CPT 16030
Global 000 ActiveDress/debrid p-thick burn l
CPT 16030 Billing & Documentation Guide
CPT code 16030 (Dress/debrid p-thick burn l) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.03, a non-facility practice expense RVU of 3.94, and a malpractice RVU of 0.43, a total non-facility RVU of 6.4 and facility RVU of 3.68. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $218.82, though rates vary from $188.24 to $272.73 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 16030, 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 16030 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 16030 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 16030
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.03 | 2.03 |
| Practice Expense RVU | 3.94 | 1.22 |
| Malpractice RVU | 0.43 | 0.43 |
| Total RVU | 6.4 | 3.68 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 16030
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 | $233.74 | $126.24 | $220.89 - $272.73 | 29 |
| Florida | $227.8 | $136.65 | $215.2 - $241.12 | 3 |
| Georgia | $210.64 | $123.97 | $202.31 - $218.96 | 2 |
| Illinois | $222.65 | $134.86 | $210.4 - $233.5 | 4 |
| Michigan | $211.59 | $126.28 | $204.17 - $219.01 | 2 |
| North Carolina | $199.76 | $115 | $199.76 - $199.76 | 1 |
| New York | $237.36 | $136 | $202.92 - $255.29 | 5 |
| Ohio | $202.43 | $119.49 | $202.43 - $202.43 | 1 |
| Pennsylvania | $212.67 | $123.68 | $202.18 - $223.15 | 2 |
| Texas | $211.08 | $121.63 | $200.9 - $219.9 | 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 16030
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 16030 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01951 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01952 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 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 | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 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 |
Frequently Asked Questions, CPT 16030
What does CPT code 16030 mean? +
CPT code 16030 represents: Dress/debrid p-thick burn l. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 16030? +
The 2026 Medicare national average non-facility payment for CPT 16030 is $218.82. Rates range from $188.24 to $272.73 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 16030? +
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 16030? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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