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See a sample rate comparisonCPT 11001 Fee Schedule
Medicare rates as of October 2026
CPT 11001 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
Debridement Of Extensive Eczem, Debridement Of Extensive Eczematous Or Infected Skin Each Additional 10 Of The Body Surface Or Part Thereof (List Separately In Addition To Code For Primary Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11Office 50Federally Qualified Health Center |
| Common Modifiers | 59Distinct Procedural Service RTRight side of body |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Add-on Code For | 11000 |
| Common Revenue Codes | 07610360Sign up to view all 8 |
| Medicare Fee Schedule | $27.06 national non-facility rate (2026)View Medicare rates for 11001 |
| Medicaid Fee Schedule | $21.16 median of the 8 states in the free previewView Medicaid rates for 11001 |
National average reimbursement for CPT 11001 by major payers:
$28.90
BCBS / Anthem
$29.50
UnitedHealthcare
$30.40
Aetna
$39.80
Cigna
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CPT 11001
5 of 25 sample ratesHigher to lower in this preview
Wasatch Front Surgery Center LLC
$970.00Published rateSummit Ambulatory Surgical Center, LLC
$574.00Published rateAmbulatory Surgery Center Of Tucson, Inc.
Ambulatory Surgery Center Of Tucson Inc
$317.00Published ratePiedmont Surgery Center
$116.00Published rateGoldsboro Endoscopy Center Inc
$54.00Published rate
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See a sample payer proposalCPT 11001 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 11001. Select one to see its fee schedule.
| Code | Description |
|---|---|
| 11001-CPT | Debridement Of Extensive Eczem, Debridement Of Extensive Eczematous Or Infected Skin Each Additional 10 Of The Body Surface Or Part Thereof (List Separately In Addition To Code For Primary Procedure) |
| 11042-CPT | Debridement Subcutaneous Tiss, Debridement Subcutaneous Tissue (Includes Epidermis And Dermis If Performed) First 20 Sq Cm Or Less |
| 11043-CPT | Dbrdmt Musc Fsca 1st 20, Debridement Muscle And Or Fascia Includes Epidermis Dermis And Subcutaneous Tissue If Performed First 20 Sq Cm Or Less |
| 11045-CPT | Dbrdmt Subq Tiss Each Addl, Debridement Subcutaneous Tissue Includes Epidermis And Dermis If Performed Each Additional 20 Sq Cm Or Part Thereof List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11001 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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Frequently Asked Questions
How does Medicare pay for CPT 11001 in an ambulatory surgery center?
CMS lists CPT 11001 with ASC payment indicator N1: Packaged; no separate payment.
Is CPT 11001 an add-on code?
Yes. CMS add-on code edits list CPT 11001 as an add-on code, billed with a primary code. Its primary codes: 11000.
Which revenue codes are billed with CPT 11001?
Hospital price transparency files list CPT 11001 under these revenue codes: including 0761, 0360, 0450, 0361 and 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.