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See a sample rate comparisonCPT 11047 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.
Dbrdmt Bone Each Addl, Debridement Bone Includes Epidermis Dermis Subcutaneous Tissue Muscle And Or Fascia 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 | 21 - Inpatient Hospital 99 - Other POS |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11047 |
| Medicaid Fee Schedule | View Medicaid rates for 11047 |
National average reimbursement for CPT 11047 by major payers:
$140.55
$151.87
$151.57
$200.61
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CPT 11047
5 of 25 sample ratesHigher to lower in this preview
Catholic Health Initiatives Colorado, <Unavail>
Catholic Health Initiatives Colorado
$1,202.00Published rateJennifer Smedley
University Physicians Incorporated
$414.04Published rateMaria Albuja Cruz
University Physicians Incorporated
$324.86Published rateGreeley Endoscopy Center, LLC, Northern Colorado Endoscopy Center
Greeley Endoscopy Center LLC
$215.00Published rateDavid Jones
Surgical Expertise, Inc.
$165.91Published rate
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See a sample payer proposalCPT 11047 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11047 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 11047 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 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) |
| 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 |
| 11047-CPT | Low | Dbrdmt Bone Each Addl, Debridement Bone Includes Epidermis Dermis Subcutaneous Tissue Muscle And Or Fascia 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 11047. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11047 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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