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CMS RVU26D · Effective 2026-10-01

11000 in Redding

Office / nonfacility

$62.30

Base rate per service

Facility setting

$24.23

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.

Dermatology procedure

About 11000: Extensive eczematous or infected skin debridement

Reports debridement of extensive eczematous or infected skin when the treated area involves up to 10% of the patient's body surface.

This service involves actively removing extensive eczematous or infected skin, such as adherent crusted or diseased surface material, rather than simply cleansing or applying medication. Dermatologists, surgeons, and other clinicians performing skin procedures may provide it in an office, hospital, or other treatment setting. The indication and extent of the skin involvement distinguish this service from wound debridement selected by depth of tissue removed or treatment of a small benign callus.

Report 11000 for the initial area involving up to 10% of body surface; 11001 is an add-on for each additional 10%. Document the skin condition, the debridement performed, and the percentage of body surface treated so the initial and additional portions are supported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

CMS billing rules for 11000

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.59 · 33%
  • Practice expense (office) RVU1.13 · 64%
  • Malpractice RVU0.05 · 3%

49.3K

Medicare services in 2024 · #784 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.

11000 compared with similar codes

Office rates for Redding, from the same CMS release.

11001

Skin debridement

Each additional 10% body surface

$28.33

11000 covers the initial area up to 10% of body surface. 11001 is reported as an add-on for each additional 10%.

11042

Wound debridement

Subcutaneous tissue, first 20 sq cm

$140.31

Use 11000 for extensive eczematous or infected skin debridement measured by body-surface extent. Use 11042 for wound debridement when subcutaneous tissue is the deepest tissue removed, subject to its area criteria.

11055

Paring/cutg b9 hyprker les 1

No office rate

11055 is for paring or cutting a benign hyperkeratotic lesion, such as a callus. It is not the code for extensive eczematous or infected skin debridement.

11004

Infection debridement

External genitalia and perineum

No office rate

11004 addresses debridement for necrotizing soft-tissue infection involving the external genitalia and perineum. 11000 is for extensive eczematous or infected skin measured by body-surface extent.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 11000 is $62.46—$0.16 higher than the $62.30 rate in Redding. Both use the same code, release and participation basis.

11000 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $62.30

  2. $0.16 higher than Redding

  3. Chico

    $62.30

    The same base rate than Redding

  4. El Centro

    $62.31

    $0.01 higher than Redding

  5. Fresno

    $62.30

    The same base rate than Redding

  6. The same base rate than Redding

  7. $3.97 higher than Redding

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, 11000 ranges from $52.99 in Arkansas to $77.19 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 · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Merced

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Modesto

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Napa

    California · 11000

    Office

    $71.54

    Facility

    $25.76

    $9.24 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11000

    Office

    $65.91

    Facility

    $24.85

    $3.61 higher than Redding for the office setting.

  • Rest Of California

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11000

    Office

    $62.85

    Facility

    $24.78

    $0.55 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11000

    Office

    $65.21

    Facility

    $24.81

    $2.91 higher than Redding for the office setting.

  • Salinas

    California · 11000

    Office

    $64.96

    Facility

    $24.70

    $2.66 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11000

    Office

    $66.34

    Facility

    $24.80

    $4.04 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11000

    Office

    $75.56

    Facility

    $26.58

    $13.26 higher than Redding for the office setting.

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

    California · 11000

    Office

    $75.51

    Facility

    $26.53

    $13.21 higher than Redding for the office setting.

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

    California · 11000

    Office

    $77.19

    Facility

    $27.10

    $14.89 higher than Redding for the office setting.

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

    California · 11000

    Office

    $76.96

    Facility

    $26.87

    $14.66 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11000

    Office

    $63.93

    Facility

    $24.36

    $1.63 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 11000

    Office

    $66.87

    Facility

    $24.67

    $4.57 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 11000

    Office

    $65.16

    Facility

    $24.66

    $2.86 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 11000

    Office

    $67.54

    Facility

    $24.88

    $5.24 higher than Redding for the office setting.

  • Stockton

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 11000

    Office

    $71.46

    Facility

    $25.68

    $9.16 higher than Redding for the office setting.

