Billing code 11005: NSTI debridementMedicare rate & RVUs in Redding

Report this service when a surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia for a necrotizing soft tissue infection of the abdominal wall.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Redding, Medicare pays $658.08 for 11005 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$658.08Hospital or facility

Check a contract rate as a % of Medicare · 11005 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11005 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 11005 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11005 covers

This code describes operative debridement for a necrotizing soft tissue infection involving the abdominal wall, such as necrotizing fasciitis. The surgeon removes infected or necrotic skin, subcutaneous tissue, muscle, and fascia. It is typically performed in a hospital operating room when urgent source control is needed; the operative report should identify the abdominal-wall involvement and the tissues actually debrided.

Select this code for the abdominal wall alone, not by measuring wound surface area or choosing the deepest tissue level as with routine wound-debridement codes. Document the infection, anatomic extent, and debridement performed. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate for this code. An assistant at surgery is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.

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.

How Redding compares for 11005

Across 109 of 109 payment localities, the facility rate for 11005 runs from $608.21 in Wisconsin to $880.20 in Alaska*. Redding pays $658.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

11005 in Redding vs other payment areas
  1. Redding · this page$658.08
  2. Bakersfield · California$667.42+$9.34
  3. Chico · California$658.08
  4. El Centro · California$658.66+$0.58
  5. Fresno · California$658.08
  6. Hanford-Corcoran · California$658.08

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

11005 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia—$658.08
MercedCalifornia—$658.08
ModestoCalifornia—$658.08
NapaCalifornia—$701.47
Oxnard-Thousand Oaks-VenturaCalifornia—$683.00
Rest Of CaliforniaCalifornia—$658.08
Riverside-San Bernardino-OntarioCalifornia—$695.07
Sacramento-Roseville-FolsomCalifornia—$674.52

11005 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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11005 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 11005 in every payment locality

How the 11005 rate is calculated

Each of 11005’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11005

RVUs × geographic indexes × conversion factor

Work13.88

13.88 RVUs× 1.000 GPCI

Practice expense3.41

3.41 RVUs× 1.000 GPCI

Malpractice3.45

3.45 RVUs× 1.000 GPCI

Adjusted RVUs

20.7400

Conversion factor

$33.4009

Medicare rate

$692.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,243

Code
11005
Physician work
13.88
Practice expense
3.41
Malpractice
3.45

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 11005 in Redding
ComponentRVULocality factorAdjusted
Physician work13.88× 1.01714.1160
Practice expense3.41× 1.0963.7374
Malpractice3.45× 0.5361.8492
Total RVUs19.7025
Conversion factor× 33.4009

Facility rate, Redding$658.08

Facility: (13.88 × 1.017 + 3.41 × 1.096 + 3.45 × 0.536) × $33.4009 = $658.08

Open 11005 in the RVU calculator

Payment rules and modifiers for 11005

The CMS indicators that decide how 11005 is paid alongside other services.

CMS payment indicators · 11005

NSTI debridement

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 11005 has changed in Redding

11005 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$658.08RVU26D
2026-07-01Not available in this setting$658.08RVU26C
2026-04-01Not available in this setting$658.08RVU26B
2026-01-01Not available in this setting$658.08RVU26A
2025-10-01Not available in this setting$719.20RVU25D
2025-07-01Not available in this setting$719.20RVU25C
2025-04-01Not available in this setting$719.20RVU25B
2025-01-01Not available in this setting$719.20RVU25A
2024-10-01Not available in this setting$736.87RVU24D
2022-07-01Not available in this setting$772.81RVU22C
2021-04-01Not available in this setting$776.81RVU21B
2021-01-01Not available in this setting$776.81RVU21A
2020-10-01Not available in this setting$796.42RVU20D
2020-07-01Not available in this setting$796.42RVU20C
2020-04-01Not available in this setting$796.42RVU20B
2020-01-01Not available in this setting$796.42RVU20A
2019-10-01Not available in this setting$789.36RVU19D
2019-07-01Not available in this setting$789.36RVU19C
2019-04-01Not available in this setting$789.36RVU19B
2019-01-01Not available in this setting$789.36RVU19A
2018-10-01Not available in this setting$788.86RVU18D
2018-07-01Not available in this setting$788.86RVU18C
2018-04-01Not available in this setting$788.86RVU18B
2018-01-01Not available in this setting$788.86RVU18AR1
2017-10-01Not available in this setting$795.90RVU17D
2017-07-01Not available in this setting$795.90RVU17C
2017-04-01Not available in this setting$795.90RVU17B
2017-01-01Not available in this setting$795.90RVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 11005 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

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11005 billing questions

When should I report 11005 rather than 11004 or 11006?

Use 11005 when the necrotizing soft tissue infection and debridement involve the abdominal wall alone. Code 11004 describes the external genitalia and perineum; 11006 covers those areas together with the abdominal wall.

Is code selection based on wound size or the deepest tissue removed?

No. This code is specific to necrotizing soft tissue infection of the abdominal wall and is not selected by surface area or a deepest-tissue level.

Can removal of infected abdominal-wall mesh be reported separately?

When infected prosthetic material or mesh is removed from the abdominal wall, 11008 is an add-on reported with the applicable primary debridement code, including 11005 when appropriate.

Can modifier 50 or an assistant-at-surgery claim be used?

Modifier 50 is inappropriate for this code. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

What documentation supports reporting 11005?

The operative report should establish necrotizing soft tissue infection of the abdominal wall, identify the extent and tissues involved, and describe the debridement performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11005PPRRVU2026_Oct_nonQPP.csv, line 1,243 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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