No office rate
Use 11004 for necrotizing infection debridement of the external genitalia and perineum without abdominal-wall involvement; 11005 is for the abdominal wall.
On this page
CMS RVU26D · Effective 2026-10-01
11005 in Chicago
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$845.78
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Surgical debridement
About 11005: Abdominal wall necrotizing infection debridement
Report this service when a surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia for a necrotizing soft tissue infection of the abdominal wall.
This code describes operative debridement for a necrotizing soft tissue infection involving the abdominal wall, such as necrotizing fasciitis. The surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia. It is typically performed in a hospital operating room when urgent source control is needed; the operative report should identify the abdominal-wall involvement and the tissues actually debrided.
Select this code for the abdominal wall alone, not by measuring wound surface area or choosing the deepest tissue level as with routine wound-debridement codes. Document the infection, anatomic extent, and debridement performed. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this code. An assistant at surgery is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 11005
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU13.88 · 67%
- Practice expense (office) RVU3.41 · 16%
- Malpractice RVU3.45 · 17%
1.3K
Medicare services in 2024 · #2774 by national volume
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.
11005 compared with similar codes
Office rates for Chicago, from the same CMS release.
No office rate
Use 11006 when debridement for the necrotizing infection involves the abdominal wall together with the external genitalia and perineum.
$138.93
Use 11042 for qualifying routine wound debridement through subcutaneous tissue, based on tissue depth and area; 11005 is specific to abdominal-wall necrotizing infection.
$258.95
Use 11043 for qualifying routine wound debridement involving muscle or fascia, based on tissue depth and area, rather than the NSTI-specific abdominal-wall service.
The same code, a different location
How does Chicago compare?
11005 across payment areas
Same release and payment basis · bars start at $0
Chicago · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Illinois appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Manhattan
New York · 11005
Office
Unavailable
Facility
$808.38
No comparable office rate is available.
Alaska*
Alaska · 11005
Office
Unavailable
Facility
$880.20
No comparable office rate is available.
Alabama
Alabama · 11005
Office
Unavailable
Facility
$628.49
No comparable office rate is available.
Arkansas
Arkansas · 11005
Office
Unavailable
Facility
$620.79
No comparable office rate is available.
Arizona
Arizona · 11005
Office
Unavailable
Facility
$672.61
No comparable office rate is available.
Bakersfield
California · 11005
Office
Unavailable
Facility
$667.42
No comparable office rate is available.
Chico
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
El Centro
California · 11005
Office
Unavailable
Facility
$658.66
No comparable office rate is available.
Fresno
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Hanford-Corcoran
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Madera
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Merced
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Modesto
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Napa
California · 11005
Office
Unavailable
Facility
$701.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 11005
Office
Unavailable
Facility
$683.00
No comparable office rate is available.
Redding
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Rest Of California
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 11005
Office
Unavailable
Facility
$695.07
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 11005
Office
Unavailable
Facility
$674.52
No comparable office rate is available.
Salinas
California · 11005
Office
Unavailable
Facility
$671.75
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 11005
Office
Unavailable
Facility
$676.19
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 11005
Office
Unavailable
Facility
$721.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 11005
Office
Unavailable
Facility
$717.22
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 11005
Office
Unavailable
Facility
$740.61
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 11005
Office
Unavailable
Facility
$724.59
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 11005
Office
Unavailable
Facility
$662.98
No comparable office rate is available.
Santa Cruz-Watsonville
California · 11005
Office
Unavailable
Facility
$673.49
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 11005
Office
Unavailable
Facility
$671.15
No comparable office rate is available.
Santa Rosa-Petaluma
California · 11005
Office
Unavailable
Facility
$679.14
No comparable office rate is available.
Stockton
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Vallejo
California · 11005
Office
Unavailable
Facility
$695.82
No comparable office rate is available.
Visalia
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Yuba City
California · 11005
Office
Unavailable
Facility
$658.08
No comparable office rate is available.
Colorado
Colorado · 11005
Office
Unavailable
Facility
$680.35
No comparable office rate is available.
Connecticut
Connecticut · 11005
Office
Unavailable
Facility
$734.98
No comparable office rate is available.
Delaware
Delaware · 11005
Office
Unavailable
Facility
$682.05
No comparable office rate is available.
Fort Lauderdale
Florida · 11005
Office
Unavailable
Facility
$787.32
No comparable office rate is available.
Rest Of Florida
Florida · 11005
Office
Unavailable
Facility
$745.69
No comparable office rate is available.
Atlanta
Georgia · 11005
Office
Unavailable
Facility
$719.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 11005
Office
Unavailable
Facility
$702.56
No comparable office rate is available.
Hawaii, Guam
Hawaii · 11005
Office
Unavailable
Facility
$659.83
No comparable office rate is available.
