CPT code 11044: Wound debridement, bone, first 20 sq cm2026 Medicare rate & RVUs in Nebraska

Reports wound debridement that reaches devitalized bone, for the first 20 square centimeters or less of treated area.

CMS RVU26DEffective Oct 1, 2026One payment locality104.4K Medicare services in 2024

In Nebraska, Medicare pays $294.60 for 11044 in the office and $184.23 when it’s performed in a hospital or facility.

$294.60Office (non-facility)
$184.23Hospital or facility
−8.1%vs the national office rate ($320.65)

Check a contract rate as a % of Medicare · 11044 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 11044 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 11044 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 11044 covers

11044 represents operative wound-bed debridement that reaches and removes devitalized bone, with more superficial layers included when removed during the same service. It is commonly used for pressure injuries, diabetic foot ulcers, or other chronic wounds with nonviable bone, including cases involving osteomyelitis. Surgeons, podiatrists, and other clinicians qualified to perform wound debridement may report it in office or facility settings. Exposed bone alone is not enough; the procedure must actually debride bone.

Select the code by the deepest tissue actually removed and the total debrided surface area, not by wound appearance or planned depth. This base code covers up to 20 sq cm; report 11047 for each additional 20 sq cm or portion, and document tissue level, sites, and area. For multiple wounds, aggregate areas treated to the same depth; keep different depths at their corresponding levels. The 0-day global includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are not permitted. Do not append modifier 50.

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 Nebraska compares for 11044

Across 109 of 109 payment localities, the office rate for 11044 runs from $286.92 in Arkansas to $398.65 in San Benito County, CA. Nebraska pays $294.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

11044 in Nebraska vs other payment areas
  1. Nebraska · this page$294.60
  2. Los Angeles, CA · California$349.26+$54.66
  3. Washington, DC area · District of Columbia$359.77+$65.17
  4. Miami, FL · Florida$360.13+$65.53
  5. Chicago, IL · Illinois$350.09+$55.49
  6. Manhattan, NY · New York$368.56+$73.96
  7. Alaska · Alaska$388.62+$94.02

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

Every other payment area

11044 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$290.66$186.03
ArkansasArkansas$286.92$184.21
ArizonaArizona$312.43$196.57
Bakersfield, CACalifornia$330.73$199.68
Chico, CACalifornia$328.91$197.85
El Centro, CACalifornia$329.01$197.96
Fresno, CACalifornia$328.91$197.85
Hanford, CACalifornia$328.91$197.85

11044 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.

$286.92

$388.62

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

View every state and territory as a table
11044 office rate range by state
State / territoryOffice rate rangeLocalities
AK$388.621
AL$290.661
AR$286.921
AZ$312.431
CA$328.91–$398.6529
CO$328.171
CT$340.571
DC$359.771
DE$317.171
FL$324.11–$360.133
GA$306.86–$328.002
GU$334.351
HI$334.351
IA$293.681
ID$296.131
IL$318.27–$350.094
IN$297.571
KS$294.141
KY$300.441
LA$300.70–$313.782
MA$327.23–$355.912
MD$322.22–$359.773
ME$299.31–$311.272
MI$308.99–$329.512
MN$310.401
MO$297.23–$312.743
MS$292.041
MT$320.611
NC$301.831
ND$307.951
NE$294.601
NH$324.771
NJ$343.31–$357.032
NM$311.191
NV$317.241
NY$306.02–$378.835
OH$306.411
OK$298.161
OR$313.64–$335.702
PA$305.89–$333.972
PR$322.151
RI$326.351
SC$304.851
SD$306.451
TN$295.681
TX$304.22–$328.608
UT$308.531
VA$311.55–$359.772
VI$322.151
VT$308.431
WA$326.06–$361.022
WI$298.901
WV$308.161
WY$315.091

