CPT code 11045: Wound debridement, subcutaneous, each additional 20 sq cm2026 Medicare rate & RVUs in North Dakota
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.
In North Dakota, Medicare pays $40.36 for 11045 in the office and $20.66 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 North Dakota 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. North Dakota pays $40.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$40.36
- Los Angeles, CA · California$45.85+$5.49
- Washington, DC area · District of Columbia$47.00+$6.64
- Miami, FL · Florida$46.27+$5.91
- Chicago, IL · Illinois$45.01+$4.65
- Manhattan, NY · New York$47.90+$7.54
- Alaska · Alaska$50.38+$10.02
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $37.86 | $20.61 |
| ArkansasArkansas | $37.37 | $20.44 |
| 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 |
| Merced, CACalifornia | $43.16 | $21.56 |
| Modesto, CACalifornia | $43.16 | $21.56 |
| Napa, CACalifornia | $48.96 | $22.99 |
| Oxnard, CACalifornia | $45.52 | $22.23 |
| Redding, CACalifornia | $43.16 | $21.56 |
| Rest of CaliforniaCalifornia | $43.16 | $21.56 |
| Riverside, CACalifornia | $43.91 | $22.32 |
| Sacramento, CACalifornia | $45.01 | $22.09 |
| Salinas, CACalifornia | $44.84 | $22.00 |
| San Diego, CACalifornia | $45.69 | $22.12 |
| Marin County, CACalifornia | $51.49 | $23.70 |
| San Francisco, CACalifornia | $51.41 | $23.62 |
| San Benito County, CACalifornia | $52.65 | $24.24 |
| Santa Clara County, CACalifornia | $52.33 | $23.91 |
| San Luis Obispo, CACalifornia | $44.15 | $21.70 |
| Santa Cruz, CACalifornia | $45.96 | $22.02 |
| Santa Maria, CACalifornia | $44.95 | $21.97 |
| Santa Rosa, CACalifornia | $46.41 | $22.21 |
| Stockton, CACalifornia | $43.16 | $21.56 |
| Vallejo, CACalifornia | $48.85 | $22.87 |
| Visalia, CACalifornia | $43.16 | $21.56 |
| Yuba City, CACalifornia | $43.16 | $21.56 |
| ColoradoColorado | $42.91 | $21.94 |
| ConnecticutConnecticut | $44.34 | $23.12 |
| DelawareDelaware | $41.32 | $21.85 |
| Fort Lauderdale, FLFlorida | $43.94 | $23.98 |
| Rest of FloridaFlorida | $41.91 | $23.07 |
| Atlanta, GAGeorgia | $42.64 | $22.62 |
| Rest of GeorgiaGeorgia | $39.71 | $22.13 |
| Hawaii, Guam, HIHawaii | $43.92 | $21.52 |
| IowaIowa | $38.38 | $20.35 |
| IdahoIdaho | $38.68 | $20.55 |
| East St. Louis, ILIllinois | $42.28 | $24.15 |
| Rest of IllinoisIllinois | $41.06 | $23.07 |
| Suburban Chicago, ILIllinois | $44.29 | $24.05 |
| IndianaIndiana | $38.87 | $20.60 |
| KansasKansas | $38.38 | $20.56 |
| KentuckyKentucky | $38.99 | $21.48 |
| New Orleans, LALouisiana | $40.71 | $22.17 |
| Rest of LouisianaLouisiana | $39.00 | $21.56 |
| Metropolitan Boston, MAMassachusetts | $46.64 | $23.11 |
| Rest of MassachusettsMassachusetts | $42.76 | $22.01 |
| Baltimore area, MDMaryland | $44.25 | $23.10 |
| Rest of MarylandMaryland | $42.00 | $22.06 |
| Rest of MaineMaine | $39.02 | $20.89 |
| Southern Maine, MEMaine | $40.68 | $21.15 |
| Detroit, MIMichigan | $42.55 | $23.53 |
| Rest of MichiganMichigan | $40.05 | $22.06 |
| MinnesotaMinnesota | $40.77 | $20.50 |
| Metropolitan Kansas City, MOMissouri | $40.29 | $21.79 |
| Metropolitan St. Louis, MOMissouri | $40.65 | $21.89 |
| Rest of MissouriMissouri | $38.51 | $21.52 |
| MississippiMississippi | $37.94 | $20.97 |
| MontanaMontana | $41.75 | $22.04 |
| North CarolinaNorth Carolina | $39.36 | $20.98 |
| NebraskaNebraska | $38.52 | $20.33 |
| New HampshireNew Hampshire | $42.40 | $21.89 |
| Northern New JerseyNew Jersey | $46.63 | $23.77 |
| Rest of New JerseyNew Jersey | $44.75 | $23.23 |
| New MexicoNew Mexico | $40.31 | $22.24 |
| NevadaNevada | $41.38 | $21.66 |
| NYC suburbs and Long Island, NYNew York | $49.16 | $25.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $45.17 | $23.59 |
| Queens, NYNew York | $48.03 | $24.73 |
| Rest of New YorkNew York | $39.90 | $21.18 |
| OhioOhio | $39.76 | $21.77 |
| OklahomaOklahoma | $38.76 | $21.17 |
| Portland, OROregon | $43.97 | $22.08 |
| Rest of OregonOregon | $40.96 | $21.34 |
| Metropolitan Philadelphia, PAPennsylvania | $43.44 | $22.93 |
| Rest of PennsylvaniaPennsylvania | $39.73 | $21.64 |
| Puerto RicoPuerto Rico | $41.97 | $22.05 |
| Rhode IslandRhode Island | $42.57 | $22.21 |
| South CarolinaSouth Carolina | $39.65 | $21.44 |
| South DakotaSouth Dakota | $40.20 | $20.49 |
| TennesseeTennessee | $38.57 | $20.66 |
| Austin, TXTexas | $42.85 | $22.00 |
| Beaumont, TXTexas | $39.51 | $21.58 |
| Brazoria, TXTexas | $41.16 | $21.63 |
| Dallas, TXTexas | $41.47 | $21.85 |
| Fort Worth, TXTexas | $41.27 | $21.84 |
| Galveston, TXTexas | $41.32 | $21.75 |
| Houston, TXTexas | $42.60 | $23.03 |
| Rest of TexasTexas | $40.35 | $21.65 |
| UtahUtah | $40.13 | $21.61 |
| VirginiaVirginia | $40.67 | $21.30 |
| Virgin Islands, VIUnited States Virgin Islands | $41.97 | $22.05 |
| VermontVermont | $40.37 | $20.86 |
| Rest of WashingtonWashington | $42.63 | $21.88 |
| King County, WAWashington | $47.37 | $23.19 |
| WisconsinWisconsin | $39.17 | $20.29 |
| West VirginiaWest Virginia | $39.74 | $22.61 |
| WyomingWyoming | $41.14 | $21.44 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $50.38 | 1 |
| AL | $37.86 | 1 |
| AR | $37.37 | 1 |
| AZ | $40.70 | 1 |
| CA | $43.16–$52.65 | 29 |
| CO | $42.91 | 1 |
| CT | $44.34 | 1 |
| DC | $47.00 | 1 |
| DE | $41.32 | 1 |
| FL | $41.91–$46.27 | 3 |
| GA | $39.71–$42.64 | 2 |
| GU | $43.92 | 1 |
| HI | $43.92 | 1 |
| IA | $38.38 | 1 |
| ID | $38.68 | 1 |
| IL | $41.06–$45.01 | 4 |
| IN | $38.87 | 1 |
| KS | $38.38 | 1 |
| KY | $38.99 | 1 |
| LA | $39.00–$40.71 | 2 |
| MA | $42.76–$46.64 | 2 |
| MD | $42.00–$47.00 | 3 |
| ME | $39.02–$40.68 | 2 |
| MI | $40.05–$42.55 | 2 |
| MN | $40.77 | 1 |
| MO | $38.51–$40.65 | 3 |
| MS | $37.94 | 1 |
| MT | $41.75 | 1 |
| NC | $39.36 | 1 |
| ND | $40.36 | 1 |
| NE | $38.52 | 1 |
| NH | $42.40 | 1 |
| NJ | $44.75–$46.63 | 2 |
| NM | $40.31 | 1 |
| NV | $41.38 | 1 |
| NY | $39.90–$49.16 | 5 |
| OH | $39.76 | 1 |
| OK | $38.76 | 1 |
| OR | $40.96–$43.97 | 2 |
| PA | $39.73–$43.44 | 2 |
| PR | $41.97 | 1 |
| RI | $42.57 | 1 |
| SC | $39.65 | 1 |
| SD | $40.20 | 1 |
| TN | $38.57 | 1 |
| TX | $39.51–$42.85 | 8 |
| UT | $40.13 | 1 |
| VA | $40.67–$47.00 | 2 |
| VI | $41.97 | 1 |
| VT | $40.37 | 1 |
| WA | $42.63–$47.37 | 2 |
| WI | $39.17 | 1 |
| WV | $39.74 | 1 |
| WY | $41.14 | 1 |
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
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 North Dakota 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
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 0.69 | × 1.000 | 0.6900 |
| Malpractice | 0.07 | × 0.406 | 0.0284 |
| Total RVUs | 1.2084 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$40.36
Office: (0.49 × 1 + 0.69 × 1 + 0.07 × 0.406) × $33.4009 = $40.36
Facility: (0.49 × 1 + 0.1 × 1 + 0.07 × 0.406) × $33.4009 = $20.66
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 11045 has changed in North Dakota
11045 · Office / nonfacility
$40.36
Effective 2026-10-01
The base rate is $2.96 higher than on 2025-10-01, moving from $37.40 to $40.36 (7.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$37.40changed to$40.36
- 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
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$38.66changed to$37.40
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.08 changed to 0.07
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$38.03changed to$38.66
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$38.90changed to$38.03
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.61 changed to 0.62
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$40.10changed to$38.90
