CPT code 11045: Wound debridement, subcutaneous, each additional 20 sq cm2026 Medicare rate & RVUs in Arkansas

Add-on for surgical debridement reaching subcutaneous tissue, reported for each additional 20 sq cm or part thereof beyond the first 20 sq cm billed with 11042.

CMS RVU26DEffective Oct 1, 2026One payment locality650.8K Medicare services in 2024

In Arkansas, Medicare pays $37.37 for 11045 in the office and $20.44 when it’s performed in a hospital or facility.

$37.37Office (non-facility)
$20.44Hospital or facility
−10.5%vs the national office rate ($41.75)

Check a contract rate as a % of Medicare · 11045 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 11045 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 11045 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 11045 covers

This add-on captures additional wound surface debrided to subcutaneous fat beyond the first 20 square centimeters. Typical wounds include diabetic foot ulcers, pressure injuries, venous stasis ulcers, and dehisced surgical incisions. Debridement may be performed with a scalpel, curette, or scissors. Podiatrists, general and plastic surgeons, and wound care physicians and practitioners perform it in offices, hospital outpatient wound centers, and inpatient settings.

Add the areas actually debrided to subcutaneous depth across wounds, and report 11042 for the first 20 sq cm or less. Report one unit of 11045 for each additional 20 sq cm or part thereof. For example, 45 sq cm debrided to subcutaneous depth equals 11042 plus two units of 11045. Total areas debrided to deeper levels separately under their own codes. Documentation should identify each wound's location, area debrided, deepest tissue removed, instruments used, and type of tissue excised. As an add-on, 11045 is billed only with its primary procedure and is paid within that procedure's global period.

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 Arkansas compares for 11045

Across 109 of 109 payment localities, the office rate for 11045 runs from $37.37 in Arkansas to $52.65 in San Benito County, CA. Arkansas pays $37.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

11045 in Arkansas vs other payment areas
  1. Arkansas · this page$37.37
  2. Los Angeles, CA · California$45.85+$8.48
  3. Washington, DC area · District of Columbia$47.00+$9.63
  4. Miami, FL · Florida$46.27+$8.90
  5. Chicago, IL · Illinois$45.01+$7.64
  6. Manhattan, NY · New York$47.90+$10.53
  7. Alaska · Alaska$50.38+$13.01

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

Every other payment area

11045 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.86$20.61
ArizonaArizona$40.70$21.60
Bakersfield, CACalifornia$43.36$21.76
Chico, CACalifornia$43.16$21.56
El Centro, CACalifornia$43.17$21.57
Fresno, CACalifornia$43.16$21.56
Hanford, CACalifornia$43.16$21.56
Madera, CACalifornia$43.16$21.56

11045 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.

$37.37

$50.38

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

View every state and territory as a table
11045 office rate range by state
State / territoryOffice rate rangeLocalities
AK$50.381
AL$37.861
AR$37.371
AZ$40.701
CA$43.16–$52.6529
CO$42.911
CT$44.341
DC$47.001
DE$41.321
FL$41.91–$46.273
GA$39.71–$42.642
GU$43.921
HI$43.921
IA$38.381
ID$38.681
IL$41.06–$45.014
IN$38.871
KS$38.381
KY$38.991
LA$39.00–$40.712
MA$42.76–$46.642
MD$42.00–$47.003
ME$39.02–$40.682
MI$40.05–$42.552
MN$40.771
MO$38.51–$40.653
MS$37.941
MT$41.751
NC$39.361
ND$40.361
NE$38.521
NH$42.401
NJ$44.75–$46.632
NM$40.311
NV$41.381
NY$39.90–$49.165
OH$39.761
OK$38.761
OR$40.96–$43.972
PA$39.73–$43.442
PR$41.971
RI$42.571
SC$39.651
SD$40.201
TN$38.571
TX$39.51–$42.858
UT$40.131
VA$40.67–$47.002
VI$41.971
VT$40.371
WA$42.63–$47.372
WI$39.171
WV$39.741
WY$41.141

See 11045 in every payment locality

How the 11045 rate is calculated

Each of 11045’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 · 11045

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.49

0.49 RVUs× 1.000 GPCI

Practice expense0.69

0.69 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

1.2500

Conversion factor

$33.4009

Medicare rate

$41.75

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,258

Code
11045
Physician work
0.49
Practice expense
0.69
Malpractice
0.07

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 11045 in Arkansas
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense0.69× 0.8590.5927
Malpractice0.07× 0.5150.0361
Total RVUs1.1188
Conversion factor× 33.4009

Office rate, Arkansas$37.37

Office: (0.49 × 1 + 0.69 × 0.859 + 0.07 × 0.515) × $33.4009 = $37.37

Facility: (0.49 × 1 + 0.1 × 0.859 + 0.07 × 0.515) × $33.4009 = $20.44

Open 11045 in the RVU calculator

Payment rules and modifiers for 11045

The CMS indicators that decide how 11045 is paid alongside other services.

CMS payment indicators · 11045

Wound debridement, subcutaneous, each additional 20 sq cm

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 11045 has changed in Arkansas

11045 · Office / nonfacility

$37.37

Effective 2026-10-01

The base rate is $2.78 higher than on 2025-10-01, moving from $34.59 to $37.37 (8.0%).

