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CMS RVU26D · Effective 2026-10-01

11046 in Merced

Office / nonfacility

$77.64

Base rate per service

Facility setting

$46.16

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.

Wound care

About 11046: Additional muscle or fascia debridement

Reports additional wound surface area debrided through muscle or fascia after the initial area, when the total area exceeds 20 square centimeters.

This add-on represents debridement of additional wound area when the clinician removes nonviable tissue through muscle or fascia. It commonly accompanies wound care for pressure injuries, diabetic foot ulcers, or traumatic wounds, in a wound clinic, office, or operating room. The code selection follows the deepest tissue actually removed, not simply the wound’s appearance or diagnosis.

Report 11046 with 11043, the primary code for the initial area at this tissue depth. Each unit covers another 20 square centimeters or part of that increment beyond the first 20; document the total area debrided at muscle or fascia depth and the tissue removed. When multiple wounds are treated at the same depth, their areas are combined for code selection; do not combine areas debrided to different depths. As an add-on, 11046 is billed only with a primary procedure and paid within that procedure’s global period.

CMS billing rules for 11046

Global period
Add-on code: billed only together with a primary procedure and paid within that procedure's global period.

Where the value comes from

  • Work RVU1.00 · 44%
  • Practice expense (office) RVU1.10 · 48%
  • Malpractice RVU0.19 · 8%

307K

Medicare services in 2024 · #305 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.

11046 compared with similar codes

Office rates for Merced, from the same CMS release.

11043

Wound debridement

Muscle or fascia, initial area

$247.68

11043 reports the initial area debrided through muscle or fascia. Add 11046 only for additional area beyond that initial area.

11045

Wound debridement

Subcutaneous, each additional 20 sq cm

$43.16

11045 covers additional area debrided to subcutaneous tissue; 11046 is selected when the additional area is debrided through muscle or fascia.

11047

Bone debridement

Each additional 20 sq cm

$129.75

11047 is the additional-area code when debridement reaches bone. Use 11046 when the deepest tissue removed is muscle or fascia.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 11046 is $78.17—$0.53 higher than the $77.64 rate in Merced. Both use the same code, release and participation basis.

11046 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $77.64

  2. Bakersfield

    $78.17

    $0.53 higher than Merced

  3. Chico

    $77.64

    The same base rate than Merced

  4. El Centro

    $77.67

    $0.03 higher than Merced

  5. Fresno

    $77.64

    The same base rate than Merced

  6. Hanford-Corcoran

    $77.64

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $82.45

    $4.81 higher than Merced

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11046 ranges from $68.23 in Arkansas to $93.46 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Madera

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Modesto

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Napa

    California · 11046

    Office

    $87.15

    Facility

    $49.29

    $9.51 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11046

    Office

    $81.72

    Facility

    $47.76

    $4.08 higher than Merced for the office setting.

  • Redding

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11046

    Office

    $79.68

    Facility

    $48.20

    $2.04 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11046

    Office

    $80.73

    Facility

    $47.33

    $3.09 higher than Merced for the office setting.

  • Salinas

    California · 11046

    Office

    $80.42

    Facility

    $47.13

    $2.78 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11046

    Office

    $81.78

    Facility

    $47.43

    $4.14 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11046

    Office

    $91.29

    Facility

    $50.79

    $13.65 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 11046

    Office

    $91.08

    Facility

    $50.57

    $13.44 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 11046

    Office

    $93.46

    Facility

    $52.04

    $15.82 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 11046

    Office

    $92.57

    Facility

    $51.15

    $14.93 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11046

    Office

    $79.22

    Facility

    $46.50

    $1.58 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 11046

    Office

    $82.14

    Facility

    $47.24

    $4.50 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 11046

    Office

    $80.58

    Facility

    $47.08

    $2.94 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 11046

    Office

    $82.92

    Facility

    $47.65

    $5.28 higher than Merced for the office setting.

  • Stockton

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 11046

    Office

    $86.84

    Facility

    $48.98

    $9.20 higher than Merced for the office setting.

  • Visalia

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 11046

    Office

    $77.64

    Facility

    $46.16

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11046

    Office

    $85.55

    Facility

    $51.71

    $7.91 higher than Merced for the office setting.

  • Miami

    Florida · 11046

    Office

    $87.70

    Facility

    $57.80

    $10.06 higher than Merced for the office setting.

  • Chicago

    Illinois · 11046

    Office

    $85.12

    Facility

    $56.26

    $7.48 higher than Merced for the office setting.

  • Manhattan

    New York · 11046

    Office

    $88.30

    Facility

    $54.92

    $10.66 higher than Merced for the office setting.

  • Alaska*

    Alaska · 11046

    Office

    $92.73

    Facility

    $62.14

    $15.09 higher than Merced for the office setting.

  • Alabama

    Alabama · 11046

    Office

    $69.14

    Facility

    $44.01

    $8.50 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 11046

    Office

    $68.23

    Facility

    $43.56

    $9.41 lower than Merced for the office setting.

  • Arizona

    Arizona · 11046

    Office

    $74.44

    Facility

    $46.60

    $3.20 lower than Merced for the office setting.

  • Colorado

    Colorado · 11046

    Office

    $77.85

    Facility

    $47.29

    $0.21 higher than Merced for the office setting.

  • Connecticut

    Connecticut · 11046

    Office

    $81.32

    Facility

    $50.38

    $3.68 higher than Merced for the office setting.

  • Delaware

    Delaware · 11046

    Office

    $75.57

    Facility

    $47.19

    $2.07 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 11046

    Office

    $82.09

    Facility

    $53.00

    $4.45 higher than Merced for the office setting.

  • Rest Of Florida

    Florida · 11046

    Office

    $78.06

    Facility

    $50.60

    $0.42 higher than Merced for the office setting.

  • Atlanta

    Georgia · 11046

    Office

    $78.45

    Facility

    $49.27

    $0.81 higher than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 11046

    Office

    $73.74

    Facility

    $48.12

    $3.90 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 11046

    Office

    $78.85

    Facility

    $46.19

    $1.21 higher than Merced for the office setting.

  • Iowa

    Iowa · 11046

    Office

    $69.54

    Facility

    $43.26

    $8.10 lower than Merced for the office setting.

  • Idaho

    Idaho · 11046

    Office

    $70.20

    Facility

    $43.78

    $7.44 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 11046

    Office

    $79.98

    Facility

    $53.56

    $2.34 higher than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 11046

    Office

    $76.86

    Facility

    $50.64

    $0.78 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 11046

    Office

    $82.61

    Facility

    $53.11

    $4.97 higher than Merced for the office setting.

  • Indiana

    Indiana · 11046

    Office

    $70.54

    Facility

    $43.92

    $7.10 lower than Merced for the office setting.

  • Kansas

    Kansas · 11046

    Office

    $69.81

    Facility

    $43.85

    $7.83 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 11046

    Office

    $71.87

    Facility

    $46.33

    $5.77 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 11046

    Office

    $75.18

    Facility

    $48.15

    $2.46 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 11046

    Office

    $72.00

    Facility

    $46.57

    $5.64 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 11046

    Office

    $84.29

    Facility

    $49.99

    $6.65 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11046

    Office

    $77.68

    Facility

    $47.43

    $0.04 higher than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11046

    Office

    $81.21

    Facility

    $50.39

    $3.57 higher than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 11046

    Office

    $76.74

    Facility

    $47.67

    $0.90 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 11046

    Office

    $71.15

    Facility

    $44.72

    $6.49 lower than Merced for the office setting.

  • Southern Maine

    Maine · 11046

    Office

    $73.82

    Facility

    $45.35

    $3.82 lower than Merced for the office setting.

  • Detroit

    Michigan · 11046

    Office

    $79.56

    Facility

    $51.84

    $1.92 higher than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 11046

    Office

    $74.11

    Facility

    $47.88

    $3.53 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 11046

    Office

    $73.09

    Facility

    $43.53

    $4.55 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 11046

    Office

    $74.10

    Facility

    $47.13

    $3.54 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 11046

    Office

    $74.74

    Facility

    $47.39

    $2.90 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 11046

    Office

    $71.25

    Facility

    $46.49

    $6.39 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 11046

    Office

    $69.72

    Facility

    $44.99

    $7.92 lower than Merced for the office setting.

