CPT code 11008: Mesh removal, abdominal wall infection2026 Medicare rate & RVUs

Reports removal of infected prosthetic material or mesh from the abdominal wall as an add-on to the related primary surgical procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities483 Medicare services in 2024

Medicare pays $244.49 for 11008 nationally in a facility.

Medicare rate · 11008

Mesh removal, abdominal wall infection

Office or facility?

Work RVUs
4.88
Total RVUs
7.32
Global days
ZZZ

National rate · 2026

$244.49

Facility setting, before claim adjustments.

See every locality for 11008 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 11008 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 11008 covers

This add-on describes removing prosthetic material or mesh from the abdominal wall when infection requires its removal. It is typically performed by a surgeon during operative treatment of an infected abdominal wall, often alongside debridement for a serious soft-tissue infection. The operative report should identify the infected mesh or other prosthetic material and document its removal; routine removal of uninfected mesh is not the service represented by this code.

Report 11008 only with the required primary procedure, not by itself. It is commonly paired with the abdominal-wall debridement code 11005 or the combined external genitalia, perineum, and abdominal-wall debridement code 11006; 11004 is also an eligible primary code in this family. CMS treats 11008 as an add-on and places its payment within the primary procedure's global period. Documentation should connect the material removed to the infection and describe the work performed.

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.

Where 11008 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

11008 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$221.41
AlaskaUnavailable$309.83
ArizonaUnavailable$237.25
ArkansasUnavailable$218.64
Atlanta, GAUnavailable$254.01
Austin, TXUnavailable$242.37
Bakersfield, CAUnavailable$235.08
Baltimore area, MDUnavailable$259.90
Beaumont, TXUnavailable$237.95
Brazoria, TXUnavailable$236.26

11008 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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11008 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 11008 rate is calculated

Each of 11008’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 · 11008

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.88

4.88 RVUs× 1.000 GPCI

Practice expense1.19

1.19 RVUs× 1.000 GPCI

Malpractice1.25

1.25 RVUs× 1.000 GPCI

Adjusted RVUs

7.3200

Conversion factor

$33.4009

Medicare rate

$244.49

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 11008

The CMS indicators that decide how 11008 is paid alongside other services.

CMS payment indicators · 11008

Mesh removal, abdominal wall infection

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

11008 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 11008

    Mesh removal, abdominal wall infection4.88 wRVU

    Not priced

  • 11005

    NSTI debridement, abdominal wall13.88 wRVU

    Not priced

  • 11006

    Infection debridement, perineum and abdominal wall12.77 wRVU

    Not priced

  • 11004

    Infection debridement, external genitalia and perineum10.53 wRVU

    Not priced

How to choose

11005NSTI debridementAbdominal wall
11005 reports abdominal-wall debridement for necrotizing soft-tissue infection. Report 11008 in addition when infected prosthetic material or mesh is removed.
11006Infection debridementPerineum and abdominal wall
11006 covers debridement across the external genitalia, perineum, and abdominal wall. It may serve as the primary procedure when that combined site involvement is treated and infected mesh is removed.
11004Infection debridementExternal genitalia and perineum
11004 is the primary debridement code for external genitalia and perineum. It does not describe mesh removal; 11008 is the add-on when infected abdominal-wall prosthetic material is also removed.

11008 billing questions

Can 11008 be billed by itself?

No. It is an add-on code and must be reported with an eligible primary procedure, such as 11004, 11005, or 11006.

When is 11008 appropriate instead of 11005?

11005 reports debridement of the abdominal wall for necrotizing soft-tissue infection. Add 11008 when infected prosthetic material or mesh is also removed.

Does 11008 describe removal of any abdominal mesh?

No. It describes removal of prosthetic material or mesh in the setting of infection, not routine removal of uninfected mesh.

What should the operative report document?

Document the infection, the abdominal-wall prosthetic material or mesh removed, and the removal work. The claim must also include the eligible primary procedure.

How does the global-period rule affect reporting?

CMS classifies 11008 as an add-on paid within the primary procedure's global period, so it is reported with that primary procedure rather than as a stand-alone 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 11008PPRRVU2026_Oct_nonQPP.csv, line 1,245 (RVU26D)

Open CMS sourceHow we calculate rates

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