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CMS RVU26D · Effective 2026-10-01

11047 in Ohio

Office / nonfacility

$123.63

Base rate per service

Facility setting

$83.99

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 11047: Additional bone wound debridement

Reports additional wound surface area debrided through bone beyond the initial area, often during treatment of deep ulcers or complex wounds.

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.

CMS billing rules for 11047

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 RVU1.76 · 46%
  • Practice expense (office) RVU1.74 · 45%
  • Malpractice RVU0.35 · 9%

97.4K

Medicare services in 2024 · #570 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.

11047 compared with similar codes

Office rates for Ohio, from the same CMS release.

11044

Wound debridement

Bone, first 20 sq cm

$306.41

11044 covers the first 20 sq cm or less of bone-level debridement. 11047 reports each additional 20 sq cm or part thereof and must accompany 11044.

11046

Wound debridement

Each additional 20 cm²

$73.34

11046 reports additional area when muscle or fascia is the deepest tissue removed; 11047 is for additional area debrided through bone.

11012

Fracture-site debridement

Through bone

$650.64

11012 is used for debridement at an open fracture site in the applicable fracture-care circumstance; 11047 is an add-on for additional bone-level wound area.

The same code, a different location

How does Ohio compare?

11047 across payment areas

Same release and payment basis · bars start at $0

  1. Ohio · This locality

    $123.63

  2. $14.08 higher than Ohio

  3. $19.80 higher than Ohio

  4. Miami

    $148.85

    $25.22 higher than Ohio

  5. Chicago

    $144.43

    $20.80 higher than Ohio

  6. Manhattan

    $148.62

    $24.99 higher than Ohio

  7. Alaska*

    $156.51

    $32.88 higher than Ohio

Other payment areas listed in Ohio 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, 11047 ranges from $114.73 in Arkansas to $156.51 in Alaska*. 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
  • Alabama

    Alabama · 11047

    Office

    $116.26

    Facility

    $78.26

    $7.37 lower than Ohio for the office setting.

  • Arkansas

    Arkansas · 11047

    Office

    $114.73

    Facility

    $77.43

    $8.90 lower than Ohio for the office setting.

  • Arizona

    Arizona · 11047

    Office

    $125.11

    Facility

    $83.03

    $1.48 higher than Ohio for the office setting.

  • Bakersfield

    California · 11047

    Office

    $130.72

    Facility

    $83.13

    $7.09 higher than Ohio for the office setting.

  • Chico

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • El Centro

    California · 11047

    Office

    $129.81

    Facility

    $82.22

    $6.18 higher than Ohio for the office setting.

  • Fresno

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Hanford-Corcoran

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Madera

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Merced

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Modesto

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Napa

    California · 11047

    Office

    $145.03

    Facility

    $87.80

    $21.40 higher than Ohio for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11047

    Office

    $136.41

    Facility

    $85.09

    $12.78 higher than Ohio for the office setting.

  • Redding

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Rest Of California

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11047

    Office

    $133.51

    Facility

    $85.92

    $9.88 higher than Ohio for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11047

    Office

    $134.76

    Facility

    $84.26

    $11.13 higher than Ohio for the office setting.

  • Salinas

    California · 11047

    Office

    $134.23

    Facility

    $83.91

    $10.60 higher than Ohio for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11047

    Office

    $136.39

    Facility

    $84.46

    $12.76 higher than Ohio for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11047

    Office

    $151.68

    Facility

    $90.46

    $28.05 higher than Ohio for the office setting.

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

    California · 11047

    Office

    $151.28

    Facility

    $90.06

    $27.65 higher than Ohio for the office setting.

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

    California · 11047

    Office

    $155.32

    Facility

    $92.71

    $31.69 higher than Ohio for the office setting.

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

    California · 11047

    Office

    $153.70

    Facility

    $91.09

    $30.07 higher than Ohio for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11047

    Office

    $132.25

    Facility

    $82.79

    $8.62 higher than Ohio for the office setting.

  • Santa Cruz-Watsonville

    California · 11047

    Office

    $136.90

    Facility

    $84.14

    $13.27 higher than Ohio for the office setting.

  • Santa Maria-Santa Barbara

    California · 11047

    Office

    $134.46

    Facility

    $83.83

    $10.83 higher than Ohio for the office setting.

