CPT code 11046: Wound debridement, each additional 20 cm²2026 Medicare rate & RVUs in Vermont
Reports additional wound surface area debrided through muscle or fascia after the initial area, when the total area exceeds 20 square centimeters.
In Vermont, Medicare pays $72.99 for 11046 in the office and $44.55 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Vermont 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. Vermont pays $72.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$72.99
- Los Angeles, CA · California$82.45+$9.46
- Washington, DC area · District of Columbia$85.55+$12.56
- Miami, FL · Florida$87.70+$14.71
- Chicago, IL · Illinois$85.12+$12.13
- Manhattan, NY · New York$88.30+$15.31
- Alaska · Alaska$92.73+$19.74
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $77.64 | $46.16 |
| Merced, CACalifornia | $77.64 | $46.16 |
| Modesto, CACalifornia | $77.64 | $46.16 |
| Napa, CACalifornia | $87.15 | $49.29 |
| Oxnard, CACalifornia | $81.72 | $47.76 |
| Redding, CACalifornia | $77.64 | $46.16 |
| Rest of CaliforniaCalifornia | $77.64 | $46.16 |
| Riverside, CACalifornia | $79.68 | $48.20 |
| Sacramento, CACalifornia | $80.73 | $47.33 |
| Salinas, CACalifornia | $80.42 | $47.13 |
| San Diego, CACalifornia | $81.78 | $47.43 |
| Marin County, CACalifornia | $91.29 | $50.79 |
| San Francisco, CACalifornia | $91.08 | $50.57 |
| San Benito County, CACalifornia | $93.46 | $52.04 |
| Santa Clara County, CACalifornia | $92.57 | $51.15 |
| San Luis Obispo, CACalifornia | $79.22 | $46.50 |
| Santa Cruz, CACalifornia | $82.14 | $47.24 |
| Santa Maria, CACalifornia | $80.58 | $47.08 |
| Santa Rosa, CACalifornia | $82.92 | $47.65 |
| Stockton, CACalifornia | $77.64 | $46.16 |
| Vallejo, CACalifornia | $86.84 | $48.98 |
| Visalia, CACalifornia | $77.64 | $46.16 |
| Yuba City, CACalifornia | $77.64 | $46.16 |
| ColoradoColorado | $77.85 | $47.29 |
| ConnecticutConnecticut | $81.32 | $50.38 |
| DelawareDelaware | $75.57 | $47.19 |
| Fort Lauderdale, FLFlorida | $82.09 | $53.00 |
| Rest of FloridaFlorida | $78.06 | $50.60 |
| Atlanta, GAGeorgia | $78.45 | $49.27 |
| Rest of GeorgiaGeorgia | $73.74 | $48.12 |
| Hawaii, Guam, HIHawaii | $78.85 | $46.19 |
| IowaIowa | $69.54 | $43.26 |
| IdahoIdaho | $70.20 | $43.78 |
| East St. Louis, ILIllinois | $79.98 | $53.56 |
| Rest of IllinoisIllinois | $76.86 | $50.64 |
| Suburban Chicago, ILIllinois | $82.61 | $53.11 |
| IndianaIndiana | $70.54 | $43.92 |
| KansasKansas | $69.81 | $43.85 |
| KentuckyKentucky | $71.87 | $46.33 |
| New Orleans, LALouisiana | $75.18 | $48.15 |
| Rest of LouisianaLouisiana | $72.00 | $46.57 |
| Metropolitan Boston, MAMassachusetts | $84.29 | $49.99 |
| Rest of MassachusettsMassachusetts | $77.68 | $47.43 |
| Baltimore area, MDMaryland | $81.21 | $50.39 |
| Rest of MarylandMaryland | $76.74 | $47.67 |
| Rest of MaineMaine | $71.15 | $44.72 |
| Southern Maine, MEMaine | $73.82 | $45.35 |
| Detroit, MIMichigan | $79.56 | $51.84 |
| Rest of MichiganMichigan | $74.11 | $47.88 |
| MinnesotaMinnesota | $73.09 | $43.53 |
| Metropolitan Kansas City, MOMissouri | $74.10 | $47.13 |
| Metropolitan St. Louis, MOMissouri | $74.74 | $47.39 |
| Rest of MissouriMissouri | $71.25 | $46.49 |
| MississippiMississippi | $69.72 | $44.99 |
| MontanaMontana | $76.48 | $47.75 |
| North CarolinaNorth Carolina | $71.74 | $44.94 |
| North DakotaNorth Dakota | $72.72 | $43.99 |
| NebraskaNebraska | $69.71 | $43.20 |
| New HampshireNew Hampshire | $77.20 | $47.30 |
| Northern New JerseyNew Jersey | $84.90 | $51.58 |
| Rest of New JerseyNew Jersey | $81.82 | $50.45 |
| New MexicoNew Mexico | $74.71 | $48.37 |
| NevadaNevada | $75.46 | $46.71 |
| NYC suburbs and Long Island, NYNew York | $91.01 | $56.85 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $82.81 | $51.36 |
| Queens, NYNew York | $88.12 | $54.16 |
| Rest of New YorkNew York | $72.77 | $45.48 |
| OhioOhio | $73.34 | $47.12 |
| OklahomaOklahoma | $71.14 | $45.49 |
| Portland, OROregon | $79.48 | $47.56 |
| Rest of OregonOregon | $74.46 | $45.85 |
| Metropolitan Philadelphia, PAPennsylvania | $79.82 | $49.92 |
| Rest of PennsylvaniaPennsylvania | $73.13 | $46.76 |
| Puerto RicoPuerto Rico | $76.80 | $47.76 |
| Rhode IslandRhode Island | $77.65 | $47.98 |
| South CarolinaSouth Carolina | $72.74 | $46.20 |
| South DakotaSouth Dakota | $72.27 | $43.55 |
| TennesseeTennessee | $70.21 | $44.10 |
| Austin, TXTexas | $77.96 | $47.57 |
| Beaumont, TXTexas | $72.73 | $46.59 |
| Brazoria, TXTexas | $75.03 | $46.56 |
| Dallas, TXTexas | $75.74 | $47.13 |
| Fort Worth, TXTexas | $75.46 | $47.13 |
| Galveston, TXTexas | $75.41 | $46.88 |
| Houston, TXTexas | $78.88 | $50.36 |
| Rest of TexasTexas | $74.00 | $46.74 |
| UtahUtah | $73.64 | $46.64 |
| VirginiaVirginia | $74.00 | $45.76 |
| Virgin Islands, VIUnited States Virgin Islands | $76.80 | $47.76 |
| Rest of WashingtonWashington | $77.35 | $47.11 |
| King County, WAWashington | $85.34 | $50.09 |
| WisconsinWisconsin | $70.55 | $43.04 |
| West VirginiaWest Virginia | $74.41 | $49.45 |
| WyomingWyoming | $74.84 | $46.11 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $92.73 | 1 |
| AL | $69.14 | 1 |
| AR | $68.23 | 1 |
| AZ | $74.44 | 1 |
| CA | $77.64–$93.46 | 29 |
| CO | $77.85 | 1 |
| CT | $81.32 | 1 |
| DC | $85.55 | 1 |
| DE | $75.57 | 1 |
| FL | $78.06–$87.70 | 3 |
| GA | $73.74–$78.45 | 2 |
| GU | $78.85 | 1 |
| HI | $78.85 | 1 |
| IA | $69.54 | 1 |
| ID | $70.20 | 1 |
| IL | $76.86–$85.12 | 4 |
| IN | $70.54 | 1 |
| KS | $69.81 | 1 |
| KY | $71.87 | 1 |
| LA | $72.00–$75.18 | 2 |
| MA | $77.68–$84.29 | 2 |
| MD | $76.74–$85.55 | 3 |
| ME | $71.15–$73.82 | 2 |
| MI | $74.11–$79.56 | 2 |
| MN | $73.09 | 1 |
| MO | $71.25–$74.74 | 3 |
| MS | $69.72 | 1 |
| MT | $76.48 | 1 |
| NC | $71.74 | 1 |
| ND | $72.72 | 1 |
| NE | $69.71 | 1 |
| NH | $77.20 | 1 |
| NJ | $81.82–$84.90 | 2 |
| NM | $74.71 | 1 |
| NV | $75.46 | 1 |
| NY | $72.77–$91.01 | 5 |
| OH | $73.34 | 1 |
| OK | $71.14 | 1 |
| OR | $74.46–$79.48 | 2 |
| PA | $73.13–$79.82 | 2 |
| PR | $76.80 | 1 |
| RI | $77.65 | 1 |
| SC | $72.74 | 1 |
| SD | $72.27 | 1 |
| TN | $70.21 | 1 |
| TX | $72.73–$78.88 | 8 |
| UT | $73.64 | 1 |
| VA | $74.00–$85.55 | 2 |
| VI | $76.80 | 1 |
| VT | $72.99 | 1 |
| WA | $77.35–$85.34 | 2 |
| WI | $70.55 | 1 |
| WV | $74.41 | 1 |
| WY | $74.84 | 1 |
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
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 Vermont 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
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.00 | × 1.000 | 1.0000 |
| Practice expense | 1.10 | × 0.990 | 1.0890 |
| Malpractice | 0.19 | × 0.506 | 0.0961 |
| Total RVUs | 2.1851 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Vermont$72.99
Office: (1 × 1 + 1.1 × 0.99 + 0.19 × 0.506) × $33.4009 = $72.99
Facility: (1 × 1 + 0.24 × 0.99 + 0.19 × 0.506) × $33.4009 = $44.55
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
| 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 11046 has changed in Vermont
11046 · Office / nonfacility
$72.99
Effective 2026-10-01
The base rate is $5.50 higher than on 2025-10-01, moving from $67.49 to $72.99 (8.1%).
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
$67.49changed to$72.99
- 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 0.993 changed to 0.990
- Malpractice GPCI 0.518 changed to 0.506
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$69.63changed to$67.49
- Conversion factor 33.2875 changed to 32.3465
- Malpractice RVU 0.19 changed to 0.18
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$68.49changed to$69.63
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$70.50changed to$68.49
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.95 changed to 0.97
- Practice expense GPCI 0.997 changed to 0.993
- Malpractice GPCI 0.543 changed to 0.518
January 1, 2023
RVU23A
$72.49changed to$70.50
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.20 changed to 0.19
- Practice expense GPCI 1.001 changed to 0.997
- Malpractice GPCI 0.569 changed to 0.543
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$72.74changed to$72.49
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.94 changed to 0.95
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$73.90changed to$72.74
- 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 1.008 changed to 1.001
- Malpractice GPCI 0.582 changed to 0.569
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$73.17changed to$73.90
- 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 1.015 changed to 1.008
- Malpractice GPCI 0.595 changed to 0.582
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$73.09changed to$73.17
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$72.99changed to$73.09
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 1.010 changed to 1.015
- Malpractice GPCI 0.639 changed to 0.595
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$72.91changed to$72.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 1.004 changed to 1.010
- Malpractice GPCI 0.682 changed to 0.639
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$72.56changed to$72.91
- 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.
July 1, 2015
RVU15C
$72.20changed to$72.56
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$72.37changed to$72.20
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.88 changed to 0.87
- Practice expense GPCI 1.006 changed to 1.004
- Malpractice GPCI 0.618 changed to 0.682
Held through RVU15B.
January 1, 2014
RVU14A
No ratechanged to$72.37
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $72.99 | $44.55 | RVU26D |
| 2026-07-01 | $72.99 | $44.55 | RVU26C |
| 2026-04-01 | $72.99 | $44.55 | RVU26B |
| 2026-01-01 | $72.99 | $44.55 | RVU26A |
| 2025-10-01 | $67.49 | $49.50 | RVU25D |
| 2025-07-01 | $67.49 | $49.50 | RVU25C |
| 2025-04-01 | $67.49 | $49.50 | RVU25B |
| 2025-01-01 | $67.49 | $49.50 | RVU25A |
| 2024-10-01 | $69.63 | $51.11 | RVU24D |
| 2024-07-01 | $69.63 | $51.11 | RVU24C |
| 2024-04-01 | $69.63 | $51.11 | RVU24B |
| 2024-03-09 | $69.63 | $51.11 | RVU24AR |
| 2024-01-01 | $68.49 | $50.28 | RVU24A |
| 2023-10-01 | $70.50 | $51.91 | RVU23D |
| 2023-07-01 | $70.50 | $51.91 | RVU23C |
| 2023-04-01 | $70.50 | $51.91 | RVU23B |
| 2023-01-01 | $70.50 | $51.91 | RVU23A |
| 2022-10-01 | $72.49 | $53.44 | RVU22D |
| 2022-07-01 | $72.49 | $53.44 | RVU22C |
| 2022-04-01 | $72.49 | $53.44 | RVU22B |
| 2022-01-01 | $72.49 | $53.44 | RVU22A |
| 2021-10-01 | $72.74 | $53.88 | RVU21D |
| 2021-07-01 | $72.74 | $53.88 | RVU21C |
| 2021-04-01 | $72.74 | $53.88 | RVU21B |
| 2021-01-01 | $72.74 | $53.88 | RVU21A |
| 2020-10-01 | $73.90 | $55.71 | RVU20D |
| 2020-07-01 | $73.90 | $55.71 | RVU20C |
| 2020-04-01 | $73.90 | $55.71 | RVU20B |
| 2020-01-01 | $73.90 | $55.71 | RVU20A |
| 2019-10-01 | $73.17 | $55.61 | RVU19D |
| 2019-07-01 | $73.17 | $55.61 | RVU19C |
| 2019-04-01 | $73.17 | $55.61 | RVU19B |
| 2019-01-01 | $73.17 | $55.61 | RVU19A |
| 2018-10-01 | $73.09 | $55.92 | RVU18D |
| 2018-07-01 | $73.09 | $55.92 | RVU18C |
| 2018-04-01 | $73.09 | $55.92 | RVU18B |
| 2018-01-01 | $73.09 | $55.92 | RVU18AR1 |
| 2017-10-01 | $72.99 | $55.95 | RVU17D |
| 2017-07-01 | $72.99 | $55.95 | RVU17C |
| 2017-04-01 | $72.99 | $55.95 | RVU17B |
| 2017-01-01 | $72.99 | $55.95 | RVU17A |
| 2016-10-01 | $72.91 | $55.65 | RVU16D |
| 2016-07-01 | $72.91 | $55.65 | RVU16C |
| 2016-04-01 | $72.91 | $55.65 | RVU16B |
| 2016-01-01 | $72.91 | $55.65 | RVU16A |
| 2015-10-01 | $72.56 | $55.61 | RVU15D |
| 2015-07-01 | $72.56 | $55.61 | RVU15C |
| 2015-04-01 | $72.20 | $55.33 | RVU15B |
| 2015-01-01 | $72.20 | $55.33 | RVU15A |
| 2014-10-01 | $72.37 | $55.44 | RVU14D |
| 2014-07-01 | $72.37 | $55.44 | RVU14C |
| 2014-04-01 | $72.37 | $55.44 | RVU14B |
| 2014-01-01 | $72.37 | $55.44 | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
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
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