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

Reports debridement through bone at an open fracture or dislocation site when the surgeon removes devitalized tissue or foreign material.

CMS RVU26DEffective Oct 1, 2026One payment locality8.9K Medicare services in 2024

In Wyoming, Medicare pays $675.26 for 11012 in the office and $350.94 when it’s performed in a hospital or facility.

$675.26Office (non-facility)
$350.94Hospital or facility
−1.7%vs the national office rate ($686.72)

Check a contract rate as a % of Medicare · 11012 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 11012 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wyoming
  2. What 11012 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 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.

How Wyoming compares for 11012

Across 109 of 109 payment localities, the office rate for 11012 runs from $606.28 in Arkansas to $876.01 in San Benito County, CA. Wyoming pays $675.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

11012 in Wyoming vs other payment areas
  1. Wyoming · this page$675.26
  2. Los Angeles, CA · California$757.73+$82.47
  3. Washington, DC area · District of Columbia$778.34+$103.08
  4. Miami, FL · Florida$771.31+$96.05
  5. Chicago, IL · Illinois$747.48+$72.22
  6. Manhattan, NY · New York$794.73+$119.47
  7. Alaska · Alaska$806.04+$130.78

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

Every other payment area

11012 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$615.23$331.45
ArkansasArkansas$606.28$327.69
ArizonaArizona$667.39$353.12
Bakersfield, CACalifornia$713.94$358.49
Chico, CACalifornia$710.28$354.82
El Centro, CACalifornia$710.50$355.04
Fresno, CACalifornia$710.28$354.82
Hanford, CACalifornia$710.28$354.82

11012 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.

$606.28

$806.04

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11012 office rate range by state
State / territoryOffice rate rangeLocalities
AK$806.041
AL$615.231
AR$606.281
AZ$667.391
CA$710.28–$876.0129
CO$706.561
CT$732.711
DC$778.341
DE$678.361
FL$690.47–$771.313
GA$649.95–$702.962
GU$725.541
HI$725.541
IA$624.531
ID$629.981
IL$675.11–$747.484
IN$633.481
KS$624.641
KY$636.481
LA$636.70–$668.012
MA$703.55–$772.302
MD$690.37–$778.343
ME$636.55–$666.682
MI$655.97–$702.312
MN$667.831
MO$627.78–$666.713
MS$617.001
MT$686.631
NC$642.741
ND$660.531
NE$627.051
NH$698.381
NJ$738.48–$770.832
NM$660.821
NV$679.781
NY$652.69–$817.995
OH$650.641
OK$632.071
OR$671.95–$725.512
PA$649.95–$716.432
PR$690.671
RI$700.031
SC$648.281
SD$657.451
TN$628.191
TX$645.90–$706.448
UT$657.091
VA$666.64–$778.342
VI$690.671
VT$660.751
WA$701.29–$784.922
WI$638.621
WV$650.861
WY$675.261

See 11012 in every payment locality

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.

How the rate is built · 11012

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.70

6.70 RVUs× 1.000 GPCI

Practice expense12.54

12.54 RVUs× 1.000 GPCI

Malpractice1.32

1.32 RVUs× 1.000 GPCI

Adjusted RVUs

20.5600

Conversion factor

$33.4009

Medicare rate

$686.72

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wyoming inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,250

Code
11012
Physician work
6.70
Practice expense
12.54
Malpractice
1.32

GPCI2026.csv

112

Locality
Wyoming
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office calculation for 11012 in Wyoming
ComponentRVULocality factorAdjusted
Physician work6.70× 1.0006.7000
Practice expense12.54× 1.00012.5400
Malpractice1.32× 0.7400.9768
Total RVUs20.2168
Conversion factor× 33.4009

Office rate, Wyoming$675.26

Office: (6.7 × 1 + 12.54 × 1 + 1.32 × 0.74) × $33.4009 = $675.26

Facility: (6.7 × 1 + 2.83 × 1 + 1.32 × 0.74) × $33.4009 = $350.94

Open 11012 in the RVU calculator

Payment rules and modifiers for 11012

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

CMS payment indicators · 11012

Fracture-site debridement, through bone

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

11012 without 51 · national office

$686.72

Fracture-site debridement, through bone

11012-51 · Second procedure: 50%

$343.36

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 11012 has changed in Wyoming

11012 · Office / nonfacility

$675.26

Effective 2026-10-01

The base rate is $59.77 higher than on 2025-10-01, moving from $615.49 to $675.26 (9.7%).

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

    $615.49changed to$675.26

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.87 changed to 6.70
    • Practice expense RVU 11.19 changed to 12.54
    • Malpractice RVU 1.31 changed to 1.32
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $638.80changed to$615.49

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.33 changed to 11.19
    • Malpractice RVU 1.34 changed to 1.31

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $628.37changed to$638.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $653.17changed to$628.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.37 changed to 11.33
    • Malpractice RVU 1.31 changed to 1.34
    • Malpractice GPCI 0.790 changed to 0.739
  5. January 1, 2023

    RVU23A

    $663.35changed to$653.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.18 changed to 11.37
    • Malpractice RVU 1.33 changed to 1.31
    • Malpractice GPCI 0.841 changed to 0.790

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $681.69changed to$663.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.59 changed to 11.18
    • Malpractice RVU 1.28 changed to 1.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $691.61changed to$681.69

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.21 changed to 11.59
    • Malpractice RVU 1.26 changed to 1.28
    • Malpractice GPCI 0.860 changed to 0.841

