CPT 10060
Global 010 ActiveI&d abscess simple/single
CPT 10060 Billing & Documentation Guide
CPT code 10060 (I&d abscess simple/single) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.19, a non-facility practice expense RVU of 2.53, and a malpractice RVU of 0.13, a total non-facility RVU of 3.85 and facility RVU of 3.01. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $132.47, though rates vary from $114.57 to $168.3 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 10060, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 10060 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 10060 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 10060
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.19 | 1.19 |
| Practice Expense RVU | 2.53 | 1.69 |
| Malpractice RVU | 0.13 | 0.13 |
| Total RVU | 3.85 | 3.01 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 10060
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $143.52 | $110.32 | $135.37 - $168.3 | 29 |
| Florida | $132.99 | $104.84 | $127.06 - $138.7 | 3 |
| Georgia | $125.62 | $98.85 | $120.3 - $130.94 | 2 |
| Illinois | $129.84 | $102.73 | $123.69 - $134.92 | 4 |
| Michigan | $125.21 | $98.87 | $121.8 - $128.61 | 2 |
| North Carolina | $121.36 | $95.19 | $121.36 - $121.36 | 1 |
| New York | $141.81 | $110.51 | $123.08 - $150.83 | 5 |
| Ohio | $121.28 | $95.66 | $121.28 - $121.28 | 1 |
| Pennsylvania | $127.52 | $100.04 | $121.43 - $133.61 | 2 |
| Texas | $127.19 | $99.57 | $120.68 - $133.08 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 10060
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 10060 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0228T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0230T | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 10060
What does CPT code 10060 mean? +
CPT code 10060 represents: I&d abscess simple/single. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 10060? +
The 2026 Medicare national average non-facility payment for CPT 10060 is $132.47. Rates range from $114.57 to $168.3 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 10060? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 10060? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team