FeeBase
Log inGet started
Menu

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

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 Utah, Medicare pays $56.68 for 11000 in the office and $24.03 when it’s performed in a hospital or facility.

$56.68Office (non-facility)
$24.03Hospital or facility
−4.1%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 Utah
  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 Utah 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. Utah pays $56.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

11000 in Utah vs other payment areas
  1. Utah · this page$56.68
  2. Los Angeles, CA · California$66.27+$9.59
  3. Washington, DC area · District of Columbia$67.09+$10.41
  4. Miami, FL · Florida$63.22+$6.54
  5. Chicago, IL · Illinois$61.61+$4.93
  6. Manhattan, NY · New York$67.47+$10.79
  7. Alaska · Alaska$70.68+$14.00

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

Every other payment area

11000 in every other Medicare payment locality
Payment localityOfficeFacility
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

11000 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 11000 in Utah
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense1.13× 0.9401.0622
Malpractice0.05× 0.8980.0449
Total RVUs1.6971
Conversion factor× 33.4009

Office rate, Utah$56.68

Office: (0.59 × 1 + 1.13 × 0.94 + 0.05 × 0.898) × $33.4009 = $56.68

Facility: (0.59 × 1 + 0.09 × 0.94 + 0.05 × 0.898) × $33.4009 = $24.03

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

Codes related to 11000

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

Codes related to 11000
CodeHow it relatesOffice range, Utah
Add-on codes
11001Skin debridement, each additional 10% body surfaceAdd-on code for each additional 10% of body surface treated.$25.97
Used instead
11042Wound debridement, subcutaneous tissue, first 20 sq cmWound debridement selected by subcutaneous tissue depth and treated area.$126.43
11043Wound debridement, muscle or fascia, initial areaWound debridement selected when muscle or fascia is the deepest tissue removed.$229.80
11044Wound debridement, bone, first 20 sq cmWound debridement selected when bone is the deepest tissue removed.$308.53

How 11000 has changed in Utah

11000 · Office / nonfacility

$56.68

Effective 2026-10-01

The base rate is $2.27 higher than on 2025-10-01, moving from $54.41 to $56.68 (4.2%).

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

    $54.41changed to$56.68

    • 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 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $56.62changed to$54.41

    • 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

    $55.69changed to$56.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $55.71changed to$55.69

    • 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 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $56.49changed to$55.71

    • 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 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $55.68changed to$56.49

    • 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

    $55.43changed to$55.68

    • 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 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $54.46changed to$55.43

    • 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 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $54.06changed to$54.46

    • 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

    $53.17changed to$54.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.89 changed to 0.91
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $52.96changed to$53.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $53.15changed to$52.96

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $52.88changed to$53.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $52.50changed to$52.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.88 changed to 0.89
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $52.52changed to$52.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.97 changed to 0.88
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $52.52

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$56.68$24.03RVU26D
2026-07-01$56.68$24.03RVU26C
2026-04-01$56.68$24.03RVU26B
2026-01-01$56.68$24.03RVU26A
2025-10-01$54.41$25.44RVU25D
2025-07-01$54.41$25.44RVU25C
2025-04-01$54.41$25.44RVU25B
2025-01-01$54.41$25.44RVU25A
2024-10-01$56.62$26.80RVU24D
2024-07-01$56.62$26.80RVU24C
2024-04-01$56.62$26.80RVU24B
2024-03-09$56.62$26.80RVU24AR
2024-01-01$55.69$26.36RVU24A
2023-10-01$55.71$26.53RVU23D
2023-07-01$55.71$26.53RVU23C
2023-04-01$55.71$26.53RVU23B
2023-01-01$55.71$26.53RVU23A
2022-10-01$56.49$27.23RVU22D
2022-07-01$56.49$27.23RVU22C
2022-04-01$56.49$27.23RVU22B
2022-01-01$56.49$27.23RVU22A
2021-10-01$55.68$27.46RVU21D
2021-07-01$55.68$27.46RVU21C
2021-04-01$55.68$27.46RVU21B
2021-01-01$55.68$27.46RVU21A
2020-10-01$55.43$29.11RVU20D
2020-07-01$55.43$29.11RVU20C
2020-04-01$55.43$29.11RVU20B
2020-01-01$55.43$29.11RVU20A
2019-10-01$54.46$29.40RVU19D
2019-07-01$54.46$29.40RVU19C
2019-04-01$54.46$29.40RVU19B
2019-01-01$54.46$29.40RVU19A
2018-10-01$54.06$29.37RVU18D
2018-07-01$54.06$29.37RVU18C
2018-04-01$54.06$29.37RVU18B
2018-01-01$54.06$29.37RVU18AR1
2017-10-01$53.17$29.27RVU17D
2017-07-01$53.17$29.27RVU17C
2017-04-01$53.17$29.27RVU17B
2017-01-01$53.17$29.27RVU17A
2016-10-01$52.96$29.19RVU16D
2016-07-01$52.96$29.19RVU16C
2016-04-01$52.96$29.19RVU16B
2016-01-01$52.96$29.19RVU16A
2015-10-01$53.15$29.29RVU15D
2015-07-01$53.15$29.29RVU15C
2015-04-01$52.88$29.15RVU15B
2015-01-01$52.88$29.15RVU15A
2014-10-01$52.50$29.13RVU14D
2014-07-01$52.50$29.13RVU14C
2014-04-01$52.50$29.13RVU14B
2014-01-01$52.50$29.13RVU14A
2013-10-01$52.52$27.90RVU13D
2013-07-01$52.52$27.90RVU13C
2013-04-01$52.52$27.90RVU13B
2013-01-01$52.52$27.90RVU13AR

Price 11000 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11000 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11000 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist