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

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 Nevada, Medicare pays $317.24 for 11044 in the office and $197.55 when it’s performed in a hospital or facility.

$317.24Office (non-facility)
$197.55Hospital or facility
−1.1%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 Nevada
  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 Nevada 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. Nevada pays $317.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

11044 in Nevada vs other payment areas
  1. Nevada · this page$317.24
  2. Los Angeles, CA · California$349.26+$32.02
  3. Washington, DC area · District of Columbia$359.77+$42.53
  4. Miami, FL · Florida$360.13+$42.89
  5. Chicago, IL · Illinois$350.09+$32.85
  6. Manhattan, NY · New York$368.56+$51.32
  7. Alaska · Alaska$388.62+$71.38

Other areas in Nevada 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.

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.

$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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 11044 in Nevada
ComponentRVULocality factorAdjusted
Physician work4.00× 1.0004.0000
Practice expense4.96× 1.0014.9650
Malpractice0.64× 0.8330.5331
Total RVUs9.4981
Conversion factor× 33.4009

Office rate, Nevada$317.24

Office: (4 × 1 + 4.96 × 1.001 + 0.64 × 0.833) × $33.4009 = $317.24

Facility: (4 × 1 + 1.38 × 1.001 + 0.64 × 0.833) × $33.4009 = $197.55

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

Codes related to 11044

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

Codes related to 11044
CodeHow it relatesOffice range, Nevada
Add-on codes
11047Bone debridement, each additional 20 sq cmAdd-on code for each additional 20 sq cm or portion debrided beyond the initial area.$126.70
Same family
11043Wound debridement, muscle or fascia, initial areaUse when the deepest tissue debrided is muscle or fascia rather than bone.$237.28
11042Wound debridement, subcutaneous tissue, first 20 sq cmUse when debridement reaches subcutaneous tissue but not muscle, fascia, or bone.$131.97
Used instead
11012Fracture-site debridement, through boneFor debridement at an open fracture or dislocation site that includes bone.$679.78

How 11044 has changed in Nevada

11044 · Office / nonfacility

$317.24

Effective 2026-10-01

The base rate is $19.32 higher than on 2025-10-01, moving from $297.92 to $317.24 (6.5%).

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

    $297.92changed to$317.24

    • 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 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $307.81changed to$297.92

    • 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

    $302.79changed to$307.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $315.95changed to$302.79

    • 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
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $326.64changed to$315.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.44 changed to 4.51
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $328.17changed to$326.64

    • 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

    $326.96changed to$328.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.22 changed to 4.42
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $322.63changed to$326.96

    • 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
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $322.61changed to$322.63

    • 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

    $325.25changed to$322.61

    • 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
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $328.78changed to$325.25

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.20 changed to 4.18
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $329.95changed to$328.78

    • 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

    $328.30changed to$329.95

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $333.49changed to$328.30

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $337.42changed to$333.49

    • 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
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$337.42

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$317.24$197.55RVU26D
2026-07-01$317.24$197.55RVU26C
2026-04-01$317.24$197.55RVU26B
2026-01-01$317.24$197.55RVU26A
2025-10-01$297.92$214.46RVU25D
2025-07-01$297.92$214.46RVU25C
2025-04-01$297.92$214.46RVU25B
2025-01-01$297.92$214.46RVU25A
2024-10-01$307.81$220.26RVU24D
2024-07-01$307.81$220.26RVU24C
2024-04-01$307.81$220.26RVU24B
2024-03-09$307.81$220.26RVU24AR
2024-01-01$302.79$216.67RVU24A
2023-10-01$315.95$228.19RVU23D
2023-07-01$315.95$228.19RVU23C
2023-04-01$315.95$228.19RVU23B
2023-01-01$315.95$228.19RVU23A
2022-10-01$326.64$237.01RVU22D
2022-07-01$326.64$237.01RVU22C
2022-04-01$326.64$237.01RVU22B
2022-01-01$326.64$237.01RVU22A
2021-10-01$328.17$237.80RVU21D
2021-07-01$328.17$237.80RVU21C
2021-04-01$328.17$237.80RVU21B
2021-01-01$328.17$237.80RVU21A
2020-10-01$326.96$240.34RVU20D
2020-07-01$326.96$240.34RVU20C
2020-04-01$326.96$240.34RVU20B
2020-01-01$326.96$240.34RVU20A
2019-10-01$322.63$236.50RVU19D
2019-07-01$322.63$236.50RVU19C
2019-04-01$322.63$236.50RVU19B
2019-01-01$322.63$236.50RVU19A
2018-10-01$322.61$238.03RVU18D
2018-07-01$322.61$238.03RVU18C
2018-04-01$322.61$238.03RVU18B
2018-01-01$322.61$238.03RVU18AR1
2017-10-01$325.25$240.28RVU17D
2017-07-01$325.25$240.28RVU17C
2017-04-01$325.25$240.28RVU17B
2017-01-01$325.25$240.28RVU17A
2016-10-01$328.78$242.23RVU16D
2016-07-01$328.78$242.23RVU16C
2016-04-01$328.78$242.23RVU16B
2016-01-01$328.78$242.23RVU16A
2015-10-01$329.95$243.84RVU15D
2015-07-01$329.95$243.84RVU15C
2015-04-01$328.30$242.63RVU15B
2015-01-01$328.30$242.63RVU15A
2014-10-01$333.49$246.95RVU14D
2014-07-01$333.49$246.95RVU14C
2014-04-01$333.49$246.95RVU14B
2014-01-01$333.49$246.95RVU14A
2013-10-01$337.42$244.55RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11044 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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