CPT code 11001: Skin debridement, each additional 10% body surface2026 Medicare rate & RVUs in Utah

Report 11001 for each additional 10% of body surface area, or portion thereof, debrided for extensive eczematous or infected skin, with 11000.

CMS RVU26DEffective Oct 1, 2026One payment locality185 Medicare services in 2024

In Utah, Medicare pays $25.97 for 11001 in the office and $12.47 when it’s performed in a hospital or facility.

$25.97Office (non-facility)
$12.47Hospital or facility
−4.0%vs the national office rate ($27.05)

Check a contract rate as a % of Medicare · 11001 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 11001 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 11001 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 11001 covers

This add-on represents debridement of extensive eczematous or infected skin beyond the area captured by the primary service. A dermatologist or another physician managing widespread skin disease may perform the service in an office, hospital, or other treatment setting. The relevant measure is the percentage of total body surface area debrided, not the wound’s depth or its area in square centimeters.

Report 11001 only with 11000, which accounts for the initial body-surface portion; use one unit for each additional 10% or part of 10%. Documentation should identify the condition treated, the skin debrided, and the percentage of body surface area involved so the additional units are supported. CMS classifies 11001 as an add-on code, with payment handled within the primary procedure’s global period.

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 11001

Across 109 of 109 payment localities, the office rate for 11001 runs from $24.26 in Arkansas to $34.89 in San Benito County, CA. Utah pays $25.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

11001 in Utah vs other payment areas
  1. Utah · this page$25.97
  2. Los Angeles, CA · California$30.11+$4.14
  3. Washington, DC area · District of Columbia$30.60+$4.63
  4. Miami, FL · Florida$29.26+$3.29
  5. Chicago, IL · Illinois$28.50+$2.53
  6. Manhattan, NY · New York$30.91+$4.94
  7. Alaska · Alaska$32.51+$6.54

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

Every other payment area

11001 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$24.57$12.01
ArkansasArkansas$24.26$11.92
ArizonaArizona$26.40$12.49
Bakersfield, CACalifornia$28.42$12.68
Chico, CACalifornia$28.33$12.58
El Centro, CACalifornia$28.33$12.59
Fresno, CACalifornia$28.33$12.58
Hanford, CACalifornia$28.33$12.58

11001 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.

$24.26

$32.51

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

View every state and territory as a table
11001 office rate range by state
State / territoryOffice rate rangeLocalities
AK$32.511
AL$24.571
AR$24.261
AZ$26.401
CA$28.33–$34.8929
CO$28.001
CT$28.721
DC$30.601
DE$26.811
FL$26.84–$29.263
GA$25.48–$27.552
GU$28.881
HI$28.881
IA$25.061
ID$25.221
IL$26.19–$28.504
IN$25.341
KS$24.991
KY$25.151
LA$25.13–$26.232
MA$27.87–$30.522
MD$27.27–$30.603
ME$25.37–$26.542
MI$25.76–$27.172
MN$26.821
MO$24.77–$26.273
MS$24.521
MT$27.051
NC$25.601
ND$26.461
NE$25.171
NH$27.601
NJ$29.05–$30.352
NM$25.901
NV$26.901
NY$25.94–$31.635
OH$25.641
OK$25.081
OR$26.69–$28.772
PA$25.66–$28.092
PR$27.221
RI$27.671
SC$25.661
SD$26.391
TN$25.101
TX$25.51–$27.918
UT$25.971
VA$26.48–$30.602
VI$27.221
VT$26.401
WA$27.81–$31.072
WI$25.671
WV$25.341
WY$26.791

See 11001 in every payment locality

How the 11001 rate is calculated

Each of 11001’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 · 11001

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.29

0.29 RVUs× 1.000 GPCI

Practice expense0.49

0.49 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.8100

Conversion factor

$33.4009

Medicare rate

$27.05

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

1,241

Code
11001
Physician work
0.29
Practice expense
0.49
Malpractice
0.03

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 11001 in Utah
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense0.49× 0.9400.4606
Malpractice0.03× 0.8980.0269
Total RVUs0.7775
Conversion factor× 33.4009

Office rate, Utah$25.97

Office: (0.29 × 1 + 0.49 × 0.94 + 0.03 × 0.898) × $33.4009 = $25.97

Facility: (0.29 × 1 + 0.06 × 0.94 + 0.03 × 0.898) × $33.4009 = $12.47

Open 11001 in the RVU calculator

Payment rules and modifiers for 11001

The CMS indicators that decide how 11001 is paid alongside other services.

CMS payment indicators · 11001

Skin debridement, each additional 10% body surface

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

How 11001 has changed in Utah

11001 · Office / nonfacility

$25.97

Effective 2026-10-01

The base rate is $0.88 higher than on 2025-10-01, moving from $25.09 to $25.97 (3.5%).

