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See a sample rate comparisonCPT 11000 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Debrideme Of Pextensiv Eczematou Or Infect Skin; Up To 10% Of Bod, Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Bod
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 99 - Other POS |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11000 |
| Medicaid Fee Schedule | View Medicaid rates for 11000 |
National average reimbursement for CPT 11000 by major payers:
$63.16
$69.96
$70.79
$90.65
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CPT 11000
5 of 25 sample ratesHigher to lower in this preview
Ku Medwest Ambulatory Surgery Center, LLC
Ku Medwest Ambulatory Surgery Center LLC
$2,321.00Published rateSummit Ambulatory Surgical Center, LLC
$574.00Published rateCdi Twin Cities Asc LLC, Rayus Twin Cities Asc
$500.00Published rateClearway Surgery Center Of National Harbor LLC
Harborside Surgery Center
$174.00Published rateThe Gastroenterology Center Of Virginia, PLLC
$72.00Published rate
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See a sample payer proposalCPT 11000 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11000 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 10081-CPT | Moderate | I&D Pilonidal Cyst Complicated |
| 10120-CPT | Low | Incision And Removal Of Forei, Incision And Removal Of Foreign Body Subcutaneous Tissuessimple Incision And Removal Of Foreignbody Subcutaneous Tissues |
| 10121-CPT | Moderate | Incision And Removal Of Foreig, Incision And Removal Of Foreign Body Subcutaneoustissues Complicated Incision And Removal Of For Eign Body Subcutaneous Tissues |
| 11000-CPT | Low | Debrideme Of Pextensiv Eczematou Or Infect Skin; Up To 10% Of Bod, Debridement Of Extensive Eczematous Or Infected Skin; Up To 10% Of Bod |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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