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $707.46changed to$691.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 11.59 changed to 11.21
    • Malpractice RVU 1.33 changed to 1.26
    • Malpractice GPCI 0.880 changed to 0.860

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $723.20changed to$707.46

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 12.04 changed to 11.59
    • Malpractice RVU 1.34 changed to 1.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $728.50changed to$723.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 11.98 changed to 12.04
    • Malpractice RVU 1.38 changed to 1.34
    • Malpractice GPCI 1.050 changed to 0.880

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $738.60changed to$728.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 12.04 changed to 11.98
    • Malpractice RVU 1.41 changed to 1.38
    • Malpractice GPCI 1.219 changed to 1.050

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $734.68changed to$738.60

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 11.93 changed to 12.04
    • Malpractice RVU 1.35 changed to 1.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $731.03changed to$734.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $728.37changed to$731.03

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 1.25 changed to 1.35
    • Malpractice GPCI 1.226 changed to 1.219

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $736.10changed to$728.37

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 13.15 changed to 11.93
    • Malpractice RVU 1.31 changed to 1.25
    • Malpractice GPCI 1.233 changed to 1.226

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $736.10

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$675.26$350.94RVU26D
2026-07-01$675.26$350.94RVU26C
2026-04-01$675.26$350.94RVU26B
2026-01-01$675.26$350.94RVU26A
2025-10-01$615.49$392.30RVU25D
2025-07-01$615.49$392.30RVU25C
2025-04-01$615.49$392.30RVU25B
2025-01-01$615.49$392.30RVU25A
2024-10-01$638.80$401.12RVU24D
2024-07-01$638.80$401.12RVU24C
2024-04-01$638.80$401.12RVU24B
2024-03-09$638.80$401.12RVU24AR
2024-01-01$628.37$394.58RVU24A
2023-10-01$653.17$409.18RVU23D
2023-07-01$653.17$409.18RVU23C
2023-04-01$653.17$409.18RVU23B
2023-01-01$653.17$409.18RVU23A
2022-10-01$663.35$416.26RVU22D
2022-07-01$663.35$416.26RVU22C
2022-04-01$663.35$416.26RVU22B
2022-01-01$663.35$416.26RVU22A
2021-10-01$681.69$418.25RVU21D
2021-07-01$681.69$418.25RVU21C
2021-04-01$681.69$418.25RVU21B
2021-01-01$681.69$418.25RVU21A
2020-10-01$691.61$429.96RVU20D
2020-07-01$691.61$429.96RVU20C
2020-04-01$691.61$429.96RVU20B
2020-01-01$691.61$429.96RVU20A
2019-10-01$707.46$433.56RVU19D
2019-07-01$707.46$433.56RVU19C
2019-04-01$707.46$433.56RVU19B
2019-01-01$707.46$433.56RVU19A
2018-10-01$723.20$436.29RVU18D
2018-07-01$723.20$436.29RVU18C
2018-04-01$723.20$436.29RVU18B
2018-01-01$723.20$436.29RVU18AR1
2017-10-01$728.50$443.91RVU17D
2017-07-01$728.50$443.91RVU17C
2017-04-01$728.50$443.91RVU17B
2017-01-01$728.50$443.91RVU17A
2016-10-01$738.60$451.81RVU16D
2016-07-01$738.60$451.81RVU16C
2016-04-01$738.60$451.81RVU16B
2016-01-01$738.60$451.81RVU16A
2015-10-01$734.68$449.37RVU15D
2015-07-01$734.68$449.37RVU15C
2015-04-01$731.03$447.14RVU15B
2015-01-01$731.03$447.14RVU15A
2014-10-01$728.37$445.73RVU14D
2014-07-01$728.37$445.73RVU14C
2014-04-01$728.37$445.73RVU14B
2014-01-01$728.37$445.73RVU14A
2013-10-01$736.10$435.33RVU13D
2013-07-01$736.10$435.33RVU13C
2013-04-01$736.10$435.33RVU13B
2013-01-01$736.10$435.33RVU13AR

Price 11012 for an earlier date of service

Where the Wyoming rate applies

Wyoming is a Medicare payment area, not a city. Our Census mapping connects it to 205 cities and communities in Wyoming. Some span more than one payment area; confirm with the service ZIP.

  • Afton
  • Albany
  • Albin
  • Alcova
  • Alpine
  • Alpine Northeast
  • Alpine Northwest
  • Alta

Browse all communities in Wyoming

11012 billing questions

How does 11012 differ from 11010 and 11011?

11012 is selected when debridement at the open fracture or dislocation site reaches bone. 11010 covers skin and subcutaneous tissue, while 11011 includes muscle or fascia but not bone.

Can 11012 be used for routine wound debridement?

No. It describes debridement at an open fracture or dislocation site. For wound debridement outside that injury context, consider the wound-debridement code family selected by tissue depth and area.

What documentation supports reporting 11012?

Document the open fracture or dislocation site, operative findings, and the tissue actually debrided, including bone. The record should support that the work was performed at the injury site.

Does modifier 50 increase payment for bilateral services?

No. CMS prices 11012 as bilateral, and modifier 50 does not increase payment.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

Can an assistant surgeon or co-surgeon be paid for 11012?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

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 11012PPRRVU2026_Oct_nonQPP.csv, line 1,250 (RVU26D)
Geographic factors for WyomingGPCI2026.csv, line 112 (RVU26D)

Open CMS sourceHow we calculate rates

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