# CPT 11042: Debridement, subcutaneous tissue, first 20 sq cm or less

Medicare CPT 11042 pays $132.60 in a non-facility setting and $55.78 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $117.03 in Arkansas to $153.23 in Alaska, a 31% spread.

Web page: https://www.med-reveal.com/rates/11042-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Clinic/Center, General Surgery, Internal Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $132.60 |
| National facility | $55.78 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $153.23 | $71.41 |
| District of Columbia | $151.86 | $61.37 |
| California | $149.29 | $58.39 |
| New York | $146.76 | $61.05 |
| New Jersey | $146.68 | $60.18 |
| Washington | $146.09 | $58.52 |
| Massachusetts | $144.66 | $58.34 |
| Hawaii | $143.86 | $56.51 |
| Connecticut | $141.52 | $58.79 |
| Colorado | $138.16 | $56.42 |
| Maryland | $137.43 | $57.34 |
| Florida | $137.03 | $59.95 |
| Oregon | $136.78 | $55.85 |
| New Hampshire | $135.98 | $56.00 |
| Rhode Island | $135.91 | $56.55 |
| Puerto Rico | $133.59 | $55.92 |
| Virgin Islands | $133.59 | $55.92 |
| Illinois | $133.45 | $59.22 |
| Montana | $132.59 | $55.77 |
| Minnesota | $132.31 | $53.27 |
| Nevada | $131.97 | $55.07 |
| Wyoming | $131.47 | $54.65 |
| Pennsylvania | $131.24 | $55.99 |
| Delaware | $131.18 | $55.28 |
| Texas | $130.99 | $55.36 |
| North Dakota | $130.02 | $53.20 |
| South Dakota | $129.72 | $52.90 |
| Virginia | $129.70 | $54.18 |
| Vermont | $129.50 | $53.45 |
| Georgia | $129.11 | $55.82 |
| Arizona | $129.01 | $54.57 |
| Michigan | $128.55 | $56.41 |
| Maine | $126.73 | $53.33 |
| Utah | $126.43 | $54.21 |
| Wisconsin | $125.58 | $51.99 |
| New Mexico | $125.55 | $55.10 |
| South Carolina | $124.69 | $53.71 |
| Missouri | $124.67 | $54.17 |
| North Carolina | $124.63 | $52.96 |
| Louisiana | $124.50 | $54.36 |
| Ohio | $124.33 | $54.19 |
| Indiana | $123.40 | $52.18 |
| Idaho | $122.67 | $51.99 |
| Nebraska | $122.55 | $51.64 |
| West Virginia | $121.96 | $55.20 |
| Tennessee | $121.90 | $52.07 |
| Iowa | $121.86 | $51.57 |
| Kentucky | $121.63 | $53.33 |
| Oklahoma | $121.41 | $52.81 |
| Kansas | $121.28 | $51.83 |
| Alabama | $118.78 | $51.56 |
| Mississippi | $118.19 | $52.05 |
| Arkansas | $117.03 | $51.04 |

## Related codes

- 10060: Incision and drainage of abscess, simple — https://www.med-reveal.com/rates/10060-cpt-fee-schedule
- 10061: Incision and drainage of abscess, complicated — https://www.med-reveal.com/rates/10061-cpt-fee-schedule
- 10120: Incision and removal of foreign body, subcutaneous, simple — https://www.med-reveal.com/rates/10120-cpt-fee-schedule
- 10121: Incision and removal of foreign body, subcutaneous, complicated — https://www.med-reveal.com/rates/10121-cpt-fee-schedule
- 11000: Debridement of extensive eczematous or infected skin, first 10% of body surface — https://www.med-reveal.com/rates/11000-cpt-fee-schedule
- 11043: Debridement, muscle and/or fascia, first 20 sq cm or less — https://www.med-reveal.com/rates/11043-cpt-fee-schedule
- 11044: Debridement, bone, first 20 sq cm or less — https://www.med-reveal.com/rates/11044-cpt-fee-schedule
- 11100: Biopsy of skin, single lesion — https://www.med-reveal.com/rates/11100-cpt-fee-schedule

Commercial negotiated rates for 11042 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules