$123.12–$135.10
11042 is selected when subcutaneous tissue is the deepest layer debrided. Choose 11043 when muscle or fascia is actually reached and removed.
On this page
CMS RVU26D · Effective 2026-10-01
11043 Wound debridement Medicare reimbursement rates in Georgia
Debridement extending into muscle or fascia is reported for the first 20 square centimeters or less of treated wound area. Compare 11043 office and facility rates across CMS payment localities in Georgia.
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.
What does Medicare pay for 11043 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$227.32–$244.77
2 of 2 localities have a supported rate.
Facility setting
$137.04–$141.95
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Wound care
About 11043: Deep muscle or fascia wound debridement
Debridement extending into muscle or fascia is reported for the first 20 square centimeters or less of treated wound area.
This service involves removing devitalized tissue from a wound down into muscle and/or fascia; overlying skin, dermis, and subcutaneous tissue may also be removed. Surgeons, podiatrists, and wound-care physicians may perform it for complex chronic ulcers or traumatic and surgical wounds when muscle or fascia is actually debrided, rather than simply visible. Services may occur in an office wound clinic or a facility.
Select this code when the deepest tissue removed is muscle or fascia and the treated area is up to 20 square centimeters. Report 11046 for each additional 20 square centimeters or part. Document the wound site, tissue level removed, area treated, technique, and clinical need. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 11043
- 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 RVU2.63 · 37%
- Practice expense (office) RVU4.12 · 57%
- Malpractice RVU0.42 · 6%
506.3K
Medicare services in 2024 · #231 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.
11043 compared with similar codes
Office rates for Georgia, from the same CMS release.
$306.86–$328.00
11044 is for debridement extending into bone. Use 11043 when the deepest tissue removed is muscle or fascia.
$73.74–$78.45
11046 reports additional treated area beyond the initial 20 square centimeters at the muscle or fascia level; it is an add-on to 11043.
Compare 11043 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$244.77
Facility
$141.95
Rest Of Georgia →
Office / nonfacility
$227.32
Facility
$137.04
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11043 billing questions
How does this differ from 11042?
Use 11043 when debridement reaches muscle or fascia. Use 11042 when the deepest tissue removed is subcutaneous tissue.
Does exposed muscle support reporting 11043?
Not by itself. Documentation should show that muscle or fascia was actually debrided, not merely exposed or visible in the wound.
When is 11046 reported with this code?
Report 11046 for each additional 20 square centimeters or part beyond the first 20 square centimeters treated at the muscle or fascia level.
What same-day care is included in the global period?
The 0-day global period includes preoperative and postoperative care on the procedure date.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 11043. Co-surgeons and team surgery are not permitted for this code.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures performed in that session are paid at 50% under the standard 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.
1,2531102T,,Ntrop molec asmt lng tum tis,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2541103T,,Ntrop molec asmt ov tub/prtl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25511042,,Dbrdmt subq tis 1st 20sqcm/<,A,,0.98,2.86,,0.56,,0.13,3.97,1.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25611043,,Dbrdmt musc&/fsca 1st 20/<,A,,2.63,4.12,,1.09,,0.42,7.17,4.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25711044,,Dbrdmt bone 1st 20 sq cm/<,A,,4.00,4.96,,1.38,,0.64,9.60,6.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25811045,,Dbrdmt subq tiss each addl,A,,0.49,0.69,,0.10,,0.07,1.25,0.66,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25911046,,Dbrdmt musc&/fsca ea addl,A,,1.00,1.10,,0.24,,0.19,2.29,1.43,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00