FeeBase
Log inGet started
Menu

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

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 King County, WA, Medicare pays $47.37 for 11045 in the office and $23.19 when it’s performed in a hospital or facility.

$47.37Office (non-facility)
$23.19Hospital or facility
+13.5%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 King County, WA
  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 King County, WA 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. King County, WA pays $47.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

11045 in King County, WA vs other payment areas
  1. King County, WA · this page$47.37
  2. Rest of Washington · Washington$42.63−$4.74
  3. Los Angeles, CA · California$45.85−$1.52
  4. Washington, DC area · District of Columbia$47.00−$0.37
  5. Miami, FL · Florida$46.27−$1.10
  6. Chicago, IL · Illinois$45.01−$2.36
  7. Manhattan, NY · New York$47.90+$0.53

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

Every other payment area

11045 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$50.38$29.40
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

11045 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.

$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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 11045 in King County, WA
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0500.5145
Practice expense0.69× 1.2270.8466
Malpractice0.07× 0.8170.0572
Total RVUs1.4183
Conversion factor× 33.4009

Office rate, King County, WA$47.37

Office: (0.49 × 1.05 + 0.69 × 1.227 + 0.07 × 0.817) × $33.4009 = $47.37

Facility: (0.49 × 1.05 + 0.1 × 1.227 + 0.07 × 0.817) × $33.4009 = $23.19

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.

Codes related to 11045

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

Codes related to 11045
CodeHow it relatesOffice range, King County, WA
Primary code
11042Wound debridement, subcutaneous tissue, first 20 sq cmPrimary code for the first 20 sq cm or less of subcutaneous debridement.$155.13
Same family
11046Wound debridement, each additional 20 cm²Each additional 20 sq cm add-on when debridement reaches muscle and/or fascia.$85.34
11047Bone debridement, each additional 20 sq cmEach additional 20 sq cm add-on when debridement reaches bone.$142.59
11043Wound debridement, muscle or fascia, initial areaFirst 20 sq cm of muscle and/or fascia debridement; uses 11046, not 11045.$272.55
11044Wound debridement, bone, first 20 sq cmFirst 20 sq cm of bone debridement; deeper level with its own add-on.$361.02
Used instead
97598Wound debridement, each additional 20 cm²Selective debridement add-on for each additional 20 sq cm of superficial tissue.$54.89

How 11045 has changed in King County, WA

11045 · Office / nonfacility

$47.37

Effective 2026-10-01

The base rate is $4.10 higher than on 2025-10-01, moving from $43.27 to $47.37 (9.5%).

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

    $43.27changed to$47.37

    • 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
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.81changed to$43.27

    • 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

    $44.08changed to$44.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $44.76changed to$44.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.61 changed to 0.62
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $45.96changed to$44.76

    • 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
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $46.34changed to$45.96

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $46.71changed to$46.34

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.60 changed to 0.62
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.97changed to$46.71

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $45.92changed to$45.97

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $44.57changed to$45.92

    • 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
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $43.99changed to$44.57

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $44.56changed to$43.99

    • 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

    $44.34changed to$44.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $45.38changed to$44.34

    • 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 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $46.03changed to$45.38

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.65 changed to 0.59
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $46.03

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$47.37$23.19RVU26D
2026-07-01$47.37$23.19RVU26C
2026-04-01$47.37$23.19RVU26B
2026-01-01$47.37$23.19RVU26A
2025-10-01$43.27$25.51RVU25D
2025-07-01$43.27$25.51RVU25C
2025-04-01$43.27$25.51RVU25B
2025-01-01$43.27$25.51RVU25A
2024-10-01$44.81$26.53RVU24D
2024-07-01$44.81$26.53RVU24C
2024-04-01$44.81$26.53RVU24B
2024-03-09$44.81$26.53RVU24AR
2024-01-01$44.08$26.10RVU24A
2023-10-01$44.76$26.77RVU23D
2023-07-01$44.76$26.77RVU23C
2023-04-01$44.76$26.77RVU23B
2023-01-01$44.76$26.77RVU23A
2022-10-01$45.96$27.78RVU22D
2022-07-01$45.96$27.78RVU22C
2022-04-01$45.96$27.78RVU22B
2022-01-01$45.96$27.78RVU22A
2021-10-01$46.34$28.01RVU21D
2021-07-01$46.34$28.01RVU21C
2021-04-01$46.34$28.01RVU21B
2021-01-01$46.34$28.01RVU21A
2020-10-01$46.71$28.98RVU20D
2020-07-01$46.71$28.98RVU20C
2020-04-01$46.71$28.98RVU20B
2020-01-01$46.71$28.98RVU20A
2019-10-01$45.97$28.62RVU19D
2019-07-01$45.97$28.62RVU19C
2019-04-01$45.97$28.62RVU19B
2019-01-01$45.97$28.62RVU19A
2018-10-01$45.92$28.59RVU18D
2018-07-01$45.92$28.59RVU18C
2018-04-01$45.92$28.59RVU18B
2018-01-01$45.92$28.59RVU18AR1
2017-10-01$44.57$27.64RVU17D
2017-07-01$44.57$27.64RVU17C
2017-04-01$44.57$27.64RVU17B
2017-01-01$44.57$27.64RVU17A
2016-10-01$43.99$27.03RVU16D
2016-07-01$43.99$27.03RVU16C
2016-04-01$43.99$27.03RVU16B
2016-01-01$43.99$27.03RVU16A
2015-10-01$44.56$27.13RVU15D
2015-07-01$44.56$27.13RVU15C
2015-04-01$44.34$27.00RVU15B
2015-01-01$44.34$27.00RVU15A
2014-10-01$45.38$28.49RVU14D
2014-07-01$45.38$28.49RVU14C
2014-04-01$45.38$28.49RVU14B
2014-01-01$45.38$28.49RVU14A
2013-10-01$46.03$28.52RVU13D
2013-07-01$46.03$28.52RVU13C
2013-04-01$46.03$28.52RVU13B
2013-01-01$46.03$28.52RVU13AR

Price 11045 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 11045 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11045 pays in King County, WA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11045 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist