15004 reports the initial qualifying recipient-site preparation; 15005 reports additional area and is used with the primary code.
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CMS RVU26D · Effective 2026-10-01
15005 Wound preparation Medicare reimbursement rates in New Mexico
Reports additional recipient-site preparation on the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits beyond the initial treated area. Compare 15005 office and facility rates across CMS payment localities in New Mexico.
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 15005 in New Mexico?
New Mexico 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
$121.79
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$79.22
1 of 1 localities have a supported rate.
Payment area: New Mexico
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.
Wound surgery
About 15005: Additional recipient-site preparation, face or hand
Reports additional recipient-site preparation on the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits beyond the initial treated area.
This add-on reports further surgical preparation of a recipient site in the specified areas by excising an open wound, burn eschar, or scar, including subcutaneous tissue. A plastic, reconstructive, or burn surgeon may perform the work before grafting or another reconstructive service in an operating room or outpatient surgical setting. Examples include preparing additional wound area on a hand or face after removal of devitalized tissue or scar.
Report 15005 only with the applicable primary preparation service, 15004. The additional area is measured in 100-square-centimeter increments, or in 1% body-area increments for infants and children. Documentation should identify the treated site, the tissue excised, the area prepared, and the additional extent beyond the initial area. CMS classifies 15005 as an add-on code; payment is within the primary procedure’s global period.
CMS billing rules for 15005
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.56 · 42%
- Practice expense (office) RVU1.83 · 49%
- Malpractice RVU0.34 · 9%
5.1K
Medicare services in 2024 · #1851 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.
15005 compared with similar codes
Office rates for New Mexico, from the same CMS release.
15003 covers additional preparation area on the trunk, arms, or legs. Use 15005 for additional area in the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits.
15002 reports initial recipient-site preparation on the trunk, arms, or legs. It is not the primary code for 15005’s anatomic areas.
15120 reports split-thickness skin graft application to specified areas; 15005 reports additional recipient-site preparation, not graft placement.
Compare 15005 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
New Mexico →
Office / nonfacility
$121.79
Facility
$79.22
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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 15005 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
1,469
- Code
- 15005
- Physician work
- 1.56
- Practice expense
- 1.83
- Malpractice
- 0.34
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.56 | × 1.000 | 1.5600 |
| Practice expense | 1.83 | × 0.917 | 1.6781 |
| Malpractice | 0.34 | × 1.201 | 0.4083 |
| Total RVUs | 3.6465 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$121.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.56 | 1 |
| Practice expense | 1.83 | 0.917 |
| Malpractice | 0.34 | 1.201 |
(1.56 × 1 + 1.83 × 0.917 + 0.34 × 1.201) × $33.4009 = $121.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.56 | 1 |
| Practice expense | 0.44 | 0.917 |
| Malpractice | 0.34 | 1.201 |
(1.56 × 1 + 0.44 × 0.917 + 0.34 × 1.201) × $33.4009 = $79.22
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.
15005 billing questions
When should 15005 be chosen instead of 15004?
Use 15004 for the initial recipient-site preparation in the face, ears, eyelids, nose, lips, genitalia, hands, feet, or multiple digits. Report 15005 for additional qualifying area beyond that initial service.
Can 15005 be billed by itself?
No. It is an add-on code and must be reported with the applicable primary service, 15004.
Can wound preparation be reported with a skin graft?
It may be reported with a graft service when the surgeon performs and documents distinct recipient-site preparation in addition to graft application. The graft code represents the grafting work, not the additional area preparation described by 15005.
How is the additional area counted?
Document the additional area prepared in 100-square-centimeter increments. For infants and children, the descriptor uses additional 1% body-area increments.
What documentation supports 15005?
Record the qualifying anatomic site, the open wound, burn eschar, or scar excised, the tissue depth involved, and the additional area prepared beyond the initial area reported with 15004.
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.