  • Montana**

    Montana · 11046

    Office

    $76.48

    Facility

    $47.75

    $1.16 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 11046

    Office

    $71.74

    Facility

    $44.94

    $5.90 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 11046

    Office

    $72.72

    Facility

    $43.99

    $4.92 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 11046

    Office

    $69.71

    Facility

    $43.20

    $7.93 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 11046

    Office

    $77.20

    Facility

    $47.30

    $0.44 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 11046

    Office

    $84.90

    Facility

    $51.58

    $7.26 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 11046

    Office

    $81.82

    Facility

    $50.45

    $4.18 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 11046

    Office

    $74.71

    Facility

    $48.37

    $2.93 lower than Merced for the office setting.

  • Nevada**

    Nevada · 11046

    Office

    $75.46

    Facility

    $46.71

    $2.18 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11046

    Office

    $91.01

    Facility

    $56.85

    $13.37 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11046

    Office

    $82.81

    Facility

    $51.36

    $5.17 higher than Merced for the office setting.

  • Queens

    New York · 11046

    Office

    $88.12

    Facility

    $54.16

    $10.48 higher than Merced for the office setting.

  • Rest Of New York

    New York · 11046

    Office

    $72.77

    Facility

    $45.48

    $4.87 lower than Merced for the office setting.

  • Ohio

    Ohio · 11046

    Office

    $73.34

    Facility

    $47.12

    $4.30 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 11046

    Office

    $71.14

    Facility

    $45.49

    $6.50 lower than Merced for the office setting.

  • Portland

    Oregon · 11046

    Office

    $79.48

    Facility

    $47.56

    $1.84 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 11046

    Office

    $74.46

    Facility

    $45.85

    $3.18 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11046

    Office

    $79.82

    Facility

    $49.92

    $2.18 higher than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11046

    Office

    $73.13

    Facility

    $46.76

    $4.51 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 11046

    Office

    $76.80

    Facility

    $47.76

    $0.84 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 11046

    Office

    $77.65

    Facility

    $47.98

    $0.01 higher than Merced for the office setting.

  • South Carolina

    South Carolina · 11046

    Office

    $72.74

    Facility

    $46.20

    $4.90 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 11046

    Office

    $72.27

    Facility

    $43.55

    $5.37 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 11046

    Office

    $70.21

    Facility

    $44.10

    $7.43 lower than Merced for the office setting.

  • Austin

    Texas · 11046

    Office

    $77.96

    Facility

    $47.57

    $0.32 higher than Merced for the office setting.

  • Beaumont

    Texas · 11046

    Office

    $72.73

    Facility

    $46.59

    $4.91 lower than Merced for the office setting.

  • Brazoria

    Texas · 11046

    Office

    $75.03

    Facility

    $46.56

    $2.61 lower than Merced for the office setting.

  • Dallas

    Texas · 11046

    Office

    $75.74

    Facility

    $47.13

    $1.90 lower than Merced for the office setting.

  • Fort Worth

    Texas · 11046

    Office

    $75.46

    Facility

    $47.13

    $2.18 lower than Merced for the office setting.

  • Galveston

    Texas · 11046

    Office

    $75.41

    Facility

    $46.88

    $2.23 lower than Merced for the office setting.

  • Houston

    Texas · 11046

    Office

    $78.88

    Facility

    $50.36

    $1.24 higher than Merced for the office setting.

  • Rest Of Texas

    Texas · 11046

    Office

    $74.00

    Facility

    $46.74

    $3.64 lower than Merced for the office setting.

  • Utah

    Utah · 11046

    Office

    $73.64

    Facility

    $46.64

    $4.00 lower than Merced for the office setting.

  • Virginia

    Virginia · 11046

    Office

    $74.00

    Facility

    $45.76

    $3.64 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11046

    Office

    $76.80

    Facility

    $47.76

    $0.84 lower than Merced for the office setting.