- 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
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$40.43changed to$40.10
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$41.27changed to$40.43
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.60 changed to 0.62
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$41.20changed to$41.27
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$41.15changed to$41.20
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$40.49changed to$41.15
- 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
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$40.42changed to$40.49
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$40.92changed to$40.42
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.60 changed to 0.59
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$40.72changed to$40.92
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$41.16changed to$40.72
- 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
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$41.06changed to$41.16
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.65 changed to 0.59
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $41.06
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $40.36 | $20.66 | RVU26D |
| 2026-07-01 | $40.36 | $20.66 | RVU26C |
| 2026-04-01 | $40.36 | $20.66 | RVU26B |
| 2026-01-01 | $40.36 | $20.66 | RVU26A |
| 2025-10-01 | $37.40 | $22.84 | RVU25D |
| 2025-07-01 | $37.40 | $22.84 | RVU25C |
| 2025-04-01 | $37.40 | $22.84 | RVU25B |
| 2025-01-01 | $37.40 | $22.84 | RVU25A |
| 2024-10-01 | $38.66 | $23.68 | RVU24D |
| 2024-07-01 | $38.66 | $23.68 | RVU24C |
| 2024-04-01 | $38.66 | $23.68 | RVU24B |
| 2024-03-09 | $38.66 | $23.68 | RVU24AR |
| 2024-01-01 | $38.03 | $23.29 | RVU24A |
| 2023-10-01 | $38.90 | $23.99 | RVU23D |
| 2023-07-01 | $38.90 | $23.99 | RVU23C |
| 2023-04-01 | $38.90 | $23.99 | RVU23B |
| 2023-01-01 | $38.90 | $23.99 | RVU23A |
| 2022-10-01 | $40.10 | $24.87 | RVU22D |
| 2022-07-01 | $40.10 | $24.87 | RVU22C |
| 2022-04-01 | $40.10 | $24.87 | RVU22B |
| 2022-01-01 | $40.10 | $24.87 | RVU22A |
| 2021-10-01 | $40.43 | $25.08 | RVU21D |
| 2021-07-01 | $40.43 | $25.08 | RVU21C |
| 2021-04-01 | $40.43 | $25.08 | RVU21B |
| 2021-01-01 | $40.43 | $25.08 | RVU21A |
| 2020-10-01 | $41.27 | $26.12 | RVU20D |
| 2020-07-01 | $41.27 | $26.12 | RVU20C |
| 2020-04-01 | $41.27 | $26.12 | RVU20B |
| 2020-01-01 | $41.27 | $26.12 | RVU20A |
| 2019-10-01 | $41.20 | $26.06 | RVU19D |
| 2019-07-01 | $41.20 | $26.06 | RVU19C |
| 2019-04-01 | $41.20 | $26.06 | RVU19B |
| 2019-01-01 | $41.20 | $26.06 | RVU19A |
| 2018-10-01 | $41.15 | $26.03 | RVU18D |
| 2018-07-01 | $41.15 | $26.03 | RVU18C |
| 2018-04-01 | $41.15 | $26.03 | RVU18B |
| 2018-01-01 | $41.15 | $26.03 | RVU18AR1 |
| 2017-10-01 | $40.49 | $25.78 | RVU17D |
| 2017-07-01 | $40.49 | $25.78 | RVU17C |
| 2017-04-01 | $40.49 | $25.78 | RVU17B |
| 2017-01-01 | $40.49 | $25.78 | RVU17A |
| 2016-10-01 | $40.42 | $25.74 | RVU16D |
| 2016-07-01 | $40.42 | $25.74 | RVU16C |
| 2016-04-01 | $40.42 | $25.74 | RVU16B |
| 2016-01-01 | $40.42 | $25.74 | RVU16A |
| 2015-10-01 | $40.92 | $25.83 | RVU15D |
| 2015-07-01 | $40.92 | $25.83 | RVU15C |
| 2015-04-01 | $40.72 | $25.70 | RVU15B |
| 2015-01-01 | $40.72 | $25.70 | RVU15A |
| 2014-10-01 | $41.16 | $26.47 | RVU14D |
| 2014-07-01 | $41.16 | $26.47 | RVU14C |
| 2014-04-01 | $41.16 | $26.47 | RVU14B |
| 2014-01-01 | $41.16 | $26.47 | RVU14A |
| 2013-10-01 | $41.06 | $25.75 | RVU13D |
| 2013-07-01 | $41.06 | $25.75 | RVU13C |
| 2013-04-01 | $41.06 | $25.75 | RVU13B |
| 2013-01-01 | $41.06 | $25.75 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
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
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