CPT code 11047: Bone debridement, each additional 20 sq cm2026 Medicare rate & RVUs in South Dakota
Reports additional wound surface area debrided through bone beyond the initial area, often during treatment of deep ulcers or complex wounds.
In South Dakota, Medicare pays $120.83 for 11047 in the office and $77.41 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $120.83. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$120.83
- Los Angeles, CA · California$137.71+$16.88
- Washington, DC area · District of Columbia$143.43+$22.60
- Miami, FL · Florida$148.85+$28.02
- Chicago, IL · Illinois$144.43+$23.60
- Manhattan, NY · New York$148.62+$27.79
- Alaska · Alaska$156.51+$35.68
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $129.75 | $82.16 |
| 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 |
| Salinas, CACalifornia | $134.23 | $83.91 |
| San Diego, CACalifornia | $136.39 | $84.46 |
| Marin County, CACalifornia | $151.68 | $90.46 |
| San Francisco, CACalifornia | $151.28 | $90.06 |
| San Benito County, CACalifornia | $155.32 | $92.71 |
| Santa Clara County, CACalifornia | $153.70 | $91.09 |
| San Luis Obispo, CACalifornia | $132.25 | $82.79 |
| Santa Cruz, CACalifornia | $136.90 | $84.14 |
| Santa Maria, CACalifornia | $134.46 | $83.83 |
| Santa Rosa, CACalifornia | $138.18 | $84.86 |
| Stockton, CACalifornia | $129.75 | $82.16 |
| Vallejo, CACalifornia | $144.45 | $87.22 |
| Visalia, CACalifornia | $129.75 | $82.16 |
| Yuba City, CACalifornia | $129.75 | $82.16 |
| ColoradoColorado | $130.46 | $84.26 |
| ConnecticutConnecticut | $136.70 | $89.93 |
| DelawareDelaware | $127.01 | $84.11 |
| Fort Lauderdale, FLFlorida | $138.79 | $94.81 |
| Rest of FloridaFlorida | $131.92 | $90.41 |
| Atlanta, GAGeorgia | $132.05 | $87.93 |
| Rest of GeorgiaGeorgia | $124.56 | $85.83 |
| Hawaii, Guam, HIHawaii | $131.63 | $82.26 |
| IowaIowa | $116.60 | $76.87 |
| IdahoIdaho | $117.78 | $77.84 |
| East St. Louis, ILIllinois | $135.80 | $95.85 |
| Rest of IllinoisIllinois | $130.12 | $90.48 |
| Suburban Chicago, ILIllinois | $139.60 | $95.01 |
| IndianaIndiana | $118.34 | $78.09 |
| KansasKansas | $117.22 | $77.96 |
| KentuckyKentucky | $121.15 | $82.55 |
| New Orleans, LALouisiana | $126.75 | $85.90 |
| Rest of LouisianaLouisiana | $121.42 | $82.99 |
| Metropolitan Boston, MAMassachusetts | $140.99 | $89.15 |
| Rest of MassachusettsMassachusetts | $130.24 | $84.52 |
| Baltimore area, MDMaryland | $136.55 | $89.96 |
| Rest of MarylandMaryland | $128.92 | $84.98 |
| Rest of MaineMaine | $119.53 | $79.58 |
| Southern Maine, MEMaine | $123.76 | $80.73 |
| Detroit, MIMichigan | $134.58 | $92.68 |
| Rest of MichiganMichigan | $125.05 | $85.40 |
| MinnesotaMinnesota | $122.05 | $77.37 |
| Metropolitan Kansas City, MOMissouri | $124.78 | $84.01 |
| Metropolitan St. Louis, MOMissouri | $125.83 | $84.49 |
| Rest of MissouriMissouri | $120.27 | $82.84 |
| MississippiMississippi | $117.46 | $80.08 |
| MontanaMontana | $128.57 | $85.15 |
| North CarolinaNorth Carolina | $120.48 | $79.97 |
| North DakotaNorth Dakota | $121.65 | $78.23 |
| NebraskaNebraska | $116.85 | $76.77 |
| New HampshireNew Hampshire | $129.51 | $84.31 |
| Northern New JerseyNew Jersey | $142.39 | $92.02 |
| Rest of New JerseyNew Jersey | $137.43 | $90.01 |
| New MexicoNew Mexico | $126.12 | $86.30 |
| NevadaNevada | $126.70 | $83.23 |
| NYC suburbs and Long Island, NYNew York | $153.36 | $101.73 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $139.21 | $91.67 |
| Queens, NYNew York | $148.10 | $96.78 |
| Rest of New YorkNew York | $122.22 | $80.97 |
| OhioOhio | $123.63 | $83.99 |
| OklahomaOklahoma | $119.77 | $80.99 |
| Portland, OROregon | $132.99 | $84.75 |
| Rest of OregonOregon | $124.89 | $81.64 |
| Metropolitan Philadelphia, PAPennsylvania | $134.29 | $89.09 |
| Rest of PennsylvaniaPennsylvania | $123.18 | $83.32 |
| Puerto RicoPuerto Rico | $129.06 | $85.16 |
| Rhode IslandRhode Island | $130.37 | $85.51 |
