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CMS RVU26D · Effective 2026-10-01

15854 Suture removal Medicare reimbursement rates in Minnesota

Reports removal of sutures or staples from each additional wound when a physician or qualified health care professional removes them without anesthesia. Compare 15854 office and facility rates across CMS payment localities in Minnesota.

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 15854 in Minnesota?

Minnesota 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

$17.97

1 of 1 localities have a supported rate.

Payment area: Minnesota

One mapped payment locality.

Facility setting

No 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.

Find 15854 in your payment locality →

Postoperative wound care

About 15854: Removal of sutures or staples from additional wound

Reports removal of sutures or staples from each additional wound when a physician or qualified health care professional removes them without anesthesia.

This add-on covers removal of sutures or staples from an additional wound without anesthesia other than local anesthesia. It is used when a physician or other qualified health care professional removes closure material from a wound closed by a different clinician. A typical setting is an office follow-up after surgery or wound repair, when the patient has more than one wound requiring removal.

Report 15854 for each additional wound after the service represented by 15853; it is not reported alone. Documentation should identify the separate wounds, the removal performed, and that the reporting clinician was not the clinician who originally closed them. CMS classifies this as an incident-to service, so it is billed only when performed under physician supervision. As an add-on, it is paid within the primary procedure’s global period.

CMS billing rules for 15854

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Professional and technical components
Incident-to service: billed only when performed under physician supervision.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.52 · 98%
  • Malpractice RVU0.01 · 2%

2.6K

Medicare services in 2024 · #2282 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.

15854 compared with similar codes

Office rates for Minnesota, from the same CMS release.

15853

Closure removal

Sutures or staples, not both

$13.50

15853 reports removal from the initial wound; 15854 reports each additional wound and must be paired with the primary service.

15851

Suture removal

Anesthesia required

No office rate

Choose 15851 when suture or staple removal requires anesthesia. 15854 is for additional wounds treated without anesthesia other than local.

15852

Dressing change

Nonburn, beyond local anesthesia

No office rate

15852 describes a dressing change under anesthesia, not removal of sutures or staples from an additional wound.

Compare 15854 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 15854 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

1,587

Code
15854
Physician work
0.00
Practice expense
0.52
Malpractice
0.01

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office / nonfacility calculation for 15854 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.52× 1.0290.5351
Malpractice0.01× 0.2960.0030
Total RVUs0.5380
Conversion factor× 33.4009

Office / nonfacility rate, Minnesota$17.97

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01
Practice expense0.521.029
Malpractice0.010.296

(0 × 1 + 0.52 × 1.029 + 0.01 × 0.296) × $33.4009 = $17.97

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.

15854 billing questions

When should 15854 be reported instead of 15853?

Use 15853 for the initial wound and 15854 for each additional wound treated during the same service. 15854 is an add-on and cannot be reported alone.

Does 15854 include removal from multiple wounds?

The code represents removal from each additional wound. Document the wounds separately rather than counting individual sutures or staples.

Can 15854 be used when anesthesia is required?

No. 15854 is for removal without anesthesia other than local; removal requiring anesthesia is represented by 15851.

Who may perform the service for Medicare billing?

A physician or other qualified health care professional may perform it, but CMS identifies the service as incident-to and requires physician supervision for billing.

What documentation supports 15854?

Record the additional wound treated, the suture or staple removal, and that the reporting clinician did not originally close the wound. The record should also support the required physician supervision.

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 15854PPRRVU2026_Oct_nonQPP.csv, line 1,587 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)