Iowa
Iowa · 11005
Office
Unavailable
Facility
$613.57
No comparable office rate is available.
Idaho
Idaho · 11005
Office
Unavailable
Facility
$622.90
No comparable office rate is available.
Indiana
Indiana · 11005
Office
Unavailable
Facility
$625.19
No comparable office rate is available.
Kansas
Kansas · 11005
Office
Unavailable
Facility
$624.64
No comparable office rate is available.
Kentucky
Kentucky · 11005
Office
Unavailable
Facility
$670.30
No comparable office rate is available.
New Orleans
Louisiana · 11005
Office
Unavailable
Facility
$701.69
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 11005
Office
Unavailable
Facility
$674.80
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 11005
Office
Unavailable
Facility
$721.16
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 11005
Office
Unavailable
Facility
$682.80
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 11005
Office
Unavailable
Facility
$735.78
No comparable office rate is available.
Rest Of Maryland
Maryland · 11005
Office
Unavailable
Facility
$689.29
No comparable office rate is available.
Rest Of Maine
Maine · 11005
Office
Unavailable
Facility
$640.06
No comparable office rate is available.
Southern Maine
Maine · 11005
Office
Unavailable
Facility
$649.19
No comparable office rate is available.
Detroit
Michigan · 11005
Office
Unavailable
Facility
$767.80
No comparable office rate is available.
Rest Of Michigan
Michigan · 11005
Office
Unavailable
Facility
$697.69
No comparable office rate is available.
Minnesota
Minnesota · 11005
Office
Unavailable
Facility
$614.91
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 11005
Office
Unavailable
Facility
$683.14
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 11005
Office
Unavailable
Facility
$687.50
No comparable office rate is available.
Rest Of Missouri
Missouri · 11005
Office
Unavailable
Facility
$674.02
No comparable office rate is available.
Mississippi
Mississippi · 11005
Office
Unavailable
Facility
$646.83
No comparable office rate is available.
Montana**
Montana · 11005
Office
Unavailable
Facility
$692.50
No comparable office rate is available.
North Carolina
North Carolina · 11005
Office
Unavailable
Facility
$643.50
No comparable office rate is available.
North Dakota**
North Dakota · 11005
Office
Unavailable
Facility
$624.29
No comparable office rate is available.
Nebraska
Nebraska · 11005
Office
Unavailable
Facility
$612.29
No comparable office rate is available.
New Hampshire
New Hampshire · 11005
Office
Unavailable
Facility
$683.00
No comparable office rate is available.
Northern Nj
New Jersey · 11005
Office
Unavailable
Facility
$748.00
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 11005
Office
Unavailable
Facility
$732.93
No comparable office rate is available.
New Mexico
New Mexico · 11005
Office
Unavailable
Facility
$706.44
No comparable office rate is available.
Nevada**
Nevada · 11005
Office
Unavailable
Facility
$673.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 11005
Office
Unavailable
Facility
$842.69
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 11005
Office
Unavailable
Facility
$748.62
No comparable office rate is available.
Queens
New York · 11005
Office
Unavailable
Facility
$794.07
No comparable office rate is available.
Rest Of New York
New York · 11005
Office
Unavailable
Facility
$652.82
No comparable office rate is available.
Ohio
Ohio · 11005
Office
Unavailable
Facility
$683.75
No comparable office rate is available.
Oklahoma
Oklahoma · 11005
Office
Unavailable
Facility
$654.85
No comparable office rate is available.
Portland
Oregon · 11005
Office
Unavailable
Facility
$683.30
No comparable office rate is available.
Rest Of Oregon
Oregon · 11005
Office
Unavailable
Facility
$658.05
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 11005
Office
Unavailable
Facility
$727.99
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 11005
Office
Unavailable
Facility
$677.06
No comparable office rate is available.
Puerto Rico
Puerto Rico · 11005
Office
Unavailable
Facility
$692.26
No comparable office rate is available.
Rhode Island
Rhode Island · 11005
Office
Unavailable
Facility
$692.86
No comparable office rate is available.
South Carolina
South Carolina · 11005
Office
Unavailable
Facility
$666.79
No comparable office rate is available.
South Dakota**
South Dakota · 11005
Office
Unavailable
Facility
$616.22
No comparable office rate is available.
Tennessee
Tennessee · 11005
Office
Unavailable
Facility
$629.02
No comparable office rate is available.
Austin
Texas · 11005
Office
Unavailable
Facility
$687.13
No comparable office rate is available.
Beaumont
Texas · 11005
Office
Unavailable
Facility
$674.30
No comparable office rate is available.
Brazoria
Texas · 11005
Office
Unavailable
Facility
$670.07
No comparable office rate is available.
Dallas
Texas · 11005
Office
Unavailable
Facility
$680.09
No comparable office rate is available.
Fort Worth
Texas · 11005
Office
Unavailable
Facility
$680.45
No comparable office rate is available.