  • Santa Rosa-Petaluma

    California · 11047

    Office

    $138.18

    Facility

    $84.86

    $14.55 higher than Ohio for the office setting.

  • Stockton

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Vallejo

    California · 11047

    Office

    $144.45

    Facility

    $87.22

    $20.82 higher than Ohio for the office setting.

  • Visalia

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Yuba City

    California · 11047

    Office

    $129.75

    Facility

    $82.16

    $6.12 higher than Ohio for the office setting.

  • Colorado

    Colorado · 11047

    Office

    $130.46

    Facility

    $84.26

    $6.83 higher than Ohio for the office setting.

  • Connecticut

    Connecticut · 11047

    Office

    $136.70

    Facility

    $89.93

    $13.07 higher than Ohio for the office setting.

  • Delaware

    Delaware · 11047

    Office

    $127.01

    Facility

    $84.11

    $3.38 higher than Ohio for the office setting.

  • Fort Lauderdale

    Florida · 11047

    Office

    $138.79

    Facility

    $94.81

    $15.16 higher than Ohio for the office setting.

  • Rest Of Florida

    Florida · 11047

    Office

    $131.92

    Facility

    $90.41

    $8.29 higher than Ohio for the office setting.

  • Atlanta

    Georgia · 11047

    Office

    $132.05

    Facility

    $87.93

    $8.42 higher than Ohio for the office setting.

  • Rest Of Georgia

    Georgia · 11047

    Office

    $124.56

    Facility

    $85.83

    $0.93 higher than Ohio for the office setting.

  • Hawaii, Guam

    Hawaii · 11047

    Office

    $131.63

    Facility

    $82.26

    $8.00 higher than Ohio for the office setting.

  • Iowa

    Iowa · 11047

    Office

    $116.60

    Facility

    $76.87

    $7.03 lower than Ohio for the office setting.

  • Idaho

    Idaho · 11047

    Office

    $117.78

    Facility

    $77.84

    $5.85 lower than Ohio for the office setting.

  • East St. Louis

    Illinois · 11047

    Office

    $135.80

    Facility

    $95.85

    $12.17 higher than Ohio for the office setting.

  • Rest Of Illinois

    Illinois · 11047

    Office

    $130.12

    Facility

    $90.48

    $6.49 higher than Ohio for the office setting.

  • Suburban Chicago

    Illinois · 11047

    Office

    $139.60

    Facility

    $95.01

    $15.97 higher than Ohio for the office setting.

  • Indiana

    Indiana · 11047

    Office

    $118.34

    Facility

    $78.09

    $5.29 lower than Ohio for the office setting.

  • Kansas

    Kansas · 11047

    Office

    $117.22

    Facility

    $77.96

    $6.41 lower than Ohio for the office setting.

  • Kentucky

    Kentucky · 11047

    Office

    $121.15

    Facility

    $82.55

    $2.48 lower than Ohio for the office setting.

  • New Orleans

    Louisiana · 11047

    Office

    $126.75

    Facility

    $85.90

    $3.12 higher than Ohio for the office setting.

  • Rest Of Louisiana

    Louisiana · 11047

    Office

    $121.42

    Facility

    $82.99

    $2.21 lower than Ohio for the office setting.

  • Metropolitan Boston

    Massachusetts · 11047

    Office

    $140.99

    Facility

    $89.15

    $17.36 higher than Ohio for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11047

    Office

    $130.24

    Facility

    $84.52

    $6.61 higher than Ohio for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11047

    Office

    $136.55

    Facility

    $89.96

    $12.92 higher than Ohio for the office setting.

  • Rest Of Maryland

    Maryland · 11047

    Office

    $128.92

    Facility

    $84.98

    $5.29 higher than Ohio for the office setting.

  • Rest Of Maine

    Maine · 11047

    Office

    $119.53

    Facility

    $79.58

    $4.10 lower than Ohio for the office setting.

  • Southern Maine

    Maine · 11047

    Office

    $123.76

    Facility

    $80.73

    $0.13 higher than Ohio for the office setting.

  • Detroit

    Michigan · 11047

    Office

    $134.58

    Facility

    $92.68

    $10.95 higher than Ohio for the office setting.

  • Rest Of Michigan

    Michigan · 11047

    Office

    $125.05

    Facility

    $85.40

    $1.42 higher than Ohio for the office setting.

