$334.35
11044 covers the first 20 sq cm or less of bone-level debridement. 11047 reports each additional 20 sq cm or part thereof and must accompany 11044.
On this page
CMS RVU26D · Effective 2026-10-01
11047 Bone debridement Medicare reimbursement rates in Hawaii
Reports additional wound surface area debrided through bone beyond the initial area, often during treatment of deep ulcers or complex wounds. Compare 11047 office and facility rates across CMS payment localities in Hawaii.
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 11047 in Hawaii?
Hawaii has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$131.63
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$82.26
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
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 11047: Additional bone wound debridement
Reports additional wound surface area debrided through bone beyond the initial area, often during treatment of deep ulcers or complex wounds.
11047 represents additional wound area debrided at bone level after the initial area has been captured. The clinician removes devitalized bone as part of wound-bed preparation or treatment of a deep ulcer or complex wound; overlying skin, subcutaneous tissue, and muscle or fascia may also be removed. Surgeons, podiatrists, and other clinicians performing wound debridement may report it in office, outpatient, or hospital settings. Bone that is simply visible in a wound, without debridement at that depth, does not establish this service.
Report 11047 only with 11044: 11044 accounts for the first 20 sq cm or less, and 11047 is used for each additional 20 sq cm or part thereof debrided through bone. Choose the depth from the deepest tissue actually removed, and calculate area from the wound surface debrided at that depth. Documentation should identify the wound site, deepest tissue removed, area debrided, and bone work performed. CMS classifies 11047 as an add-on, so it is not billed alone; payment falls within the primary procedure's global period.
CMS billing rules for 11047
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU1.76 · 46%
- Practice expense (office) RVU1.74 · 45%
- Malpractice RVU0.35 · 9%
97.4K
Medicare services in 2024 · #570 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.
11047 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$78.85
11046 reports additional area when muscle or fascia is the deepest tissue removed; 11047 is for additional area debrided through bone.
$725.54
11012 is used for debridement at an open fracture site in the applicable fracture-care circumstance; 11047 is an add-on for additional bone-level wound area.
Compare 11047 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.
1 of 1 payment localities
Hawaii, Guam →
Office / nonfacility
$131.63
Facility
$82.26
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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 11047 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,260
- Code
- 11047
- Physician work
- 1.76
- Practice expense
- 1.74
- Malpractice
- 0.35
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 1.74 | × 1.137 | 1.9784 |
| Malpractice | 0.35 | × 0.579 | 0.2026 |
| Total RVUs | 3.9410 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$131.63
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 1.74 | 1.137 |
| Malpractice | 0.35 | 0.579 |
(1.76 × 1 + 1.74 × 1.137 + 0.35 × 0.579) × $33.4009 = $131.63
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 0.44 | 1.137 |
| Malpractice | 0.35 | 0.579 |
(1.76 × 1 + 0.44 × 1.137 + 0.35 × 0.579) × $33.4009 = $82.26
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.
11047 billing questions
Can 11047 be billed by itself?
No. Report it with 11044, which represents the initial 20 sq cm or less of bone-level debridement.
How many units of 11047 should be reported?
Report a unit for each additional 20 sq cm or part thereof debrided through bone after the initial area represented by 11044.
Does exposed bone qualify for 11047?
No. The documentation must support debridement through bone; bone merely visible in the wound is not enough.
When is 11047 appropriate instead of 11046?
Use 11047 when bone is the deepest tissue actually debrided. Use 11046 when the deepest tissue removed is muscle or fascia.
What documentation supports this add-on?
Record the wound site, the deepest tissue removed, the surface area debrided at bone depth, and the bone 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 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.
1,25711044,,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
1,26011047,,Dbrdmt bone each addl,A,,1.76,1.74,,0.44,,0.35,3.85,2.55,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2611104T,,N-invas cardpulm assmt cad,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,26211055,,Paring/cutg b9 hyprker les 1,R,,0.34,1.73,,0.04,,0.03,2.10,0.41,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,26311056,,Parng/cutg b9 hyprkr les 2-4,R,,0.49,1.90,,0.06,,0.04,2.43,0.59,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014