Billing code 11010: Fracture debridementMedicare rate & RVUs in Oregon
Reports debridement limited to skin and subcutaneous tissue at an open fracture or dislocation site, including removal of foreign material.
Medicare pays $460.61–$499.20 for 11010 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 11010 covers
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.
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.
Where 11010 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $499.20 | $255.03 |
| Rest Of Oregon | $460.61 | $241.71 |
How the 11010 rate is calculated
Each of 11010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11010
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.09Practice expense 9.21Malpractice 0.75
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11010
11010 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11010
Fracture debridement
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 2 | Already bilateral by definition: paid once at 100%. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 11010
Fracture debridement
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11010 without 51 · national office
$469.28
Fracture debridement
11010-51 · Second procedure: 50%
$234.64
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
11010 compared with similar codes
Compare codes
11010 vs 11011 vs 11012 vs 11042: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11011Fracture-site debridement
- 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.
- 11012Fracture-site debridement
- Use 11012 when the open-fracture-site debridement reaches bone. This code applies when the deepest tissue removed is skin or subcutaneous tissue.
- 11042Wound debridement
- 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.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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