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CPT 11004 — Dbrdmt skin xtrnl gent&per

CPT code 11004 (Dbrdmt skin xtrnl gent&per) carries 10.53 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 15.11 in a non-facility setting and 15.11 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $504.69 and $504.69 respectively.

10.53
Work RVU
15.11
Total RVU (non-facility)
$504.69
Medicare, non-facility
$504.69
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 11004

ComponentRVUsWhat it covers
Work RVU10.53Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)2.46Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU2.12Professional liability cost.
Total RVU (non-facility)15.11Work + non-facility PE + malpractice.
Total RVU (facility)15.11Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 11004 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility15.11$33.40$504.69
Facility15.11$33.40$504.69

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 11004

Global period
0-day global — no pre- or post-operative period included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

11000 · 0.59 wRVU11005 · 13.88 wRVU11006 · 12.77 wRVU

Questions about CPT 11004

How many work RVUs is CPT 11004?

CPT 11004 is assigned 10.53 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 11004?

At the 2026 national conversion factor of $33.40, CPT 11004 pays approximately $504.69 in a non-facility setting and $504.69 in a facility setting before geographic adjustment.

What is the global period for CPT 11004?

0-day global — no pre- or post-operative period included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.