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

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 Virginia, Medicare pays $40.67 for 11045 in the office and $21.30 when it’s performed in a hospital or facility.

$40.67Office (non-facility)
$21.30Hospital or facility
−2.6%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 Virginia
  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 Virginia 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. Virginia pays $40.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

11045 in Virginia vs other payment areas
  1. Virginia · this page$40.67
  2. Los Angeles, CA · California$45.85+$5.18
  3. Washington, DC area · District of Columbia$47.00+$6.33
  4. Miami, FL · Florida$46.27+$5.60
  5. Chicago, IL · Illinois$45.01+$4.34
  6. Manhattan, NY · New York$47.90+$7.23
  7. Alaska · Alaska$50.38+$9.71

Other areas in Virginia 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
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

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 11045 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense0.69× 0.9830.6783
Malpractice0.07× 0.7060.0494
Total RVUs1.2177
Conversion factor× 33.4009

Office rate, Virginia$40.67

Office: (0.49 × 1 + 0.69 × 0.983 + 0.07 × 0.706) × $33.4009 = $40.67

Facility: (0.49 × 1 + 0.1 × 0.983 + 0.07 × 0.706) × $33.4009 = $21.30

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 Virginia

11045 · Office / nonfacility

$40.67

Effective 2026-10-01

The base rate is $3.02 higher than on 2025-10-01, moving from $37.65 to $40.67 (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

    $37.65changed to$40.67

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $39.00changed to$37.65

    • 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

    $38.36changed to$39.00

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $39.65changed to$38.36

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.61 changed to 0.62
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $41.45changed to$39.65

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $41.79changed to$41.45

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $42.44changed to$41.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.60 changed to 0.62
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $41.96changed to$42.44

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.09
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $41.91changed to$41.96

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $40.98changed to$41.91

    • 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 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $40.73changed to$40.98

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $41.23changed to$40.73

    • 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

    $41.03changed to$41.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $41.69changed to$41.03

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $41.35changed to$41.69

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.65 changed to 0.59
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $41.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$40.67$21.30RVU26D
2026-07-01$40.67$21.30RVU26C
2026-04-01$40.67$21.30RVU26B
2026-01-01$40.67$21.30RVU26A
2025-10-01$37.65$23.33RVU25D
2025-07-01$37.65$23.33RVU25C
2025-04-01$37.65$23.33RVU25B
2025-01-01$37.65$23.33RVU25A
2024-10-01$39.00$24.26RVU24D
2024-07-01$39.00$24.26RVU24C
2024-04-01$39.00$24.26RVU24B
2024-03-09$39.00$24.26RVU24AR
2024-01-01$38.36$23.86RVU24A
2023-10-01$39.65$24.89RVU23D
2023-07-01$39.65$24.89RVU23C
2023-04-01$39.65$24.89RVU23B
2023-01-01$39.65$24.89RVU23A
2022-10-01$41.45$26.29RVU22D
2022-07-01$41.45$26.29RVU22C
2022-04-01$41.45$26.29RVU22B
2022-01-01$41.45$26.29RVU22A
2021-10-01$41.79$26.51RVU21D
2021-07-01$41.79$26.51RVU21C
2021-04-01$41.79$26.51RVU21B
2021-01-01$41.79$26.51RVU21A
2020-10-01$42.44$27.42RVU20D
2020-07-01$42.44$27.42RVU20C
2020-04-01$42.44$27.42RVU20B
2020-01-01$42.44$27.42RVU20A
2019-10-01$41.96$27.03RVU19D
2019-07-01$41.96$27.03RVU19C
2019-04-01$41.96$27.03RVU19B
2019-01-01$41.96$27.03RVU19A
2018-10-01$41.91$27.00RVU18D
2018-07-01$41.91$27.00RVU18C
2018-04-01$41.91$27.00RVU18B
2018-01-01$41.91$27.00RVU18AR1
2017-10-01$40.98$26.48RVU17D
2017-07-01$40.98$26.48RVU17C
2017-04-01$40.98$26.48RVU17B
2017-01-01$40.98$26.48RVU17A
2016-10-01$40.73$26.30RVU16D
2016-07-01$40.73$26.30RVU16C
2016-04-01$40.73$26.30RVU16B
2016-01-01$40.73$26.30RVU16A
2015-10-01$41.23$26.40RVU15D
2015-07-01$41.23$26.40RVU15C
2015-04-01$41.03$26.27RVU15B
2015-01-01$41.03$26.27RVU15A
2014-10-01$41.69$27.30RVU14D
2014-07-01$41.69$27.30RVU14C
2014-04-01$41.69$27.30RVU14B
2014-01-01$41.69$27.30RVU14A
2013-10-01$41.35$26.40RVU13D
2013-07-01$41.35$26.40RVU13C
2013-04-01$41.35$26.40RVU13B
2013-01-01$41.35$26.40RVU13AR

Price 11045 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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