Galveston
Texas · 11005
Office
Unavailable
Facility
$675.83
No comparable office rate is available.
Houston
Texas · 11005
Office
Unavailable
Facility
$738.97
No comparable office rate is available.
Rest Of Texas
Texas · 11005
Office
Unavailable
Facility
$675.75
No comparable office rate is available.
Utah
Utah · 11005
Office
Unavailable
Facility
$674.15
No comparable office rate is available.
Virginia
Virginia · 11005
Office
Unavailable
Facility
$656.92
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 11005
Office
Unavailable
Facility
$692.26
No comparable office rate is available.
Vermont
Vermont · 11005
Office
Unavailable
Facility
$634.67
No comparable office rate is available.
Rest Of Washington
Washington · 11005
Office
Unavailable
Facility
$677.26
No comparable office rate is available.
Seattle (King Cnty)
Washington · 11005
Office
Unavailable
Facility
$720.68
No comparable office rate is available.
Wisconsin
Wisconsin · 11005
Office
Unavailable
Facility
$608.21
No comparable office rate is available.
West Virginia
West Virginia · 11005
Office
Unavailable
Facility
$727.48
No comparable office rate is available.
Wyoming**
Wyoming · 11005
Office
Unavailable
Facility
$662.77
No comparable office rate is available.
See how rates vary across the country
11005 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chicago is a Medicare payment area. Our Census mapping connects it to 137 cities and communities in Illinois, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 11005 in Chicago
Multiple payment areas
- 11005 in Alsip
- 11005 in Arlington Heights
- 11005 in Barrington
Multiple payment areas
- 11005 in Barrington Hills
Multiple payment areas
- 11005 in Bartlett
Multiple payment areas
- 11005 in Bedford Park
- 11005 in Bellwood
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 11005 in Chicago. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$930.36
$845.78 × 110% = $930.36
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 11005 in Chicago.
PPRRVU2026_Oct_nonQPP.csv
1,243
- Code
- 11005
- Physician work
- 13.88
- Practice expense
- 3.41
- Malpractice
- 3.45
GPCI2026.csv
48
- Locality
- Chicago
- Physician work
- 1.007
- Practice expense
- 1.005
- Malpractice
- 2.295
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.88 | × 1.007 | 13.9772 |
| Practice expense | 3.41 | × 1.005 | 3.4270 |
| Malpractice | 3.45 | × 2.295 | 7.9177 |
| Total RVUs | 25.3220 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chicago$845.78
Open 11005 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.88 | 1.007 |
| Practice expense | 3.41 | 1.005 |
| Malpractice | 3.45 | 2.295 |
(13.88 × 1.007 + 3.41 × 1.005 + 3.45 × 2.295) × $33.4009 = $845.78
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
11005 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $845.78 | RVU26D |
| 2026-07-01 | Not available in this setting | $845.78 | RVU26C |
| 2026-04-01 | Not available in this setting | $845.78 | RVU26B |
| 2026-01-01 | Not available in this setting | $845.78 | RVU26A |
| 2025-10-01 | Not available in this setting | $863.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $863.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $863.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $863.16 | RVU25A |
11005 billing questions
When should I report 11005 rather than 11004 or 11006?
Use 11005 when the necrotizing soft tissue infection and debridement involve the abdominal wall alone. Code 11004 describes the external genitalia and perineum; 11006 covers those areas together with the abdominal wall.
Is code selection based on wound size or the deepest tissue removed?
No. This code is specific to necrotizing soft tissue infection of the abdominal wall and is not selected by surface area or a deepest-tissue level.
Can removal of infected abdominal-wall mesh be reported separately?
When infected prosthetic material or mesh is removed from the abdominal wall, 11008 is an add-on reported with the applicable primary debridement code, including 11005 when appropriate.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
What documentation supports reporting 11005?
The operative report should establish necrotizing soft tissue infection of the abdominal wall, identify the extent and tissues involved, and describe the 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,24011000,,Dbrdmt ecz/infected skin<10%,A,,0.59,1.13,,0.09,,0.05,1.77,0.73,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24111001,,Dbrdmt ecz/infct skn ea addl,A,,0.29,0.49,,0.06,,0.03,0.81,0.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24211004,,Dbrdmt skin xtrnl gent&per,A,,10.53,2.46,NA,2.46,,2.12,15.11,15.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24311005,,Dbrdmt skin abdominal wall,A,,13.88,3.41,NA,3.41,,3.45,20.74,20.74,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24411006,,Dbrdmt skin xtrnl gent per,A,,12.77,3.09,NA,3.09,,2.82,18.68,18.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24511008,,Rmv prstc mtrl/mesh abd wall,A,,4.88,1.19,NA,1.19,,1.25,7.32,7.32,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2461100F,,Ptfalls assess-docd ge2>/yr,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563