Billing code 11006: Infection debridementMedicare rate & RVUs in Florida
Reports operative removal of devitalized tissue from necrotizing infection involving the external genitalia, perineum, and abdominal wall.
CMS doesn’t publish an office rate for 11006 in Florida.
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 9 sections
What 11006 covers
This service is extensive surgical excision of infected, nonviable tissue involving the external genitalia, perineum, and abdominal wall in a necrotizing soft-tissue infection. A general surgeon, urologist, or other surgeon managing the infection typically performs it in an operating room; Fournier gangrene extending from the perineum onto the abdominal wall is a characteristic clinical situation. The code reflects the involved regions, not a measured wound area.
Choose this code when the operative work includes all three regions; use the adjacent regional codes when the abdominal wall or the external genitalia and perineum are not both involved. The operative report should identify the necrotizing infection, the anatomical areas treated, and the tissue removed. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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 code, and co-surgeon and team-surgery billing 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.
Where 11006 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $701.38 |
| Miami | Unavailable | $772.18 |
| Rest Of Florida | Unavailable | $666.77 |
How the 11006 rate is calculated
Each of 11006’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 · 11006
RVUs × geographic indexes × conversion factor
Work12.77
12.77 RVUs× 1.000 GPCI
Practice expense3.09
3.09 RVUs× 1.000 GPCI
Malpractice2.82
2.82 RVUs× 1.000 GPCI
Adjusted RVUs
18.6800
Conversion factor
$33.4009
Medicare rate
$623.93
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11006
The CMS indicators that decide how 11006 is paid alongside other services.
CMS payment indicators · 11006
Infection 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 | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11006 without 51 · national facility
$623.93
Infection debridement
11006-51 · Second procedure: 50%
$311.97
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
11006 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11004Infection debridement
- Use 11004 when necrotizing-infection debridement involves the external genitalia and perineum but not the abdominal wall.
- 11005NSTI debridement
- Use 11005 when the necrotizing infection debridement is confined to the abdominal wall rather than spanning the genitalia, perineum, and abdominal wall.
- 11042Wound debridement
- 11042 is for wound debridement to subcutaneous tissue, selected by tissue level and area; this code represents necrotizing infection involving specified anatomical regions.
- 11043Wound debridement
- 11043 is for wound debridement to muscle or fascia, selected by tissue level and area; it does not identify the multi-region necrotizing-infection service represented here.
11006 billing questions
How do I distinguish this code from 11004 or 11005?
This code is for necrotizing infection debridement involving the external genitalia, perineum, and abdominal wall. Use 11004 for the genitalia and perineum without abdominal wall involvement, or 11005 for the abdominal wall.
Can this be reported for routine wound debridement?
It describes operative treatment of a necrotizing soft-tissue infection across the specified regions, not routine wound-bed debridement. Codes such as 11042 or 11043 are distinguished by the tissue level treated in other wound-debridement situations.
Does this code have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service.
How are other procedures in the same operative session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Co-surgeon and team-surgery billing are not permitted.
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
Fee sheets
Put 11006 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →