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

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 Atlanta, GA, Medicare pays $550.14 for 11011 in the office and $272.88 when it’s performed in a hospital or facility.

$550.14Office (non-facility)
$272.88Hospital or facility
+2.3%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 Atlanta, GA
  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 Atlanta, GA 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. Atlanta, GA pays $550.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

11011 in Atlanta, GA vs other payment areas
  1. Atlanta, GA · this page$550.14
  2. Rest of Georgia · Georgia$506.58−$43.56
  3. Los Angeles, CA · California$596.83+$46.69
  4. Washington, DC area · District of Columbia$611.45+$61.31
  5. Miami, FL · Florida$600.42+$50.28
  6. Chicago, IL · Illinois$581.70+$31.56
  7. Manhattan, NY · New York$622.55+$72.41

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

Every other payment area

11011 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$626.43$335.81
AlabamaAlabama$480.85$242.08
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

11011 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.

$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 Atlanta, GA 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

44

Locality
Atlanta, GA
Physician work
1.003
Practice expense
1.016
Malpractice
1.201
Office calculation for 11011 in Atlanta, GA
ComponentRVULocality factorAdjusted
Physician work4.82× 1.0034.8345
Practice expense10.33× 1.01610.4953
Malpractice0.95× 1.2011.1409
Total RVUs16.4707
Conversion factor× 33.4009

Office rate, Atlanta, GA$550.14

Office: (4.82 × 1.003 + 10.33 × 1.016 + 0.95 × 1.201) × $33.4009 = $550.14

Facility: (4.82 × 1.003 + 2.16 × 1.016 + 0.95 × 1.201) × $33.4009 = $272.88

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

How 11011 has changed in Atlanta, GA

11011 · Office / nonfacility

$550.14

Effective 2026-10-01

The base rate is $63.10 higher than on 2025-10-01, moving from $487.04 to $550.14 (13.0%).

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

    $487.04changed to$550.14

    • 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 1.000 changed to 1.003
    • Practice expense GPCI 0.997 changed to 1.016
    • Malpractice GPCI 1.128 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $502.87changed to$487.04

    • 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

    $494.66changed to$502.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $505.84changed to$494.66

    • 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
    • Practice expense GPCI 0.998 changed to 0.997
    • Malpractice GPCI 1.016 changed to 1.128
  5. January 1, 2023

    RVU23A

    $512.89changed to$505.84

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.904 changed to 1.016

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $533.48changed to$512.89

    • 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

    $544.15changed to$533.48

    • 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
    • Malpractice GPCI 0.996 changed to 0.904

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $552.02changed to$544.15

    • 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
    • Practice expense GPCI 0.997 changed to 0.998
    • Malpractice GPCI 1.088 changed to 0.996

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $559.28changed to$552.02

    • 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. April 1, 2018

    RVU18B

    No ratechanged to$559.28

    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$550.14$272.88RVU26D
2026-07-01$550.14$272.88RVU26C
2026-04-01$550.14$272.88RVU26B
2026-01-01$550.14$272.88RVU26A
2025-10-01$487.04$293.87RVU25D
2025-07-01$487.04$293.87RVU25C
2025-04-01$487.04$293.87RVU25B
2025-01-01$487.04$293.87RVU25A
2024-10-01$502.87$299.43RVU24D
2024-07-01$502.87$299.43RVU24C
2024-04-01$502.87$299.43RVU24B
2024-03-09$502.87$299.43RVU24AR
2024-01-01$494.66$294.54RVU24A
2023-10-01$505.84$298.19RVU23D
2023-07-01$505.84$298.19RVU23C
2023-04-01$505.84$298.19RVU23B
2023-01-01$505.84$298.19RVU23A
2022-10-01$512.89$298.76RVU22D
2022-07-01$512.89$298.76RVU22C
2022-04-01$512.89$298.76RVU22B
2022-01-01$512.89$298.76RVU22A
2021-10-01$533.48$301.55RVU21D
2021-07-01$533.48$301.55RVU21C
2021-04-01$533.48$301.55RVU21B
2021-01-01$533.48$301.55RVU21A
2020-10-01$544.15$313.28RVU20D
2020-07-01$544.15$313.28RVU20C
2020-04-01$544.15$313.28RVU20B
2020-01-01$544.15$313.28RVU20A
2019-10-01$552.02$315.60RVU19D
2019-07-01$552.02$315.60RVU19C
2019-04-01$552.02$315.60RVU19B
2019-01-01$552.02$315.60RVU19A
2018-10-01$559.28$315.22RVU18D
2018-07-01$559.28$315.22RVU18C
2018-04-01$559.28$315.22RVU18B
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 11011 for an earlier date of service

Where the Atlanta, GA rate applies

Atlanta, GA is a Medicare payment area, not a city. Our Census mapping connects it to 114 cities and communities in Georgia. Some span more than one payment area; confirm with the service ZIP.

  • Atlanta
  • Acworth
  • Alpharetta
  • 11011 in Auburn · multiple payment areas
  • Austell
  • Avondale Estates
  • Ball Ground
  • Belvedere Park

Browse all communities in Georgia

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 Atlanta, GAGPCI2026.csv, line 44 (RVU26D)

Open CMS sourceHow we calculate rates

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