CPT code 11000: Skin debridement, up to 10% body surface2026 Medicare rate & RVUs in North Carolina
Reports debridement of extensive eczematous or infected skin when the treated area involves up to 10% of the patient's body surface.
In North Carolina, Medicare pays $55.99 for 11000 in the office and $23.58 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.
On this page 11 sections
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 North Carolina 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. North Carolina pays $55.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$55.99
- Los Angeles, CA · California$66.27+$10.28
- Washington, DC area · District of Columbia$67.09+$11.10
- Miami, FL · Florida$63.22+$7.23
- Chicago, IL · Illinois$61.61+$5.62
- Manhattan, NY · New York$67.47+$11.48
- Alaska · Alaska$70.68+$14.69
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $53.68 | $23.28 |
| ArkansasArkansas | $52.99 | $23.15 |
| ArizonaArizona | $57.71 | $24.05 |
| Bakersfield, CACalifornia | $62.46 | $24.39 |
| Chico, CACalifornia | $62.30 | $24.23 |
| El Centro, CACalifornia | $62.31 | $24.24 |
| Fresno, CACalifornia | $62.30 | $24.23 |
| Hanford, CACalifornia | $62.30 | $24.23 |
| Madera, CACalifornia | $62.30 | $24.23 |
| 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 |
| Salinas, CACalifornia | $64.96 | $24.70 |
| San Diego, CACalifornia | $66.34 | $24.80 |
| Marin County, CACalifornia | $75.56 | $26.58 |
| San Francisco, CACalifornia | $75.51 | $26.53 |
| San Benito County, CACalifornia | $77.19 | $27.10 |
| Santa Clara County, CACalifornia | $76.96 | $26.87 |
| San Luis Obispo, CACalifornia | $63.93 | $24.36 |
| Santa Cruz, CACalifornia | $66.87 | $24.67 |
| Santa Maria, CACalifornia | $65.16 | $24.66 |
| Santa Rosa, CACalifornia | $67.54 | $24.88 |
| Stockton, CACalifornia | $62.30 | $24.23 |
| Vallejo, CACalifornia | $71.46 | $25.68 |
| Visalia, CACalifornia | $62.30 | $24.23 |
| Yuba City, CACalifornia | $62.30 | $24.23 |
| ColoradoColorado | $61.41 | $24.45 |
| ConnecticutConnecticut | $62.77 | $25.36 |
| DelawareDelaware | $58.60 | $24.28 |
| Fort Lauderdale, FLFlorida | $60.96 | $25.77 |
| Rest of FloridaFlorida | $58.30 | $25.09 |
| Atlanta, GAGeorgia | $60.12 | $24.83 |
| Rest of GeorgiaGeorgia | $55.36 | $24.38 |
| Hawaii, Guam, HIHawaii | $63.59 | $24.09 |
| IowaIowa | $54.90 | $23.12 |
| IdahoIdaho | $55.22 | $23.26 |
| East St. Louis, ILIllinois | $57.79 | $25.84 |
| Rest of IllinoisIllinois | $56.78 | $25.06 |
| Suburban Chicago, ILIllinois | $61.57 | $25.89 |
| IndianaIndiana | $55.51 | $23.30 |
| KansasKansas | $54.67 | $23.27 |
| KentuckyKentucky | $54.79 | $23.91 |
| New Orleans, LALouisiana | $57.12 | $24.43 |
| Rest of LouisianaLouisiana | $54.71 | $23.97 |
| Metropolitan Boston, MAMassachusetts | $67.07 | $25.59 |
| Rest of MassachusettsMassachusetts | $61.10 | $24.52 |
| Baltimore area, MDMaryland | $62.59 | $25.31 |
| Rest of MarylandMaryland | $59.63 | $24.48 |
| Rest of MaineMaine | $55.47 | $23.51 |
| Southern Maine, MEMaine | $58.16 | $23.74 |
| Detroit, MIMichigan | $58.94 | $25.42 |
| Rest of MichiganMichigan | $56.05 | $24.34 |
| MinnesotaMinnesota | $59.04 | $23.29 |
| Metropolitan Kansas City, MOMissouri | $56.78 | $24.16 |
| Metropolitan St. Louis, MOMissouri | $57.31 | $24.24 |
| Rest of MissouriMissouri | $53.87 | $23.92 |
| MississippiMississippi | $53.44 | $23.53 |
| MontanaMontana | $59.12 | $24.38 |
| North DakotaNorth Dakota | $58.13 | $23.39 |
| NebraskaNebraska | $55.17 | $23.11 |
| New HampshireNew Hampshire | $60.46 | $24.30 |
| Northern New JerseyNew Jersey | $66.51 | $26.22 |
| Rest of New JerseyNew Jersey | $63.54 | $25.61 |
| New MexicoNew Mexico | $56.32 | $24.47 |
| NevadaNevada | $58.88 | $24.11 |
