$229.32–$244.29
11043 reports the initial area debrided through muscle or fascia. Add 11046 only for additional area beyond that initial area.
On this page
CMS RVU26D · Effective 2026-10-01
11046 Wound debridement Medicare reimbursement rates in Michigan
Reports additional wound surface area debrided through muscle or fascia after the initial area, when the total area exceeds 20 square centimeters. Compare 11046 office and facility rates across CMS payment localities in Michigan.
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 11046 in Michigan?
Michigan 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
$74.11–$79.56
2 of 2 localities have a supported rate.
Facility setting
$47.88–$51.84
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 11046: Additional muscle or fascia debridement
Reports additional wound surface area debrided through muscle or fascia after the initial area, when the total area exceeds 20 square centimeters.
This add-on represents debridement of additional wound area when the clinician removes nonviable tissue through muscle or fascia. It commonly accompanies wound care for pressure injuries, diabetic foot ulcers, or traumatic wounds, in a wound clinic, office, or operating room. The code selection follows the deepest tissue actually removed, not simply the wound’s appearance or diagnosis.
Report 11046 with 11043, the primary code for the initial area at this tissue depth. Each unit covers another 20 square centimeters or part of that increment beyond the first 20; document the total area debrided at muscle or fascia depth and the tissue removed. When multiple wounds are treated at the same depth, their areas are combined for code selection; do not combine areas debrided to different depths. As an add-on, 11046 is billed only with a primary procedure and paid within that procedure’s global period.
CMS billing rules for 11046
- 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 RVU1.00 · 44%
- Practice expense (office) RVU1.10 · 48%
- Malpractice RVU0.19 · 8%
307K
Medicare services in 2024 · #305 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.
11046 compared with similar codes
Office rates for Michigan, from the same CMS release.
$40.05–$42.55
11045 covers additional area debrided to subcutaneous tissue; 11046 is selected when the additional area is debrided through muscle or fascia.
$125.05–$134.58
11047 is the additional-area code when debridement reaches bone. Use 11046 when the deepest tissue removed is muscle or fascia.
Compare 11046 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
Detroit →
Office / nonfacility
$79.56
Facility
$51.84
Rest Of Michigan →
Office / nonfacility
$74.11
Facility
$47.88
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11046 billing questions
Which primary code must accompany 11046?
Report 11046 with 11043, which represents the initial area debrided at muscle or fascia depth. It is not a stand-alone code.
How many units should be reported?
Count each additional 20 square centimeters or part of that increment beyond the initial 20 square centimeters. For example, a total treated area of 41 square centimeters at this depth supports two units of 11046 with 11043.
How is the area determined when there are multiple wounds?
Combine the surface areas of wounds debrided to the same depth. Keep areas debrided to different tissue depths separate.
What documentation supports 11046?
Record the tissue actually removed, the depth reached, and the total surface area debrided at muscle or fascia depth. The note should support the additional area beyond the initial 20 square centimeters.
Does 11046 have its own global period?
CMS identifies it as an add-on paid within the primary procedure’s global period. It must be reported with the primary procedure.
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.
1,25611043,,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
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