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.
In Redding, Medicare pays $658.08 for 11005 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Redding · this page$658.08
- Bakersfield · California$667.42+$9.34
- Chico · California$658.08
- El Centro · California$658.66+$0.58
- Fresno · California$658.08
- Hanford-Corcoran · California$658.08
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$693.87+$35.79
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| SalinasCalifornia | — | $671.75 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $676.19 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $721.13 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $717.22 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $740.61 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $724.59 |
| San Luis Obispo-Paso RoblesCalifornia | — | $662.98 |
| Santa Cruz-WatsonvilleCalifornia | — | $673.49 |
| Santa Maria-Santa BarbaraCalifornia | — | $671.15 |
| Santa Rosa-PetalumaCalifornia | — | $679.14 |
| StocktonCalifornia | — | $658.08 |
| VallejoCalifornia | — | $695.82 |
| VisaliaCalifornia | — | $658.08 |
| Yuba CityCalifornia | — | $658.08 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $751.06 |
| MiamiFlorida | — | $873.60 |
| ChicagoIllinois | — | $845.78 |
| ManhattanNew York | — | $808.38 |
| Alaska*Alaska | — | $880.20 |
| AlabamaAlabama | — | $628.49 |
| ArkansasArkansas | — | $620.79 |
| ArizonaArizona | — | $672.61 |
| ColoradoColorado | — | $680.35 |
| ConnecticutConnecticut | — | $734.98 |
| DelawareDelaware | — | $682.05 |
| Fort LauderdaleFlorida | — | $787.32 |
| Rest Of FloridaFlorida | — | $745.69 |
| AtlantaGeorgia | — | $719.11 |
| Rest Of GeorgiaGeorgia | — | $702.56 |
| Hawaii, GuamHawaii | — | $659.83 |
| IowaIowa | — | $613.57 |
| IdahoIdaho | — | $622.90 |
| East St. LouisIllinois | — | $800.47 |
| Rest Of IllinoisIllinois | — | $747.70 |
| Suburban ChicagoIllinois | — | $788.02 |
| IndianaIndiana | — | $625.19 |
| KansasKansas | — | $624.64 |
| KentuckyKentucky | — | $670.30 |
| New OrleansLouisiana | — | $701.69 |
| Rest Of LouisianaLouisiana | — | $674.80 |
| Metropolitan BostonMassachusetts | — | $721.16 |
| Rest Of MassachusettsMassachusetts | — | $682.80 |
| Baltimore/Surr. CntysMaryland | — | $735.78 |
| Rest Of MarylandMaryland | — | $689.29 |
| Rest Of MaineMaine | — | $640.06 |
| Southern MaineMaine | — | $649.19 |
| DetroitMichigan | — | $767.80 |
| Rest Of MichiganMichigan | — | $697.69 |
| MinnesotaMinnesota | — | $614.91 |
| Metropolitan Kansas CityMissouri | — | $683.14 |
| Metropolitan St. LouisMissouri | — | $687.50 |
| Rest Of MissouriMissouri | — | $674.02 |
| MississippiMississippi | — | $646.83 |
| Montana**Montana | — | $692.50 |
| North CarolinaNorth Carolina | — | $643.50 |
| North Dakota**North Dakota | — | $624.29 |
| NebraskaNebraska | — | $612.29 |
| New HampshireNew Hampshire | — | $683.00 |
| Northern NjNew Jersey | — | $748.00 |
| Rest Of New JerseyNew Jersey | — | $732.93 |
| New MexicoNew Mexico | — | $706.44 |
| Nevada**Nevada | — | $673.60 |
| Nyc Suburbs/Long IslandNew York | — | $842.69 |
| Poughkpsie/N Nyc SuburbsNew York | — | $748.62 |
| QueensNew York | — | $794.07 |
| Rest Of New YorkNew York | — | $652.82 |
| OhioOhio | — | $683.75 |
| OklahomaOklahoma | — | $654.85 |
| PortlandOregon | — | $683.30 |
| Rest Of OregonOregon | — | $658.05 |
| Metropolitan PhiladelphiaPennsylvania | — | $727.99 |
| Rest Of PennsylvaniaPennsylvania | — | $677.06 |
| Puerto RicoPuerto Rico | — | $692.26 |
| Rhode IslandRhode Island | — | $692.86 |
| South CarolinaSouth Carolina | — | $666.79 |
| South Dakota**South Dakota | — | $616.22 |
| TennesseeTennessee | — | $629.02 |
| AustinTexas | — | $687.13 |
| BeaumontTexas | — | $674.30 |
| BrazoriaTexas | — | $670.07 |
| DallasTexas | — | $680.09 |
| Fort WorthTexas | — | $680.45 |
| GalvestonTexas | — | $675.83 |
| HoustonTexas | — | $738.97 |
| Rest Of TexasTexas | — | $675.75 |
| UtahUtah | — | $674.15 |
| VirginiaVirginia | — | $656.92 |
| Virgin IslandsUnited States Virgin Islands | — | $692.26 |
| VermontVermont | — | $634.67 |
| Rest Of WashingtonWashington | — | $677.26 |
| Seattle (King Cnty)Washington | — | $720.68 |
| WisconsinWisconsin | — | $608.21 |
| West VirginiaWest Virginia | — | $727.48 |
| Wyoming**Wyoming | — | $662.77 |
11005 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.88 | × 1.017 | 14.1160 |
| Practice expense | 3.41 | × 1.096 | 3.7374 |
| Malpractice | 3.45 | × 0.536 | 1.8492 |
| Total RVUs | 19.7025 | ||
| 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
Payment rules and modifiers for 11005
The CMS indicators that decide how 11005 is paid alongside other services.
CMS payment indicators · 11005
NSTI debridement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $658.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $658.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $658.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $658.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $719.20 | RVU25D |
| 2025-07-01 | Not available in this setting | $719.20 | RVU25C |
| 2025-04-01 | Not available in this setting | $719.20 | RVU25B |
| 2025-01-01 | Not available in this setting | $719.20 | RVU25A |
| 2024-10-01 | Not available in this setting | $736.87 | RVU24D |
| 2022-07-01 | Not available in this setting | $772.81 | RVU22C |
| 2021-04-01 | Not available in this setting | $776.81 | RVU21B |
| 2021-01-01 | Not available in this setting | $776.81 | RVU21A |
| 2020-10-01 | Not available in this setting | $796.42 | RVU20D |
| 2020-07-01 | Not available in this setting | $796.42 | RVU20C |
| 2020-04-01 | Not available in this setting | $796.42 | RVU20B |
| 2020-01-01 | Not available in this setting | $796.42 | RVU20A |
| 2019-10-01 | Not available in this setting | $789.36 | RVU19D |
| 2019-07-01 | Not available in this setting | $789.36 | RVU19C |
| 2019-04-01 | Not available in this setting | $789.36 | RVU19B |
| 2019-01-01 | Not available in this setting | $789.36 | RVU19A |
| 2018-10-01 | Not available in this setting | $788.86 | RVU18D |
| 2018-07-01 | Not available in this setting | $788.86 | RVU18C |
| 2018-04-01 | Not available in this setting | $788.86 | RVU18B |
| 2018-01-01 | Not available in this setting | $788.86 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $795.90 | RVU17D |
| 2017-07-01 | Not available in this setting | $795.90 | RVU17C |
| 2017-04-01 | Not available in this setting | $795.90 | RVU17B |
| 2017-01-01 | Not available in this setting | $795.90 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
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.
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
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