CPT code 11010: Fracture debridement, skin and subcutaneous tissue2026 Medicare rate & RVUs in Alabama

Reports debridement limited to skin and subcutaneous tissue at an open fracture or dislocation site, including removal of foreign material.

CMS RVU26DEffective Oct 1, 2026One payment locality930 Medicare services in 2024

In Alabama, Medicare pays $419.96 for 11010 in the office and $227.65 when it’s performed in a hospital or facility.

$419.96Office (non-facility)
$227.65Hospital or facility
−10.5%vs the national office rate ($469.28)

Check a contract rate as a % of Medicare · 11010 nationwide

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

We’ll open 11010 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alabama
  2. What 11010 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11010 covers

This service is debridement at an open fracture or dislocation site when the work is limited to skin and subcutaneous tissue. The surgeon removes contaminated or nonviable tissue and may remove foreign material from the injury site. Orthopedic and trauma surgeons commonly perform it in the operating room during initial management of an open fracture or dislocation, often alongside definitive fracture treatment.

Choose the code by the deepest tissue debrided at the fracture or dislocation site, not by wound area: use this level when work does not extend into muscle, fascia, or bone. The operative note should identify the injury site, tissues removed, and any foreign material addressed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS pricing treats this code as already bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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 Alabama compares for 11010

Across 109 of 109 payment localities, the office rate for 11010 runs from $413.76 in Arkansas to $608.66 in San Benito County, CA. Alabama pays $419.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

11010 in Alabama vs other payment areas
  1. Alabama · this page$419.96
  2. Los Angeles, CA · California$522.76+$102.80
  3. Washington, DC area · District of Columbia$534.25+$114.29
  4. Miami, FL · Florida$520.20+$100.24
  5. Chicago, IL · Illinois$504.22+$84.26
  6. Manhattan, NY · New York$542.54+$122.58
  7. Alaska · Alaska$546.34+$126.38

Other areas in Alabama first, then benchmark localities. Bars start at $0.

Every other payment area

11010 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$413.76$224.97
ArizonaArizona$456.14$243.17
Bakersfield, CACalifornia$491.62$250.74
Chico, CACalifornia$489.51$248.64
El Centro, CACalifornia$489.64$248.76
Fresno, CACalifornia$489.51$248.64
Hanford, CACalifornia$489.51$248.64
Madera, CACalifornia$489.51$248.64

11010 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.

$413.76

$549.09

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11010 office rate range by state
State / territoryOffice rate rangeLocalities
AK$546.341
AL$419.961
AR$413.761
AZ$456.141
CA$489.51–$608.6629
CO$485.121
CT$500.961
DC$534.251
DE$463.741
FL$468.35–$520.203
GA$440.87–$479.652
GU$500.881
HI$500.881
IA$428.031
ID$431.471
IL$456.62–$504.224
IN$433.951
KS$427.331
KY$433.011
LA$432.85–$454.542
MA$482.69–$531.812
MD$472.29–$534.253
ME$435.20–$457.272
MI$445.75–$475.702
MN$460.571
MO$426.18–$454.573
MS$419.981
MT$469.231
NC$439.631
ND$454.401
NE$430.011
NH$478.761
NJ$505.48–$528.812
NM$448.791
NV$465.411
NY$446.46–$557.635
OH$442.721
OK$430.781
OR$460.61–$499.202
PA$442.68–$489.192
PR$472.291
RI$479.321
SC$442.151
SD$452.651
TN$429.691
TX$439.82–$484.548
UT$448.271
VA$456.69–$534.252
VI$472.291
VT$453.831
WA$481.38–$541.362
WI$439.031
WV$439.781
WY$462.771

See 11010 in every payment locality

How the 11010 rate is calculated

Each of 11010’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 · 11010

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.09

4.09 RVUs× 1.000 GPCI

Practice expense9.21

9.21 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

14.0500

Conversion factor

$33.4009

Medicare rate

$469.28

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

The exact Alabama inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,248

Code
11010
Physician work
4.09
Practice expense
9.21
Malpractice
0.75

GPCI2026.csv

4

Locality
Alabama
Physician work
1.000
Practice expense
0.875
Malpractice
0.566
Office calculation for 11010 in Alabama
ComponentRVULocality factorAdjusted
Physician work4.09× 1.0004.0900
Practice expense9.21× 0.8758.0587
Malpractice0.75× 0.5660.4245
Total RVUs12.5732
Conversion factor× 33.4009

Office rate, Alabama$419.96

Office: (4.09 × 1 + 9.21 × 0.875 + 0.75 × 0.566) × $33.4009 = $419.96

Facility: (4.09 × 1 + 2.63 × 0.875 + 0.75 × 0.566) × $33.4009 = $227.65

Open 11010 in the RVU calculator

Payment rules and modifiers for 11010

11010 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11010

Fracture debridement, skin and subcutaneous tissue

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 11010

Fracture debridement, skin and subcutaneous tissue

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11010 without 51 · national office

