No office rate
Use 15950 for trochanteric ulcer excision with primary suture closure when ostectomy is not performed. The inclusion of bone removal distinguishes 15951.
On this page
CMS RVU26D · Effective 2026-10-01
15951 Pressure ulcer excision Medicare reimbursement rates in Georgia
Reports excision of a pressure ulcer over the greater trochanter with removal of underlying bone and closure by primary suture. Compare 15951 office and facility rates across CMS payment localities in Georgia.
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.
What does Medicare pay for 15951 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$796.38–$844.86
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Pressure ulcer surgery
About 15951: Trochanteric ulcer excision with ostectomy
Reports excision of a pressure ulcer over the greater trochanter with removal of underlying bone and closure by primary suture.
This operation removes a pressure ulcer over the greater trochanter and includes ostectomy of underlying bone, followed by primary suture closure. It is typically performed by a surgeon in an operating-room setting for a patient with a deep, chronic pressure injury over the hip, such as one associated with prolonged immobility or wheelchair use. The operative plan must support both the bony resection and closure by direct suturing; flap-based reconstruction is represented by other codes in this family.
Select this code when the documented site is trochanteric and the procedure includes ostectomy with primary suture closure. The operative report should identify the ulcer location, excision, bone removal, and closure method. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documented medical necessity, co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 15951
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.29 · 46%
- Practice expense (office) RVU11.28 · 46%
- Malpractice RVU2.09 · 8%
14
Medicare services in 2024 · #6089 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.
15951 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
Both include trochanteric ulcer excision and ostectomy, but 15953 describes skin flap closure rather than primary suture closure.
No office rate
Both include trochanteric ulcer excision and ostectomy. 15958 involves preparation of a muscle or myocutaneous flap, not primary suture closure.
Compare 15951 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$844.86
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$796.38
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15951 billing questions
How does this differ from 15950?
Both codes describe excision of a trochanteric pressure ulcer with primary suture closure. Choose 15951 when the operation also includes ostectomy; 15950 is the option without ostectomy.
Is flap reconstruction included?
No. This code describes primary suture closure. A procedure using a skin flap or preparation of a muscle or myocutaneous flap belongs to a different code in the family.
What should the operative report document?
Document the trochanteric ulcer site, excision, ostectomy, and primary suture closure. The record should make clear that bone was removed as part of the procedure.
Can modifier 50 be used for bilateral ulcers?
CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate under the listed rule.
How is an assistant at surgery handled?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeon payment also requires supporting documentation.
What happens 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%. This code has a 90-day global period.
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.
1,60415945,,Exc isch pr ulc skn flp ostc,A,,13.41,11.85,NA,11.85,,2.49,27.75,27.75,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60515946,,Exc isch pr ulc prep mus flp,A,,23.52,15.33,NA,15.33,,4.88,43.73,43.73,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60615950,,Exc trchntr pr ulc prim sutr,A,,7.83,8.34,NA,8.34,,1.45,17.62,17.62,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60715951,,Exc trchntr pr ulc ostc,A,,11.29,11.28,NA,11.28,,2.09,24.66,24.66,0,090,0.10,0.71,0.19,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60815952,,Exc trchntr pr ulc flp clsr,A,,12.00,10.72,NA,10.72,,2.22,24.94,24.94,0,090,0.10,0.71,0.19,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,60915953,,Exc trchntr pr ulc flp ostc,A,,13.23,11.79,NA,11.79,,2.47,27.49,27.49,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61015956,,Exc trchntr pr ulc prep flap,A,,16.37,12.71,NA,12.71,,3.65,32.73,32.73,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00