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CPT code 11047: Bone debridement, each additional 20 sq cm2026 Medicare rate & RVUs in Los Angeles, CA

Reports additional wound surface area debrided through bone beyond the initial area, often during treatment of deep ulcers or complex wounds.

CMS RVU26DEffective Oct 1, 2026One payment locality97.4K Medicare services in 2024

In Los Angeles, CA, Medicare pays $137.71 for 11047 in the office and $86.34 when it’s performed in a hospital or facility.

$137.71Office (non-facility)
$86.34Hospital or facility
+7.1%vs the national office rate ($128.59)

Check a contract rate as a % of Medicare · 11047 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 11047 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 11047 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 11047 covers

11047 represents additional wound area debrided at bone level after the initial area has been captured. The clinician removes devitalized bone as part of wound-bed preparation or treatment of a deep ulcer or complex wound; overlying skin, subcutaneous tissue, and muscle or fascia may also be removed. Surgeons, podiatrists, and other clinicians performing wound debridement may report it in office, outpatient, or hospital settings. Bone that is simply visible in a wound, without debridement at that depth, does not establish this service.

Report 11047 only with 11044: 11044 accounts for the first 20 sq cm or less, and 11047 is used for each additional 20 sq cm or part thereof debrided through bone. Choose the depth from the deepest tissue actually removed, and calculate area from the wound surface debrided at that depth. Documentation should identify the wound site, deepest tissue removed, area debrided, and bone work performed. CMS classifies 11047 as an add-on, so it is not billed alone; payment falls within the primary 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 Los Angeles, CA compares for 11047

Across 109 of 109 payment localities, the office rate for 11047 runs from $114.73 in Arkansas to $156.51 in Alaska. Los Angeles, CA pays $137.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

11047 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$137.71
  2. Bakersfield, CA · California$130.72−$6.99
  3. Chico, CA · California$129.75−$7.96
  4. El Centro, CA · California$129.81−$7.90
  5. Fresno, CA · California$129.75−$7.96
  6. Hanford, CA · California$129.75−$7.96
  7. Madera, CA · California$129.75−$7.96

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

Every other payment area

11047 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$129.75$82.16
Modesto, CACalifornia$129.75$82.16
Napa, CACalifornia$145.03$87.80
Oxnard, CACalifornia$136.41$85.09
Redding, CACalifornia$129.75$82.16
Rest of CaliforniaCalifornia$129.75$82.16
Riverside, CACalifornia$133.51$85.92
Sacramento, CACalifornia$134.76$84.26

11047 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.

$114.73

$156.51

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

View every state and territory as a table
11047 office rate range by state
State / territoryOffice rate rangeLocalities
AK$156.511
AL$116.261
AR$114.731
AZ$125.111
CA$129.75–$155.3229
CO$130.461
CT$136.701
DC$143.431
DE$127.011
FL$131.92–$148.853
GA$124.56–$132.052
GU$131.631
HI$131.631
IA$116.601
ID$117.781
IL$130.12–$144.434
IN$118.341
KS$117.221
KY$121.151
LA$121.42–$126.752
MA$130.24–$140.992
MD$128.92–$143.433
ME$119.53–$123.762
MI$125.05–$134.582
MN$122.051
MO$120.27–$125.833
MS$117.461
MT$128.571
NC$120.481
ND$121.651
NE$116.851
NH$129.511
NJ$137.43–$142.392
NM$126.121
NV$126.701
NY$122.22–$153.365
OH$123.631
OK$119.771
OR$124.89–$132.992
PA$123.18–$134.292
PR$129.061
RI$130.371
SC$122.421
SD$120.831
TN$117.891
TX$122.53–$133.058
UT$123.911
VA$124.17–$143.432
VI$129.061
VT$122.241
WA$129.64–$142.592
WI$118.061
WV$126.021
WY$125.551

See 11047 in every payment locality

How the 11047 rate is calculated

Each of 11047’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 · 11047

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.76

1.76 RVUs× 1.000 GPCI

Practice expense1.74

1.74 RVUs× 1.000 GPCI

Malpractice0.35

0.35 RVUs× 1.000 GPCI

Adjusted RVUs

3.8500

Conversion factor

$33.4009

Medicare rate

$128.59

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,260

Code
11047
Physician work
1.76
Practice expense
1.74
Malpractice
0.35

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 11047 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0411.8322
Practice expense1.74× 1.1832.0584
Malpractice0.35× 0.6640.2324
Total RVUs4.1230
Conversion factor× 33.4009

Office rate, Los Angeles, CA$137.71

Office: (1.76 × 1.041 + 1.74 × 1.183 + 0.35 × 0.664) × $33.4009 = $137.71

Facility: (1.76 × 1.041 + 0.44 × 1.183 + 0.35 × 0.664) × $33.4009 = $86.34

Open 11047 in the RVU calculator

Payment rules and modifiers for 11047

The CMS indicators that decide how 11047 is paid alongside other services.

CMS payment indicators · 11047

Bone debridement, 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 11047

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

Codes related to 11047
CodeHow it relatesOffice range, Los Angeles, CA
Add-on codes
11044Wound debridement, bone, first 20 sq cmPrimary bone-debridement code for the initial 20 sq cm or less.$349.26
Same family
11046Wound debridement, each additional 20 cm²Additional-area debridement code when muscle or fascia is the deepest tissue removed.$82.45
11043Wound debridement, muscle or fascia, initial areaInitial-area counterpart for debridement through muscle or fascia.$263.56
11042Wound debridement, subcutaneous tissue, first 20 sq cmInitial-area counterpart when subcutaneous tissue is the deepest tissue removed.$149.97
Used instead
11012Fracture-site debridement, through boneFracture-site debridement code for the applicable open-fracture circumstance.$757.73

How 11047 has changed in Los Angeles, CA

11047 · Office / nonfacility

$137.71

Effective 2026-10-01

The base rate is $12.07 higher than on 2025-10-01, moving from $125.64 to $137.71 (9.6%).

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

    $125.64changed to$137.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 1.48 changed to 1.74
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $128.90changed to$125.64

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.47 changed to 1.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $126.79changed to$128.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $130.56changed to$126.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.45 changed to 1.47
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $132.34changed to$130.56

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.43 changed to 1.45
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $133.84changed to$132.34

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.44 changed to 1.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $135.74changed to$133.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.38 changed to 1.44
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $135.32changed to$135.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.39 changed to 1.38
    • Malpractice RVU 0.34 changed to 0.35
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $135.77changed to$135.32

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.41 changed to 1.39
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $136.56changed to$135.77

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $136.73changed to$136.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.40 changed to 1.41
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $136.80changed to$136.73

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.39 changed to 1.40

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $136.12changed to$136.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $135.39changed to$136.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.43 changed to 1.39
    • Malpractice RVU 0.32 changed to 0.34
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $131.51changed to$135.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.55 changed to 1.43
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$131.51

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$137.71$86.34RVU26D
2026-07-01$137.71$86.34RVU26C
2026-04-01$137.71$86.34RVU26B
2026-01-01$137.71$86.34RVU26A
2025-10-01$125.64$97.06RVU25D
2025-07-01$125.64$97.06RVU25C
2025-04-01$125.64$97.06RVU25B
2025-01-01$125.64$97.06RVU25A
2024-10-01$128.90$99.49RVU24D
2024-07-01$128.90$99.49RVU24C
2024-04-01$128.90$99.49RVU24B
2024-03-09$128.90$99.49RVU24AR
2024-01-01$126.79$97.86RVU24A
2023-10-01$130.56$101.24RVU23D
2023-07-01$130.56$101.24RVU23C
2023-04-01$130.56$101.24RVU23B
2023-01-01$130.56$101.24RVU23A
2022-10-01$132.34$103.06RVU22D
2022-07-01$132.34$103.06RVU22C
2022-04-01$132.34$103.06RVU22B
2022-01-01$132.34$103.06RVU22A
2021-10-01$133.84$103.91RVU21D
2021-07-01$133.84$103.91RVU21C
2021-04-01$133.84$103.91RVU21B
2021-01-01$133.84$103.91RVU21A
2020-10-01$135.74$107.31RVU20D
2020-07-01$135.74$107.31RVU20C
2020-04-01$135.74$107.31RVU20B
2020-01-01$135.74$107.31RVU20A
2019-10-01$135.32$106.47RVU19D
2019-07-01$135.32$106.47RVU19C
2019-04-01$135.32$106.47RVU19B
2019-01-01$135.32$106.47RVU19A
2018-10-01$135.77$106.96RVU18D
2018-07-01$135.77$106.96RVU18C
2018-04-01$135.77$106.96RVU18B
2018-01-01$135.77$106.96RVU18AR1
2017-10-01$136.56$108.46RVU17D
2017-07-01$136.56$108.46RVU17C
2017-04-01$136.56$108.46RVU17B
2017-01-01$136.56$108.46RVU17A
2016-10-01$136.73$108.88RVU16D
2016-07-01$136.73$108.88RVU16C
2016-04-01$136.73$108.88RVU16B
2016-01-01$136.73$108.88RVU16A
2015-10-01$136.80$108.85RVU15D
2015-07-01$136.80$108.85RVU15C
2015-04-01$136.12$108.31RVU15B
2015-01-01$136.12$108.31RVU15A
2014-10-01$135.39$107.60RVU14D
2014-07-01$135.39$107.60RVU14C
2014-04-01$135.39$107.60RVU14B
2014-01-01$135.39$107.60RVU14A
2013-10-01$131.51$101.67RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11047 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

11047 billing questions

Can 11047 be billed by itself?

No. Report it with 11044, which represents the initial 20 sq cm or less of bone-level debridement.

How many units of 11047 should be reported?

Report a unit for each additional 20 sq cm or part thereof debrided through bone after the initial area represented by 11044.

Does exposed bone qualify for 11047?

No. The documentation must support debridement through bone; bone merely visible in the wound is not enough.

When is 11047 appropriate instead of 11046?

Use 11047 when bone is the deepest tissue actually debrided. Use 11046 when the deepest tissue removed is muscle or fascia.

What documentation supports this add-on?

Record the wound site, the deepest tissue removed, the surface area debrided at bone depth, and the bone debridement performed.

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 11047PPRRVU2026_Oct_nonQPP.csv, line 1,260 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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