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

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 Iowa, Medicare pays $116.60 for 11047 in the office and $76.87 when it’s performed in a hospital or facility.

$116.60Office (non-facility)
$76.87Hospital or facility
−9.3%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 Iowa
  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 Iowa 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. Iowa pays $116.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

11047 in Iowa vs other payment areas
  1. Iowa · this page$116.60
  2. Los Angeles, CA · California$137.71+$21.11
  3. Washington, DC area · District of Columbia$143.43+$26.83
  4. Miami, FL · Florida$148.85+$32.25
  5. Chicago, IL · Illinois$144.43+$27.83
  6. Manhattan, NY · New York$148.62+$32.02
  7. Alaska · Alaska$156.51+$39.91

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

Every other payment area

11047 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$116.26$78.26
ArkansasArkansas$114.73$77.43
ArizonaArizona$125.11$83.03
Bakersfield, CACalifornia$130.72$83.13
Chico, CACalifornia$129.75$82.16
El Centro, CACalifornia$129.81$82.22
Fresno, CACalifornia$129.75$82.16
Hanford, CACalifornia$129.75$82.16

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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 11047 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense1.74× 0.9151.5921
Malpractice0.35× 0.3970.1389
Total RVUs3.4910
Conversion factor× 33.4009

Office rate, Iowa$116.60

Office: (1.76 × 1 + 1.74 × 0.915 + 0.35 × 0.397) × $33.4009 = $116.60

Facility: (1.76 × 1 + 0.44 × 0.915 + 0.35 × 0.397) × $33.4009 = $76.87

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, Iowa
Add-on codes
11044Wound debridement, bone, first 20 sq cmPrimary bone-debridement code for the initial 20 sq cm or less.$293.68
Same family
11046Wound debridement, each additional 20 cm²Additional-area debridement code when muscle or fascia is the deepest tissue removed.$69.54
11043Wound debridement, muscle or fascia, initial areaInitial-area counterpart for debridement through muscle or fascia.$219.33
11042Wound debridement, subcutaneous tissue, first 20 sq cmInitial-area counterpart when subcutaneous tissue is the deepest tissue removed.$121.86
Used instead
11012Fracture-site debridement, through boneFracture-site debridement code for the applicable open-fracture circumstance.$624.53

How 11047 has changed in Iowa

11047 · Office / nonfacility

$116.60

Effective 2026-10-01

The base rate is $9.49 higher than on 2025-10-01, moving from $107.11 to $116.60 (8.9%).

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

    $107.11changed to$116.60

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $109.92changed to$107.11

    • 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

    $108.12changed to$109.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $110.94changed to$108.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.45 changed to 1.47
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $112.18changed to$110.94

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $113.42changed to$112.18

    • 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

    $115.49changed to$113.42

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $115.49changed to$115.49

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $115.86changed to$115.49

    • 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

    $115.83changed to$115.86

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.36changed to$115.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.40 changed to 1.41
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.46changed to$115.36

    • 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

    $114.88changed to$115.46

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $115.62changed to$114.88

    • 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
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $113.14changed to$115.62

    • 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
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $113.14

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$116.60$76.87RVU26D
2026-07-01$116.60$76.87RVU26C
2026-04-01$116.60$76.87RVU26B
2026-01-01$116.60$76.87RVU26A
2025-10-01$107.11$85.25RVU25D
2025-07-01$107.11$85.25RVU25C
2025-04-01$107.11$85.25RVU25B
2025-01-01$107.11$85.25RVU25A
2024-10-01$109.92$87.43RVU24D
2024-07-01$109.92$87.43RVU24C
2024-04-01$109.92$87.43RVU24B
2024-03-09$109.92$87.43RVU24AR
2024-01-01$108.12$86.00RVU24A
2023-10-01$110.94$88.43RVU23D
2023-07-01$110.94$88.43RVU23C
2023-04-01$110.94$88.43RVU23B
2023-01-01$110.94$88.43RVU23A
2022-10-01$112.18$89.58RVU22D
2022-07-01$112.18$89.58RVU22C
2022-04-01$112.18$89.58RVU22B
2022-01-01$112.18$89.58RVU22A
2021-10-01$113.42$90.32RVU21D
2021-07-01$113.42$90.32RVU21C
2021-04-01$113.42$90.32RVU21B
2021-01-01$113.42$90.32RVU21A
2020-10-01$115.49$93.56RVU20D
2020-07-01$115.49$93.56RVU20C
2020-04-01$115.49$93.56RVU20B
2020-01-01$115.49$93.56RVU20A
2019-10-01$115.49$93.26RVU19D
2019-07-01$115.49$93.26RVU19C
2019-04-01$115.49$93.26RVU19B
2019-01-01$115.49$93.26RVU19A
2018-10-01$115.86$93.66RVU18D
2018-07-01$115.86$93.66RVU18C
2018-04-01$115.86$93.66RVU18B
2018-01-01$115.86$93.66RVU18AR1
2017-10-01$115.83$94.14RVU17D
2017-07-01$115.83$94.14RVU17C
2017-04-01$115.83$94.14RVU17B
2017-01-01$115.83$94.14RVU17A
2016-10-01$115.36$93.87RVU16D
2016-07-01$115.36$93.87RVU16C
2016-04-01$115.36$93.87RVU16B
2016-01-01$115.36$93.87RVU16A
2015-10-01$115.46$93.88RVU15D
2015-07-01$115.46$93.88RVU15C
2015-04-01$114.88$93.42RVU15B
2015-01-01$114.88$93.42RVU15A
2014-10-01$115.62$94.21RVU14D
2014-07-01$115.62$94.21RVU14C
2014-04-01$115.62$94.21RVU14B
2014-01-01$115.62$94.21RVU14A
2013-10-01$113.14$90.20RVU13D
2013-07-01$113.14$90.20RVU13C
2013-04-01$113.14$90.20RVU13B
2013-01-01$113.14$90.20RVU13AR

Price 11047 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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