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

Reports debridement at an open fracture or dislocation site when removal of contaminated or devitalized tissue extends through muscle or fascia.

CMS RVU26DEffective Oct 1, 2026One payment locality782 Medicare services in 2024

In Washington, DC area, Medicare pays $611.45 for 11011 in the office and $289.99 when it’s performed in a hospital or facility.

$611.45Office (non-facility)
$289.99Hospital or facility
+13.7%vs the national office rate ($537.75)

Check a contract rate as a % of Medicare · 11011 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 11011 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11011 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 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.

How Washington, DC area compares for 11011

Across 109 of 109 payment localities, the office rate for 11011 runs from $473.72 in Arkansas to $693.24 in San Benito County, CA. Washington, DC area pays $611.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

11011 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$611.45
  2. Los Angeles, CA · California$596.83−$14.62
  3. Miami, FL · Florida$600.42−$11.03
  4. Chicago, IL · Illinois$581.70−$29.75
  5. Manhattan, NY · New York$622.55+$11.10
  6. Alaska · Alaska$626.43+$14.98
  7. Alabama · Alabama$480.85−$130.60

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11011 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$473.72$239.31
ArizonaArizona$522.49$258.06
Bakersfield, CACalifornia$561.53$262.45
Chico, CACalifornia$558.89$259.81
El Centro, CACalifornia$559.05$259.97
Fresno, CACalifornia$558.89$259.81
Hanford, CACalifornia$558.89$259.81
Madera, CACalifornia$558.89$259.81

11011 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$473.72

$626.43

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

View every state and territory as a table
11011 office rate range by state
State / territoryOffice rate rangeLocalities
AK$626.431
AL$480.851
AR$473.721
AZ$522.491
CA$558.89–$693.2429
CO$554.821
CT$574.211
DC$611.451
DE$531.211
FL$538.53–$600.423
GA$506.58–$550.142
GU$571.671
HI$571.671
IA$489.291
ID$493.431
IL$525.60–$581.704
IN$496.261
KS$488.891
KY$496.761
LA$496.74–$521.712
MA$552.18–$607.802
MD$540.90–$611.453
ME$498.16–$522.942
MI$511.83–$547.452
MN$525.421
MO$489.32–$521.263
MS$481.511
MT$537.691
NC$503.181
ND$518.911
NE$491.451
NH$547.931
NJ$579.01–$605.262
NM$515.491
NV$532.801
NY$511.08–$640.465
OH$507.991
OK$493.761
OR$526.95–$570.512
PA$507.72–$560.922
PR$541.071
RI$548.771
SC$506.771
SD$516.691
TN$491.671
TX$504.45–$554.478
UT$513.821
VA$522.56–$611.452
VI$541.071
VT$518.631
WA$550.55–$618.322
WI$501.311
WV$506.231
WY$529.501

See 11011 in every payment locality

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.

How the rate is built · 11011

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.82

4.82 RVUs× 1.000 GPCI

Practice expense10.33

10.33 RVUs× 1.000 GPCI

Malpractice0.95

0.95 RVUs× 1.000 GPCI

Adjusted RVUs

16.1000

Conversion factor

$33.4009

Medicare rate

$537.75

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,249

Code
11011
Physician work
4.82
Practice expense
10.33
Malpractice
0.95

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11011 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.82× 1.0545.0803
Practice expense10.33× 1.17812.1687
Malpractice0.95× 1.1131.0574
Total RVUs18.3064
Conversion factor× 33.4009

Office rate, Washington, DC area$611.45

Office: (4.82 × 1.054 + 10.33 × 1.178 + 0.95 × 1.113) × $33.4009 = $611.45

Facility: (4.82 × 1.054 + 2.16 × 1.178 + 0.95 × 1.113) × $33.4009 = $289.99

Open 11011 in the RVU calculator

Payment rules and modifiers for 11011

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

CMS payment indicators · 11011

Fracture-site debridement, through muscle or fascia

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11011 without 51 · national office

$537.75

Fracture-site debridement, through muscle or fascia

11011-51 · Second procedure: 50%

$268.88

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

Codes related to 11011

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

Codes related to 11011
CodeHow it relatesOffice range, Washington, DC area
Same family
11010Fracture debridement, skin and subcutaneous tissueOpen fracture-site debridement limited to skin and subcutaneous tissue.$534.25
11012Fracture-site debridement, through boneOpen fracture-site debridement that extends to bone.$778.34
Used instead
11042Wound debridement, subcutaneous tissue, first 20 sq cmFor qualifying wound debridement through subcutaneous tissue outside the open-fracture-site code family.$151.86
11043Wound debridement, muscle or fascia, initial areaFor qualifying wound debridement through muscle or fascia outside the open-fracture-site code family.$270.31

How 11011 has changed in Washington, DC area

11011 · Office / nonfacility

$611.45

Effective 2026-10-01

The base rate is $56.96 higher than on 2025-10-01, moving from $554.49 to $611.45 (10.3%).

