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CMS RVU26D · Effective 2026-10-01

10160 Lesion aspiration Medicare reimbursement rates in Indiana

Needle aspiration of an abscess, hematoma, or bulla is reported when a clinician evacuates the collection without performing incision and drainage. Compare 10160 office and facility rates across CMS payment localities in Indiana.

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 10160 in Indiana?

Indiana 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

$122.61

1 of 1 localities have a supported rate.

Payment area: Indiana

One mapped payment locality.

Facility setting

$85.46

1 of 1 localities have a supported rate.

Payment area: Indiana

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 10160 in your payment locality →

Dermatology procedure

About 10160: Abscess, hematoma, or bulla aspiration

Needle aspiration of an abscess, hematoma, or bulla is reported when a clinician evacuates the collection without performing incision and drainage.

A clinician uses a needle to aspirate fluid or material from an abscess, hematoma, or bulla. The service may be performed in an office, clinic, or hospital when aspiration is the chosen treatment for the collection. The record should identify the site and condition treated, the aspiration performed, and the clinical reason for intervention.

Report 10160 for aspiration rather than an incision-and-drainage service when the collection is treated by puncture. The 10-day global period includes related postoperative visits during that period. For multiple procedures in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 10160

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days 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 RVU1.22 · 31%
  • Practice expense (office) RVU2.56 · 65%
  • Malpractice RVU0.16 · 4%

47.9K

Medicare services in 2024 · #799 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.

10160 compared with similar codes

Office rates for Indiana, from the same CMS release.

10140

Fluid drainage

Hematoma, seroma, or collection

$162.29

Choose 10160 for needle aspiration of an abscess, hematoma, or bulla; choose 10140 when a hematoma, seroma, or fluid collection is treated by incision and drainage.

10060

Abscess drainage

Simple, single abscess

$120.19

10160 is for aspiration of an abscess, hematoma, or bulla. 10060 describes incision and drainage of a simple abscess.

10061

Abscess drainage

Complex or multiple

$205.01

Use 10061 for incision and drainage of a complex or multiple abscesses; use 10160 when the collection is treated by aspiration.

10030

Fluid drainage

Image-guided, soft tissue

$576.97

10030 describes image-guided catheter drainage of a fluid collection. 10160 describes aspiration by puncture, without that catheter-drainage service.

Compare 10160 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 10160 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

1,113

Code
10160
Physician work
1.22
Practice expense
2.56
Malpractice
0.16

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Office / nonfacility calculation for 10160 in Indiana
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense2.56× 0.9272.3731
Malpractice0.16× 0.4860.0778
Total RVUs3.6709
Conversion factor× 33.4009

Office / nonfacility rate, Indiana$122.61

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

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.221
Practice expense2.560.927
Malpractice0.160.486

(1.22 × 1 + 2.56 × 0.927 + 0.16 × 0.486) × $33.4009 = $122.61

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.221
Practice expense1.360.927
Malpractice0.160.486

(1.22 × 1 + 1.36 × 0.927 + 0.16 × 0.486) × $33.4009 = $85.46

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.

10160 billing questions

When should 10160 be chosen instead of an incision-and-drainage code?

Use 10160 when the abscess, hematoma, or bulla is treated by needle aspiration. If the clinician incises and drains the collection, consider the code describing that procedure instead.

How does 10160 differ from 10140?

10160 describes puncture aspiration of an abscess, hematoma, or bulla. 10140 describes incision and drainage of a hematoma, seroma, or other fluid collection.

Can modifier 50 be reported for bilateral aspiration?

No. CMS identifies bilateral adjustment as inappropriate for 10160.

Are related postoperative visits included?

Yes. The 10-day global period includes related postoperative visits during those 10 days.

Can an assistant, co-surgeon, or surgical team be billed?

CMS does not pay an assistant at surgery for 10160, and co-surgeon and team-surgery billing 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 10160PPRRVU2026_Oct_nonQPP.csv, line 1,113 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet