CPT code 11000: Skin debridement, up to 10% body surface2026 Medicare rate & RVUs in Los Angeles, CA

Reports debridement of extensive eczematous or infected skin when the treated area involves up to 10% of the patient's body surface.

CMS RVU26DEffective Oct 1, 2026One payment locality49.3K Medicare services in 2024

In Los Angeles, CA, Medicare pays $66.27 for 11000 in the office and $25.18 when it’s performed in a hospital or facility.

$66.27Office (non-facility)
$25.18Hospital or facility
+12.1%vs the national office rate ($59.12)

Check a contract rate as a % of Medicare · 11000 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11000 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 11000 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11000 covers

This service involves actively removing extensive eczematous or infected skin, such as adherent crusted or diseased surface material, rather than simply cleansing or applying medication. Dermatologists, surgeons, and other clinicians performing skin procedures may provide it in an office, hospital, or other treatment setting. The indication and extent of the skin involvement distinguish this service from wound debridement selected by depth of tissue removed or treatment of a small benign callus.

Report 11000 for the initial area involving up to 10% of body surface; 11001 is an add-on for each additional 10%. Document the skin condition, the debridement performed, and the percentage of body surface treated so the initial and additional portions are supported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Los Angeles, CA compares for 11000

Across 109 of 109 payment localities, the office rate for 11000 runs from $52.99 in Arkansas to $77.19 in San Benito County, CA. Los Angeles, CA pays $66.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

11000 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$66.27
  2. Bakersfield, CA · California$62.46−$3.81
  3. Chico, CA · California$62.30−$3.97
  4. El Centro, CA · California$62.31−$3.96
  5. Fresno, CA · California$62.30−$3.97
  6. Hanford, CA · California$62.30−$3.97
  7. Madera, CA · California$62.30−$3.97

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

11000 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$62.30$24.23
Modesto, CACalifornia$62.30$24.23
Napa, CACalifornia$71.54$25.76
Oxnard, CACalifornia$65.91$24.85
Redding, CACalifornia$62.30$24.23
Rest of CaliforniaCalifornia$62.30$24.23
Riverside, CACalifornia$62.85$24.78
Sacramento, CACalifornia$65.21$24.81

11000 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$52.99

$70.68

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11000 office rate range by state
State / territoryOffice rate rangeLocalities
AK$70.681
AL$53.681
AR$52.991
AZ$57.711
CA$62.30–$77.1929
CO$61.411
CT$62.771
DC$67.091
DE$58.601
FL$58.30–$63.223
GA$55.36–$60.122
GU$63.591
HI$63.591
IA$54.901
ID$55.221
IL$56.78–$61.614
IN$55.511
KS$54.671
KY$54.791
LA$54.71–$57.122
MA$61.10–$67.072
MD$59.63–$67.093
ME$55.47–$58.162
MI$56.05–$58.942
MN$59.041
MO$53.87–$57.313
MS$53.441
MT$59.121
NC$55.991
ND$58.131
NE$55.171
NH$60.461
NJ$63.54–$66.512
NM$56.321
NV$58.881
NY$56.74–$68.955
OH$55.851
OK$54.711
OR$58.47–$63.202
PA$55.93–$61.342
PR$59.511
RI$60.561
SC$56.001
SD$58.011
TN$54.911
TX$55.60–$61.168
UT$56.681
VA$57.99–$67.092
VI$59.511
VT$57.921
WA$60.98–$68.372
WI$56.381
WV$54.901
WY$58.691

See 11000 in every payment locality

How the 11000 rate is calculated

Each of 11000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11000

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense1.13

1.13 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

1.7700

Conversion factor

$33.4009

Medicare rate

$59.12

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,240

Code
11000
Physician work
0.59
Practice expense
1.13
Malpractice
0.05

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 11000 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0410.6142
Practice expense1.13× 1.1831.3368
Malpractice0.05× 0.6640.0332
Total RVUs1.9842
Conversion factor× 33.4009

Office rate, Los Angeles, CA$66.27

Office: (0.59 × 1.041 + 1.13 × 1.183 + 0.05 × 0.664) × $33.4009 = $66.27

Facility: (0.59 × 1.041 + 0.09 × 1.183 + 0.05 × 0.664) × $33.4009 = $25.18

Open 11000 in the RVU calculator

Payment rules and modifiers for 11000

The CMS indicators that decide how 11000 is paid alongside other services.

CMS payment indicators · 11000

Skin debridement, up to 10% body surface

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11000 without 51 · national office

$59.12

Skin debridement, up to 10% body surface

11000-51 · Second procedure: 50%

$29.56

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 11000 has changed in Los Angeles, CA

11000 · Office / nonfacility

$66.27

Effective 2026-10-01

The base rate is $1.90 higher than on 2025-10-01, moving from $64.37 to $66.27 (3.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $64.37changed to$66.27

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 1.12 changed to 1.13
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $66.87changed to$64.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.13 changed to 1.12
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $65.78changed to$66.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $66.00changed to$65.78

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.09 changed to 1.13
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690
  5. January 1, 2023

    RVU23A

    $66.99changed to$66.00

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.08 changed to 1.09
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $65.90changed to$66.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.04 changed to 1.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $64.56changed to$65.90

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.95 changed to 1.04
    • Malpractice RVU 0.06 changed to 0.05
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $62.89changed to$64.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.92 changed to 0.95
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $62.40changed to$62.89

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.91 changed to 0.92

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $61.32changed to$62.40

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.89 changed to 0.91
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $61.11changed to$61.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $61.33changed to$61.11

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $61.03changed to$61.33

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $60.29changed to$61.03

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.88 changed to 0.89
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $60.33changed to$60.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.97 changed to 0.88
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$60.33

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$66.27$25.18RVU26D
2026-07-01$66.27$25.18RVU26C
2026-04-01$66.27$25.18RVU26B
2026-01-01$66.27$25.18RVU26A
2025-10-01$64.37$27.30RVU25D
2025-07-01$64.37$27.30RVU25C
2025-04-01$64.37$27.30RVU25B
2025-01-01$64.37$27.30RVU25A
2024-10-01$66.87$28.72RVU24D
2024-07-01$66.87$28.72RVU24C
2024-04-01$66.87$28.72RVU24B
2024-03-09$66.87$28.72RVU24AR
2024-01-01$65.78$28.25RVU24A
2023-10-01$66.00$28.65RVU23D
2023-07-01$66.00$28.65RVU23C
2023-04-01$66.00$28.65RVU23B
2023-01-01$66.00$28.65RVU23A
2022-10-01$66.99$29.58RVU22D
2022-07-01$66.99$29.58RVU22C
2022-04-01$66.99$29.58RVU22B
2022-01-01$66.99$29.58RVU22A
2021-10-01$65.90$29.82RVU21D
2021-07-01$65.90$29.82RVU21C
2021-04-01$65.90$29.82RVU21B
2021-01-01$65.90$29.82RVU21A
2020-10-01$64.56$31.03RVU20D
2020-07-01$64.56$31.03RVU20C
2020-04-01$64.56$31.03RVU20B
2020-01-01$64.56$31.03RVU20A
2019-10-01$62.89$31.08RVU19D
2019-07-01$62.89$31.08RVU19C
2019-04-01$62.89$31.08RVU19B
2019-01-01$62.89$31.08RVU19A
2018-10-01$62.40$31.05RVU18D
2018-07-01$62.40$31.05RVU18C
2018-04-01$62.40$31.05RVU18B
2018-01-01$62.40$31.05RVU18AR1
2017-10-01$61.32$31.11RVU17D
2017-07-01$61.32$31.11RVU17C
2017-04-01$61.32$31.11RVU17B
2017-01-01$61.32$31.11RVU17A
2016-10-01$61.11$31.18RVU16D
2016-07-01$61.11$31.18RVU16C
2016-04-01$61.11$31.18RVU16B
2016-01-01$61.11$31.18RVU16A
2015-10-01$61.33$31.30RVU15D
2015-07-01$61.33$31.30RVU15C
2015-04-01$61.03$31.14RVU15B
2015-01-01$61.03$31.14RVU15A
2014-10-01$60.29$30.84RVU14D
2014-07-01$60.29$30.84RVU14C
2014-04-01$60.29$30.84RVU14B
2014-01-01$60.29$30.84RVU14A
2013-10-01$60.33$29.31RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11000 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

11000 billing questions

When is 11001 reported with 11000?

Use 11000 for the initial area involving up to 10% of body surface. Report 11001 for each additional 10% treated.

How does 11000 differ from wound debridement codes such as 11042?

11000 describes extensive debridement of eczematous or infected skin measured by percentage of body surface. Wound debridement codes such as 11042 are selected by the deepest tissue removed and the treated area.

What documentation supports reporting 11000?

Document the eczematous or infected skin condition, the debridement performed, and the percentage of body surface treated. The documented extent supports whether 11000 alone or an additional 11001 is appropriate.

Can modifier 50 be appended when both sides are treated?

No. The descriptor and anatomy make bilateral adjustment inappropriate for 11000.

Can same-day evaluation or postoperative care be billed separately?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11000PPRRVU2026_Oct_nonQPP.csv, line 1,240 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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