  • Minnesota

    Minnesota · 11047

    Office

    $122.05

    Facility

    $77.37

    $1.58 lower than Ohio for the office setting.

  • Metropolitan Kansas City

    Missouri · 11047

    Office

    $124.78

    Facility

    $84.01

    $1.15 higher than Ohio for the office setting.

  • Metropolitan St. Louis

    Missouri · 11047

    Office

    $125.83

    Facility

    $84.49

    $2.20 higher than Ohio for the office setting.

  • Rest Of Missouri

    Missouri · 11047

    Office

    $120.27

    Facility

    $82.84

    $3.36 lower than Ohio for the office setting.

  • Mississippi

    Mississippi · 11047

    Office

    $117.46

    Facility

    $80.08

    $6.17 lower than Ohio for the office setting.

  • Montana**

    Montana · 11047

    Office

    $128.57

    Facility

    $85.15

    $4.94 higher than Ohio for the office setting.

  • North Carolina

    North Carolina · 11047

    Office

    $120.48

    Facility

    $79.97

    $3.15 lower than Ohio for the office setting.

  • North Dakota**

    North Dakota · 11047

    Office

    $121.65

    Facility

    $78.23

    $1.98 lower than Ohio for the office setting.

  • Nebraska

    Nebraska · 11047

    Office

    $116.85

    Facility

    $76.77

    $6.78 lower than Ohio for the office setting.

  • New Hampshire

    New Hampshire · 11047

    Office

    $129.51

    Facility

    $84.31

    $5.88 higher than Ohio for the office setting.

  • Northern Nj

    New Jersey · 11047

    Office

    $142.39

    Facility

    $92.02

    $18.76 higher than Ohio for the office setting.

  • Rest Of New Jersey

    New Jersey · 11047

    Office

    $137.43

    Facility

    $90.01

    $13.80 higher than Ohio for the office setting.

  • New Mexico

    New Mexico · 11047

    Office

    $126.12

    Facility

    $86.30

    $2.49 higher than Ohio for the office setting.

  • Nevada**

    Nevada · 11047

    Office

    $126.70

    Facility

    $83.23

    $3.07 higher than Ohio for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11047

    Office

    $153.36

    Facility

    $101.73

    $29.73 higher than Ohio for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11047

    Office

    $139.21

    Facility

    $91.67

    $15.58 higher than Ohio for the office setting.

  • Queens

    New York · 11047

    Office

    $148.10

    Facility

    $96.78

    $24.47 higher than Ohio for the office setting.

  • Rest Of New York

    New York · 11047

    Office

    $122.22

    Facility

    $80.97

    $1.41 lower than Ohio for the office setting.

  • Oklahoma

    Oklahoma · 11047

    Office

    $119.77

    Facility

    $80.99

    $3.86 lower than Ohio for the office setting.

  • Portland

    Oregon · 11047

    Office

    $132.99

    Facility

    $84.75

    $9.36 higher than Ohio for the office setting.

  • Rest Of Oregon

    Oregon · 11047

    Office

    $124.89

    Facility

    $81.64

    $1.26 higher than Ohio for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11047

    Office

    $134.29

    Facility

    $89.09

    $10.66 higher than Ohio for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11047

    Office

    $123.18

    Facility

    $83.32

    $0.45 lower than Ohio for the office setting.

  • Puerto Rico

    Puerto Rico · 11047

    Office

    $129.06

    Facility

    $85.16

    $5.43 higher than Ohio for the office setting.

  • Rhode Island

    Rhode Island · 11047

    Office

    $130.37

    Facility

    $85.51

    $6.74 higher than Ohio for the office setting.

  • South Carolina

    South Carolina · 11047

    Office

    $122.42

    Facility

    $82.30

    $1.21 lower than Ohio for the office setting.

  • South Dakota**

    South Dakota · 11047

    Office

    $120.83

    Facility

    $77.41

    $2.80 lower than Ohio for the office setting.

  • Tennessee

    Tennessee · 11047

    Office

    $117.89

    Facility

    $78.42

    $5.74 lower than Ohio for the office setting.

  • Austin

    Texas · 11047

    Office

    $130.75

    Facility

    $84.81

    $7.12 higher than Ohio for the office setting.

  • Beaumont

    Texas · 11047

    Office

    $122.53

    Facility

    $83.02

    $1.10 lower than Ohio for the office setting.

