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

In South Dakota, Medicare pays $516.69 for 11011 in the office and $243.80 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $516.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11011 rates by state

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

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.

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

Codes related to 11011

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

How 11011 has changed in South Dakota

Price 11011 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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