CPT 11045 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 | • 22 - On Campus Outpatient Hospital • 99 - Other POS |
| Common Modifiers | • None • 59 - Distinct Procedural Service • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
National average reimbursement for CPT 11045 by major payers:
$47.93
$51.44
$51.16
$75.47
| 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 11045 | ||||||
United | 11045 | $51.29 | 1518974708 - DORU GEORGESCU | 841032396 - (CO) CENTER OF SURGICAL SPECIALISTS PC | CO | Surgery Physician (208600000X) |
United | 11045 | $111.66 | 1063040277 - NEHA ALI | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Obstetrics & Gynecology Physician (207V00000X) |
United | 11045 | $42.77 | 1447296710 - ANDREA KAISER | 840881853 - (CO) SANGRE DE CRISTO SURGICAL ASSOCIATES, PC | CO | Surgery Physician (208600000X) |
United | 11045 | $50.40 | 1053503599 - LISA SCHLITZKUS | 841043351 - (CO) COLORADO VISITING NURSE ASSOCIATION | CO | Surgical Critical Care Physician (2086S0102X) |
United | 11045 | $109.51 | 1164878799 - NATHAN COFFMAN | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | AZ | Hospitalist Physician (208M00000X) |
United | 11045 | $52.65 | 1215271374 - MATTHEW A METZ MD PC, <UNAVAIL> | 264180557 - (CO) MATTHEW A. METZ MD PC | CO | Surgery Physician (208600000X) |
United | 11045 | $77.00 | 1790742328 - SPRINGHILL SURGERY CENTER, LLC | 621712554 - (AR) SPRINGHILL SURGERY CENTER, LLC | AR | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 11045 | $139.75 | 1427610617 - KATHERINE ALPOGIANIS | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Medical Physician Assistant (363AM0700X) |
United | 11045 | $30.79 | 1316029937 - JOHN BERSHOF | 841258487 - JOHN FOX BERSHOF MD PC | CO | Specialist (174400000X) |
United | 11045 | $109.51 | 1609222421 - JAMES FARRELL | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | NY | Orthopaedic Surgery of the Spine Physician (207XS0117X) |
United | 11045 | $174.38 | 1164715108 - ERIC MARABLE | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Anesthesiology Physician (207LP3000X) |
United | 11045 | $144.30 | 1114641974 - MARIAH MILLER | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Pediatric Nurse Practitioner (363LP0200X) |
United | 11045 | $79.45 | 1366754616 - DARNELL BROWN | 850105601 - PRESBYTERIAN HEALTHCARE SERVICES | NH | Surgery Physician (208600000X) |
United | 11045 | $38.34 | 1790858520 - KIAN MODANLOU | 841505645 - SURGONE, P.C. | CO | Surgery Physician (208600000X) |
United | 11045 | $111.66 | 1043353840 - KATJA KISELJAK-VASSILIADES | 742161737 - UNIVERSITY PHYSICIANS INCORPORATED | CO | Endocrinology, Diabetes & Metabolism Physician (207RE0101X) |
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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
CPT 11045 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11045 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 11045 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) |
| 11011-CPT | Moderate | 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 | 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 |
| 11045-CPT | Low | 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 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 11045) and we'll show you how you compare in 15 minutes or less.