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CMS RVU26D · Effective 2026-10-01

15950 Pressure ulcer excision Medicare reimbursement rates in New Mexico

Excision of a pressure ulcer over the trochanter with direct suture closure, reported when the surgeon closes the excision site without a flap. Compare 15950 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 15950 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

No supported rate

Facility setting

$575.14

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.

Find 15950 in your payment locality →

Pressure ulcer surgery

About 15950: Trochanteric pressure ulcer excision with primary closure

Excision of a pressure ulcer over the trochanter with direct suture closure, reported when the surgeon closes the excision site without a flap.

The surgeon removes a pressure ulcer over the trochanter, the bony prominence at the upper thigh, and closes the resulting wound by bringing the edges together with sutures. This approach is used when the site can be closed directly; it is distinct from closure using a skin or muscle flap. Surgeons performing this work may include plastic, reconstructive, or general surgeons, typically in an operating-room setting for a patient with a longstanding pressure wound.

Report 15950 when the operative documentation supports trochanteric location, ulcer excision, and direct suture closure. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. 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 15950

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 RVU7.83 · 44%
  • Practice expense (office) RVU8.34 · 47%
  • Malpractice RVU1.45 · 8%

39

Medicare services in 2024 · #5512 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.

15950 compared with similar codes

Office rates for New Mexico, from the same CMS release.

15951

Pressure ulcer excision

Trochanteric, with ostectomy

No office rate

Both concern a trochanteric pressure ulcer, but 15951 is the ostectomy variant. Use 15950 when the documented service is excision with direct suture closure without that bony work.

15952

Pressure ulcer excision

Trochanteric site, flap closure

No office rate

15952 applies when closure uses a flap. 15950 describes direct approximation and suture closure of the excision site.

15920

Pressure ulcer excision

Coccygeal, direct closure

No office rate

The closure method is similar, but 15920 is for a coccygeal pressure ulcer; 15950 is for a trochanteric ulcer.

Compare 15950 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 15950 in New Mexico.

PPRRVU2026_Oct_nonQPP.csv

1,606

Code
15950
Physician work
7.83
Practice expense
8.34
Malpractice
1.45

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 15950 in New Mexico
ComponentRVULocality factorAdjusted
Physician work7.83× 1.0007.8300
Practice expense8.34× 0.9177.6478
Malpractice1.45× 1.2011.7414
Total RVUs17.2192
Conversion factor× 33.4009

Facility rate, New Mexico$575.14

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
Work7.831
Practice expense8.340.917
Malpractice1.451.201

(7.83 × 1 + 8.34 × 0.917 + 1.45 × 1.201) × $33.4009 = $575.14

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.

15950 billing questions

When is 15950 appropriate instead of a trochanteric flap code?

Use 15950 when the surgeon excises the trochanteric pressure ulcer and closes the site directly with sutures. A flap-closure code is used when the operative report documents flap reconstruction.

Can the primary suture closure be billed separately?

The direct closure is part of the service represented by 15950. The code describes ulcer excision with primary suture closure, rather than excision alone.

What documentation supports 15950?

The operative report should identify the ulcer as trochanteric, document its excision, and describe direct closure with sutures. It should distinguish direct closure from flap reconstruction.

Should modifier 50 be reported for ulcers on both sides?

No. The CMS bilateral adjustment does not apply to 15950, and modifier 50 is inappropriate for this code.

How does the 90-day global period affect follow-up care?

The global period includes the day-before preoperative visit and 90 days of related postoperative care. Related routine postoperative care during that period is included in the surgical package.

Can an assistant surgeon or co-surgeon be paid for 15950?

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 15950PPRRVU2026_Oct_nonQPP.csv, line 1,606 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet