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

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 South Dakota, Medicare pays $72.27 for 11046 in the office and $43.55 when it’s performed in a hospital or facility.

$72.27Office (non-facility)
$43.55Hospital or facility
−5.5%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 South Dakota
  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 South Dakota 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. South Dakota pays $72.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

11046 in South Dakota vs other payment areas
  1. South Dakota · this page$72.27
  2. Los Angeles, CA · California$82.45+$10.18
  3. Washington, DC area · District of Columbia$85.55+$13.28
  4. Miami, FL · Florida$87.70+$15.43
  5. Chicago, IL · Illinois$85.12+$12.85
  6. Manhattan, NY · New York$88.30+$16.03
  7. Alaska · Alaska$92.73+$20.46

Other areas in South Dakota 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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11046 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense1.10× 1.0001.1000
Malpractice0.19× 0.3360.0638
Total RVUs2.1638
Conversion factor× 33.4009

Office rate, South Dakota$72.27

Office: (1 × 1 + 1.1 × 1 + 0.19 × 0.336) × $33.4009 = $72.27

Facility: (1 × 1 + 0.24 × 1 + 0.19 × 0.336) × $33.4009 = $43.55

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 South Dakota

11046 · Office / nonfacility

$72.27

Effective 2026-10-01

The base rate is $5.35 higher than on 2025-10-01, moving from $66.92 to $72.27 (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

    $66.92changed to$72.27

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $68.99changed to$66.92

    • 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

    $67.86changed to$68.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $69.44changed to$67.86

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.95 changed to 0.97
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $70.92changed to$69.44

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.20 changed to 0.19
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $71.16changed to$70.92

    • 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

    $72.18changed to$71.16

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $71.36changed to$72.18

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $71.28changed to$71.36

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $71.10changed to$71.28

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $70.96changed to$71.10

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $70.72changed to$70.96

    • 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

    $70.37changed to$70.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $70.95changed to$70.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.88 changed to 0.87
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $70.69changed to$70.95

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $70.69

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$72.27$43.55RVU26D
2026-07-01$72.27$43.55RVU26C
2026-04-01$72.27$43.55RVU26B
2026-01-01$72.27$43.55RVU26A
2025-10-01$66.92$48.80RVU25D
2025-07-01$66.92$48.80RVU25C
2025-04-01$66.92$48.80RVU25B
2025-01-01$66.92$48.80RVU25A
2024-10-01$68.99$50.35RVU24D
2024-07-01$68.99$50.35RVU24C
2024-04-01$68.99$50.35RVU24B
2024-03-09$68.99$50.35RVU24AR
2024-01-01$67.86$49.53RVU24A
2023-10-01$69.44$50.80RVU23D
2023-07-01$69.44$50.80RVU23C
2023-04-01$69.44$50.80RVU23B
2023-01-01$69.44$50.80RVU23A
2022-10-01$70.92$51.89RVU22D
2022-07-01$70.92$51.89RVU22C
2022-04-01$70.92$51.89RVU22B
2022-01-01$70.92$51.89RVU22A
2021-10-01$71.16$52.32RVU21D
2021-07-01$71.16$52.32RVU21C
2021-04-01$71.16$52.32RVU21B
2021-01-01$71.16$52.32RVU21A
2020-10-01$72.18$54.13RVU20D
2020-07-01$72.18$54.13RVU20C
2020-04-01$72.18$54.13RVU20B
2020-01-01$72.18$54.13RVU20A
2019-10-01$71.36$54.06RVU19D
2019-07-01$71.36$54.06RVU19C
2019-04-01$71.36$54.06RVU19B
2019-01-01$71.36$54.06RVU19A
2018-10-01$71.28$54.36RVU18D
2018-07-01$71.28$54.36RVU18C
2018-04-01$71.28$54.36RVU18B
2018-01-01$71.28$54.36RVU18AR1
2017-10-01$71.10$54.23RVU17D
2017-07-01$71.10$54.23RVU17C
2017-04-01$71.10$54.23RVU17B
2017-01-01$71.10$54.23RVU17A
2016-10-01$70.96$53.78RVU16D
2016-07-01$70.96$53.78RVU16C
2016-04-01$70.96$53.78RVU16B
2016-01-01$70.96$53.78RVU16A
2015-10-01$70.72$53.83RVU15D
2015-07-01$70.72$53.83RVU15C
2015-04-01$70.37$53.56RVU15B
2015-01-01$70.37$53.56RVU15A
2014-10-01$70.95$54.12RVU14D
2014-07-01$70.95$54.12RVU14C
2014-04-01$70.95$54.12RVU14B
2014-01-01$70.95$54.12RVU14A
2013-10-01$70.69$52.66RVU13D
2013-07-01$70.69$52.66RVU13C
2013-04-01$70.69$52.66RVU13B
2013-01-01$70.69$52.66RVU13AR

Price 11046 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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