$85.99
This is the small-area sibling for partial-thickness burn dressing and/or debridement; 16030 represents the large-area level.
On this page
CMS RVU26D · Effective 2026-10-01
16030 Burn dressing Medicare reimbursement rates in Indiana
Reports dressing and/or debridement of large partial-thickness burns, generally involving more than 10% of total body surface area. Compare 16030 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 16030 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
$196.78
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$112.56
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.
Burn treatment
About 16030: Large partial-thickness burn dressing and debridement
Reports dressing and/or debridement of large partial-thickness burns, generally involving more than 10% of total body surface area.
This service covers wound care for a large area of partial-thickness burns, including cleansing, removal of devitalized tissue when needed, and application of appropriate dressings. A physician typically performs or directs the treatment in an emergency department, burn unit, or other setting managing acute or follow-up burn care. The relevant burn area may involve multiple sites; selection is based on the total body surface area affected, not simply the number of wounds.
Select this level when the partial-thickness burn area is large, generally more than 10% of total body surface area. Document burn depth, affected sites, estimated body surface area, and the dressing or debridement performed. The 0-day global period includes same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate; Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 16030
- 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 RVU2.03 · 32%
- Practice expense (office) RVU3.94 · 62%
- Malpractice RVU0.43 · 7%
821
Medicare services in 2024 · #3120 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.
16030 compared with similar codes
Office rates for Indiana, from the same CMS release.
$153.74
This is the medium-area sibling. Use 16030 when the treated partial-thickness burn area meets the large-area threshold.
$83.51
This represents initial burn treatment rather than the large-area dressing and/or debridement service reported with 16030.
No office rate
This is an escharotomy code for an incision to release constricting eschar, not burn dressing or debridement.
Compare 16030 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
Indiana →
Office / nonfacility
$196.78
Facility
$112.56
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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 16030 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
1,616
- Code
- 16030
- Physician work
- 2.03
- Practice expense
- 3.94
- Malpractice
- 0.43
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.03 | × 1.000 | 2.0300 |
| Practice expense | 3.94 | × 0.927 | 3.6524 |
| Malpractice | 0.43 | × 0.486 | 0.2090 |
| Total RVUs | 5.8914 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$196.78
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.03 | 1 |
| Practice expense | 3.94 | 0.927 |
| Malpractice | 0.43 | 0.486 |
(2.03 × 1 + 3.94 × 0.927 + 0.43 × 0.486) × $33.4009 = $196.78
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.03 | 1 |
| Practice expense | 1.22 | 0.927 |
| Malpractice | 0.43 | 0.486 |
(2.03 × 1 + 1.22 × 0.927 + 0.43 × 0.486) × $33.4009 = $112.56
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.
16030 billing questions
How does 16030 differ from 16025?
Choose by the total body surface area of partial-thickness burns treated. 16030 is the large-area level, generally more than 10%; 16025 is the medium level.
Can 16030 be reported for dressing alone?
Yes. The service may involve dressing, debridement, or both. Document the burn extent and the wound care actually performed.
Can routine wound preparation or dressing work be billed separately?
Do not separately report the cleansing, debridement, or dressing work that is part of the 16030 service.
Should modifier 50 be used for burns on both sides of the body?
No. Modifier 50 is inappropriate for this code; code selection reflects the total burn area treated rather than a bilateral service.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery; 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.
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
1,61716035,,Escharotomy 1st incision,A,,3.65,1.05,NA,1.05,,0.65,5.35,5.35,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61816036,,Escharotomy ea addl incision,A,,1.46,0.38,NA,0.38,,0.36,2.20,2.20,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61917000,,Destruct premalg lesion,A,,0.59,1.34,,0.78,,0.06,1.99,1.43,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915