| NYC suburbs and Long Island, NYNew York | $68.95 | $27.64 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $63.94 | $25.91 |
| Queens, NYNew York | $67.99 | $26.93 |
| Rest of New YorkNew York | $56.74 | $23.74 |
| OhioOhio | $55.85 | $24.13 |
| OklahomaOklahoma | $54.71 | $23.69 |
| Portland, OROregon | $63.20 | $24.60 |
| Rest of OregonOregon | $58.47 | $23.87 |
| Metropolitan Philadelphia, PAPennsylvania | $61.34 | $25.18 |
| Rest of PennsylvaniaPennsylvania | $55.93 | $24.04 |
| Puerto RicoPuerto Rico | $59.51 | $24.39 |
| Rhode IslandRhode Island | $60.56 | $24.68 |
| South CarolinaSouth Carolina | $56.00 | $23.90 |
| South DakotaSouth Dakota | $58.01 | $23.27 |
| TennesseeTennessee | $54.91 | $23.34 |
| Austin, TXTexas | $61.16 | $24.41 |
| Beaumont, TXTexas | $55.60 | $23.99 |
| Brazoria, TXTexas | $58.57 | $24.15 |
| Dallas, TXTexas | $58.91 | $24.31 |
| Fort Worth, TXTexas | $58.55 | $24.30 |
| Galveston, TXTexas | $58.73 | $24.23 |
| Houston, TXTexas | $59.64 | $25.15 |
| Rest of TexasTexas | $57.03 | $24.07 |
| UtahUtah | $56.68 | $24.03 |
| VirginiaVirginia | $57.99 | $23.84 |
| Virgin Islands, VIUnited States Virgin Islands | $59.51 | $24.39 |
| VermontVermont | $57.92 | $23.53 |
| Rest of WashingtonWashington | $60.98 | $24.40 |
| King County, WAWashington | $68.37 | $25.74 |
| WisconsinWisconsin | $56.38 | $23.10 |
| West VirginiaWest Virginia | $54.90 | $24.71 |
| WyomingWyoming | $58.69 | $23.95 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $70.68 | 1 |
| AL | $53.68 | 1 |
| AR | $52.99 | 1 |
| AZ | $57.71 | 1 |
| CA | $62.30–$77.19 | 29 |
| CO | $61.41 | 1 |
| CT | $62.77 | 1 |
| DC | $67.09 | 1 |
| DE | $58.60 | 1 |
| FL | $58.30–$63.22 | 3 |
| GA | $55.36–$60.12 | 2 |
| GU | $63.59 | 1 |
| HI | $63.59 | 1 |
| IA | $54.90 | 1 |
| ID | $55.22 | 1 |
| IL | $56.78–$61.61 | 4 |
| IN | $55.51 | 1 |
| KS | $54.67 | 1 |
| KY | $54.79 | 1 |
| LA | $54.71–$57.12 | 2 |
| MA | $61.10–$67.07 | 2 |
| MD | $59.63–$67.09 | 3 |
| ME | $55.47–$58.16 | 2 |
| MI | $56.05–$58.94 | 2 |
| MN | $59.04 | 1 |
| MO | $53.87–$57.31 | 3 |
| MS | $53.44 | 1 |
| MT | $59.12 | 1 |
| NC | $55.99 | 1 |
| ND | $58.13 | 1 |
| NE | $55.17 | 1 |
| NH | $60.46 | 1 |
| NJ | $63.54–$66.51 | 2 |
| NM | $56.32 | 1 |
| NV | $58.88 | 1 |
| NY | $56.74–$68.95 | 5 |
| OH | $55.85 | 1 |
| OK | $54.71 | 1 |
| OR | $58.47–$63.20 | 2 |
| PA | $55.93–$61.34 | 2 |
| PR | $59.51 | 1 |
| RI | $60.56 | 1 |
| SC | $56.00 | 1 |
| SD | $58.01 | 1 |
| TN | $54.91 | 1 |
| TX | $55.60–$61.16 | 8 |
| UT | $56.68 | 1 |
| VA | $57.99–$67.09 | 2 |
| VI | $59.51 | 1 |
| VT | $57.92 | 1 |
| WA | $60.98–$68.37 | 2 |
| WI | $56.38 | 1 |
| WV | $54.90 | 1 |
| WY | $58.69 | 1 |
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
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 North Carolina 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
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 1.13 | × 0.933 | 1.0543 |
| Malpractice | 0.05 | × 0.639 | 0.0319 |
| Total RVUs | 1.6762 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$55.99
Office: (0.59 × 1 + 1.13 × 0.933 + 0.05 × 0.639) × $33.4009 = $55.99
Facility: (0.59 × 1 + 0.09 × 0.933 + 0.05 × 0.639) × $33.4009 = $23.58
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
How 11000 has changed in North Carolina
11000 · Office / nonfacility
$55.99
Effective 2026-10-01
The base rate is $2.17 higher than on 2025-10-01, moving from $53.82 to $55.99 (4.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$53.82changed to$55.99
- 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
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$55.91changed to$53.82
- 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.
