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CMS RVU26D · Effective 2026-10-01

15940 Pressure ulcer surgery Medicare reimbursement rates in Hawaii

Excision of an ischial pressure ulcer with direct suture closure is reported when the wound can be closed primarily without flap reconstruction. Compare 15940 office and facility rates across CMS payment localities in Hawaii.

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 15940 in Hawaii?

Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$667.52

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

One mapped payment locality.

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.

Find 15940 in your payment locality →

Wound surgery

About 15940: Ischial pressure ulcer excision and closure

Excision of an ischial pressure ulcer with direct suture closure is reported when the wound can be closed primarily without flap reconstruction.

This operation removes a pressure ulcer over the ischial region and closes the resulting wound directly with sutures. It is selected when the surgeon can bring the wound edges together without using a skin or muscle flap. Surgeons commonly perform it in an operating room for patients with chronic pressure injuries, including people with limited mobility or paraplegia.

Report 15940 when the operative documentation identifies the ischial site, excision of the ulcer, and primary suture closure. The choice changes when the surgeon performs an ostectomy or uses flap reconstruction. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

CMS billing rules for 15940

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
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 RVU9.95 · 50%
  • Practice expense (office) RVU7.67 · 39%
  • Malpractice RVU2.27 · 11%

134

Medicare services in 2024 · #4641 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.

15940 compared with similar codes

Office rates for Hawaii, from the same CMS release.

15941

Pressure ulcer excision

Ostectomy, primary closure

No office rate

Both address an ischial pressure ulcer, but 15941 includes ostectomy. Use 15940 when the documented procedure is excision with primary suture closure without ostectomy.

15944

Pressure ulcer excision

Ischial site, skin flap closure

No office rate

15944 involves skin flap closure. Choose 15940 when the wound is closed directly by bringing the edges together with sutures.

15920

Pressure ulcer excision

Coccygeal, direct closure

No office rate

15920 is for a coccygeal pressure ulcer with primary closure; 15940 is for the ischial site.

Compare 15940 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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 15940 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

1,601

Code
15940
Physician work
9.95
Practice expense
7.67
Malpractice
2.27

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 15940 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work9.95× 1.0009.9500
Practice expense7.67× 1.1378.7208
Malpractice2.27× 0.5791.3143
Total RVUs19.9851
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$667.52

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work9.951
Practice expense7.671.137
Malpractice2.270.579

(9.95 × 1 + 7.67 × 1.137 + 2.27 × 0.579) × $33.4009 = $667.52

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.

15940 billing questions

When should 15940 be chosen over an ischial flap-closure code?

Use 15940 when the excised ischial ulcer is closed directly with sutures. A skin or muscle flap procedure belongs to the corresponding flap-closure code.

How does 15940 differ from 15941?

15940 describes primary suture closure. 15941 is the related ischial procedure that includes ostectomy.

Can modifier 50 be used for ulcers on both sides?

No. Modifier 50 is inappropriate for this code under the CMS bilateral rule. The documentation should identify the treated ischial site or sites.

Is postoperative care separately reported during the global period?

The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.

Can an assistant surgeon or co-surgeon be reported?

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

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 15940PPRRVU2026_Oct_nonQPP.csv, line 1,601 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet