CPT code 11005: NSTI debridement, abdominal wall2026 Medicare rate & RVUs in Elgin, Texas
CPT 11005: $675.75–$687.13 facility across 2 localities in Elgin, TX in 2026 Medicare. Compare each area.
CMS doesn’t publish an office rate for 11005 in Elgin, Texas.
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 6 sections
Where 11005 pays more and less in Elgin, Texas
Elgin, Texas maps to 2 Medicare payment localities in our Census-to-CMS crosswalk. A city name alone doesn’t confirm an address’s payment area.
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $687.13 |
| Rest of Texas | Unavailable | $675.75 |
How payment areas work in Elgin
City limits and Medicare payment areas are different maps. These are the payment areas that cover the city’s counties; the service ZIP decides which one applies.
- Rest Of State · Bastrop County
- Austin · Travis County
City boundaries: 2026 Census geography · Census source · CMS county-to-locality definitions
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.
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. |
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
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