No office rate
Use 11004 when necrotizing-infection debridement involves the external genitalia and perineum but not the abdominal wall.
On this page
CMS RVU26D · Effective 2026-10-01
11006 Infection debridement Medicare reimbursement rates in Illinois
Reports operative removal of devitalized tissue from necrotizing infection involving the external genitalia, perineum, and abdominal wall. Compare 11006 office and facility rates across CMS payment localities in Illinois.
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 11006 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$667.98–$749.41
4 of 4 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.
Where 11006 pays more and less in Illinois
Surgical debridement
About 11006: Necrotizing infection debridement across perineum and abdomen
Reports operative removal of devitalized tissue from necrotizing infection involving the external genitalia, perineum, and abdominal wall.
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.
CMS billing rules for 11006
- 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 RVU12.77 · 68%
- Practice expense (office) RVU3.09 · 17%
- Malpractice RVU2.82 · 15%
523
Medicare services in 2024 · #3517 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.
11006 compared with similar codes
Office rates for Illinois, from the same CMS release.
No office rate
Use 11005 when the necrotizing infection debridement is confined to the abdominal wall rather than spanning the genitalia, perineum, and abdominal wall.
$126.74–$138.93
11042 is for wound debridement to subcutaneous tissue, selected by tissue level and area; this code represents necrotizing infection involving specified anatomical regions.
$235.41–$258.95
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.
Compare 11006 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
Unavailable
Facility
$749.41
East St. Louis →
Office / nonfacility
Unavailable
Facility
$711.18
Rest Of Illinois →
Office / nonfacility
Unavailable
Facility
$667.98
Suburban Chicago →
Office / nonfacility
Unavailable
Facility
$702.42
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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 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.
1,24111001,,Dbrdmt ecz/infct skn ea addl,A,,0.29,0.49,,0.06,,0.03,0.81,0.38,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24211004,,Dbrdmt skin xtrnl gent&per,A,,10.53,2.46,NA,2.46,,2.12,15.11,15.11,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24311005,,Dbrdmt skin abdominal wall,A,,13.88,3.41,NA,3.41,,3.45,20.74,20.74,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24411006,,Dbrdmt skin xtrnl gent per,A,,12.77,3.09,NA,3.09,,2.82,18.68,18.68,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24511008,,Rmv prstc mtrl/mesh abd wall,A,,4.88,1.19,NA,1.19,,1.25,7.32,7.32,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2461100F,,Ptfalls assess-docd ge2>/yr,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2471100T,,Tc spi neuromd prgrmg ea 30,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