Choose 11043 when muscle or fascia is the deepest tissue actually debrided. Choose 11044 when the procedure removes bone.
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CMS RVU26D · Effective 2026-10-01
11044 Wound debridement Medicare reimbursement rates in Nevada
Reports wound debridement that reaches devitalized bone, for the first 20 square centimeters or less of treated area. Compare 11044 office and facility rates across CMS payment localities in Nevada.
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 11044 in Nevada?
Nevada 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
$317.24
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$197.55
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 11044: Wound debridement to bone
Reports wound debridement that reaches devitalized bone, for the first 20 square centimeters or less of treated area.
11044 represents operative wound-bed debridement that reaches and removes devitalized bone, with more superficial layers included when removed during the same service. It is commonly used for pressure injuries, diabetic foot ulcers, or other chronic wounds with nonviable bone, including cases involving osteomyelitis. Surgeons, podiatrists, and other clinicians qualified to perform wound debridement may report it in office or facility settings. Exposed bone alone is not enough; the procedure must actually debride bone.
Select the code by the deepest tissue actually removed and the total debrided surface area, not by wound appearance or planned depth. This base code covers up to 20 sq cm; report 11047 for each additional 20 sq cm or portion, and document tissue level, sites, and area. For multiple wounds, aggregate areas treated to the same depth; keep different depths at their corresponding levels. The 0-day global includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are not permitted. Do not append modifier 50.
CMS billing rules for 11044
- 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 RVU4.00 · 42%
- Practice expense (office) RVU4.96 · 52%
- Malpractice RVU0.64 · 7%
104.4K
Medicare services in 2024 · #544 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.
11044 compared with similar codes
Office rates for Nevada, from the same CMS release.
Choose 11042 when debridement stops at subcutaneous tissue. Visible or exposed bone does not establish 11044 unless bone is debrided.
11044 covers the first 20 sq cm or less. 11047 is the add-on for each additional 20 sq cm or portion at the bone-debridement level.
11012 is for debridement at an open fracture or dislocation site. For wound debridement to bone outside that circumstance, consider 11044.
Compare 11044 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
Nevada** →
Office / nonfacility
$317.24
Facility
$197.55
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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 11044 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
1,257
- Code
- 11044
- Physician work
- 4.00
- Practice expense
- 4.96
- Malpractice
- 0.64
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.00 | × 1.000 | 4.0000 |
| Practice expense | 4.96 | × 1.001 | 4.9650 |
| Malpractice | 0.64 | × 0.833 | 0.5331 |
| Total RVUs | 9.4981 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$317.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 4.96 | 1.001 |
| Malpractice | 0.64 | 0.833 |
(4 × 1 + 4.96 × 1.001 + 0.64 × 0.833) × $33.4009 = $317.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4 | 1 |
| Practice expense | 1.38 | 1.001 |
| Malpractice | 0.64 | 0.833 |
(4 × 1 + 1.38 × 1.001 + 0.64 × 0.833) × $33.4009 = $197.55
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.
11044 billing questions
Does exposed bone support reporting 11044?
Not by itself. The record should show that bone was actually debrided, rather than merely exposed in the wound.
When is 11047 reported with 11044?
Report 11044 for the first 20 sq cm or less debrided to bone, then 11047 for each additional 20 sq cm or portion.
How should the area be calculated for multiple wounds?
Add the areas of wounds debrided to the same tissue depth. Document wounds at different depths separately at their respective levels.
Are more superficial layers separately coded when bone is debrided?
When superficial tissue is removed as part of the same wound debridement, the deepest level reached determines the code; those layers are included.
Can modifier 50 be used for bilateral bone debridement?
No. Do not append modifier 50; CMS identifies bilateral adjustment as inappropriate for this service.
What should the procedure note include?
Record the wound sites, the deepest tissue actually removed, and the surface area debrided. The note should distinguish debridement of bone from bone that was only visible or exposed.
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.
