CPT 11010
Global 010 ActiveDebride skin at fx site
CPT 11010 Billing & Documentation Guide
CPT code 11010 (Debride skin at fx site) is classified under Anesthesia with a global period indicator of 010. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.09, a non-facility practice expense RVU of 9.21, and a malpractice RVU of 0.75, a total non-facility RVU of 14.05 and facility RVU of 7.47. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $481.89, though rates vary from $413.76 to $608.66 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11010, 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 11010 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
10-day global period (minor procedure: pre-op day + procedure + 10 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 2 units of 11010 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 11010
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.09 | 4.09 |
| Practice Expense RVU | 9.21 | 2.63 |
| Malpractice RVU | 0.75 | 0.75 |
| Total RVU | 14.05 | 7.47 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11010
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 | $519.09 | $259.04 | $489.51 - $608.66 | 29 |
| Florida | $494.02 | $273.51 | $468.35 - $520.2 | 3 |
| Georgia | $460.26 | $250.6 | $440.87 - $479.65 | 2 |
| Illinois | $482.2 | $269.84 | $456.62 - $504.22 | 4 |
| Michigan | $460.73 | $254.35 | $445.75 - $475.7 | 2 |
| North Carolina | $439.63 | $234.58 | $439.63 - $439.63 | 1 |
| New York | $520.33 | $275.14 | $446.46 - $557.63 | 5 |
| Ohio | $442.72 | $242.06 | $442.72 - $442.72 | 1 |
| Pennsylvania | $465.94 | $250.66 | $442.68 - $489.19 | 2 |
| Texas | $463.48 | $247.11 | $439.82 - $484.54 | 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 11010
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11010 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 |
| 0334T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0335T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0490T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0510T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 11010
What does CPT code 11010 mean? +
CPT code 11010 represents: Debride skin at fx site. It's in the Anesthesia category with a global period of 010.
What is the Medicare reimbursement for CPT 11010? +
The 2026 Medicare national average non-facility payment for CPT 11010 is $481.89. Rates range from $413.76 to $608.66 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11010? +
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 11010? +
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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