$91.81
Use 16020 for the small-area level of partial-thickness burn dressing or debridement; 16025 represents 5% to 10% of total body surface area.
On this page
CMS RVU26D · Effective 2026-10-01
16025 Burn care Medicare reimbursement rates in Wyoming
Report this service for dressing and/or debridement of partial-thickness burns when the treated burn area is medium, spanning 5% to 10% of body surface. Compare 16025 office and facility rates across CMS payment localities in Wyoming.
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 16025 in Wyoming?
Wyoming 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
$163.32
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$99.53
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 16025: Medium partial-thickness burn dressing and debridement
Report this service for dressing and/or debridement of partial-thickness burns when the treated burn area is medium, spanning 5% to 10% of body surface.
This service covers dressing, debridement, or both for partial-thickness burns involving a medium area: 5% to 10% of total body surface area. Partial-thickness burns extend beyond the outer skin layer into the dermis. Physicians and other qualified clinicians may provide the care in an emergency department, burn clinic, office, or hospital, for initial or subsequent treatment. The code is selected by the burn area treated, not by the number of separate burn sites.
Document burn depth and the total body surface area involved in the treatment, along with the dressing or debridement performed. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 16025
- 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 RVU1.70 · 34%
- Practice expense (office) RVU2.99 · 60%
- Malpractice RVU0.27 · 5%
1.6K
Medicare services in 2024 · #2644 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.
16025 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$210.03
Use 16030 for the large-area level. Choose 16025 when the treated partial-thickness burn area is 5% to 10% of total body surface area.
$88.88
16000 describes initial burn treatment without the dressing or debridement service represented by 16025. Select 16025 for dressing and/or debridement of a medium-area partial-thickness burn.
No office rate
16035 is for an escharotomy incision, a release procedure for constricting burn eschar; it is not a substitute for dressing or debridement under 16025.
Compare 16025 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
Wyoming** →
Office / nonfacility
$163.32
Facility
$99.53
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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 16025 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,615
- Code
- 16025
- Physician work
- 1.70
- Practice expense
- 2.99
- Malpractice
- 0.27
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.70 | × 1.000 | 1.7000 |
| Practice expense | 2.99 | × 1.000 | 2.9900 |
| Malpractice | 0.27 | × 0.740 | 0.1998 |
| Total RVUs | 4.8898 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$163.32
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.7 | 1 |
| Practice expense | 2.99 | 1 |
| Malpractice | 0.27 | 0.74 |
(1.7 × 1 + 2.99 × 1 + 0.27 × 0.74) × $33.4009 = $163.32
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.7 | 1 |
| Practice expense | 1.08 | 1 |
| Malpractice | 0.27 | 0.74 |
(1.7 × 1 + 1.08 × 1 + 0.27 × 0.74) × $33.4009 = $99.53
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.
16025 billing questions
How does 16025 differ from 16020 and 16030?
Choose by the total body surface area involved: 16025 is for 5% to 10%. Code 16020 is the small-area level, and 16030 is the large-area level.
Is 16025 selected by burn depth or burn size?
Both matter: the burn must be partial-thickness, and the area treated must fall within the medium range of 5% to 10% of total body surface area.
Can 16025 be reported for initial or subsequent treatment?
Yes. The code covers dressing and/or debridement during either initial or subsequent treatment of a qualifying partial-thickness burn.
What documentation supports reporting 16025?
Record the partial-thickness depth, the treated area as a percentage of total body surface area, and the dressing or debridement performed.
Can modifier 50 be used for burns on both sides of the body?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How does Medicare treat 16025 when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction. The 0-day global period includes same-day preoperative and postoperative care.
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.
1,61215999,,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
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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,