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

In Connecticut, Medicare pays $62.77 for 11000 in the office and $25.36 when it’s performed in a hospital or facility.

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.

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 Connecticut 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. Connecticut pays $62.77. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11000 rates by state

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

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.

Payment rules and modifiers for 11000

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

What modifiers do to the payment

When to use modifier 51

Codes related to 11000

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 11000 has changed in Connecticut

Price 11000 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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

Open CMS sourceHow we calculate rates