CPT 11006
Global 000 ActiveDbrdmt skin xtrnl gent per
CPT 11006 Billing & Documentation Guide
CPT code 11006 (Dbrdmt skin xtrnl gent per) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 12.77, a non-facility practice expense RVU of 3.09, and a malpractice RVU of 2.82, a total non-facility RVU of 18.68 and facility RVU of 18.68. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $623.58, though rates vary from $554.41 to $801.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11006, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 11006 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 11006 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 11006
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 12.77 | 12.77 |
| Practice Expense RVU | 3.09 | 3.09 |
| Malpractice RVU | 2.82 | 2.82 |
| Total RVU | 18.68 | 18.68 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11006
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $615.02 | $615.02 | $597.38 - $672.76 | 29 |
| Florida | $713.44 | $713.44 | $666.77 - $772.18 | 3 |
| Georgia | $638.33 | $638.33 | $630.87 - $645.79 | 2 |
| Illinois | $707.75 | $707.75 | $667.98 - $749.41 | 4 |
| Michigan | $656.02 | $656.02 | $627.1 - $684.93 | 2 |
| North Carolina | $583.01 | $583.01 | $583.01 - $583.01 | 1 |
| New York | $689.95 | $689.95 | $590.79 - $751.45 | 5 |
| Ohio | $615.7 | $615.7 | $615.7 - $615.7 | 1 |
| Pennsylvania | $632.16 | $632.16 | $610.29 - $654.02 | 2 |
| Texas | $617.98 | $617.98 | $605.69 - $662.03 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 11006
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11006 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0183T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0437T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0552T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 11006
What does CPT code 11006 mean? +
CPT code 11006 represents: Dbrdmt skin xtrnl gent per. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11006? +
The 2026 Medicare national average non-facility payment for CPT 11006 is $623.58. Rates range from $554.41 to $801.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11006? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 11006? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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