$92.05
16000 describes initial treatment of first-degree burns. Use 16020 for dressing and/or debridement of partial-thickness burns involving less than 5% of total body surface area.
On this page
CMS RVU26D · Effective 2026-10-01
16020 Burn wound care Medicare reimbursement rates in Rhode Island
Report 16020 for dressing and/or debridement of partial-thickness burns involving less than 5% of total body surface area. Compare 16020 office and facility rates across CMS payment localities in Rhode Island.
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 16020 in Rhode Island?
Rhode Island 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
$95.03
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$55.35
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 16020: Small partial-thickness burn dressing or debridement
Report 16020 for dressing and/or debridement of partial-thickness burns involving less than 5% of total body surface area.
CPT 16020 covers dressing and/or debridement for partial-thickness burns when the total area treated is small: less than 5% of total body surface area. The code may describe initial or subsequent burn care. Clinicians may perform this wound care in an office, emergency department, or hospital setting. The treated burn area—not the number of separate burn sites—determines whether this small-burn level fits.
Document burn depth, the estimated total body surface area involved, and the dressing or debridement performed. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 16020
- 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 RVU0.69 · 25%
- Practice expense (office) RVU1.97 · 71%
- Malpractice RVU0.12 · 4%
10.8K
Medicare services in 2024 · #1434 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.
16020 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$169.07
16025 is the medium-area level for partial-thickness burn dressing and/or debridement; 16020 is for less than 5% of total body surface area.
$217.85
16030 is the large-area level for partial-thickness burn dressing and/or debridement, not the small-area service reported with 16020.
No office rate
16035 describes an escharotomy incision to relieve constriction, not routine dressing or debridement of a small partial-thickness burn.
Compare 16020 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
Rhode Island →
Office / nonfacility
$95.03
Facility
$55.35
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 16020 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,614
- Code
- 16020
- Physician work
- 0.69
- Practice expense
- 1.97
- Malpractice
- 0.12
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.69 | × 1.019 | 0.7031 |
| Practice expense | 1.97 | × 1.033 | 2.0350 |
| Malpractice | 0.12 | × 0.892 | 0.1070 |
| Total RVUs | 2.8452 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$95.03
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1.019 |
| Practice expense | 1.97 | 1.033 |
| Malpractice | 0.12 | 0.892 |
(0.69 × 1.019 + 1.97 × 1.033 + 0.12 × 0.892) × $33.4009 = $95.03
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.69 | 1.019 |
| Practice expense | 0.82 | 1.033 |
| Malpractice | 0.12 | 0.892 |
(0.69 × 1.019 + 0.82 × 1.033 + 0.12 × 0.892) × $33.4009 = $55.35
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.
16020 billing questions
How is 16020 distinguished from 16025 or 16030?
Use 16020 when partial-thickness burns involve less than 5% of total body surface area. Codes 16025 and 16030 represent larger burn-area levels.
Is 16020 limited to the first burn-care visit?
No. It covers dressing and/or debridement for small partial-thickness burns during initial or subsequent care.
Is the code counted per burn site?
Select the level using the total body surface area involved, rather than counting each separate burn site as a unit.
Should modifier 50 be appended for burns on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What documentation supports reporting 16020?
Record the partial-thickness depth, estimated total body surface area involved, and the dressing and/or debridement performed.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 0-day global period.
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.
1,61115958,,Exc trchntr pr ulc prep ostc,A,,16.33,12.90,NA,12.90,,3.22,32.45,32.45,0,090,0.10,0.71,0.19,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,61215999,,Unlisted px exc pressure ulc,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537