$25.15
11000 covers the initial area up to 10% of body surface. 11001 is reported as an add-on for each additional 10%.
On this page
CMS RVU26D · Effective 2026-10-01
11000 Skin debridement Medicare reimbursement rates in Kentucky
Reports debridement of extensive eczematous or infected skin when the treated area involves up to 10% of the patient's body surface. Compare 11000 office and facility rates across CMS payment localities in Kentucky.
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 11000 in Kentucky?
Kentucky 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
$54.79
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$23.91
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Dermatology procedure
About 11000: Extensive eczematous or infected skin debridement
Reports debridement of extensive eczematous or infected skin when the treated area involves up to 10% of the patient's body surface.
This service involves actively removing extensive eczematous or infected skin, such as adherent crusted or diseased surface material, rather than simply cleansing or applying medication. Dermatologists, surgeons, and other clinicians performing skin procedures may provide it in an office, hospital, or other treatment setting. The indication and extent of the skin involvement distinguish this service from wound debridement selected by depth of tissue removed or treatment of a small benign callus.
Report 11000 for the initial area involving up to 10% of body surface; 11001 is an add-on for each additional 10%. Document the skin condition, the debridement performed, and the percentage of body surface treated so the initial and additional portions are supported. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed 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 service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 11000
- 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 RVU0.59 · 33%
- Practice expense (office) RVU1.13 · 64%
- Malpractice RVU0.05 · 3%
49.3K
Medicare services in 2024 · #784 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.
11000 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$121.63
Use 11000 for extensive eczematous or infected skin debridement measured by body-surface extent. Use 11042 for wound debridement when subcutaneous tissue is the deepest tissue removed, subject to its area criteria.
11055
No office rateParing/cutg b9 hyprker les 1
11055 is for paring or cutting a benign hyperkeratotic lesion, such as a callus. It is not the code for extensive eczematous or infected skin debridement.
No office rate
11004 addresses debridement for necrotizing soft-tissue infection involving the external genitalia and perineum. 11000 is for extensive eczematous or infected skin measured by body-surface extent.
Compare 11000 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
Kentucky →
Office / nonfacility
$54.79
Facility
$23.91
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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 11000 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
1,240
- Code
- 11000
- Physician work
- 0.59
- Practice expense
- 1.13
- Malpractice
- 0.05
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 1.13 | × 0.889 | 1.0046 |
| Malpractice | 0.05 | × 0.915 | 0.0458 |
| Total RVUs | 1.6403 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$54.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 1.13 | 0.889 |
| Malpractice | 0.05 | 0.915 |
(0.59 × 1 + 1.13 × 0.889 + 0.05 × 0.915) × $33.4009 = $54.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.09 | 0.889 |
| Malpractice | 0.05 | 0.915 |
(0.59 × 1 + 0.09 × 0.889 + 0.05 × 0.915) × $33.4009 = $23.91
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.
11000 billing questions
When is 11001 reported with 11000?
Use 11000 for the initial area involving up to 10% of body surface. Report 11001 for each additional 10% treated.
How does 11000 differ from wound debridement codes such as 11042?
11000 describes extensive debridement of eczematous or infected skin measured by percentage of body surface. Wound debridement codes such as 11042 are selected by the deepest tissue removed and the treated area.
What documentation supports reporting 11000?
Document the eczematous or infected skin condition, the debridement performed, and the percentage of body surface treated. The documented extent supports whether 11000 alone or an additional 11001 is appropriate.
Can modifier 50 be appended when both sides are treated?
No. The descriptor and anatomy make bilateral adjustment inappropriate for 11000.
Can same-day evaluation or postoperative care be billed separately?
The code has a 0-day global period, which includes same-day preoperative and postoperative care.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full, and other procedures performed in that session are subject to the standard 50% 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.
1,2371097T,,Onc pncrs aug alg hmorph h&e,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
1,2381098T,,Plmt subrta prosth w/vtrc,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
1,2391099T,,Abltj ncmptnt vn ext tc hifu,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
1,24011000,,Dbrdmt ecz/infected skin<10%,A,,0.59,1.13,,0.09,,0.05,1.77,0.73,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,24111001,,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
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631