  • Visalia

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 11000

    Office

    $62.30

    Facility

    $24.23

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11000

    Office

    $67.09

    Facility

    $26.17

    $4.79 higher than Redding for the office setting.

  • Miami

    Florida · 11000

    Office

    $63.22

    Facility

    $27.06

    $0.92 higher than Redding for the office setting.

  • Chicago

    Illinois · 11000

    Office

    $61.61

    Facility

    $26.70

    $0.69 lower than Redding for the office setting.

  • Manhattan

    New York · 11000

    Office

    $67.47

    Facility

    $27.11

    $5.17 higher than Redding for the office setting.

  • Alaska*

    Alaska · 11000

    Office

    $70.68

    Facility

    $33.68

    $8.38 higher than Redding for the office setting.

  • Alabama

    Alabama · 11000

    Office

    $53.68

    Facility

    $23.28

    $8.62 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 11000

    Office

    $52.99

    Facility

    $23.15

    $9.31 lower than Redding for the office setting.

  • Arizona

    Arizona · 11000

    Office

    $57.71

    Facility

    $24.05

    $4.59 lower than Redding for the office setting.

  • Colorado

    Colorado · 11000

    Office

    $61.41

    Facility

    $24.45

    $0.89 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 11000

    Office

    $62.77

    Facility

    $25.36

    $0.47 higher than Redding for the office setting.

  • Delaware

    Delaware · 11000

    Office

    $58.60

    Facility

    $24.28

    $3.70 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 11000

    Office

    $60.96

    Facility

    $25.77

    $1.34 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 11000

    Office

    $58.30

    Facility

    $25.09

    $4.00 lower than Redding for the office setting.

  • Atlanta

    Georgia · 11000

    Office

    $60.12

    Facility

    $24.83

    $2.18 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 11000

    Office

    $55.36

    Facility

    $24.38

    $6.94 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 11000

    Office

    $63.59

    Facility

    $24.09

    $1.29 higher than Redding for the office setting.

  • Iowa

    Iowa · 11000

    Office

    $54.90

    Facility

    $23.12

    $7.40 lower than Redding for the office setting.

  • Idaho

    Idaho · 11000

    Office

    $55.22

    Facility

    $23.26

    $7.08 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 11000

    Office

    $57.79

    Facility

    $25.84

    $4.51 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 11000

    Office

    $56.78

    Facility

    $25.06

    $5.52 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 11000

    Office

    $61.57

    Facility

    $25.89

    $0.73 lower than Redding for the office setting.

  • Indiana

    Indiana · 11000

    Office

    $55.51

    Facility

    $23.30

    $6.79 lower than Redding for the office setting.

  • Kansas

    Kansas · 11000

    Office

    $54.67

    Facility

    $23.27

    $7.63 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 11000

    Office

    $54.79

    Facility

    $23.91

    $7.51 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 11000

    Office

    $57.12

    Facility

    $24.43

    $5.18 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 11000

    Office

    $54.71

    Facility

    $23.97

    $7.59 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 11000

    Office

    $67.07

    Facility

    $25.59

    $4.77 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11000

    Office

    $61.10

    Facility

    $24.52

    $1.20 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11000

    Office

    $62.59

    Facility

    $25.31

    $0.29 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 11000

    Office

    $59.63

    Facility

    $24.48

    $2.67 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 11000

    Office

    $55.47

    Facility

    $23.51

    $6.83 lower than Redding for the office setting.

  • Southern Maine

    Maine · 11000

    Office

    $58.16

    Facility

    $23.74

    $4.14 lower than Redding for the office setting.

  • Detroit

    Michigan · 11000

    Office

    $58.94

    Facility

    $25.42

    $3.36 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 11000

    Office

    $56.05

    Facility

    $24.34

    $6.25 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 11000

    Office

    $59.04

    Facility

    $23.29

    $3.26 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 11000

    Office

    $56.78

    Facility

    $24.16

    $5.52 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 11000

    Office

    $57.31

    Facility

    $24.24

    $4.99 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 11000

    Office

    $53.87

    Facility

    $23.92

    $8.43 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 11000

    Office

    $53.44

    Facility

    $23.53

    $8.86 lower than Redding for the office setting.

