CPT code 11012: Fracture-site debridement, through bone2026 Medicare rate & RVUs

Medicare pays $686.72 for 11012 nationally in the office and $362.40 in a hospital or facility. Local office rates run $606.28–$876.01.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11012 covers

An orthopedic or trauma surgeon uses this service to remove contaminated or devitalized tissue, including bone, at the site of an open fracture or dislocation. It may be performed in the operating room during acute injury care. The defining feature is debridement through bone at that injury site; the code also encompasses the skin, subcutaneous tissue, and muscle or fascia addressed in the procedure.

Choose this level from the deepest tissue debrided at the open fracture or dislocation site, and document the injury site, tissues removed, and operative findings supporting bone debridement. This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS prices the code as bilateral; modifier 50 does not increase payment. Assistant-at-surgery payment is restricted, and 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 11012 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

11012 rates by state

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

How the 11012 rate is calculated

Each of 11012’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 11012

The CMS indicators that decide how 11012 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

11012 compared with similar codes

How to choose

11010Fracture debridementSkin and subcutaneous tissue

Use 11010 when debridement at the open fracture or dislocation site is limited to skin and subcutaneous tissue; 11012 requires work through bone.

11011Fracture-site debridementThrough muscle or fascia

Use 11011 when debridement at the injury site reaches muscle or fascia but not bone. Bone debridement supports 11012.

11044Wound debridementBone, first 20 sq cm

11044 describes bone-level wound debridement selected by area. 11012 is specific to debridement at an open fracture or dislocation site.

Codes related to 11012

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

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