CPT code 11006: Infection debridement, perineum and abdominal wall2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $623.74 for 11006 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 11006 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11006 covers

This service is extensive surgical excision of infected, nonviable tissue involving the external genitalia, perineum, and abdominal wall in a necrotizing soft-tissue infection. A general surgeon, urologist, or other surgeon managing the infection typically performs it in an operating room; Fournier gangrene extending from the perineum onto the abdominal wall is a characteristic clinical situation. The code reflects the involved regions, not a measured wound area.

Choose this code when the operative work includes all three regions; use the adjacent regional codes when the abdominal wall or the external genitalia and perineum are not both involved. The operative report should identify the necrotizing infection, the anatomical areas treated, and the tissue removed. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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 code, and co-surgeon and team-surgery billing 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 Montana compares for 11006

Across 109 of 109 payment localities, the facility rate for 11006 runs from $554.41 in Wisconsin to $801.61 in Alaska. Montana pays $623.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11006 rates by state

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

See 11006 in every payment locality

How the 11006 rate is calculated

Each of 11006’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.

Payment rules and modifiers for 11006

The CMS indicators that decide how 11006 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 11006

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

How 11006 has changed in Montana

Price 11006 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates