CPT code 11008: Mesh removal, abdominal wall infection2026 Medicare rate & RVUs in North Carolina
Reports removal of infected prosthetic material or mesh from the abdominal wall as an add-on to the related primary surgical procedure.
In North Carolina, Medicare pays $226.76 for 11008 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 11008 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 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.
How North Carolina compares for 11008
Across 109 of 109 payment localities, the facility rate for 11008 runs from $213.93 in Wisconsin to $309.96 in Miami, FL. North Carolina pays $226.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$226.76
- Los Angeles, CA · California$244.42+$17.66
- Washington, DC area · District of Columbia$265.09+$38.33
- Miami, FL · Florida$309.96+$83.20
- Chicago, IL · Illinois$299.90+$73.14
- Manhattan, NY · New York$285.83+$59.07
- Alaska · Alaska$309.83+$83.07
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $221.41 |
| ArkansasArkansas | — | $218.64 |
| ArizonaArizona | — | $237.25 |
| Bakersfield, CACalifornia | — | $235.08 |
| Chico, CACalifornia | — | $231.71 |
| El Centro, CACalifornia | — | $231.92 |
| Fresno, CACalifornia | — | $231.71 |
| Hanford, CACalifornia | — | $231.71 |
| Madera, CACalifornia | — | $231.71 |
| Merced, CACalifornia | — | $231.71 |
| Modesto, CACalifornia | — | $231.71 |
| Napa, CACalifornia | — | $246.86 |
| Oxnard, CACalifornia | — | $240.55 |
| Redding, CACalifornia | — | $231.71 |
| Rest of CaliforniaCalifornia | — | $231.71 |
| Riverside, CACalifornia | — | $245.11 |
| Sacramento, CACalifornia | — | $237.47 |
| Salinas, CACalifornia | — | $236.49 |
| San Diego, CACalifornia | — | $238.05 |
| Marin County, CACalifornia | — | $253.69 |
| San Francisco, CACalifornia | — | $252.27 |
| San Benito County, CACalifornia | — | $260.62 |
| Santa Clara County, CACalifornia | — | $254.82 |
| San Luis Obispo, CACalifornia | — | $233.42 |
| Santa Cruz, CACalifornia | — | $237.09 |
| Santa Maria, CACalifornia | — | $236.28 |
| Santa Rosa, CACalifornia | — | $239.07 |
| Stockton, CACalifornia | — | $231.71 |
| Vallejo, CACalifornia | — | $244.82 |
| Visalia, CACalifornia | — | $231.71 |
| Yuba City, CACalifornia | — | $231.71 |
| ColoradoColorado | — | $239.85 |
| ConnecticutConnecticut | — | $259.58 |
| DelawareDelaware | — | $240.62 |
| Fort Lauderdale, FLFlorida | — | $278.75 |
| Rest of FloridaFlorida | — | $263.75 |
| Atlanta, GAGeorgia | — | $254.01 |
| Rest of GeorgiaGeorgia | — | $248.22 |
| Hawaii, Guam, HIHawaii | — | $232.36 |
| IowaIowa | — | $215.94 |
| IdahoIdaho | — | $219.31 |
| East St. Louis, ILIllinois | — | $283.65 |
| Rest of IllinoisIllinois | — | $264.54 |
| Suburban Chicago, ILIllinois | — | $278.94 |
| IndianaIndiana | — | $220.13 |
| KansasKansas | — | $219.97 |
| KentuckyKentucky | — | $236.53 |
| New Orleans, LALouisiana | — | $247.83 |
| Rest of LouisianaLouisiana | — | $238.17 |
| Metropolitan Boston, MAMassachusetts | — | $254.30 |
| Rest of MassachusettsMassachusetts | — | $240.73 |
| Baltimore area, MDMaryland | — | $259.90 |
| Rest of MarylandMaryland | — | $243.18 |
| Rest of MaineMaine | — | $225.53 |
| Southern Maine, MEMaine | — | $228.73 |
| Detroit, MIMichigan | — | $271.74 |
| Rest of MichiganMichigan | — | $246.42 |
| MinnesotaMinnesota | — | $216.25 |
| Metropolitan Kansas City, MOMissouri | — | $241.11 |
| Metropolitan St. Louis, MOMissouri | — | $242.67 |
| Rest of MissouriMissouri | — | $237.92 |
| MississippiMississippi | — | $228.07 |
| MontanaMontana | — | $244.41 |
| North DakotaNorth Dakota | — | $219.69 |
| NebraskaNebraska | — | $215.46 |
| New HampshireNew Hampshire | — | $240.91 |
| Northern New JerseyNew Jersey | — | $263.96 |
| Rest of New JerseyNew Jersey | — | $258.72 |
| New MexicoNew Mexico | — | $249.59 |
| NevadaNevada | — | $237.56 |
| NYC suburbs and Long Island, NYNew York | — | $298.22 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $264.37 |
| Queens, NYNew York | — | $280.61 |
| Rest of New YorkNew York | — | $230.11 |
| OhioOhio | — | $241.37 |
| OklahomaOklahoma | — | $230.93 |
| Portland, OROregon | — | $240.83 |
| Rest of OregonOregon | — | $231.94 |
| Metropolitan Philadelphia, PAPennsylvania | — | $257.12 |
| Rest of PennsylvaniaPennsylvania | — | $238.94 |
| Puerto RicoPuerto Rico | — | $244.31 |
| Rhode IslandRhode Island | — | $244.39 |
| South CarolinaSouth Carolina | — | $235.21 |
| South DakotaSouth Dakota | — | $216.77 |
| TennesseeTennessee | — | $221.55 |
| Austin, TXTexas | — | $242.37 |
| Beaumont, TXTexas | — | $237.95 |
| Brazoria, TXTexas | — | $236.26 |
| Dallas, TXTexas | — | $239.87 |
| Fort Worth, TXTexas | — | $240.02 |
| Galveston, TXTexas | — | $238.34 |
| Houston, TXTexas | — | $261.22 |
| Rest of TexasTexas | — | $238.42 |
| UtahUtah | — | $237.85 |
| VirginiaVirginia | — | $231.54 |
| Virgin Islands, VIUnited States Virgin Islands | — | $244.31 |
| VermontVermont | — | $223.47 |
| Rest of WashingtonWashington | — | $238.74 |
| King County, WAWashington | — | $254.03 |
| WisconsinWisconsin | — | $213.93 |
| West VirginiaWest Virginia | — | $257.28 |
| WyomingWyoming | — | $233.64 |
11008 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 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
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.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,245
- Code
- 11008
- Physician work
- 4.88
- Practice expense
- 1.19
- Malpractice
- 1.25
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.88 | × 1.000 | 4.8800 |
| Practice expense | 1.19 | × 0.933 | 1.1103 |
| Malpractice | 1.25 | × 0.639 | 0.7988 |
| Total RVUs | 6.7890 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, North Carolina$226.76
Facility: (4.88 × 1 + 1.19 × 0.933 + 1.25 × 0.639) × $33.4009 = $226.76
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 11008 has changed in North Carolina
11008 · 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 | $226.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $226.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $226.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $226.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $244.50 | RVU25D |
| 2025-07-01 | Not available in this setting | $244.50 | RVU25C |
| 2025-04-01 | Not available in this setting | $244.50 | RVU25B |
| 2025-01-01 | Not available in this setting | $244.50 | RVU25A |
| 2024-10-01 | Not available in this setting | $250.69 | RVU24D |
| 2024-07-01 | Not available in this setting | $250.69 | RVU24C |
| 2024-04-01 | Not available in this setting | $250.69 | RVU24B |
| 2024-03-09 | Not available in this setting | $250.69 | RVU24AR |
| 2024-01-01 | Not available in this setting | $246.60 | RVU24A |
| 2023-10-01 | Not available in this setting | $258.67 | RVU23D |
| 2023-07-01 | Not available in this setting | $258.67 | RVU23C |
| 2023-04-01 | Not available in this setting | $258.67 | RVU23B |
| 2023-01-01 | Not available in this setting | $258.67 | RVU23A |
| 2022-10-01 | Not available in this setting | $267.74 | RVU22D |
| 2022-07-01 | Not available in this setting | $267.74 | RVU22C |
| 2022-04-01 | Not available in this setting | $267.74 | RVU22B |
| 2022-01-01 | Not available in this setting | $267.74 | RVU22A |
| 2021-10-01 | Not available in this setting | $268.17 | RVU21D |
| 2021-07-01 | Not available in this setting | $268.17 | RVU21C |
| 2021-04-01 | Not available in this setting | $268.17 | RVU21B |
| 2021-01-01 | Not available in this setting | $268.17 | RVU21A |
| 2020-10-01 | Not available in this setting | $273.56 | RVU20D |
| 2020-07-01 | Not available in this setting | $273.56 | RVU20C |
| 2020-04-01 | Not available in this setting | $273.56 | RVU20B |
| 2020-01-01 | Not available in this setting | $273.56 | RVU20A |
| 2019-10-01 | Not available in this setting | $269.81 | RVU19D |
| 2019-07-01 | Not available in this setting | $269.81 | RVU19C |
| 2019-04-01 | Not available in this setting | $269.81 | RVU19B |
| 2019-01-01 | Not available in this setting | $269.81 | RVU19A |
| 2018-10-01 | Not available in this setting | $269.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $269.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $269.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $269.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $270.54 | RVU17D |
| 2017-07-01 | Not available in this setting | $270.54 | RVU17C |
| 2017-04-01 | Not available in this setting | $270.54 | RVU17B |
| 2017-01-01 | Not available in this setting | $270.54 | RVU17A |
| 2016-10-01 | Not available in this setting | $271.58 | RVU16D |
| 2016-07-01 | Not available in this setting | $271.58 | RVU16C |
| 2016-04-01 | Not available in this setting | $271.58 | RVU16B |
| 2016-01-01 | Not available in this setting | $271.58 | RVU16A |
| 2015-10-01 | Not available in this setting | $272.01 | RVU15D |
| 2015-07-01 | Not available in this setting | $272.01 | RVU15C |
| 2015-04-01 | Not available in this setting | $270.65 | RVU15B |
| 2015-01-01 | Not available in this setting | $270.65 | RVU15A |
| 2014-10-01 | Not available in this setting | $266.57 | RVU14D |
| 2014-07-01 | Not available in this setting | $266.57 | RVU14C |
| 2014-04-01 | Not available in this setting | $266.57 | RVU14B |
| 2014-01-01 | Not available in this setting | $266.57 | RVU14A |
| 2013-10-01 | Not available in this setting | $258.65 | RVU13D |
| 2013-07-01 | Not available in this setting | $258.65 | RVU13C |
| 2013-04-01 | Not available in this setting | $258.65 | RVU13B |
| 2013-01-01 | Not available in this setting | $258.65 | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
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
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