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See a sample rate comparisonCPT 11011 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.
Debride Skin Musc At Fx Site, Debridement Including Removal Of Foreign Material At The Site Of An Open Fracture And Or An Open Dislocation Eg Excisional Debridement Skin Subcutaneous Tissue Muscle Fascia And Muscle
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11011 |
| Medicaid Fee Schedule | View Medicaid rates for 11011 |
National average reimbursement for CPT 11011 by major payers:
$588.64
$671.40
$676.82
$488.10
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CPT 11011
5 of 25 sample ratesHigher to lower in this preview
College Park Endoscopy Center, LLC, College Park Surgery Center
College Park Endoscopy Center LLC
$1,981.00Published rateSatyam Tatineni
Deaconess Hospital Inc
$926.76Published rateWestern Washington Endoscopy Centers LLC, Puyallup Endoscopy Center
Western Washington Endoscopy Centers LLC
$499.00Published rateEndoscopy Center Of Northeast Tennessee, PC
$425.00Published rateSwan Surgery Center, LLC
Swan Surgery Center LLC
$175.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 11011 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11011 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 11011 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 |
|---|---|---|
| 11010-CPT | Moderate | Debridement Including Removal, Debridement Including Removal Of Foreign Material At The Site Of An Open Fracture Andor An Open Dislocation (Eg Excisional Debridement) Skin And Subcutaneous Tissues |
| 11011-CPT | Moderate | Debride Skin Musc At Fx Site, Debridement Including Removal Of Foreign Material At The Site Of An Open Fracture And Or An Open Dislocation Eg Excisional Debridement Skin Subcutaneous Tissue Muscle Fascia And Muscle |
| 11012-CPT | Moderate | Deb Skin Bone At Fx Site, Debridement Including Removal Of Foreign Material At The Site Of An Open Fracture And Or An Open Dislocation Eg Excisional Debridement Skin Subcutaneous Tissue Muscle Fascia Muscle And Bone |
| 11042-CPT | Low | Debridement Subcutaneous Tiss, Debridement Subcutaneous Tissue (Includes Epidermis And Dermis If Performed) First 20 Sq Cm Or Less |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11011. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11011 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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