  • Brazoria

    Texas · 11047

    Office

    $125.97

    Facility

    $82.94

    $2.34 higher than Ohio for the office setting.

  • Dallas

    Texas · 11047

    Office

    $127.23

    Facility

    $83.98

    $3.60 higher than Ohio for the office setting.

  • Fort Worth

    Texas · 11047

    Office

    $126.80

    Facility

    $83.99

    $3.17 higher than Ohio for the office setting.

  • Galveston

    Texas · 11047

    Office

    $126.65

    Facility

    $83.53

    $3.02 higher than Ohio for the office setting.

  • Houston

    Texas · 11047

    Office

    $133.05

    Facility

    $89.94

    $9.42 higher than Ohio for the office setting.

  • Rest Of Texas

    Texas · 11047

    Office

    $124.50

    Facility

    $83.29

    $0.87 higher than Ohio for the office setting.

  • Utah

    Utah · 11047

    Office

    $123.91

    Facility

    $83.10

    $0.28 higher than Ohio for the office setting.

  • Virginia

    Virginia · 11047

    Office

    $124.17

    Facility

    $81.49

    $0.54 higher than Ohio for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11047

    Office

    $129.06

    Facility

    $85.16

    $5.43 higher than Ohio for the office setting.

  • Vermont

    Vermont · 11047

    Office

    $122.24

    Facility

    $79.25

    $1.39 lower than Ohio for the office setting.

  • Rest Of Washington

    Washington · 11047

    Office

    $129.64

    Facility

    $83.92

    $6.01 higher than Ohio for the office setting.

  • Seattle (King Cnty)

    Washington · 11047

    Office

    $142.59

    Facility

    $89.31

    $18.96 higher than Ohio for the office setting.

  • Wisconsin

    Wisconsin · 11047

    Office

    $118.06

    Facility

    $76.47

    $5.57 lower than Ohio for the office setting.

  • West Virginia

    West Virginia · 11047

    Office

    $126.02

    Facility

    $88.29

    $2.39 higher than Ohio for the office setting.

  • Wyoming**

    Wyoming · 11047

    Office

    $125.55

    Facility

    $82.13

    $1.92 higher than Ohio for the office setting.

See how rates vary across the country

11047 · 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.

$114.73

$156.51

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

View all state and territory rates as a table
State / territoryRate 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

Explore 11047 on the national rate map →

Where does this rate apply?

Ohio is a Medicare payment area. Our Census mapping connects it to 1265 cities and communities in Ohio, 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.

Why are the office and facility amounts different?

For 11047 in Ohio, the physician’s office rate is $123.63 and the facility-setting rate is $83.99: a difference of $39.64.

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 11047 in Ohio. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$135.99

$123.63 × 110% = $135.99

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

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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 11047 in Ohio.

PPRRVU2026_Oct_nonQPP.csv

1,260

Code
11047
Physician work
1.76
Practice expense
1.74
Malpractice
0.35

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office / nonfacility calculation for 11047 in Ohio
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense1.74× 0.9131.5886
Malpractice0.35× 1.0080.3528
Total RVUs3.7014
Conversion factor× 33.4009

Office / nonfacility rate, Ohio$123.63

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 11047 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.761
Practice expense1.740.913
Malpractice0.351.008

(1.76 × 1 + 1.74 × 0.913 + 0.35 × 1.008) × $33.4009 = $123.63

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.761
Practice expense0.440.913
Malpractice0.351.008

(1.76 × 1 + 0.44 × 0.913 + 0.35 × 1.008) × $33.4009 = $83.99

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

11047 · Office / nonfacility

$123.63

Effective 2026-10-01

The base rate is $10.10 higher than on 2025-10-01, moving from $113.53 to $123.63 (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

    $113.53changed to$123.63

    • 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 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $113.53

    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$123.63$83.99RVU26D
2026-07-01$123.63$83.99RVU26C
2026-04-01$123.63$83.99RVU26B
2026-01-01$123.63$83.99RVU26A
2025-10-01$113.53$91.72RVU25D
2025-07-01$113.53$91.72RVU25C
2025-04-01$113.53$91.72RVU25B
2025-01-01$113.53$91.72RVU25A

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 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 11047PPRRVU2026_Oct_nonQPP.csv, line 1,260 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)