CPT code 11011: Fracture-site debridement, through muscle or fascia2026 Medicare rate & RVUs

Medicare pays $537.75 for 11011 nationally in the office and $264.87 in a hospital or facility. Local office rates run $473.72–$693.24.

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

What 11011 covers

This code describes operative debridement at an open fracture or dislocation site, extending through skin and subcutaneous tissue into muscle or fascia, without debridement of bone. The work may include removing contaminated or foreign material from the wound. Orthopedic trauma surgeons commonly perform it during operative care of an open fracture or dislocation in a hospital or other surgical setting.

Choose the code according to the deepest tissue debrided at the fracture site: skin and subcutaneous tissue only points to 11010, while bone debridement points to 11012. The operative report should identify the open injury site, tissues removed, and extent of debridement. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is 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. Modifier 50 does not increase payment because CMS prices this code as bilateral. 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.

Where 11011 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

11011 rates by state

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

How the 11011 rate is calculated

Each of 11011’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 11011

The CMS indicators that decide how 11011 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

11011 compared with similar codes

How to choose

11010Fracture debridementSkin and subcutaneous tissue

11010 applies when open fracture-site debridement is limited to skin and subcutaneous tissue. Choose 11011 when the debridement extends into muscle or fascia.

11012Fracture-site debridementThrough bone

11012 is the open fracture-site level when bone is debrided. 11011 applies when debridement reaches muscle or fascia but not bone.

11043Wound debridementMuscle or fascia, initial area

11043 describes qualifying muscle or fascia wound debridement outside the open-fracture-site family. Use 11011 for that depth at an open fracture or dislocation site.

Codes related to 11011

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

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