$86.52–$94.78
16000 is for initial local care of a first-degree burn. 16020 is for dressing or debridement of a small partial-thickness burn.
On this page
CMS RVU26D · Effective 2026-10-01
16000 Burn treatment Medicare reimbursement rates in Georgia
Reports initial local treatment of a first-degree burn, such as a superficial sunburn or scald, when care is limited to the skin surface. Compare 16000 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 16000 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
$85.08–$92.17
2 of 2 localities have a supported rate.
Facility setting
$42.18–$43.31
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.
Burn treatment
About 16000: Initial first-degree burn treatment
Reports initial local treatment of a first-degree burn, such as a superficial sunburn or scald, when care is limited to the skin surface.
CPT 16000 describes the initial local care of a first-degree burn, which affects the outer skin and typically causes redness and pain without blisters. Common examples include a superficial sunburn or a minor hot-liquid scald. A physician or other qualified practitioner may provide this care in an office, emergency department, or other setting; the key distinction is that the injury is superficial and needs local treatment rather than burn dressing or debridement for partial-thickness injury.
Document the burn’s location, depth, extent, and the treatment provided, and support that this was the initial treatment. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Do not use modifier 50. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 16000
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU0.87 · 32%
- Practice expense (office) RVU1.68 · 62%
- Malpractice RVU0.15 · 6%
837
Medicare services in 2024 · #3106 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.
16000 compared with similar codes
Office rates for Georgia, from the same CMS release.
$156.61–$169.25
Choose 16025 for dressing or debridement of a medium partial-thickness burn; 16000 describes initial local care of a first-degree burn.
$202.31–$218.96
16030 is for dressing or debridement of a large partial-thickness burn. 16000 is for initial local care of a superficial first-degree burn.
Compare 16000 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
$92.17
Facility
$43.31
Rest Of Georgia →
Office / nonfacility
$85.08
Facility
$42.18
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16000 billing questions
When should 16000 be selected instead of 16020?
Use 16000 for initial local care of a first-degree, superficial burn. Use 16020 for a small partial-thickness burn requiring dressing or debridement.
Can a follow-up burn dressing visit be reported with 16000?
16000 describes initial local treatment, not a later dressing or debridement service. For partial-thickness burns, select the applicable dressing/debridement code based on the burn’s extent.
What documentation supports reporting 16000?
Record the burn’s site, depth, extent, and initial local treatment. The record should support a superficial, first-degree injury rather than a partial-thickness burn.
Should modifier 50 be appended for burns on both sides?
No. Modifier 50 is inappropriate for this code; its descriptor or anatomy is not treated as a bilateral service.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure. The global period is 0 days.
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.
1,61015956,,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
1,61115958,,Exc trchntr pr ulc prep ostc,A,,16.33,12.90,NA,12.90,,3.22,32.45,32.45,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61215999,,Unlisted px exc pressure ulc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61316000,,Initial treatment of burn(s),A,,0.87,1.68,,0.24,,0.15,2.70,1.26,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61416020,,Dress/debrid p-thick burn s,A,,0.69,1.97,,0.82,,0.12,2.78,1.63,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61516025,,Dress/debrid p-thick burn m,A,,1.70,2.99,,1.08,,0.27,4.96,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61616030,,Dress/debrid p-thick burn l,A,,2.03,3.94,,1.22,,0.43,6.40,3.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00