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

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 King County, WA, Medicare pays $618.32 for 11011 in the office and $283.49 when it’s performed in a hospital or facility.

$618.32Office (non-facility)
$283.49Hospital or facility
+15.0%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 King County, WA
  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 King County, WA 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. King County, WA pays $618.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

11011 in King County, WA vs other payment areas
  1. King County, WA · this page$618.32
  2. Rest of Washington · Washington$550.55−$67.77
  3. Los Angeles, CA · California$596.83−$21.49
  4. Washington, DC area · District of Columbia$611.45−$6.87
  5. Miami, FL · Florida$600.42−$17.90
  6. Chicago, IL · Illinois$581.70−$36.62
  7. Manhattan, NY · New York$622.55+$4.23

Other areas in Washington 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.

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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 11011 in King County, WA
ComponentRVULocality factorAdjusted
Physician work4.82× 1.0505.0610
Practice expense10.33× 1.22712.6749
Malpractice0.95× 0.8170.7761
Total RVUs18.5121
Conversion factor× 33.4009

Office rate, King County, WA$618.32

Office: (4.82 × 1.05 + 10.33 × 1.227 + 0.95 × 0.817) × $33.4009 = $618.32

Facility: (4.82 × 1.05 + 2.16 × 1.227 + 0.95 × 0.817) × $33.4009 = $283.49

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, King County, WA
Same family
11010Fracture debridement, skin and subcutaneous tissueOpen fracture-site debridement limited to skin and subcutaneous tissue.$541.36
11012Fracture-site debridement, through boneOpen fracture-site debridement that extends to bone.$784.92
Used instead
11042Wound debridement, subcutaneous tissue, first 20 sq cmFor qualifying wound debridement through subcutaneous tissue outside the open-fracture-site code family.$155.13
11043Wound debridement, muscle or fascia, initial areaFor qualifying wound debridement through muscle or fascia outside the open-fracture-site code family.$272.55

How 11011 has changed in King County, WA

11011 · Office / nonfacility

$618.32

Effective 2026-10-01

The base rate is $67.76 higher than on 2025-10-01, moving from $550.56 to $618.32 (12.3%).

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

    $550.56changed to$618.32

    • 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 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $568.61changed to$550.56

    • 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

    $559.33changed to$568.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $569.92changed to$559.33

    • 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 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $576.15changed to$569.92

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $600.36changed to$576.15

    • 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

    $601.98changed to$600.36

    • 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 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $601.55changed to$601.98

    • 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 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $610.04changed to$601.55

    • 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

    $593.05changed to$610.04

    • 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 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $582.84changed to$593.05

    • 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 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $576.35changed to$582.84

    • 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

    $573.48changed to$576.35

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $587.27changed to$573.48

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.29 changed to 9.10
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $600.21changed to$587.27

    • 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
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $600.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$618.32$283.49RVU26D
2026-07-01$618.32$283.49RVU26C
2026-04-01$618.32$283.49RVU26B
2026-01-01$618.32$283.49RVU26A
2025-10-01$550.56$314.18RVU25D
2025-07-01$550.56$314.18RVU25C
2025-04-01$550.56$314.18RVU25B
2025-01-01$550.56$314.18RVU25A
2024-10-01$568.61$319.67RVU24D
2024-07-01$568.61$319.67RVU24C
2024-04-01$568.61$319.67RVU24B
2024-03-09$568.61$319.67RVU24AR
2024-01-01$559.33$314.45RVU24A
2023-10-01$569.92$318.78RVU23D
2023-07-01$569.92$318.78RVU23C
2023-04-01$569.92$318.78RVU23B
2023-01-01$569.92$318.78RVU23A
2022-10-01$576.15$319.97RVU22D
2022-07-01$576.15$319.97RVU22C
2022-04-01$576.15$319.97RVU22B
2022-01-01$576.15$319.97RVU22A
2021-10-01$600.36$322.89RVU21D
2021-07-01$600.36$322.89RVU21C
2021-04-01$600.36$322.89RVU21B
2021-01-01$600.36$322.89RVU21A
2020-10-01$601.98$331.32RVU20D
2020-07-01$601.98$331.32RVU20C
2020-04-01$601.98$331.32RVU20B
2020-01-01$601.98$331.32RVU20A
2019-10-01$601.55$329.79RVU19D
2019-07-01$601.55$329.79RVU19C
2019-04-01$601.55$329.79RVU19B
2019-01-01$601.55$329.79RVU19A
2018-10-01$610.04$329.51RVU18D
2018-07-01$610.04$329.51RVU18C
2018-04-01$610.04$329.51RVU18B
2018-01-01$610.04$329.51RVU18AR1
2017-10-01$593.05$319.59RVU17D
2017-07-01$593.05$319.59RVU17C
2017-04-01$593.05$319.59RVU17B
2017-01-01$593.05$319.59RVU17A
2016-10-01$582.84$310.32RVU16D
2016-07-01$582.84$310.32RVU16C
2016-04-01$582.84$310.32RVU16B
2016-01-01$582.84$310.32RVU16A
2015-10-01$576.35$309.90RVU15D
2015-07-01$576.35$309.90RVU15C
2015-04-01$573.48$308.36RVU15B
2015-01-01$573.48$308.36RVU15A
2014-10-01$587.27$317.02RVU14D
2014-07-01$587.27$317.02RVU14C
2014-04-01$587.27$317.02RVU14B
2014-01-01$587.27$317.02RVU14A
2013-10-01$600.21$315.30RVU13D
2013-07-01$600.21$315.30RVU13C
2013-04-01$600.21$315.30RVU13B
2013-01-01$600.21$315.30RVU13AR

Price 11011 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 11011 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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