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

    $554.49changed to$611.45

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.94 changed to 4.82
    • Practice expense RVU 9.05 changed to 10.33
    • Malpractice RVU 0.97 changed to 0.95
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $572.60changed to$554.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 9.10 changed to 9.05

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $563.26changed to$572.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $588.30changed to$563.26

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 9.04 changed to 9.10
    • Malpractice RVU 0.95 changed to 0.97
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $609.40changed to$588.30

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $634.74changed to$609.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 9.50 changed to 9.04
    • Malpractice RVU 0.96 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $636.64changed to$634.74

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.21 changed to 9.50
    • Malpractice RVU 0.95 changed to 0.96
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $636.17changed to$636.64

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.35 changed to 9.21
    • Malpractice RVU 0.97 changed to 0.95
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $645.00changed to$636.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.58 changed to 9.35
    • Malpractice RVU 0.96 changed to 0.97

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $634.88changed to$645.00

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.34 changed to 9.58
    • Malpractice RVU 0.99 changed to 0.96
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $631.62changed to$634.88

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.29 changed to 9.34
    • Malpractice RVU 0.98 changed to 0.99
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $623.83changed to$631.62

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.10 changed to 9.29
    • Malpractice RVU 0.94 changed to 0.98

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $620.72changed to$623.83

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $626.41changed to$620.72

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.29 changed to 9.10
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $631.36changed to$626.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.24 changed to 9.29
    • Malpractice RVU 0.98 changed to 0.94
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $631.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$611.45$289.99RVU26D
2026-07-01$611.45$289.99RVU26C
2026-04-01$611.45$289.99RVU26B
2026-01-01$611.45$289.99RVU26A
2025-10-01$554.49$323.53RVU25D
2025-07-01$554.49$323.53RVU25C
2025-04-01$554.49$323.53RVU25B
2025-01-01$554.49$323.53RVU25A
2024-10-01$572.60$329.37RVU24D
2024-07-01$572.60$329.37RVU24C
2024-04-01$572.60$329.37RVU24B
2024-03-09$572.60$329.37RVU24AR
2024-01-01$563.26$324.00RVU24A
2023-10-01$588.30$335.71RVU23D
2023-07-01$588.30$335.71RVU23C
2023-04-01$588.30$335.71RVU23B
2023-01-01$588.30$335.71RVU23A
2022-10-01$609.40$344.20RVU22D
2022-07-01$609.40$344.20RVU22C
2022-04-01$609.40$344.20RVU22B
2022-01-01$609.40$344.20RVU22A
2021-10-01$634.74$347.51RVU21D
2021-07-01$634.74$347.51RVU21C
2021-04-01$634.74$347.51RVU21B
2021-01-01$634.74$347.51RVU21A
2020-10-01$636.64$354.18RVU20D
2020-07-01$636.64$354.18RVU20C
2020-04-01$636.64$354.18RVU20B
2020-01-01$636.64$354.18RVU20A
2019-10-01$636.17$350.42RVU19D
2019-07-01$636.17$350.42RVU19C
2019-04-01$636.17$350.42RVU19B
2019-01-01$636.17$350.42RVU19A
2018-10-01$645.00$350.02RVU18D
2018-07-01$645.00$350.02RVU18C
2018-04-01$645.00$350.02RVU18B
2018-01-01$645.00$350.02RVU18AR1
2017-10-01$634.88$348.59RVU17D
2017-07-01$634.88$348.59RVU17C
2017-04-01$634.88$348.59RVU17B
2017-01-01$634.88$348.59RVU17A
2016-10-01$631.62$347.30RVU16D
2016-07-01$631.62$347.30RVU16C
2016-04-01$631.62$347.30RVU16B
2016-01-01$631.62$347.30RVU16A
2015-10-01$623.83$345.84RVU15D
2015-07-01$623.83$345.84RVU15C
2015-04-01$620.72$344.12RVU15B
2015-01-01$620.72$344.12RVU15A
2014-10-01$626.41$343.94RVU14D
2014-07-01$626.41$343.94RVU14C
2014-04-01$626.41$343.94RVU14B
2014-01-01$626.41$343.94RVU14A
2013-10-01$631.36$333.00RVU13D
2013-07-01$631.36$333.00RVU13C
2013-04-01$631.36$333.00RVU13B
2013-01-01$631.36$333.00RVU13AR

Price 11011 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11011 billing questions

How does 11011 differ from 11010?

Use 11011 when debridement at the open fracture or dislocation site extends into muscle or fascia. Use 11010 when it is limited to skin and subcutaneous tissue.

When is 11012 the better choice?

Use 11012 when bone is debrided at the open fracture or dislocation site. The deepest tissue actually debrided determines the level.

Can this code be reported with fracture treatment?

The debridement code represents work at the open injury site, while a fracture-treatment code represents stabilization or repair. The operative note should support the debridement and the tissue depth reported.

Should modifier 50 be appended for bilateral sites?

CMS prices 11011 as bilateral, and modifier 50 does not increase payment.

What documentation supports 11011 rather than a shallower level?

Document the open fracture or dislocation site and the tissues actually debrided, including extension into muscle or fascia. Bone debridement supports consideration of 11012 instead.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.

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 11011PPRRVU2026_Oct_nonQPP.csv, line 1,249 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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