# CPT 11043

> Medicare paid $232.37 for CPT 11043 in the office (non-facility) setting and $160.05 in a facility under the Q4 2016 Physician Fee Schedule, effective October 2016. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2016, when it decreased 0.2%.

## What it is

Surgical cleaning of a wound in which dead or infected tissue is cut away and the removal reaches the muscle or the tough fibrous sheet (fascia) that wraps it. This is the deeper member of a graded family: companion codes cover debridement that stops at fat and subcutaneous tissue, or that goes further and takes bone. This code covers a small treated area, with a separate code used for each further block of surface area on a larger wound.

## Selected release

- Release: Q4 2016 (2016 D)
- Effective: October 1 – December 31, 2016
- Status indicator: A
- Office (non-facility) national allowed amount: $232.37
- Facility national allowed amount: $160.05
- Sequestration: not applied

## RVUs and formula

- Work RVU: 2.70
- Office (non-facility) practice expense RVU: 3.39
- Facility practice expense RVU: 1.37
- Malpractice RVU: 0.40
- Conversion factor: 35.8043
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2016)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu16d.zip
- Parsed file: PPRRVU16_V0804.csv, row 4,963
- Canonical page: https://localishealth.com/cpt/11043/2016/A
- Release-specific citation URL: https://localishealth.com/cpt/11043/2016/D
- Last significant update: 2026-08-04T03:07:13+00:00