CPT 11011
Global 000 ActiveDebride skin musc at fx site
CPT 11011 Billing & Documentation Guide
CPT code 11011 (Debride skin musc at fx site) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 4.82, a non-facility practice expense RVU of 10.33, and a malpractice RVU of 0.95, a total non-facility RVU of 16.1 and facility RVU of 7.93. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $551.53, though rates vary from $473.72 to $693.24 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11011, 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 11011 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 2 units of 11011 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 11011
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 4.82 | 4.82 |
| Practice Expense RVU | 10.33 | 2.16 |
| Malpractice RVU | 0.95 | 0.95 |
| Total RVU | 16.1 | 7.93 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11011
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 | $592.24 | $269.34 | $558.89 - $693.24 | 29 |
| Florida | $568.94 | $295.15 | $538.53 - $600.42 | 3 |
| Georgia | $528.36 | $268.03 | $506.58 - $550.14 | 2 |
| Illinois | $555.58 | $291.91 | $525.6 - $581.7 | 4 |
| Michigan | $529.64 | $273.4 | $511.83 - $547.45 | 2 |
| North Carolina | $503.18 | $248.58 | $503.18 - $503.18 | 1 |
| New York | $596.68 | $292.25 | $511.08 - $640.46 | 5 |
| Ohio | $507.99 | $258.85 | $507.99 - $507.99 | 1 |
| Pennsylvania | $534.32 | $267.03 | $507.72 - $560.92 | 2 |
| Texas | $531.04 | $262.38 | $504.45 - $554.47 | 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 11011
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11011 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 |
| 0479T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 0491T | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
Frequently Asked Questions, CPT 11011
What does CPT code 11011 mean? +
CPT code 11011 represents: Debride skin musc at fx site. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11011? +
The 2026 Medicare national average non-facility payment for CPT 11011 is $551.53. Rates range from $473.72 to $693.24 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11011? +
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 11011? +
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 June 1, 2026.
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