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.
On this page
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.
11046 reports additional area when muscle or fascia is the deepest tissue removed; 11047 is for additional area debrided through bone.
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
Ohio · This locality
$123.63
$14.08 higher than Ohio
$143.43
$19.80 higher than Ohio
$148.85
$25.22 higher than Ohio
$144.43
$20.80 higher than Ohio
$148.62
$24.99 higher than Ohio
$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 / territory | Rate range | Localities |
|---|---|---|
| AK | $156.51 | 1 |
| AL | $116.26 | 1 |
| AR | $114.73 | 1 |
| AZ | $125.11 | 1 |
| CA | $129.75–$155.32 | 29 |
| CO | $130.46 | 1 |
| CT | $136.70 | 1 |
| DC | $143.43 | 1 |
| DE | $127.01 | 1 |
| FL | $131.92–$148.85 | 3 |
| GA | $124.56–$132.05 | 2 |
| GU | $131.63 | 1 |
| HI | $131.63 | 1 |
| IA | $116.60 | 1 |
| ID | $117.78 | 1 |
| IL | $130.12–$144.43 | 4 |
| IN | $118.34 | 1 |
| KS | $117.22 | 1 |
| KY | $121.15 | 1 |
| LA | $121.42–$126.75 | 2 |
| MA | $130.24–$140.99 | 2 |
| MD | $128.92–$143.43 | 3 |
| ME | $119.53–$123.76 | 2 |
| MI | $125.05–$134.58 | 2 |
| MN | $122.05 | 1 |
| MO | $120.27–$125.83 | 3 |
| MS | $117.46 | 1 |
| MT | $128.57 | 1 |
| NC | $120.48 | 1 |
| ND | $121.65 | 1 |
| NE | $116.85 | 1 |
| NH | $129.51 | 1 |
| NJ | $137.43–$142.39 | 2 |
| NM | $126.12 | 1 |
| NV | $126.70 | 1 |
| NY | $122.22–$153.36 | 5 |
| OH | $123.63 | 1 |
| OK | $119.77 | 1 |
| OR | $124.89–$132.99 | 2 |
| PA | $123.18–$134.29 | 2 |
| PR | $129.06 | 1 |
| RI | $130.37 | 1 |
| SC | $122.42 | 1 |
| SD | $120.83 | 1 |
| TN | $117.89 | 1 |
| TX | $122.53–$133.05 | 8 |
| UT | $123.91 | 1 |
| VA | $124.17–$143.43 | 2 |
| VI | $129.06 | 1 |
| VT | $122.24 | 1 |
| WA | $129.64–$142.59 | 2 |
| WI | $118.06 | 1 |
| WV | $126.02 | 1 |
| WY | $125.55 | 1 |
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.
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.
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 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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 1.74 | × 0.913 | 1.5886 |
| Malpractice | 0.35 | × 1.008 | 0.3528 |
| Total RVUs | 3.7014 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$123.63
Open 11047 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 1.74 | 0.913 |
| Malpractice | 0.35 | 1.008 |
(1.76 × 1 + 1.74 × 0.913 + 0.35 × 1.008) × $33.4009 = $123.63
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 0.44 | 0.913 |
| Malpractice | 0.35 | 1.008 |
(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.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$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.
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
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.