  • Montana**

    Montana · 11000

    Office

    $59.12

    Facility

    $24.38

    $3.18 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 11000

    Office

    $55.99

    Facility

    $23.58

    $6.31 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 11000

    Office

    $58.13

    Facility

    $23.39

    $4.17 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 11000

    Office

    $55.17

    Facility

    $23.11

    $7.13 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 11000

    Office

    $60.46

    Facility

    $24.30

    $1.84 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 11000

    Office

    $66.51

    Facility

    $26.22

    $4.21 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 11000

    Office

    $63.54

    Facility

    $25.61

    $1.24 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 11000

    Office

    $56.32

    Facility

    $24.47

    $5.98 lower than Redding for the office setting.

  • Nevada**

    Nevada · 11000

    Office

    $58.88

    Facility

    $24.11

    $3.42 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11000

    Office

    $68.95

    Facility

    $27.64

    $6.65 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11000

    Office

    $63.94

    Facility

    $25.91

    $1.64 higher than Redding for the office setting.

  • Queens

    New York · 11000

    Office

    $67.99

    Facility

    $26.93

    $5.69 higher than Redding for the office setting.

  • Rest Of New York

    New York · 11000

    Office

    $56.74

    Facility

    $23.74

    $5.56 lower than Redding for the office setting.

  • Ohio

    Ohio · 11000

    Office

    $55.85

    Facility

    $24.13

    $6.45 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 11000

    Office

    $54.71

    Facility

    $23.69

    $7.59 lower than Redding for the office setting.

  • Portland

    Oregon · 11000

    Office

    $63.20

    Facility

    $24.60

    $0.90 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 11000

    Office

    $58.47

    Facility

    $23.87

    $3.83 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11000

    Office

    $61.34

    Facility

    $25.18

    $0.96 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11000

    Office

    $55.93

    Facility

    $24.04

    $6.37 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 11000

    Office

    $59.51

    Facility

    $24.39

    $2.79 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 11000

    Office

    $60.56

    Facility

    $24.68

    $1.74 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 11000

    Office

    $56.00

    Facility

    $23.90

    $6.30 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 11000

    Office

    $58.01

    Facility

    $23.27

    $4.29 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 11000

    Office

    $54.91

    Facility

    $23.34

    $7.39 lower than Redding for the office setting.

  • Austin

    Texas · 11000

    Office

    $61.16

    Facility

    $24.41

    $1.14 lower than Redding for the office setting.

  • Beaumont

    Texas · 11000

    Office

    $55.60

    Facility

    $23.99

    $6.70 lower than Redding for the office setting.

  • Brazoria

    Texas · 11000

    Office

    $58.57

    Facility

    $24.15

    $3.73 lower than Redding for the office setting.

  • Dallas

    Texas · 11000

    Office

    $58.91

    Facility

    $24.31

    $3.39 lower than Redding for the office setting.

  • Fort Worth

    Texas · 11000

    Office

    $58.55

    Facility

    $24.30

    $3.75 lower than Redding for the office setting.

  • Galveston

    Texas · 11000

    Office

    $58.73

    Facility

    $24.23

    $3.57 lower than Redding for the office setting.

  • Houston

    Texas · 11000

    Office

    $59.64

    Facility

    $25.15

    $2.66 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 11000

    Office

    $57.03

    Facility

    $24.07

    $5.27 lower than Redding for the office setting.

  • Utah

    Utah · 11000

    Office

    $56.68

    Facility

    $24.03

    $5.62 lower than Redding for the office setting.

  • Virginia

    Virginia · 11000

    Office

    $57.99

    Facility

    $23.84

    $4.31 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11000

    Office

    $59.51

    Facility

    $24.39

    $2.79 lower than Redding for the office setting.

  • Vermont

    Vermont · 11000

    Office

    $57.92

    Facility

    $23.53

    $4.38 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 11000

    Office

    $60.98

    Facility

    $24.40

    $1.32 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 11000

    Office

    $68.37

    Facility

    $25.74

    $6.07 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 11000

    Office

    $56.38

    Facility

    $23.10

    $5.92 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 11000

    Office

    $54.90

    Facility

    $24.71

    $7.40 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 11000

    Office

    $58.69

    Facility

    $23.95

    $3.61 lower than Redding for the office setting.