See 11044 in every payment locality

How the 11044 rate is calculated

Each of 11044’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 · 11044

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.00

4.00 RVUs× 1.000 GPCI

Practice expense4.96

4.96 RVUs× 1.000 GPCI

Malpractice0.64

0.64 RVUs× 1.000 GPCI

Adjusted RVUs

9.6000

Conversion factor

$33.4009

Medicare rate

$320.65

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

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,257

Code
11044
Physician work
4.00
Practice expense
4.96
Malpractice
0.64

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Office calculation for 11044 in Nebraska
ComponentRVULocality factorAdjusted
Physician work4.00× 1.0004.0000
Practice expense4.96× 0.9234.5781
Malpractice0.64× 0.3780.2419
Total RVUs8.8200
Conversion factor× 33.4009

Office rate, Nebraska$294.60

Office: (4 × 1 + 4.96 × 0.923 + 0.64 × 0.378) × $33.4009 = $294.60

Facility: (4 × 1 + 1.38 × 0.923 + 0.64 × 0.378) × $33.4009 = $184.23

Open 11044 in the RVU calculator

Payment rules and modifiers for 11044

The CMS indicators that decide how 11044 is paid alongside other services.

CMS payment indicators · 11044

Wound debridement, bone, first 20 sq cm

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)0The 150% bilateral adjustment doesn’t apply.
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

11044 without 51 · national office

$320.65

Wound debridement, bone, first 20 sq cm

11044-51 · Second procedure: 50%

$160.33

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 11044 has changed in Nebraska

11044 · Office / nonfacility

$294.60

Effective 2026-10-01

The base rate is $20.13 higher than on 2025-10-01, moving from $274.47 to $294.60 (7.3%).

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

    $274.47changed to$294.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.10 changed to 4.00
    • Practice expense RVU 4.57 changed to 4.96
    • Practice expense GPCI 0.917 changed to 0.923
    • Malpractice GPCI 0.304 changed to 0.378

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $283.27changed to$274.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.59 changed to 4.57
    • Malpractice RVU 0.66 changed to 0.64

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $278.64changed to$283.27

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $284.40changed to$278.64

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.51 changed to 4.59
    • Malpractice RVU 0.65 changed to 0.66
    • Practice expense GPCI 0.913 changed to 0.917
    • Malpractice GPCI 0.269 changed to 0.304
  5. January 1, 2023

    RVU23A

    $286.69changed to$284.40

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.44 changed to 4.51
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.235 changed to 0.269

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $288.35changed to$286.69

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.42 changed to 4.44
    • Malpractice RVU 0.64 changed to 0.65

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $292.80changed to$288.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.22 changed to 4.42
    • Practice expense GPCI 0.909 changed to 0.908
    • Malpractice GPCI 0.277 changed to 0.235

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $292.72changed to$292.80

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.20 changed to 4.22
    • Malpractice RVU 0.63 changed to 0.64
    • Practice expense GPCI 0.910 changed to 0.909
    • Malpractice GPCI 0.318 changed to 0.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $292.52changed to$292.72

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice RVU 0.64 changed to 0.63

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $291.56changed to$292.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.18 changed to 4.20
    • Malpractice RVU 0.66 changed to 0.64
    • Practice expense GPCI 0.909 changed to 0.910
    • Malpractice GPCI 0.340 changed to 0.318

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $291.90changed to$291.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.20 changed to 4.18
    • Practice expense GPCI 0.908 changed to 0.909
    • Malpractice GPCI 0.362 changed to 0.340

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $292.75changed to$291.90

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.19 changed to 4.20
    • Malpractice RVU 0.67 changed to 0.66

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $291.30changed to$292.75

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $291.96changed to$291.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.21 changed to 4.19
    • Malpractice RVU 0.69 changed to 0.67
    • Practice expense GPCI 0.906 changed to 0.908
    • Malpractice GPCI 0.342 changed to 0.362

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $290.71changed to$291.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.66 changed to 4.21
    • Malpractice RVU 0.72 changed to 0.69
    • Practice expense GPCI 0.904 changed to 0.906
    • Malpractice GPCI 0.322 changed to 0.342

