# CPT 11043: Debridement, muscle and/or fascia, first 20 sq cm or less

Medicare CPT 11043 pays $239.48 in a non-facility setting and $138.28 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $213.28 in Arkansas to $286.05 in Alaska, a 34% spread.

Web page: https://www.med-reveal.com/rates/11043-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $239.48 |
| National facility | $138.28 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $286.05 | $178.27 |
| District of Columbia | $270.31 | $151.09 |
| New York | $264.60 | $151.70 |
| New Jersey | $262.51 | $148.55 |
| California | $261.43 | $141.68 |
| Washington | $258.56 | $143.19 |
| Massachusetts | $256.79 | $143.09 |
| Connecticut | $254.78 | $145.79 |
| Florida | $253.23 | $151.68 |
| Hawaii | $252.43 | $137.36 |
| Illinois | $247.93 | $150.14 |
| Maryland | $247.56 | $142.06 |
| Colorado | $246.27 | $138.59 |
| Rhode Island | $244.18 | $139.64 |
| Oregon | $243.67 | $137.06 |
| New Hampshire | $243.37 | $138.02 |
| Puerto Rico | $240.79 | $138.47 |
| Virgin Islands | $240.79 | $138.47 |
| Montana | $239.46 | $138.25 |
| Pennsylvania | $238.43 | $139.29 |
| Nevada | $237.28 | $135.97 |
| Delaware | $236.86 | $136.87 |
| Texas | $236.84 | $137.20 |
| Michigan | $236.81 | $141.77 |
| Georgia | $236.05 | $139.50 |
| Wyoming | $235.84 | $134.63 |
| Minnesota | $233.60 | $129.46 |
| Arizona | $233.20 | $135.13 |
| Virginia | $233.02 | $133.54 |
| Vermont | $231.18 | $130.99 |
| North Dakota | $231.15 | $129.95 |
| New Mexico | $230.88 | $138.08 |
| South Dakota | $230.17 | $128.96 |
| Utah | $229.80 | $134.66 |
| Louisiana | $228.17 | $135.77 |
| Maine | $228.12 | $131.42 |
| Missouri | $227.94 | $135.06 |
| Ohio | $227.62 | $135.22 |
| West Virginia | $227.50 | $139.56 |
| South Carolina | $226.92 | $133.41 |
| North Carolina | $225.20 | $130.78 |
| Wisconsin | $224.00 | $127.04 |
| Kentucky | $223.02 | $133.05 |
| Indiana | $222.23 | $128.41 |
| Oklahoma | $221.63 | $131.26 |
| Idaho | $221.08 | $127.97 |
| Tennessee | $220.47 | $128.47 |
| Nebraska | $220.16 | $126.75 |
| Iowa | $219.33 | $126.73 |
| Kansas | $219.32 | $127.83 |
| Mississippi | $216.70 | $129.56 |
| Alabama | $216.19 | $127.64 |
| Arkansas | $213.28 | $126.34 |

## 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
- 11042: Debridement, subcutaneous tissue, first 20 sq cm or less — https://www.med-reveal.com/rates/11042-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 11043 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