| South CarolinaSouth Carolina | $122.42 | $82.30 |
| TennesseeTennessee | $117.89 | $78.42 |
| Austin, TXTexas | $130.75 | $84.81 |
| Beaumont, TXTexas | $122.53 | $83.02 |
| Brazoria, TXTexas | $125.97 | $82.94 |
| Dallas, TXTexas | $127.23 | $83.98 |
| Fort Worth, TXTexas | $126.80 | $83.99 |
| Galveston, TXTexas | $126.65 | $83.53 |
| Houston, TXTexas | $133.05 | $89.94 |
| Rest of TexasTexas | $124.50 | $83.29 |
| UtahUtah | $123.91 | $83.10 |
| VirginiaVirginia | $124.17 | $81.49 |
| Virgin Islands, VIUnited States Virgin Islands | $129.06 | $85.16 |
| VermontVermont | $122.24 | $79.25 |
| Rest of WashingtonWashington | $129.64 | $83.92 |
| King County, WAWashington | $142.59 | $89.31 |
| WisconsinWisconsin | $118.06 | $76.47 |
| West VirginiaWest Virginia | $126.02 | $88.29 |
| WyomingWyoming | $125.55 | $82.13 |
11047 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.
$114.73
$156.51
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 | $156.51 | 1 |
| AL | $116.26 | 1 |
| AR | $114.73 | 1 |
| AZ | $125.11 | 1 |
| CA | $129.75–$155.32 | 29 |
| CO | $130.46 | 1 |
| CT | $136.70 | 1 |
| DC | $143.43 | 1 |
| DE | $127.01 | 1 |
| FL | $131.92–$148.85 | 3 |
| GA | $124.56–$132.05 | 2 |
| GU | $131.63 | 1 |
| HI | $131.63 | 1 |
| IA | $116.60 | 1 |
| ID | $117.78 | 1 |
| IL | $130.12–$144.43 | 4 |
| IN | $118.34 | 1 |
| KS | $117.22 | 1 |
| KY | $121.15 | 1 |
| LA | $121.42–$126.75 | 2 |
| MA | $130.24–$140.99 | 2 |
| MD | $128.92–$143.43 | 3 |
| ME | $119.53–$123.76 | 2 |
| MI | $125.05–$134.58 | 2 |
| MN | $122.05 | 1 |
| MO | $120.27–$125.83 | 3 |
| MS | $117.46 | 1 |
| MT | $128.57 | 1 |
| NC | $120.48 | 1 |
| ND | $121.65 | 1 |
| NE | $116.85 | 1 |
| NH | $129.51 | 1 |
| NJ | $137.43–$142.39 | 2 |
| NM | $126.12 | 1 |
| NV | $126.70 | 1 |
| NY | $122.22–$153.36 | 5 |
| OH | $123.63 | 1 |
| OK | $119.77 | 1 |
| OR | $124.89–$132.99 | 2 |
| PA | $123.18–$134.29 | 2 |
| PR | $129.06 | 1 |
| RI | $130.37 | 1 |
| SC | $122.42 | 1 |
| SD | $120.83 | 1 |
| TN | $117.89 | 1 |
| TX | $122.53–$133.05 | 8 |
| UT | $123.91 | 1 |
| VA | $124.17–$143.43 | 2 |
| VI | $129.06 | 1 |
| VT | $122.24 | 1 |
| WA | $129.64–$142.59 | 2 |
| WI | $118.06 | 1 |
| WV | $126.02 | 1 |
| WY | $125.55 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 1.74 | × 1.000 | 1.7400 |
| Malpractice | 0.35 | × 0.336 | 0.1176 |
| Total RVUs | 3.6176 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$120.83
Office: (1.76 × 1 + 1.74 × 1 + 0.35 × 0.336) × $33.4009 = $120.83
Facility: (1.76 × 1 + 0.44 × 1 + 0.35 × 0.336) × $33.4009 = $77.41
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
| 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 11047 has changed in South Dakota
11047 · Office / nonfacility
$120.83
Effective 2026-10-01
The base rate is $10.41 higher than on 2025-10-01, moving from $110.42 to $120.83 (9.4%).
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
$110.42changed to$120.83
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$113.30changed to$110.42
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.47 changed to 1.48
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$111.45changed to$113.30
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$114.45changed to$111.45
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.45 changed to 1.47
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$115.86changed to$114.45
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$117.17changed to$115.86
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.44 changed to 1.43
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$119.41changed to$117.17
- 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 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$119.73changed to$119.41
- 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 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$120.18changed to$119.73
- 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.
January 1, 2018
RVU18AR1
$120.02changed to$120.18
- Conversion factor 35.8887 changed to 35.9996
- Malpractice RVU 0.34 changed to 0.33
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$119.44changed to$120.02
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.40 changed to 1.41
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$119.51changed to$119.44
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 1.39 changed to 1.40
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$118.92changed to$119.51
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$120.48changed to$118.92
- 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
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$118.83changed to$120.48
- 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
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $118.83
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $120.83 | $77.41 | RVU26D |
| 2026-07-01 | $120.83 | $77.41 | RVU26C |
| 2026-04-01 | $120.83 | $77.41 | RVU26B |
| 2026-01-01 | $120.83 | $77.41 | RVU26A |
| 2025-10-01 | $110.42 | $86.48 | RVU25D |
| 2025-07-01 | $110.42 | $86.48 | RVU25C |
| 2025-04-01 | $110.42 | $86.48 | RVU25B |
| 2025-01-01 | $110.42 | $86.48 | RVU25A |
| 2024-10-01 | $113.30 | $88.67 | RVU24D |
| 2024-07-01 | $113.30 | $88.67 | RVU24C |
| 2024-04-01 | $113.30 | $88.67 | RVU24B |
| 2024-03-09 | $113.30 | $88.67 | RVU24AR |
| 2024-01-01 | $111.45 | $87.22 | RVU24A |
| 2023-10-01 | $114.45 | $89.71 | RVU23D |
| 2023-07-01 | $114.45 | $89.71 | RVU23C |
| 2023-04-01 | $114.45 | $89.71 | RVU23B |
| 2023-01-01 | $114.45 | $89.71 | RVU23A |
| 2022-10-01 | $115.86 | $90.94 | RVU22D |
| 2022-07-01 | $115.86 | $90.94 | RVU22C |
| 2022-04-01 | $115.86 | $90.94 | RVU22B |
| 2022-01-01 | $115.86 | $90.94 | RVU22A |
| 2021-10-01 | $117.17 | $91.70 | RVU21D |
| 2021-07-01 | $117.17 | $91.70 | RVU21C |
| 2021-04-01 | $117.17 | $91.70 | RVU21B |
| 2021-01-01 | $117.17 | $91.70 | RVU21A |
| 2020-10-01 | $119.41 | $95.23 | RVU20D |
| 2020-07-01 | $119.41 | $95.23 | RVU20C |
| 2020-04-01 | $119.41 | $95.23 | RVU20B |
| 2020-01-01 | $119.41 | $95.23 | RVU20A |
| 2019-10-01 | $119.73 | $95.22 | RVU19D |
| 2019-07-01 | $119.73 | $95.22 | RVU19C |
| 2019-04-01 | $119.73 | $95.22 | RVU19B |
| 2019-01-01 | $119.73 | $95.22 | RVU19A |
| 2018-10-01 | $120.18 | $95.70 | RVU18D |
| 2018-07-01 | $120.18 | $95.70 | RVU18C |
| 2018-04-01 | $120.18 | $95.70 | RVU18B |
| 2018-01-01 | $120.18 | $95.70 | RVU18AR1 |
| 2017-10-01 | $120.02 | $95.98 | RVU17D |
| 2017-07-01 | $120.02 | $95.98 | RVU17C |
| 2017-04-01 | $120.02 | $95.98 | RVU17B |
| 2017-01-01 | $120.02 | $95.98 | RVU17A |
| 2016-10-01 | $119.44 | $95.45 | RVU16D |
| 2016-07-01 | $119.44 | $95.45 | RVU16C |
| 2016-04-01 | $119.44 | $95.45 | RVU16B |
| 2016-01-01 | $119.44 | $95.45 | RVU16A |
| 2015-10-01 | $119.51 | $95.44 | RVU15D |
| 2015-07-01 | $119.51 | $95.44 | RVU15C |
| 2015-04-01 | $118.92 | $94.96 | RVU15B |
| 2015-01-01 | $118.92 | $94.96 | RVU15A |
| 2014-10-01 | $120.48 | $96.48 | RVU14D |
| 2014-07-01 | $120.48 | $96.48 | RVU14C |
| 2014-04-01 | $120.48 | $96.48 | RVU14B |
| 2014-01-01 | $120.48 | $96.48 | RVU14A |
| 2013-10-01 | $118.83 | $92.97 | RVU13D |
| 2013-07-01 | $118.83 | $92.97 | RVU13C |
| 2013-04-01 | $118.83 | $92.97 | RVU13B |
| 2013-01-01 | $118.83 | $92.97 | RVU13AR |
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
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
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