{
    "code": "11043",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/11043/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/11043/2017/A",
    "description": "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.",
    "answer": {
        "question": "How much did Medicare pay for CPT 11043 in Q1 2017?",
        "text": "Medicare paid $232.56 for CPT 11043 in the office (non-facility) setting and $160.78 in a facility under the Q1 2017 Physician Fee Schedule, effective January 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 0.1% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "A",
        "label": "Q1 2017",
        "effective": "January 1 – March 31, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 232.56,
        "facility": 160.78,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.7,
        "practice_expense_non_facility": 3.39,
        "practice_expense_facility": 1.39,
        "malpractice": 0.39
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q1 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17a.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/A",
        "file": "PPRRVU17_V1219.csv",
        "row": 5101,
        "sha256": "fda64dc114c31e9002889c5847fcdcdc1c1ee8a1d8b26765b55e1f5da6e61bab"
    },
    "modified_at": "2026-08-04T03:07:28+00:00"
}