$496.26
Use 11011 when debridement at the open fracture or dislocation site extends into muscle or fascia; this code is limited to skin and subcutaneous tissue.
On this page
CMS RVU26D · Effective 2026-10-01
11010 Fracture debridement Medicare reimbursement rates in Indiana
Reports debridement limited to skin and subcutaneous tissue at an open fracture or dislocation site, including removal of foreign material. Compare 11010 office and facility rates across CMS payment localities in Indiana.
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 11010 in Indiana?
Indiana 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
$433.95
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$230.22
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Orthopedic surgery
About 11010: Open-fracture site skin debridement
Reports debridement limited to skin and subcutaneous tissue at an open fracture or dislocation site, including removal of foreign material.
This service is debridement at an open fracture or dislocation site when the work is limited to skin and subcutaneous tissue. The surgeon removes contaminated or nonviable tissue and may remove foreign material from the injury site. Orthopedic and trauma surgeons commonly perform it in the operating room during initial management of an open fracture or dislocation, often alongside definitive fracture treatment.
Choose the code by the deepest tissue debrided at the fracture or dislocation site, not by wound area: use this level when work does not extend into muscle, fascia, or bone. The operative note should identify the injury site, tissues removed, and any foreign material addressed. Medicare assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS pricing treats this code as already bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 11010
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- 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 RVU4.09 · 29%
- Practice expense (office) RVU9.21 · 66%
- Malpractice RVU0.75 · 5%
930
Medicare services in 2024 · #3023 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.
11010 compared with similar codes
Office rates for Indiana, from the same CMS release.
$633.48
Use 11012 when the open-fracture-site debridement reaches bone. This code applies when the deepest tissue removed is skin or subcutaneous tissue.
$123.40
11042 describes subcutaneous wound debridement by area in its applicable wound-care context. This code is specific to skin and subcutaneous debridement at an open fracture or dislocation site.
Compare 11010 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
Indiana →
Office / nonfacility
$433.95
Facility
$230.22
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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 11010 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
1,248
- Code
- 11010
- Physician work
- 4.09
- Practice expense
- 9.21
- Malpractice
- 0.75
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.09 | × 1.000 | 4.0900 |
| Practice expense | 9.21 | × 0.927 | 8.5377 |
| Malpractice | 0.75 | × 0.486 | 0.3645 |
| Total RVUs | 12.9922 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$433.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.09 | 1 |
| Practice expense | 9.21 | 0.927 |
| Malpractice | 0.75 | 0.486 |
(4.09 × 1 + 9.21 × 0.927 + 0.75 × 0.486) × $33.4009 = $433.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.09 | 1 |
| Practice expense | 2.63 | 0.927 |
| Malpractice | 0.75 | 0.486 |
(4.09 × 1 + 2.63 × 0.927 + 0.75 × 0.486) × $33.4009 = $230.22
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.
11010 billing questions
How does this differ from 11011 or 11012?
Select by the deepest tissue debrided at the open fracture or dislocation site. This code is for skin and subcutaneous tissue; 11011 extends to muscle or fascia, and 11012 extends to bone.
Does wound size determine the code?
No. For this open-fracture-site service, the distinguishing factor is the deepest tissue debrided, not the wound area.
Can it be reported with fracture treatment?
It may be reported in the same session as definitive fracture treatment when the surgeon performs the debridement. Document the debridement work separately in the operative note.
Should modifier 50 be used for bilateral cases?
CMS pricing treats this code as already bilateral, and modifier 50 does not increase payment.
How do multiple-procedure and surgical-assistant rules affect payment?
In a session with multiple procedures, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery 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.
1,24511008,,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
1,24811010,,Debride skin at fx site,A,,4.09,9.21,,2.63,,0.75,14.05,7.47,0,010,0.10,0.80,0.10,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24911011,,Debride skin musc at fx site,A,,4.82,10.33,,2.16,,0.95,16.10,7.93,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,25011012,,Deb skin bone at fx site,A,,6.70,12.54,,2.83,,1.32,20.56,10.85,0,000,0.00,0.00,0.00,2,2,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,2511101F,,Pt falls assess-docd le1/yr,I,,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
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915