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See a sample rate comparisonCPT 11045 Fee Schedule
Medicare rates as of October 2026
CPT 11045 is classified under Surgery, in the Surgical Procedures on the Integumentary System subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 22On Campus Outpatient Hospital 99Other POS |
| Common Modifiers | 59Distinct Procedural Service POServices, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Surgery Center Payment (ASC) | N1 - Packaged; no separate payment |
| Add-on Code For | 11042 |
| Common Revenue Codes | 07610361Sign up to view all 13 |
| Medicare Fee Schedule | $41.75 national non-facility rate (2026)View Medicare rates for 11045 |
| Medicaid Fee Schedule | $32.405 median of the 8 states in the free previewView Medicaid rates for 11045 |
National average reimbursement for CPT 11045 by major payers:
$47.93
BCBS / Anthem
$51.44
UnitedHealthcare
$51.16
Aetna
$51.06
Cigna
Compare published rates across providers.
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CPT 11045
5 of 25 sample ratesHigher to lower in this preview
Focus Hand Surgicenter LLC, Focus Hand And Arm Surgery Center
$906.00Published rateRizwan Ahmed
Catholic Health Initiatives Colorado
$113.34Published rateAndrea Tsoris
Catholic Health Initiatives Colorado
$89.19Published rateDoru Georgescu
Center Of Surgical Specialists PC
$51.29Published rateIrfan Qureshi
Jefferson Hospital Assn Inc
$30.63Published rate
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See a sample payer proposalCPT 11045 vs. Other Surgical Procedures on the Integumentary System Codes
The table lists codes related to 11045. 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 |
| 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 |
| 11046-CPT | Dbrdmt Musc Fsca Ea Addl, Debridement Muscle And Or Fascia Includes Epidermis Dermis And Subcutaneous Tissue 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 11045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11045 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 11045 in an ambulatory surgery center?
CMS lists CPT 11045 with ASC payment indicator N1: Packaged; no separate payment.
Is CPT 11045 an add-on code?
Yes. CMS add-on code edits list CPT 11045 as an add-on code, billed with a primary code. Its primary codes: 11042.
Which revenue codes are billed with CPT 11045?
Hospital price transparency files list CPT 11045 under these revenue codes: including 0761, 0361, 0360, 0510 and 0450. A revenue code names the hospital department or charge category for the line; it does not change what the service is.