CPT 97597 Physical Therapy/Rehab

How Much Does Dbrdmt Opn Wound Initial 20 Cm/< Cost?

Also known as: Dbrdmt opn wnd 1st 20 cm/< (CPT 97597)

Wound care management performed in the office by a physician.

Dbrdmt Opn Wound Initial 20 Cm/< (CPT 97597) costs $31 at Medicare rates.

Medicare (Facility)
$31
CMS PFS 2026 national rate
Medicare Physician Fee (Office/Clinic)
$102
Non-facility setting

Patient Guide: Dbrdmt Opn Wound Initial 20 Cm/<

What you need to know before your appointment

What to Expect

The doctor evaluates, cleans, debrids if needed, and redresses your wound.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Chronic wound follow-up, post-surgical wound check, diabetic foot wound, pressure ulcer management

How to Prepare

Bring wound care supplies if you use them at home. Report any signs of infection.

Procedures Commonly Done Together

These procedures are frequently performed alongside Dbrdmt opn wnd 1st 20 cm/<

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How to Reduce Your Cost for Dbrdmt opn wnd 1st 20 cm/<

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($102) differs from the facility rate ($31). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.75
Work RVU
0.13
Practice Expense RVU
0.05
Malpractice RVU
3.04
Total RVU

Payment = Total RVU (3.04) x CF ($33.40) = $102

Frequently Asked Questions

How much does Dbrdmt opn wnd 1st 20 cm/< cost?

The Medicare facility rate for Dbrdmt opn wnd 1st 20 cm/< is $31. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Dbrdmt opn wnd 1st 20 cm/< cost without insurance?

Without insurance, the cost of Dbrdmt opn wnd 1st 20 cm/< can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Dbrdmt opn wnd 1st 20 cm/<?

Most commercial health insurance plans and Medicare cover Dbrdmt opn wnd 1st 20 cm/< when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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