597

    Office

    $92.46

    Facility

    $31.21

    $33.55 lower than Vallejo for the office setting.

  • Wyoming**

    Wyoming · 97597

    Office

    $101.10

    Facility

    $30.63

    $24.91 lower than Vallejo for the office setting.

See how rates vary across the country

97597 · 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.

$90.18

$122.48

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$118.181
AL$91.461
AR$90.181
AZ$98.981
CA$108.37–$136.5929
CO$106.261
CT$108.151
DC$116.401
DE$100.601
FL$99.09–$107.163
GA$93.78–$103.152
GU$111.091
HI$111.091
IA$94.171
ID$94.671
IL$95.97–$105.024
IN$95.221
KS$93.531
KY$93.091
LA$92.86–$97.352
MA$105.57–$116.902
MD$102.55–$116.403
ME$94.92–$100.252
MI$95.25–$100.072
MN$102.531
MO$91.17–$97.953
MS$90.701
MT$101.541
NC$95.921
ND$100.551
NE$94.741
NH$104.401
NJ$109.59–$115.202
NM$95.661
NV$101.331
NY$97.30–$118.715
OH$95.041
OK$93.161
OR$100.74–$109.822
PA$95.31–$105.382
PR$102.341
RI$104.301
SC$95.601
SD$100.431
TN$93.961
TX$94.69–$105.748
UT$96.881
VA$99.78–$116.402
VI$102.341
VT$99.971
WA$105.43–$119.472
WI$97.241
WV$92.461
WY$101.101

Explore 97597 on the national rate map →

Where does this rate apply?

Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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 97597 in Vallejo, the physician’s office rate is $126.01 and the facility-setting rate is $33.12: a difference of $92.89.

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 97597 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$138.61

$126.01 × 110% = $138.61

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 97597 in Vallejo.

PPRRVU2026_Oct_nonQPP.csv

12,899

Code
97597
Physician work
0.75
Practice expense
2.24
Malpractice
0.05

GPCI2026.csv

33

Locality
Vallejo
Physician work
1.063
Practice expense
1.318
Malpractice
0.459
Office / nonfacility calculation for 97597 in Vallejo
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0630.7973
Practice expense2.24× 1.3182.9523
Malpractice0.05× 0.4590.0230
Total RVUs3.7725
Conversion factor× 33.4009

Office / nonfacility rate, Vallejo$126.01

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

Open 97597 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.751.063
Practice expense2.241.318
Malpractice0.050.459

(0.75 × 1.063 + 2.24 × 1.318 + 0.05 × 0.459) × $33.4009 = $126.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.751.063
Practice expense0.131.318
Malpractice0.050.459

(0.75 × 1.063 + 0.13 × 1.318 + 0.05 × 0.459) × $33.4009 = $33.12

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

97597 · Office / nonfacility

$126.01

Effective 2026-10-01

The base rate is $6.95 higher than on 2025-10-01, moving from $119.06 to $126.01 (5.8%).

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

    $119.06changed to$126.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 2.17 changed to 2.24
    • Work GPCI 1.058 changed to 1.063
    • Practice expense GPCI 1.310 changed to 1.318
    • Malpractice GPCI 0.470 changed to 0.459

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $119.06

    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$126.01$33.12RVU26D
2026-07-01$126.01$33.12RVU26C
2026-04-01$126.01$33.12RVU26B
2026-01-01$126.01$33.12RVU26A
2025-10-01$119.06$36.86RVU25D
2025-07-01$119.06$36.86RVU25C
2025-04-01$119.06$36.86RVU25B
2025-01-01$119.06$36.86RVU25A

97597 billing questions

How is wound size calculated when several wounds are debrided?

Add together the surface areas of all wounds that receive selective debridement in the session. Report 97597 once for the first 20 sq cm. Report 97598 for each additional 20 sq cm or part of it.

When should 11042 be reported instead of 97597?

Use 11042 when debridement removes subcutaneous tissue. Use 97597 when selective debridement removes material from the wound surface, epidermis, or dermis without removing subcutaneous tissue. Do not report both for the same wound.

Can 97602 be billed with 97597 for the same wound?

Do not report nonselective debridement under 97602 in addition to selective debridement under 97597 for the same wound in the same session.

Is a same-day E/M visit separately billable?

Assessment of the wound being debrided is included in the service. A significant, separately identifiable E/M service may be reported with modifier 25, but the note must support work beyond the debridement.

What modifier applies when a physical therapist performs the debridement?

When a physical therapist provides it under a therapy plan of care, Medicare expects the GP therapy modifier on the claim line.

What documentation supports the service?

Record each wound's location, length and width measurements, the tissue type removed, the instrument or method, and the depth reached. Also document the patient's tolerance and the ongoing care instructions given.

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 97597PPRRVU2026_Oct_nonQPP.csv, line 12,899 (RVU26D)
Geographic factors for VallejoGPCI2026.csv, line 33 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet