CPT code 11008: Mesh removal, abdominal wall infection2026 Medicare rate & RVUs in Texas
Reports removal of infected prosthetic material or mesh from the abdominal wall as an add-on to the related primary surgical procedure.
CMS doesn’t publish an office rate for 11008 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $242.37 |
| Beaumont, TX | Unavailable | $237.95 |
| Brazoria, TX | Unavailable | $236.26 |
| Dallas, TX | Unavailable | $239.87 |
| Fort Worth, TX | Unavailable | $240.02 |
| Galveston, TX | Unavailable | $238.34 |
| Houston, TX | Unavailable | $261.22 |
| Rest of Texas | Unavailable | $238.42 |
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.
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. |
11008 compared with similar codes
Compare codes · National
4 codes, side by side
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
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