Billing code 97610: Ultrasound wound careMedicare rate & RVUs in Guam
Reports a daily low-frequency ultrasound treatment for wounds, including wound assessment and care instructions, in settings such as outpatient wound clinics.
Medicare pays $449.95 for 97610 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 97610 covers
This service uses low-frequency ultrasound delivered without direct probe-to-wound contact or tissue heating to treat wounds. Wound-care physicians and other qualified clinicians use it for wounds such as diabetic foot ulcers, venous leg ulcers, and pressure injuries. Treatment commonly takes place in an outpatient wound clinic or hospital outpatient department, using a device that delivers ultrasound through a mist or similar medium.
Report one unit for the treatment day, rather than one unit for each wound treated. The service includes wound assessment and instructions for ongoing care, so document the wound sites and condition, the ultrasound treatment provided, and the care instructions. CMS assigns practice expense values by setting in the Physician Fee Schedule; the applicable schedule data determine payment for the reported setting.
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.
97610 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $449.95 | $15.50 |
How the 97610 rate is calculated
Each of 97610’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 97610
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.39Practice expense 11.50Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 97610
97610 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 97610
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$397.47
The facility rate would be $15.36 (+$382.11). In a facility, the facility bills its own costs separately.
97610 compared with similar codes
Compare codes
97610 vs 97602 vs 97605 vs 97607: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 97602Wound(s) care non-selective
- Choose 97610 for low-frequency ultrasound treatment. Choose 97602 for nonselective wound care or debridement, such as wet-to-moist dressing care or enzymatic treatment.
- 97605Wound therapy
- 97605 describes negative pressure wound therapy with durable medical equipment in its smaller wound-area category; 97610 describes ultrasound treatment.
- 97607Negative pressure therapy
- 97607 describes negative pressure wound therapy using a disposable device in its smaller wound-area category; it is not the ultrasound service reported with 97610.
97610 billing questions
How is 97610 different from 97602?
97610 reports low-frequency ultrasound wound treatment. Code 97602 describes nonselective wound care or debridement methods, such as wet-to-moist dressings or enzymatic treatment.
Is the code reported once per wound?
No. The code is reported per treatment day, not per wound. Document the individual wound sites treated.
Are wound assessment and care instructions separate services?
Assessment and instructions for ongoing care are included in the daily ultrasound service. Record them as part of the treatment documentation.
What documentation supports 97610?
Identify the wound sites and their condition, describe the ultrasound treatment performed, and record the instructions given for ongoing care.
Can 97610 be used for negative pressure wound therapy?
No. 97610 describes low-frequency ultrasound treatment; negative pressure wound therapy is reported with codes such as 97605 or 97607, depending on the equipment category and wound area.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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