# CPT 16000: Initial Tx 1st Degree Burn Local Tx

Medicare CPT 16000 pays $90.18 in a non-facility setting and $42.09 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $79.84 in Arkansas to $106.11 in Alaska, a 33% spread.

Web page: https://www.med-reveal.com/rates/16000-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $90.18 |
| National facility | $42.09 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $106.11 | $54.89 |
| District of Columbia | $102.31 | $45.65 |
| New York | $99.85 | $46.19 |
| California | $99.22 | $42.30 |
| New Jersey | $99.16 | $45.01 |
| Washington | $97.90 | $43.07 |
| Massachusetts | $97.16 | $43.12 |
| Connecticut | $96.14 | $44.34 |
| Hawaii | $95.76 | $41.07 |
| Florida | $95.11 | $46.85 |
| Maryland | $93.34 | $43.19 |
| Colorado | $93.03 | $41.85 |
| Illinois | $92.95 | $46.48 |
| Rhode Island | $92.05 | $42.36 |
| Oregon | $92.03 | $41.36 |
| New Hampshire | $91.86 | $41.79 |
| Puerto Rico | $90.72 | $42.10 |
| Virgin Islands | $90.72 | $42.10 |
| Montana | $90.17 | $42.08 |
| Pennsylvania | $89.64 | $42.53 |
| Nevada | $89.40 | $41.26 |
| Delaware | $89.15 | $41.63 |
| Texas | $89.12 | $41.77 |
| Wyoming | $88.88 | $40.78 |
| Michigan | $88.81 | $43.64 |
| Georgia | $88.63 | $42.75 |
| Minnesota | $88.28 | $38.79 |
| Virginia | $87.76 | $40.48 |
| Arizona | $87.72 | $41.12 |
| North Dakota | $87.21 | $39.11 |
| Vermont | $87.15 | $39.53 |
| South Dakota | $86.86 | $38.76 |
| New Mexico | $86.53 | $42.43 |
| Utah | $86.30 | $41.09 |
| Maine | $85.82 | $39.85 |
| Louisiana | $85.54 | $41.62 |
| Missouri | $85.48 | $41.35 |
| Ohio | $85.34 | $41.43 |
| South Carolina | $85.17 | $40.72 |
| West Virginia | $84.99 | $43.19 |
| North Carolina | $84.61 | $39.74 |
| Wisconsin | $84.36 | $38.28 |
| Kentucky | $83.53 | $40.77 |
| Indiana | $83.51 | $38.92 |
| Oklahoma | $83.06 | $40.11 |
| Idaho | $83.05 | $38.80 |
| Tennessee | $82.76 | $39.04 |
| Nebraska | $82.75 | $38.35 |
| Iowa | $82.39 | $38.38 |
| Kansas | $82.31 | $38.83 |
| Mississippi | $81.08 | $39.66 |
| Alabama | $80.99 | $38.91 |
| Arkansas | $79.84 | $38.52 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 16000 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules