FeeBase
Log inGet started
Menu

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

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 Vermont, Medicare pays $122.24 for 11047 in the office and $79.25 when it’s performed in a hospital or facility.

$122.24Office (non-facility)
$79.25Hospital or facility
−4.9%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 Vermont
  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 Vermont 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. Vermont pays $122.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

11047 in Vermont vs other payment areas
  1. Vermont · this page$122.24
  2. Los Angeles, CA · California$137.71+$15.47
  3. Washington, DC area · District of Columbia$143.43+$21.19
  4. Miami, FL · Florida$148.85+$26.61
  5. Chicago, IL · Illinois$144.43+$22.19
  6. Manhattan, NY · New York$148.62+$26.38
  7. Alaska · Alaska$156.51+$34.27

Other areas in Vermont 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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 11047 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense1.74× 0.9901.7226
Malpractice0.35× 0.5060.1771
Total RVUs3.6597
Conversion factor× 33.4009

Office rate, Vermont$122.24

Office: (1.76 × 1 + 1.74 × 0.99 + 0.35 × 0.506) × $33.4009 = $122.24

Facility: (1.76 × 1 + 0.44 × 0.99 + 0.35 × 0.506) × $33.4009 = $79.25

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, Vermont
Add-on codes
11044Wound debridement, bone, first 20 sq cmPrimary bone-debridement code for the initial 20 sq cm or less.$308.43
Same family
11046Wound debridement, each additional 20 cm²Additional-area debridement code when muscle or fascia is the deepest tissue removed.$72.99
11043Wound debridement, muscle or fascia, initial areaInitial-area counterpart for debridement through muscle or fascia.$231.18
11042Wound debridement, subcutaneous tissue, first 20 sq cmInitial-area counterpart when subcutaneous tissue is the deepest tissue removed.$129.50
Used instead
11012Fracture-site debridement, through boneFracture-site debridement code for the applicable open-fracture circumstance.$660.75

How 11047 has changed in Vermont

11047 · Office / nonfacility

$122.24

Effective 2026-10-01

The base rate is $10.61 higher than on 2025-10-01, moving from $111.63 to $122.24 (9.5%).

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

    $111.63changed to$122.24

    • 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 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $114.54changed to$111.63

    • 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

    $112.67changed to$114.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $116.43changed to$112.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.45 changed to 1.47
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518

  5. January 1, 2023

    RVU23A

    $118.52changed to$116.43

    • 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 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $119.85changed to$118.52

    • 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

    $122.51changed to$119.85

    • 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
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $123.01changed to$122.51

    • 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
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $123.39changed to$123.01

    • 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

    $123.51changed to$123.39

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $123.08changed to$123.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.40 changed to 1.41
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $123.16changed to$123.08

    • 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

    $122.55changed to$123.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $123.10changed to$122.55

    • 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 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$123.10

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$122.24$79.25RVU26D
2026-07-01$122.24$79.25RVU26C
2026-04-01$122.24$79.25RVU26B
2026-01-01$122.24$79.25RVU26A
2025-10-01$111.63$87.86RVU25D
2025-07-01$111.63$87.86RVU25C
2025-04-01$111.63$87.86RVU25B
2025-01-01$111.63$87.86RVU25A
2024-10-01$114.54$90.08RVU24D
2024-07-01$114.54$90.08RVU24C
2024-04-01$114.54$90.08RVU24B
2024-03-09$114.54$90.08RVU24AR
2024-01-01$112.67$88.61RVU24A
2023-10-01$116.43$91.76RVU23D
2023-07-01$116.43$91.76RVU23C
2023-04-01$116.43$91.76RVU23B
2023-01-01$116.43$91.76RVU23A
2022-10-01$118.52$93.58RVU22D
2022-07-01$118.52$93.58RVU22C
2022-04-01$118.52$93.58RVU22B
2022-01-01$118.52$93.58RVU22A
2021-10-01$119.85$94.36RVU21D
2021-07-01$119.85$94.36RVU21C
2021-04-01$119.85$94.36RVU21B
2021-01-01$119.85$94.36RVU21A
2020-10-01$122.51$98.14RVU20D
2020-07-01$122.51$98.14RVU20C
2020-04-01$122.51$98.14RVU20B
2020-01-01$122.51$98.14RVU20A
2019-10-01$123.01$98.13RVU19D
2019-07-01$123.01$98.13RVU19C
2019-04-01$123.01$98.13RVU19B
2019-01-01$123.01$98.13RVU19A
2018-10-01$123.39$98.54RVU18D
2018-07-01$123.39$98.54RVU18C
2018-04-01$123.39$98.54RVU18B
2018-01-01$123.39$98.54RVU18AR1
2017-10-01$123.51$99.22RVU17D
2017-07-01$123.51$99.22RVU17C
2017-04-01$123.51$99.22RVU17B
2017-01-01$123.51$99.22RVU17A
2016-10-01$123.08$98.99RVU16D
2016-07-01$123.08$98.99RVU16C
2016-04-01$123.08$98.99RVU16B
2016-01-01$123.08$98.99RVU16A
2015-10-01$123.16$98.99RVU15D
2015-07-01$123.16$98.99RVU15C
2015-04-01$122.55$98.50RVU15B
2015-01-01$122.55$98.50RVU15A
2014-10-01$123.10$98.95RVU14D
2014-07-01$123.10$98.95RVU14C
2014-04-01$123.10$98.95RVU14B
2014-01-01$123.10$98.95RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
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 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

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11047 pays in Vermont?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 11047 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet