CPT code 11011: Fracture-site debridement, through muscle or fascia2026 Medicare rate & RVUs in Texas
Reports debridement at an open fracture or dislocation site when removal of contaminated or devitalized tissue extends through muscle or fascia.
Medicare pays $504.45–$554.47 for 11011 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$504.45 to $554.47
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $554.47 | $265.76 |
| Beaumont, TX | $504.45 | $256.12 |
| Brazoria, TX | $528.96 | $258.53 |
| Dallas, TX | $533.32 | $261.52 |
| Fort Worth, TX | $530.28 | $261.21 |
| Galveston, TX | $531.17 | $260.19 |
| Houston, TX | $548.56 | $277.58 |
| Rest of Texas | $517.08 | $258.11 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
11011 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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