$469.28

Fracture debridement, skin and subcutaneous tissue

11010-51 · Second procedure: 50%

$234.64

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 11010 has changed in Alabama

11010 · Office / nonfacility

$419.96

Effective 2026-10-01

The base rate is $35.95 higher than on 2025-10-01, moving from $384.01 to $419.96 (9.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $384.01changed to$419.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.19 changed to 4.09
    • Practice expense RVU 8.35 changed to 9.21
    • Malpractice RVU 0.74 changed to 0.75
    • Practice expense GPCI 0.869 changed to 0.875
    • Malpractice GPCI 0.575 changed to 0.566

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $399.81changed to$384.01

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.51 changed to 8.35

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $393.28changed to$399.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $418.70changed to$393.28

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.67 changed to 8.51
    • Practice expense GPCI 0.878 changed to 0.869
    • Malpractice GPCI 0.748 changed to 0.575
  5. January 1, 2023

    RVU23A

    $434.43changed to$418.70

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.63 changed to 8.67
    • Malpractice RVU 0.76 changed to 0.74
    • Practice expense GPCI 0.888 changed to 0.878
    • Malpractice GPCI 0.921 changed to 0.748

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $447.88changed to$434.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.00 changed to 8.63
    • Malpractice RVU 0.71 changed to 0.76

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $447.11changed to$447.88

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 8.65 changed to 9.00
    • Malpractice RVU 0.72 changed to 0.71
    • Practice expense GPCI 0.889 changed to 0.888
    • Malpractice GPCI 0.707 changed to 0.921

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $449.41changed to$447.11

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 8.90 changed to 8.65
    • Malpractice RVU 0.73 changed to 0.72
    • Practice expense GPCI 0.890 changed to 0.889
    • Malpractice GPCI 0.492 changed to 0.707

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $467.32changed to$449.41

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.43 changed to 8.90
    • Malpractice RVU 0.81 changed to 0.73

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$467.32

    Held through RVU18C, RVU18D.

  11. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$419.96$227.65RVU26D
2026-07-01$419.96$227.65RVU26C
2026-04-01$419.96$227.65RVU26B
2026-01-01$419.96$227.65RVU26A
2025-10-01$384.01$244.87RVU25D
2025-07-01$384.01$244.87RVU25C
2025-04-01$384.01$244.87RVU25B
2025-01-01$384.01$244.87RVU25A
2024-10-01$399.81$249.96RVU24D
2024-07-01$399.81$249.96RVU24C
2024-04-01$399.81$249.96RVU24B
2024-03-09$399.81$249.96RVU24AR
2024-01-01$393.28$245.89RVU24A
2023-10-01$418.70$258.93RVU23D
2023-07-01$418.70$258.93RVU23C
2023-04-01$418.70$258.93RVU23B
2023-01-01$418.70$258.93RVU23A
2022-10-01$434.43$266.95RVU22D
2022-07-01$434.43$266.95RVU22C
2022-04-01$434.43$266.95RVU22B
2022-01-01$434.43$266.95RVU22A
2021-10-01$447.88$266.00RVU21D
2021-07-01$447.88$266.00RVU21C
2021-04-01$447.88$266.00RVU21B
2021-01-01$447.88$266.00RVU21A
2020-10-01$447.11$267.44RVU20D
2020-07-01$447.11$267.44RVU20C
2020-04-01$447.11$267.44RVU20B
2020-01-01$447.11$267.44RVU20A
2019-10-01$449.41$263.06RVU19D
2019-07-01$449.41$263.06RVU19C
2019-04-01$449.41$263.06RVU19B
2019-01-01$449.41$263.06RVU19A
2018-10-01$467.32$267.71RVU18D
2018-07-01$467.32$267.71RVU18C
2018-04-01$467.32$267.71RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11010 for an earlier date of service

Where the Alabama rate applies

Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.

  • Abanda
  • Abbeville
  • Adamsville
  • Addison
  • Akron
  • Alabaster
  • Albertville
  • Alexander City

Browse all communities in Alabama

11010 billing questions

How does this differ from 11011 or 11012?

Select by the deepest tissue debrided at the open fracture or dislocation site. This code is for skin and subcutaneous tissue; 11011 extends to muscle or fascia, and 11012 extends to bone.

Does wound size determine the code?

No. For this open-fracture-site service, the distinguishing factor is the deepest tissue debrided, not the wound area.

Can it be reported with fracture treatment?

It may be reported in the same session as definitive fracture treatment when the surgeon performs the debridement. Document the debridement work separately in the operative note.

Should modifier 50 be used for bilateral cases?

CMS pricing treats this code as already bilateral, and modifier 50 does not increase payment.

How do multiple-procedure and surgical-assistant rules affect payment?

In a session with multiple procedures, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

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 11010PPRRVU2026_Oct_nonQPP.csv, line 1,248 (RVU26D)
Geographic factors for AlabamaGPCI2026.csv, line 4 (RVU26D)

Open CMS sourceHow we calculate rates

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