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $290.71

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$294.60$184.23RVU26D
2026-07-01$294.60$184.23RVU26C
2026-04-01$294.60$184.23RVU26B
2026-01-01$294.60$184.23RVU26A
2025-10-01$274.47$197.94RVU25D
2025-07-01$274.47$197.94RVU25C
2025-04-01$274.47$197.94RVU25B
2025-01-01$274.47$197.94RVU25A
2024-10-01$283.27$202.99RVU24D
2024-07-01$283.27$202.99RVU24C
2024-04-01$283.27$202.99RVU24B
2024-03-09$283.27$202.99RVU24AR
2024-01-01$278.64$199.67RVU24A
2023-10-01$284.40$204.27RVU23D
2023-07-01$284.40$204.27RVU23C
2023-04-01$284.40$204.27RVU23B
2023-01-01$284.40$204.27RVU23A
2022-10-01$286.69$205.30RVU22D
2022-07-01$286.69$205.30RVU22C
2022-04-01$286.69$205.30RVU22B
2022-01-01$286.69$205.30RVU22A
2021-10-01$288.35$206.29RVU21D
2021-07-01$288.35$206.29RVU21C
2021-04-01$288.35$206.29RVU21B
2021-01-01$288.35$206.29RVU21A
2020-10-01$292.80$214.07RVU20D
2020-07-01$292.80$214.07RVU20C
2020-04-01$292.80$214.07RVU20B
2020-01-01$292.80$214.07RVU20A
2019-10-01$292.72$215.65RVU19D
2019-07-01$292.72$215.65RVU19C
2019-04-01$292.72$215.65RVU19B
2019-01-01$292.72$215.65RVU19A
2018-10-01$292.52$216.84RVU18D
2018-07-01$292.52$216.84RVU18C
2018-04-01$292.52$216.84RVU18B
2018-01-01$292.52$216.84RVU18AR1
2017-10-01$291.56$216.85RVU17D
2017-07-01$291.56$216.85RVU17C
2017-04-01$291.56$216.85RVU17B
2017-01-01$291.56$216.85RVU17A
2016-10-01$291.90$217.12RVU16D
2016-07-01$291.90$217.12RVU16C
2016-04-01$291.90$217.12RVU16B
2016-01-01$291.90$217.12RVU16A
2015-10-01$292.75$218.36RVU15D
2015-07-01$292.75$218.36RVU15C
2015-04-01$291.30$217.27RVU15B
2015-01-01$291.30$217.27RVU15A
2014-10-01$291.96$217.64RVU14D
2014-07-01$291.96$217.64RVU14C
2014-04-01$291.96$217.64RVU14B
2014-01-01$291.96$217.64RVU14A
2013-10-01$290.71$211.36RVU13D
2013-07-01$290.71$211.36RVU13C
2013-04-01$290.71$211.36RVU13B
2013-01-01$290.71$211.36RVU13AR

Price 11044 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

11044 billing questions

Does exposed bone support reporting 11044?

Not by itself. The record should show that bone was actually debrided, rather than merely exposed in the wound.

When is 11047 reported with 11044?

Report 11044 for the first 20 sq cm or less debrided to bone, then 11047 for each additional 20 sq cm or portion.

How should the area be calculated for multiple wounds?

Add the areas of wounds debrided to the same tissue depth. Document wounds at different depths separately at their respective levels.

Are more superficial layers separately coded when bone is debrided?

When superficial tissue is removed as part of the same wound debridement, the deepest level reached determines the code; those layers are included.

Can modifier 50 be used for bilateral bone debridement?

No. Do not append modifier 50; CMS identifies bilateral adjustment as inappropriate for this service.

What should the procedure note include?

Record the wound sites, the deepest tissue actually removed, and the surface area debrided. The note should distinguish debridement of bone from bone that was only visible or exposed.

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 11044PPRRVU2026_Oct_nonQPP.csv, line 1,257 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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