March 9, 2024
RVU24AR
$55.00changed to$55.91
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$55.58changed to$55.00
- 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
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$56.86changed to$55.58
- 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
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$56.04changed to$56.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.04 changed to 1.08
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$55.18changed to$56.04
- 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
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$53.74changed to$55.18
- 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
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$53.35changed to$53.74
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.91 changed to 0.92
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$52.58changed to$53.35
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.89 changed to 0.91
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$52.49changed to$52.58
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$52.68changed to$52.49
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$52.42changed to$52.68
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$52.09changed to$52.42
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.88 changed to 0.89
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$52.19changed to$52.09
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.97 changed to 0.88
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $52.19
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $55.99 | $23.58 | RVU26D |
| 2026-07-01 | $55.99 | $23.58 | RVU26C |
| 2026-04-01 | $55.99 | $23.58 | RVU26B |
| 2026-01-01 | $55.99 | $23.58 | RVU26A |
| 2025-10-01 | $53.82 | $25.06 | RVU25D |
| 2025-07-01 | $53.82 | $25.06 | RVU25C |
| 2025-04-01 | $53.82 | $25.06 | RVU25B |
| 2025-01-01 | $53.82 | $25.06 | RVU25A |
| 2024-10-01 | $55.91 | $26.32 | RVU24D |
| 2024-07-01 | $55.91 | $26.32 | RVU24C |
| 2024-04-01 | $55.91 | $26.32 | RVU24B |
| 2024-03-09 | $55.91 | $26.32 | RVU24AR |
| 2024-01-01 | $55.00 | $25.89 | RVU24A |
| 2023-10-01 | $55.58 | $26.36 | RVU23D |
| 2023-07-01 | $55.58 | $26.36 | RVU23C |
| 2023-04-01 | $55.58 | $26.36 | RVU23B |
| 2023-01-01 | $55.58 | $26.36 | RVU23A |
| 2022-10-01 | $56.86 | $27.32 | RVU22D |
| 2022-07-01 | $56.86 | $27.32 | RVU22C |
| 2022-04-01 | $56.86 | $27.32 | RVU22B |
| 2022-01-01 | $56.86 | $27.32 | RVU22A |
| 2021-10-01 | $56.04 | $27.55 | RVU21D |
| 2021-07-01 | $56.04 | $27.55 | RVU21C |
| 2021-04-01 | $56.04 | $27.55 | RVU21B |
| 2021-01-01 | $56.04 | $27.55 | RVU21A |
| 2020-10-01 | $55.18 | $28.66 | RVU20D |
| 2020-07-01 | $55.18 | $28.66 | RVU20C |
| 2020-04-01 | $55.18 | $28.66 | RVU20B |
| 2020-01-01 | $55.18 | $28.66 | RVU20A |
| 2019-10-01 | $53.74 | $28.58 | RVU19D |
| 2019-07-01 | $53.74 | $28.58 | RVU19C |
| 2019-04-01 | $53.74 | $28.58 | RVU19B |
| 2019-01-01 | $53.74 | $28.58 | RVU19A |
| 2018-10-01 | $53.35 | $28.55 | RVU18D |
| 2018-07-01 | $53.35 | $28.55 | RVU18C |
| 2018-04-01 | $53.35 | $28.55 | RVU18B |
| 2018-01-01 | $53.35 | $28.55 | RVU18AR1 |
| 2017-10-01 | $52.58 | $28.53 | RVU17D |
| 2017-07-01 | $52.58 | $28.53 | RVU17C |
| 2017-04-01 | $52.58 | $28.53 | RVU17B |
| 2017-01-01 | $52.58 | $28.53 | RVU17A |
| 2016-10-01 | $52.49 | $28.52 | RVU16D |
| 2016-07-01 | $52.49 | $28.52 | RVU16C |
| 2016-04-01 | $52.49 | $28.52 | RVU16B |
| 2016-01-01 | $52.49 | $28.52 | RVU16A |
| 2015-10-01 | $52.68 | $28.62 | RVU15D |
| 2015-07-01 | $52.68 | $28.62 | RVU15C |
| 2015-04-01 | $52.42 | $28.48 | RVU15B |
| 2015-01-01 | $52.42 | $28.48 | RVU15A |
| 2014-10-01 | $52.09 | $28.46 | RVU14D |
| 2014-07-01 | $52.09 | $28.46 | RVU14C |
| 2014-04-01 | $52.09 | $28.46 | RVU14B |
| 2014-01-01 | $52.09 | $28.46 | RVU14A |
| 2013-10-01 | $52.19 | $27.27 | RVU13D |
| 2013-07-01 | $52.19 | $27.27 | RVU13C |
| 2013-04-01 | $52.19 | $27.27 | RVU13B |
| 2013-01-01 | $52.19 | $27.27 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
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