See how rates vary across the country

11000 · 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.

$52.99

$70.68

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$70.681
AL$53.681
AR$52.991
AZ$57.711
CA$62.30–$77.1929
CO$61.411
CT$62.771
DC$67.091
DE$58.601
FL$58.30–$63.223
GA$55.36–$60.122
GU$63.591
HI$63.591
IA$54.901
ID$55.221
IL$56.78–$61.614
IN$55.511
KS$54.671
KY$54.791
LA$54.71–$57.122
MA$61.10–$67.072
MD$59.63–$67.093
ME$55.47–$58.162
MI$56.05–$58.942
MN$59.041
MO$53.87–$57.313
MS$53.441
MT$59.121
NC$55.991
ND$58.131
NE$55.171
NH$60.461
NJ$63.54–$66.512
NM$56.321
NV$58.881
NY$56.74–$68.955
OH$55.851
OK$54.711
OR$58.47–$63.202
PA$55.93–$61.342
PR$59.511
RI$60.561
SC$56.001
SD$58.011
TN$54.911
TX$55.60–$61.168
UT$56.681
VA$57.99–$67.092
VI$59.511
VT$57.921
WA$60.98–$68.372
WI$56.381
WV$54.901
WY$58.691

Explore 11000 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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.

Why are the office and facility amounts different?

For 11000 in Redding, the physician’s office rate is $62.30 and the facility-setting rate is $24.23: a difference of $38.07.

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 11000 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$68.53

$62.30 × 110% = $68.53

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 11000 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,240

Code
11000
Physician work
0.59
Practice expense
1.13
Malpractice
0.05

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11000 in Redding
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0170.6000
Practice expense1.13× 1.0961.2385
Malpractice0.05× 0.5360.0268
Total RVUs1.8653
Conversion factor× 33.4009

Office / nonfacility rate, Redding$62.30

Open 11000 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.591.017
Practice expense1.131.096
Malpractice0.050.536

(0.59 × 1.017 + 1.13 × 1.096 + 0.05 × 0.536) × $33.4009 = $62.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.591.017
Practice expense0.091.096
Malpractice0.050.536

(0.59 × 1.017 + 0.09 × 1.096 + 0.05 × 0.536) × $33.4009 = $24.23

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

11000 · Office / nonfacility

$62.30

Effective 2026-10-01

The base rate is $2.30 higher than on 2025-10-01, moving from $60.00 to $62.30 (3.8%).

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

    $60.00changed to$62.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 1.12 changed to 1.13
    • Malpractice RVU 0.04 changed to 0.05
    • 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: $60.00

    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$62.30$24.23RVU26D
2026-07-01$62.30$24.23RVU26C
2026-04-01$62.30$24.23RVU26B
2026-01-01$62.30$24.23RVU26A
2025-10-01$60.00$26.06RVU25D
2025-07-01$60.00$26.06RVU25C
2025-04-01$60.00$26.06RVU25B
2025-01-01$60.00$26.06RVU25A

11000 billing questions

When is 11001 reported with 11000?

Use 11000 for the initial area involving up to 10% of body surface. Report 11001 for each additional 10% treated.

How does 11000 differ from wound debridement codes such as 11042?

11000 describes extensive debridement of eczematous or infected skin measured by percentage of body surface. Wound debridement codes such as 11042 are selected by the deepest tissue removed and the treated area.

What documentation supports reporting 11000?

Document the eczematous or infected skin condition, the debridement performed, and the percentage of body surface treated. The documented extent supports whether 11000 alone or an additional 11001 is appropriate.

Can modifier 50 be appended when both sides are treated?

No. The descriptor and anatomy make bilateral adjustment inappropriate for 11000.

Can same-day evaluation or postoperative care be billed separately?

The code has a 0-day global period, which includes same-day preoperative and postoperative care.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% multiple-procedure reduction.

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 11000PPRRVU2026_Oct_nonQPP.csv, line 1,240 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)