CPT code 11046: Wound debridement, each additional 20 cm²2026 Medicare rate & RVUs in Mississippi

Reports additional wound surface area debrided through muscle or fascia after the initial area, when the total area exceeds 20 square centimeters.

CMS RVU26DEffective Oct 1, 2026One payment locality307K Medicare services in 2024

In Mississippi, Medicare pays $69.72 for 11046 in the office and $44.99 when it’s performed in a hospital or facility.

$69.72Office (non-facility)
$44.99Hospital or facility
−8.9%vs the national office rate ($76.49)

Check a contract rate as a % of Medicare · 11046 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 11046 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 11046 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 11046 covers

This add-on represents debridement of additional wound area when the clinician removes nonviable tissue through muscle or fascia. It commonly accompanies wound care for pressure injuries, diabetic foot ulcers, or traumatic wounds, in a wound clinic, office, or operating room. The code selection follows the deepest tissue actually removed, not simply the wound’s appearance or diagnosis.

Report 11046 with 11043, the primary code for the initial area at this tissue depth. Each unit covers another 20 square centimeters or part of that increment beyond the first 20; document the total area debrided at muscle or fascia depth and the tissue removed. When multiple wounds are treated at the same depth, their areas are combined for code selection; do not combine areas debrided to different depths. As an add-on, 11046 is billed only with a primary procedure and 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 Mississippi compares for 11046

Across 109 of 109 payment localities, the office rate for 11046 runs from $68.23 in Arkansas to $93.46 in San Benito County, CA. Mississippi pays $69.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

11046 in Mississippi vs other payment areas
  1. Mississippi · this page$69.72
  2. Los Angeles, CA · California$82.45+$12.73
  3. Washington, DC area · District of Columbia$85.55+$15.83
  4. Miami, FL · Florida$87.70+$17.98
  5. Chicago, IL · Illinois$85.12+$15.40
  6. Manhattan, NY · New York$88.30+$18.58
  7. Alaska · Alaska$92.73+$23.01

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

Every other payment area

11046 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$69.14$44.01
ArkansasArkansas$68.23$43.56
ArizonaArizona$74.44$46.60
Bakersfield, CACalifornia$78.17$46.69
Chico, CACalifornia$77.64$46.16
El Centro, CACalifornia$77.67$46.19
Fresno, CACalifornia$77.64$46.16
Hanford, CACalifornia$77.64$46.16

11046 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.

$68.23

$92.73

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

View every state and territory as a table
11046 office rate range by state
State / territoryOffice rate rangeLocalities
AK$92.731
AL$69.141
AR$68.231
AZ$74.441
CA$77.64–$93.4629
CO$77.851
CT$81.321
DC$85.551
DE$75.571
FL$78.06–$87.703
GA$73.74–$78.452
GU$78.851
HI$78.851
IA$69.541
ID$70.201
IL$76.86–$85.124
IN$70.541
KS$69.811
KY$71.871
LA$72.00–$75.182
MA$77.68–$84.292
MD$76.74–$85.553
ME$71.15–$73.822
MI$74.11–$79.562
MN$73.091
MO$71.25–$74.743
MS$69.721
MT$76.481
NC$71.741
ND$72.721
NE$69.711
NH$77.201
NJ$81.82–$84.902
NM$74.711
NV$75.461
NY$72.77–$91.015
OH$73.341
OK$71.141
OR$74.46–$79.482
PA$73.13–$79.822
PR$76.801
RI$77.651
SC$72.741
SD$72.271
TN$70.211
TX$72.73–$78.888
UT$73.641
VA$74.00–$85.552
VI$76.801
VT$72.991
WA$77.35–$85.342
WI$70.551
WV$74.411
WY$74.841

See 11046 in every payment locality

How the 11046 rate is calculated

Each of 11046’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 · 11046

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense1.10

1.10 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

2.2900

Conversion factor

$33.4009

Medicare rate

$76.49

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

The exact Mississippi inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,259

Code
11046
Physician work
1.00
Practice expense
1.10
Malpractice
0.19

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 11046 in Mississippi
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense1.10× 0.8610.9471
Malpractice0.19× 0.7390.1404
Total RVUs2.0875
Conversion factor× 33.4009

Office rate, Mississippi$69.72

Office: (1 × 1 + 1.1 × 0.861 + 0.19 × 0.739) × $33.4009 = $69.72

Facility: (1 × 1 + 0.24 × 0.861 + 0.19 × 0.739) × $33.4009 = $44.99

Open 11046 in the RVU calculator

Payment rules and modifiers for 11046

The CMS indicators that decide how 11046 is paid alongside other services.

CMS payment indicators · 11046

Wound debridement, each additional 20 cm²

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 11046 has changed in Mississippi

11046 · Office / nonfacility

$69.72

Effective 2026-10-01

The base rate is $5.20 higher than on 2025-10-01, moving from $64.52 to $69.72 (8.1%).

