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10061 I&d abscess comp/multiple

What 10061 is

CMS fee schedule short descriptor: I&d abscess comp/multiple.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 10061 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)2.393.870.336.59$220.11
Facility (hospital, ASC)2.392.470.335.19$173.35

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: 10-day global period.

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Medically Unlikely Edit (MUE)

Medicare caps 10061 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 10061? These codes are bundled into it

10061 is a Column 1 code in 259 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
10060I&d abscess simple/single1 - modifier may bypassCheck pair
11055Paring/cutg b9 hyprker les 11 - modifier may bypassCheck pair
11056Parng/cutg b9 hyprkr les 2-41 - modifier may bypassCheck pair
11057Parng/cutg b9 hyprkr les >41 - modifier may bypassCheck pair
11406Exc tr-ext b9+marg >4.0 cm1 - modifier may bypassCheck pair
11424Exc h-f-nk-sp b9+marg 3.1-41 - modifier may bypassCheck pair
11426Exc h-f-nk-sp b9+marg >4 cm1 - modifier may bypassCheck pair
11440Exc face-mm b9+marg 0.5 cm/<1 - modifier may bypassCheck pair
11444Exc face-mm b9+marg 3.1-4 cm1 - modifier may bypassCheck pair
11446Exc face-mm b9+marg >4 cm1 - modifier may bypassCheck pair
11450Exc skn hdrdnt ax smpl/ntrm1 - modifier may bypassCheck pair
11451Exc skn hdrdnt ax complex1 - modifier may bypassCheck pair
11463Exc skn hdrdnt ing complex1 - modifier may bypassCheck pair
11470Exc skn h/p/p/u smpl/ntrm1 - modifier may bypassCheck pair
11471Exc skn h/p/p/u complex1 - modifier may bypassCheck pair
11604Exc tr-ext mal+marg 3.1-4 cm1 - modifier may bypassCheck pair
11606Exc tr-ext mal+marg >4 cm1 - modifier may bypassCheck pair
11623Exc s/n/h/f/g mal+mrg 2.1-31 - modifier may bypassCheck pair
11624Exc s/n/h/f/g mal+mrg 3.1-41 - modifier may bypassCheck pair
11626Exc s/n/h/f/g mal+mrg >4 cm1 - modifier may bypassCheck pair
11643Exc f/e/e/n/l mal+mrg 2.1-31 - modifier may bypassCheck pair
11644Exc f/e/e/n/l mal+mrg 3.1-41 - modifier may bypassCheck pair
11646Exc f/e/e/n/l mal+mrg >4 cm1 - modifier may bypassCheck pair

Showing 30 of 259 column 2 codes. Use the pair checker for any specific combination.

10061 is bundled into these codes

10061 appears as a Column 2 code in 89 active edits. Reported with one of these Column 1 codes on the same date of service, 10061 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0416TReloc skin pocket pls gen1Check pair
0566TAutol cell implt adps njx1Check pair
10030Img gid flu coll drg sft tis1Check pair
10160Pnxr aspir absc hmtma bulla1Check pair
11000Dbrdmt ecz/infected skin<10%1Check pair
11004Dbrdmt skin xtrnl gent&per1Check pair
11005Dbrdmt skin abdominal wall1Check pair
11006Dbrdmt skin xtrnl gent per1Check pair
11043Dbrdmt musc&/fsca 1st 20/<1Check pair
11044Dbrdmt bone 1st 20 sq cm/<1Check pair
11200Rmvl skin tags up to&inc 151Check pair
11400Exc tr-ext b9+marg 0.5 cm<1Check pair
11401Exc tr-ext b9+marg 0.6-1 cm1Check pair
11402Exc tr-ext b9+marg 1.1-2 cm1Check pair
11403Exc tr-ext b9+marg 2.1-3cm1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.