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

    $25.09changed to$25.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.30 changed to 0.29
    • Practice expense RVU 0.48 changed to 0.49
    • 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

    $26.13changed to$25.09

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.49 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $25.71changed to$26.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $26.40changed to$25.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.48 changed to 0.49
    • Malpractice RVU 0.04 changed to 0.03
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930
  5. January 1, 2023

    RVU23A

    $25.80changed to$26.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.45 changed to 0.48
    • 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

    $24.41changed to$25.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.40 changed to 0.45

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $23.22changed to$24.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.34 changed to 0.40
    • Malpractice RVU 0.03 changed to 0.04
    • 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

    $21.76changed to$23.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.29 changed to 0.34
    • 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

    $21.40changed to$21.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.28 changed to 0.29

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $21.32changed to$21.40

    • Conversion factor 35.8887 changed to 35.9996
    • 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

    $21.24changed to$21.32

    • 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

    $20.57changed to$21.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.27 changed to 0.28
    • Malpractice RVU 0.02 changed to 0.03

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $20.46changed to$20.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $20.86changed to$20.46

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.03 changed to 0.02
    • 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

    $20.68changed to$20.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.30 changed to 0.27
    • 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: $20.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$25.97$12.47RVU26D
2026-07-01$25.97$12.47RVU26C
2026-04-01$25.97$12.47RVU26B
2026-01-01$25.97$12.47RVU26A
2025-10-01$25.09$13.93RVU25D
2025-07-01$25.09$13.93RVU25C
2025-04-01$25.09$13.93RVU25B
2025-01-01$25.09$13.93RVU25A
2024-10-01$26.13$14.33RVU24D
2024-07-01$26.13$14.33RVU24C
2024-04-01$26.13$14.33RVU24B
2024-03-09$26.13$14.33RVU24AR
2024-01-01$25.71$14.10RVU24A
2023-10-01$26.40$14.48RVU23D
2023-07-01$26.40$14.48RVU23C
2023-04-01$26.40$14.48RVU23B
2023-01-01$26.40$14.48RVU23A
2022-10-01$25.80$14.03RVU22D
2022-07-01$25.80$14.03RVU22C
2022-04-01$25.80$14.03RVU22B
2022-01-01$25.80$14.03RVU22A
2021-10-01$24.41$14.15RVU21D
2021-07-01$24.41$14.15RVU21C
2021-04-01$24.41$14.15RVU21B
2021-01-01$24.41$14.15RVU21A
2020-10-01$23.22$14.55RVU20D
2020-07-01$23.22$14.55RVU20C
2020-04-01$23.22$14.55RVU20B
2020-01-01$23.22$14.55RVU20A
2019-10-01$21.76$14.74RVU19D
2019-07-01$21.76$14.74RVU19C
2019-04-01$21.76$14.74RVU19B
2019-01-01$21.76$14.74RVU19A
2018-10-01$21.40$14.73RVU18D
2018-07-01$21.40$14.73RVU18C
2018-04-01$21.40$14.73RVU18B
2018-01-01$21.40$14.73RVU18AR1
2017-10-01$21.32$14.68RVU17D
2017-07-01$21.32$14.68RVU17C
2017-04-01$21.32$14.68RVU17B
2017-01-01$21.32$14.68RVU17A
2016-10-01$21.24$14.64RVU16D
2016-07-01$21.24$14.64RVU16C
2016-04-01$21.24$14.64RVU16B
2016-01-01$21.24$14.64RVU16A
2015-10-01$20.57$14.27RVU15D
2015-07-01$20.57$14.27RVU15C
2015-04-01$20.46$14.20RVU15B
2015-01-01$20.46$14.20RVU15A
2014-10-01$20.86$14.60RVU14D
2014-07-01$20.86$14.60RVU14C
2014-04-01$20.86$14.60RVU14B
2014-01-01$20.86$14.60RVU14A
2013-10-01$20.68$14.14RVU13D
2013-07-01$20.68$14.14RVU13C
2013-04-01$20.68$14.14RVU13B
2013-01-01$20.68$14.14RVU13AR

Price 11001 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

11001 billing questions

Can 11001 be reported by itself?

No. It is an add-on to 11000 and represents body-surface area beyond the portion captured by that primary code.

How many units should be reported?

Report one unit for each additional 10% of body surface area, or part of 10%, debrided beyond the area represented by 11000.

What documentation supports the additional units?

Document the eczematous or infected skin treated and the percentage of total body surface area debrided, including the additional area beyond the primary portion.

Should 11001 be used for a deep wound debridement?

Not based on wound depth. Codes such as 11042–11044 describe wound debridement by the deepest tissue removed and use square-centimeter measurements; 11001 measures additional body-surface area for extensive eczematous or infected skin.

How does the global period affect 11001?

CMS treats this add-on within the global period of its primary procedure. Report it with 11000 rather than as a separate primary service.

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 11001PPRRVU2026_Oct_nonQPP.csv, line 1,241 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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