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

    $64.52changed to$69.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.03 changed to 1.00
    • Practice expense RVU 0.97 changed to 1.10
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $66.65changed to$64.52

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $65.57changed to$66.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $66.81changed to$65.57

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.97
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $67.97changed to$66.81

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $68.24changed to$67.97

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.94 changed to 0.95

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $68.55changed to$68.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.90 changed to 0.94
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $67.11changed to$68.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.88 changed to 0.90
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $67.04changed to$67.11

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $67.53changed to$67.04

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $68.05changed to$67.53

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $67.77changed to$68.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.87 changed to 0.88
    • Malpractice RVU 0.17 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $67.43changed to$67.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $68.35changed to$67.43

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.88 changed to 0.87
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $68.28changed to$68.35

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.97 changed to 0.88
    • Malpractice RVU 0.18 changed to 0.17
    • Practice expense GPCI 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $68.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$69.72$44.99RVU26D
2026-07-01$69.72$44.99RVU26C
2026-04-01$69.72$44.99RVU26B
2026-01-01$69.72$44.99RVU26A
2025-10-01$64.52$49.09RVU25D
2025-07-01$64.52$49.09RVU25C
2025-04-01$64.52$49.09RVU25B
2025-01-01$64.52$49.09RVU25A
2024-10-01$66.65$50.77RVU24D
2024-07-01$66.65$50.77RVU24C
2024-04-01$66.65$50.77RVU24B
2024-03-09$66.65$50.77RVU24AR
2024-01-01$65.57$49.94RVU24A
2023-10-01$66.81$51.02RVU23D
2023-07-01$66.81$51.02RVU23C
2023-04-01$66.81$51.02RVU23B
2023-01-01$66.81$51.02RVU23A
2022-10-01$67.97$51.94RVU22D
2022-07-01$67.97$51.94RVU22C
2022-04-01$67.97$51.94RVU22B
2022-01-01$67.97$51.94RVU22A
2021-10-01$68.24$52.37RVU21D
2021-07-01$68.24$52.37RVU21C
2021-04-01$68.24$52.37RVU21B
2021-01-01$68.24$52.37RVU21A
2020-10-01$68.55$53.10RVU20D
2020-07-01$68.55$53.10RVU20C
2020-04-01$68.55$53.10RVU20B
2020-01-01$68.55$53.10RVU20A
2019-10-01$67.11$52.06RVU19D
2019-07-01$67.11$52.06RVU19C
2019-04-01$67.11$52.06RVU19B
2019-01-01$67.11$52.06RVU19A
2018-10-01$67.04$52.32RVU18D
2018-07-01$67.04$52.32RVU18C
2018-04-01$67.04$52.32RVU18B
2018-01-01$67.04$52.32RVU18AR1
2017-10-01$67.53$52.90RVU17D
2017-07-01$67.53$52.90RVU17C
2017-04-01$67.53$52.90RVU17B
2017-01-01$67.53$52.90RVU17A
2016-10-01$68.05$53.20RVU16D
2016-07-01$68.05$53.20RVU16C
2016-04-01$68.05$53.20RVU16B
2016-01-01$68.05$53.20RVU16A
2015-10-01$67.77$53.17RVU15D
2015-07-01$67.77$53.17RVU15C
2015-04-01$67.43$52.91RVU15B
2015-01-01$67.43$52.91RVU15A
2014-10-01$68.35$53.79RVU14D
2014-07-01$68.35$53.79RVU14C
2014-04-01$68.35$53.79RVU14B
2014-01-01$68.35$53.79RVU14A
2013-10-01$68.28$52.67RVU13D
2013-07-01$68.28$52.67RVU13C
2013-04-01$68.28$52.67RVU13B
2013-01-01$68.28$52.67RVU13AR

Price 11046 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

11046 billing questions

Which primary code must accompany 11046?

Report 11046 with 11043, which represents the initial area debrided at muscle or fascia depth. It is not a stand-alone code.

How many units should be reported?

Count each additional 20 square centimeters or part of that increment beyond the initial 20 square centimeters. For example, a total treated area of 41 square centimeters at this depth supports two units of 11046 with 11043.

How is the area determined when there are multiple wounds?

Combine the surface areas of wounds debrided to the same depth. Keep areas debrided to different tissue depths separate.

What documentation supports 11046?

Record the tissue actually removed, the depth reached, and the total surface area debrided at muscle or fascia depth. The note should support the additional area beyond the initial 20 square centimeters.

Does 11046 have its own global period?

CMS identifies it as an add-on paid within the primary procedure’s global period. It must be reported with the primary procedure.

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 11046PPRRVU2026_Oct_nonQPP.csv, line 1,259 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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