CPT 11044 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Surgery • Surgical Procedures on the Integumentary System |
| Common Place of Service | • 99 - Other POS • None • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • GW - Condition not related to the patient's terminal condition |
| Complexity Level | Moderate |
National average reimbursement for CPT 11044 by major payers:
$374.82
$411.60
$416.69
$508.83
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 11044 | ||||||
United | 11044 | $840.73 | 1447743745 - BREDA KNOTT | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Surgery Physician (208600000X) |
United | 11044 | $1050.92 | 1467879676 - JULIA BOSTER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Gastroenterology Physician (2080P0206X) |
United | 11044 | $1312.83 | 1629153358 - ELIZABETH MCFARLAND | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Infectious Diseases Physician (2080P0208X) |
United | 11044 | $610.00 | 1679696157 - ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES, LLC, SLOCUM AMBULATORY SURGERY CENTER | 770590285 - (OR) ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES LLC | OR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 11044 | $961.21 | 1215101167 - AARON POTNICK | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | ME | Diagnostic Radiology Physician (2085R0202X) |
United | 11044 | $465.92 | 1295288769 - ALLAN NGUYEN | 990600893 - VISTA SURGICAL GROUP | CO | Surgery Physician (208600000X) |
United | 11044 | $378.79 | 1417993916 - POUDRE VALLEY INTERNISTS PC | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | CO | Specialist (174400000X) |
United | 11044 | $1312.83 | 1285887828 - MELANIE GRENIER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Certified Registered Nurse Anesthetist (367500000X) |
United | 11044 | $1031.52 | 1245657220 - HANNA MENDEZ | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | 11044 | $517.38 | 1215218011 - ROGER RINEHART | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | TX | Physician Assistant (363A00000X) |
United | 11044 | $356.10 | 1841762622 - MIGUEL LOPEZ | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | CO | Clinical Social Worker (1041C0700X) |
United | 11044 | $517.38 | 1760477533 - CHRISTOPHER HULTS | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | WA | Surgical Critical Care Physician (2086S0102X) |
United | 11044 | $989.78 | 1083144026 - ROBERT PRIDE | 42807148 - MASS GENERAL BRIGHAM INCORPORATED | CO | Surgery Physician (208600000X) |
United | 11044 | $840.73 | 1528628237 - KAYLEE DOLLERSCHELL | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Genetic Counselor (M.S.) (170300000X) |
United | 11044 | $517.38 | 1437305778 - DANIEL VALENTINO | 800348943 - POUDRE VALLEY MEDICAL GROUP LLC | CO | Surgical Critical Care Physician (2086S0102X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 11044 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11044 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 11044 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 |
|---|---|---|
| 11001-CPT | Low | 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) |
| 11006-CPT | Moderate | Debridement Of Skin, Subcutaneous Tissue, Muscle And Fascia For Necrotizing Soft Tissue Infection; External Genitalia, Perineum And Abdominal Wall, With Or Without Fascial Closure |
| 11008-CPT | Moderate | Removal Of Prosthetic Material Or Mesh Abdominal Wall For Infection (Eg. For Chronic Or Recurrent Mesh Infection Or Necrotizing Soft Tissue Infection) (List Separately In Addition To Code For Primary Procedure) |
| 11044-CPT | Moderate | Debridement; Muscle And/Or Fascia (Includes Epidermis Dermis And Subcutaneous Tissue Muscle And/Or Fascial 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 11044. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11044 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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