  • Vermont

    Vermont · 11046

    Office

    $72.99

    Facility

    $44.55

    $4.65 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 11046

    Office

    $77.35

    Facility

    $47.11

    $0.29 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 11046

    Office

    $85.34

    Facility

    $50.09

    $7.70 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 11046

    Office

    $70.55

    Facility

    $43.04

    $7.09 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 11046

    Office

    $74.41

    Facility

    $49.45

    $3.23 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 11046

    Office

    $74.84

    Facility

    $46.11

    $2.80 lower than Merced for the office setting.

See how rates vary across the country

11046 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$68.23

$92.73

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$92.731
AL$69.141
AR$68.231
AZ$74.441
CA$77.64–$93.4629
CO$77.851
CT$81.321
DC$85.551
DE$75.571
FL$78.06–$87.703
GA$73.74–$78.452
GU$78.851
HI$78.851
IA$69.541
ID$70.201
IL$76.86–$85.124
IN$70.541
KS$69.811
KY$71.871
LA$72.00–$75.182
MA$77.68–$84.292
MD$76.74–$85.553
ME$71.15–$73.822
MI$74.11–$79.562
MN$73.091
MO$71.25–$74.743
MS$69.721
MT$76.481
NC$71.741
ND$72.721
NE$69.711
NH$77.201
NJ$81.82–$84.902
NM$74.711
NV$75.461
NY$72.77–$91.015
OH$73.341
OK$71.141
OR$74.46–$79.482
PA$73.13–$79.822
PR$76.801
RI$77.651
SC$72.741
SD$72.271
TN$70.211
TX$72.73–$78.888
UT$73.641
VA$74.00–$85.552
VI$76.801
VT$72.991
WA$77.35–$85.342
WI$70.551
WV$74.411
WY$74.841

Explore 11046 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 11046 in Merced, the physician’s office rate is $77.64 and the facility-setting rate is $46.16: a difference of $31.48.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 11046 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$85.40

$77.64 × 110% = $85.40

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.

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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 11046 in Merced.

PPRRVU2026_Oct_nonQPP.csv

1,259

Code
11046
Physician work
1.00
Practice expense
1.10
Malpractice
0.19

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11046 in Merced
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0171.0170
Practice expense1.10× 1.0961.2056
Malpractice0.19× 0.5360.1018
Total RVUs2.3244
Conversion factor× 33.4009

Office / nonfacility rate, Merced$77.64

Open 11046 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work11.017
Practice expense1.11.096
Malpractice0.190.536

(1 × 1.017 + 1.1 × 1.096 + 0.19 × 0.536) × $33.4009 = $77.64

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work11.017
Practice expense0.241.096
Malpractice0.190.536

(1 × 1.017 + 0.24 × 1.096 + 0.19 × 0.536) × $33.4009 = $46.16

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

11046 · Office / nonfacility

$77.64

Effective 2026-10-01

The base rate is $6.30 higher than on 2025-10-01, moving from $71.34 to $77.64 (8.8%).

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

    $71.34changed to$77.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.03 changed to 1.00
    • Practice expense RVU 0.97 changed to 1.10
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $71.34

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$77.64$46.16RVU26D
2026-07-01$77.64$46.16RVU26C
2026-04-01$77.64$46.16RVU26B
2026-01-01$77.64$46.16RVU26A
2025-10-01$71.34$51.54RVU25D
2025-07-01$71.34$51.54RVU25C
2025-04-01$71.34$51.54RVU25B
2025-01-01$71.34$51.54RVU25A

11046 billing questions

Which primary code must accompany 11046?

Report 11046 with 11043, which represents the initial area debrided at muscle or fascia depth. It is not a stand-alone code.

How many units should be reported?

Count each additional 20 square centimeters or part of that increment beyond the initial 20 square centimeters. For example, a total treated area of 41 square centimeters at this depth supports two units of 11046 with 11043.

How is the area determined when there are multiple wounds?

Combine the surface areas of wounds debrided to the same depth. Keep areas debrided to different tissue depths separate.

What documentation supports 11046?

Record the tissue actually removed, the depth reached, and the total surface area debrided at muscle or fascia depth. The note should support the additional area beyond the initial 20 square centimeters.

Does 11046 have its own global period?

CMS identifies it as an add-on paid within the primary procedure’s global period. It must be reported with the primary procedure.

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.

RVUs for 11046PPRRVU2026_Oct_nonQPP.csv, line 1,259 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet