CPT code 11005: NSTI debridement, abdominal wall2026 Medicare rate & RVUs in North Dakota
Report this service when a surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia for a necrotizing soft tissue infection of the abdominal wall.
In North Dakota, Medicare pays $624.29 for 11005 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 11005 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 11005 covers
This code describes operative debridement for a necrotizing soft tissue infection involving the abdominal wall, such as necrotizing fasciitis. The surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia. It is typically performed in a hospital operating room when urgent source control is needed; the operative report should identify the abdominal-wall involvement and the tissues actually debrided.
Select this code for the abdominal wall alone, not by measuring wound surface area or choosing the deepest tissue level as with routine wound-debridement codes. Document the infection, anatomic extent, and debridement performed. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this code. An assistant at surgery is payable only when medical necessity is documented; 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 Dakota compares for 11005
Across 109 of 109 payment localities, the facility rate for 11005 runs from $608.21 in Wisconsin to $880.20 in Alaska. North Dakota pays $624.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$624.29
- Los Angeles, CA · California$693.87+$69.58
- Washington, DC area · District of Columbia$751.06+$126.77
- Miami, FL · Florida$873.60+$249.31
- Chicago, IL · Illinois$845.78+$221.49
- Manhattan, NY · New York$808.38+$184.09
- Alaska · Alaska$880.20+$255.91
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $628.49 |
| ArkansasArkansas | — | $620.79 |
| ArizonaArizona | — | $672.61 |
| Bakersfield, CACalifornia | — | $667.42 |
| Chico, CACalifornia | — | $658.08 |
| El Centro, CACalifornia | — | $658.66 |
| Fresno, CACalifornia | — | $658.08 |
| Hanford, CACalifornia | — | $658.08 |
| Madera, CACalifornia | — | $658.08 |
| Merced, CACalifornia | — | $658.08 |
| Modesto, CACalifornia | — | $658.08 |
| Napa, CACalifornia | — | $701.47 |
| Oxnard, CACalifornia | — | $683.00 |
| Redding, CACalifornia | — | $658.08 |
| Rest of CaliforniaCalifornia | — | $658.08 |
| Riverside, CACalifornia | — | $695.07 |
| Sacramento, CACalifornia | — | $674.52 |
| Salinas, CACalifornia | — | $671.75 |
| San Diego, CACalifornia | — | $676.19 |
| Marin County, CACalifornia | — | $721.13 |
| San Francisco, CACalifornia | — | $717.22 |
| San Benito County, CACalifornia | — | $740.61 |
| Santa Clara County, CACalifornia | — | $724.59 |
| San Luis Obispo, CACalifornia | — | $662.98 |
| Santa Cruz, CACalifornia | — | $673.49 |
| Santa Maria, CACalifornia | — | $671.15 |
| Santa Rosa, CACalifornia | — | $679.14 |
| Stockton, CACalifornia | — | $658.08 |
| Vallejo, CACalifornia | — | $695.82 |
| Visalia, CACalifornia | — | $658.08 |
| Yuba City, CACalifornia | — | $658.08 |
| ColoradoColorado | — | $680.35 |
| ConnecticutConnecticut | — | $734.98 |
| DelawareDelaware | — | $682.05 |
| Fort Lauderdale, FLFlorida | — | $787.32 |
| Rest of FloridaFlorida | — | $745.69 |
| Atlanta, GAGeorgia | — | $719.11 |
| Rest of GeorgiaGeorgia | — | $702.56 |
| Hawaii, Guam, HIHawaii | — | $659.83 |
| IowaIowa | — | $613.57 |
| IdahoIdaho | — | $622.90 |
| East St. Louis, ILIllinois | — | $800.47 |
| Rest of IllinoisIllinois | — | $747.70 |
| Suburban Chicago, ILIllinois | — | $788.02 |
| IndianaIndiana | — | $625.19 |
| KansasKansas | — | $624.64 |
| KentuckyKentucky | — | $670.30 |
| New Orleans, LALouisiana | — | $701.69 |
| Rest of LouisianaLouisiana | — | $674.80 |
| Metropolitan Boston, MAMassachusetts | — | $721.16 |
| Rest of MassachusettsMassachusetts | — | $682.80 |
| Baltimore area, MDMaryland | — | $735.78 |
| Rest of MarylandMaryland | — | $689.29 |
| Rest of MaineMaine | — | $640.06 |
| Southern Maine, MEMaine | — | $649.19 |
| Detroit, MIMichigan | — | $767.80 |
| Rest of MichiganMichigan | — | $697.69 |
| MinnesotaMinnesota | — | $614.91 |
| Metropolitan Kansas City, MOMissouri | — | $683.14 |
| Metropolitan St. Louis, MOMissouri | — | $687.50 |
| Rest of MissouriMissouri | — | $674.02 |
| MississippiMississippi | — | $646.83 |
| MontanaMontana | — | $692.50 |
| North CarolinaNorth Carolina | — | $643.50 |
| NebraskaNebraska | — | $612.29 |
| New HampshireNew Hampshire | — | $683.00 |
| Northern New JerseyNew Jersey | — | $748.00 |
| Rest of New JerseyNew Jersey | — | $732.93 |
| New MexicoNew Mexico | — | $706.44 |
| NevadaNevada | — | $673.60 |
| NYC suburbs and Long Island, NYNew York | — | $842.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $748.62 |
| Queens, NYNew York | — | $794.07 |
| Rest of New YorkNew York | — | $652.82 |
| OhioOhio | — | $683.75 |
| OklahomaOklahoma | — | $654.85 |
| Portland, OROregon | — | $683.30 |
| Rest of OregonOregon | — | $658.05 |
| Metropolitan Philadelphia, PAPennsylvania | — | $727.99 |
| Rest of PennsylvaniaPennsylvania | — | $677.06 |
| Puerto RicoPuerto Rico | — | $692.26 |
| Rhode IslandRhode Island | — | $692.86 |
| South CarolinaSouth Carolina | — | $666.79 |
| South DakotaSouth Dakota | — | $616.22 |
| TennesseeTennessee | — | $629.02 |
| Austin, TXTexas | — | $687.13 |
| Beaumont, TXTexas | — | $674.30 |
| Brazoria, TXTexas | — | $670.07 |
| Dallas, TXTexas | — | $680.09 |
| Fort Worth, TXTexas | — | $680.45 |
| Galveston, TXTexas | — | $675.83 |
| Houston, TXTexas | — | $738.97 |
| Rest of TexasTexas | — | $675.75 |
| UtahUtah | — | $674.15 |
| VirginiaVirginia | — | $656.92 |
| Virgin Islands, VIUnited States Virgin Islands | — | $692.26 |
| VermontVermont | — | $634.67 |
| Rest of WashingtonWashington | — | $677.26 |
| King County, WAWashington | — | $720.68 |
| WisconsinWisconsin | — | $608.21 |
| West VirginiaWest Virginia | — | $727.48 |
| WyomingWyoming | — | $662.77 |
11005 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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 11005 rate is calculated
Each of 11005’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 · 11005
RVUs × geographic indexes × conversion factor
Work13.88
13.88 RVUs× 1.000 GPCI
Practice expense3.41
3.41 RVUs× 1.000 GPCI
Malpractice3.45
3.45 RVUs× 1.000 GPCI
Adjusted RVUs
20.7400
Conversion factor
$33.4009
Medicare rate
$692.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,243
- Code
- 11005
- Physician work
- 13.88
- Practice expense
- 3.41
- Malpractice
- 3.45
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.88 | × 1.000 | 13.8800 |
| Practice expense | 3.41 | × 1.000 | 3.4100 |
| Malpractice | 3.45 | × 0.406 | 1.4007 |
| Total RVUs | 18.6907 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Dakota$624.29
Facility: (13.88 × 1 + 3.41 × 1 + 3.45 × 0.406) × $33.4009 = $624.29
Payment rules and modifiers for 11005
The CMS indicators that decide how 11005 is paid alongside other services.
CMS payment indicators · 11005
NSTI debridement, abdominal wall
| 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 | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 11005 has changed in North Dakota
11005 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $624.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $624.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $624.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $624.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $691.81 | RVU25D |
| 2025-07-01 | Not available in this setting | $691.81 | RVU25C |
| 2025-04-01 | Not available in this setting | $691.81 | RVU25B |
| 2025-01-01 | Not available in this setting | $691.81 | RVU25A |
| 2024-10-01 | Not available in this setting | $708.96 | RVU24D |
| 2024-07-01 | Not available in this setting | $708.96 | RVU24C |
| 2024-04-01 | Not available in this setting | $708.96 | RVU24B |
| 2024-03-09 | Not available in this setting | $708.96 | RVU24AR |
| 2024-01-01 | Not available in this setting | $697.39 | RVU24A |
| 2023-10-01 | Not available in this setting | $716.68 | RVU23D |
| 2023-07-01 | Not available in this setting | $716.68 | RVU23C |
| 2023-04-01 | Not available in this setting | $716.68 | RVU23B |
| 2023-01-01 | Not available in this setting | $716.68 | RVU23A |
| 2022-10-01 | Not available in this setting | $728.30 | RVU22D |
| 2022-07-01 | Not available in this setting | $728.30 | RVU22C |
| 2022-04-01 | Not available in this setting | $728.30 | RVU22B |
| 2022-01-01 | Not available in this setting | $728.30 | RVU22A |
| 2021-10-01 | Not available in this setting | $732.43 | RVU21D |
| 2021-07-01 | Not available in this setting | $732.43 | RVU21C |
| 2021-04-01 | Not available in this setting | $732.43 | RVU21B |
| 2021-01-01 | Not available in this setting | $732.43 | RVU21A |
| 2020-10-01 | Not available in this setting | $759.74 | RVU20D |
| 2020-07-01 | Not available in this setting | $759.74 | RVU20C |
| 2020-04-01 | Not available in this setting | $759.74 | RVU20B |
| 2020-01-01 | Not available in this setting | $759.74 | RVU20A |
| 2019-10-01 | Not available in this setting | $762.71 | RVU19D |
| 2019-07-01 | Not available in this setting | $762.71 | RVU19C |
| 2019-04-01 | Not available in this setting | $762.71 | RVU19B |
| 2019-01-01 | Not available in this setting | $762.71 | RVU19A |
| 2018-10-01 | Not available in this setting | $762.21 | RVU18D |
| 2018-07-01 | Not available in this setting | $762.21 | RVU18C |
| 2018-04-01 | Not available in this setting | $762.21 | RVU18B |
| 2018-01-01 | Not available in this setting | $762.21 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $761.57 | RVU17D |
| 2017-07-01 | Not available in this setting | $761.57 | RVU17C |
| 2017-04-01 | Not available in this setting | $761.57 | RVU17B |
| 2017-01-01 | Not available in this setting | $761.57 | RVU17A |
| 2016-10-01 | Not available in this setting | $760.98 | RVU16D |
| 2016-07-01 | Not available in this setting | $760.98 | RVU16C |
| 2016-04-01 | Not available in this setting | $760.98 | RVU16B |
| 2016-01-01 | Not available in this setting | $760.98 | RVU16A |
| 2015-10-01 | Not available in this setting | $762.01 | RVU15D |
| 2015-07-01 | Not available in this setting | $762.01 | RVU15C |
| 2015-04-01 | Not available in this setting | $758.22 | RVU15B |
| 2015-01-01 | Not available in this setting | $758.22 | RVU15A |
| 2014-10-01 | Not available in this setting | $753.79 | RVU14D |
| 2014-07-01 | Not available in this setting | $753.79 | RVU14C |
| 2014-04-01 | Not available in this setting | $753.79 | RVU14B |
| 2014-01-01 | Not available in this setting | $753.79 | RVU14A |
| 2013-10-01 | Not available in this setting | $732.70 | RVU13D |
| 2013-07-01 | Not available in this setting | $732.70 | RVU13C |
| 2013-04-01 | Not available in this setting | $732.70 | RVU13B |
| 2013-01-01 | Not available in this setting | $732.70 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
11005 billing questions
When should I report 11005 rather than 11004 or 11006?
Use 11005 when the necrotizing soft tissue infection and debridement involve the abdominal wall alone. Code 11004 describes the external genitalia and perineum; 11006 covers those areas together with the abdominal wall.
Is code selection based on wound size or the deepest tissue removed?
No. This code is specific to necrotizing soft tissue infection of the abdominal wall and is not selected by surface area or a deepest-tissue level.
Can removal of infected abdominal-wall mesh be reported separately?
When infected prosthetic material or mesh is removed from the abdominal wall, 11008 is an add-on reported with the applicable primary debridement code, including 11005 when appropriate.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
What documentation supports reporting 11005?
The operative report should establish necrotizing soft tissue infection of the abdominal wall, identify the extent and tissues involved, and describe the debridement performed.
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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