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

    $34.59changed to$37.37

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Practice expense RVU 0.62 changed to 0.69
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $35.77changed to$34.59

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.08 changed to 0.07

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $35.19changed to$35.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $35.91changed to$35.19

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.61 changed to 0.62
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518
  5. January 1, 2023

    RVU23A

    $36.92changed to$35.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.62 changed to 0.61
    • Malpractice RVU 0.09 changed to 0.08
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $37.23changed to$36.92

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $38.34changed to$37.23

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.60 changed to 0.62
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $38.54changed to$38.34

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $38.49changed to$38.54

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $37.76changed to$38.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.59 changed to 0.60
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $37.56changed to$37.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $38.00changed to$37.56

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.60 changed to 0.59

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $37.81changed to$38.00

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $38.15changed to$37.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.59 changed to 0.60
    • Malpractice RVU 0.11 changed to 0.07
    • Practice expense GPCI 0.866 changed to 0.867
    • Malpractice GPCI 0.492 changed to 0.534

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $37.83changed to$38.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.65 changed to 0.59
    • Practice expense GPCI 0.865 changed to 0.866
    • Malpractice GPCI 0.450 changed to 0.492

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $37.83

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$37.37$20.44RVU26D
2026-07-01$37.37$20.44RVU26C
2026-04-01$37.37$20.44RVU26B
2026-01-01$37.37$20.44RVU26A
2025-10-01$34.59$22.08RVU25D
2025-07-01$34.59$22.08RVU25C
2025-04-01$34.59$22.08RVU25B
2025-01-01$34.59$22.08RVU25A
2024-10-01$35.77$22.89RVU24D
2024-07-01$35.77$22.89RVU24C
2024-04-01$35.77$22.89RVU24B
2024-03-09$35.77$22.89RVU24AR
2024-01-01$35.19$22.52RVU24A
2023-10-01$35.91$23.19RVU23D
2023-07-01$35.91$23.19RVU23C
2023-04-01$35.91$23.19RVU23B
2023-01-01$35.91$23.19RVU23A
2022-10-01$36.92$24.03RVU22D
2022-07-01$36.92$24.03RVU22C
2022-04-01$36.92$24.03RVU22B
2022-01-01$36.92$24.03RVU22A
2021-10-01$37.23$24.23RVU21D
2021-07-01$37.23$24.23RVU21C
2021-04-01$37.23$24.23RVU21B
2021-01-01$37.23$24.23RVU21A
2020-10-01$38.34$25.32RVU20D
2020-07-01$38.34$25.32RVU20C
2020-04-01$38.34$25.32RVU20B
2020-01-01$38.34$25.32RVU20A
2019-10-01$38.54$25.34RVU19D
2019-07-01$38.54$25.34RVU19C
2019-04-01$38.54$25.34RVU19B
2019-01-01$38.54$25.34RVU19A
2018-10-01$38.49$25.31RVU18D
2018-07-01$38.49$25.31RVU18C
2018-04-01$38.49$25.31RVU18B
2018-01-01$38.49$25.31RVU18AR1
2017-10-01$37.76$24.96RVU17D
2017-07-01$37.76$24.96RVU17C
2017-04-01$37.76$24.96RVU17B
2017-01-01$37.76$24.96RVU17A
2016-10-01$37.56$24.83RVU16D
2016-07-01$37.56$24.83RVU16C
2016-04-01$37.56$24.83RVU16B
2016-01-01$37.56$24.83RVU16A
2015-10-01$38.00$24.92RVU15D
2015-07-01$38.00$24.92RVU15C
2015-04-01$37.81$24.79RVU15B
2015-01-01$37.81$24.79RVU15A
2014-10-01$38.15$25.43RVU14D
2014-07-01$38.15$25.43RVU14C
2014-04-01$38.15$25.43RVU14B
2014-01-01$38.15$25.43RVU14A
2013-10-01$37.83$24.58RVU13D
2013-07-01$37.83$24.58RVU13C
2013-04-01$37.83$24.58RVU13B
2013-01-01$37.83$24.58RVU13AR

Price 11045 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

11045 billing questions

Which primary code must accompany 11045?

Report 11045 only with 11042, the first 20 sq cm or less of subcutaneous debridement. Muscle/fascia and bone debridement have their own add-ons, 11046 and 11047.

How many units do I report?

Subtract the first 20 sq cm from the total area actually debrided to subcutaneous depth. Report one unit for each remaining 20 sq cm or part thereof. For 61 sq cm debrided, report 11042 plus three units of 11045.

Can I combine areas from several wounds?

Yes. Add together the areas actually debrided to the same depth. Sum and code areas debrided to different depths separately; do not combine them across depths.

If one wound was debrided to muscle and another to subcutaneous tissue, how is this coded?

For these distinct wounds, code the muscle-depth wound with 11043, plus 11046 if its debrided area exceeds 20 sq cm. Code the subcutaneous-depth wound with 11042, plus 11045 as needed.

What documentation supports additional units?

Record the measured area actually debrided for each wound, using its treated length and width or calculated area. Also record the deepest tissue level actually removed, such as subcutaneous fat. Vague terms like a large wound or extensive debridement do not support units.

When should selective debridement codes be used instead?

For selective debridement of an open wound confined to epidermis or dermis, report 97597 for the first 20 sq cm and 97598 for each additional 20 sq cm or part thereof. Report 11045 when subcutaneous tissue is debrided beyond the first 20 sq cm.

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 11045PPRRVU2026_Oct_nonQPP.csv, line 1,258 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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