2025 CPT code 11005
(Active) Effective Date: N/A Surgical Procedures on the Integumentary System - Integumentary System Surgery Feed
Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure.
Modifiers may be applicable. Modifier 59 may be used to distinguish 11005 from codes 11042-11047 when different depths of tissue are debrided in the same operative session.
Medical necessity for 11005 is established by the presence of necrotizing soft tissue infection in the abdominal wall.Documentation should support the diagnosis and the extent of the infection.
The physician evaluates the extent of necrotic tissue in the abdominal wall.Using surgical instruments, they remove all infected and necrotic tissue, preserving as much healthy tissue as possible.Bleeding is controlled, drains may be placed, antibiotics are applied, and the wound is packed.Fascial closure may or may not be performed.
In simple words: This procedure cleans a severe infection in the abdominal wall by removing all the dead and infected tissue, including skin, fat, muscle, and the tough layer covering the muscle. Sometimes, the surgeon will also close the covering over the muscle.
This code describes a surgical procedure involving the removal of dead, damaged, or infected tissue from the abdominal wall.It includes debridement of skin, subcutaneous tissue, muscle, and fascia. The procedure may or may not include closure of the abdominal fascia.
Example 1: A patient presents with a necrotizing soft tissue infection of the abdominal wall following a traumatic injury. Debridement of the skin, subcutaneous tissue, muscle, and fascia of the abdominal wall is performed (11005)., A patient with a post-surgical abdominal wound develops a deep infection involving the fascia and muscle.The surgeon performs debridement of the infected tissues of the abdominal wall (11005) along with fascial closure., A patient with diabetes develops a necrotizing infection of the abdominal wall.The physician performs debridement down to the muscle and fascia (11005) and leaves the wound open for later reconstruction.
Documentation should include the size and depth of the wound, the tissues involved (skin, subcutaneous tissue, muscle, fascia), the presence of necrotizing infection, any procedures performed (debridement, fascial closure), and the medical necessity for the procedure.
** Always check the latest CPT and Medicare guidelines for updated coding, coverage, and reimbursement information.
- Revenue Code: P6A (Minor Procedures - Skin)
- RVU: 14.24 (as of 2019, this value may have changed, refer to updated fee schedule)
- Global Days: Refer to current Medicare guidelines for global days associated with 11005.
- Payment Status: Active(As of 2017, listed under Inpatient Only list. Verify current payment status)
- Modifier TC rule: Information not found
- Fee Schedule: Information not found for complete historical data. As of 2019: 13.10 WRVU. Consult CMS fee schedules for historical data.
- Specialties:General surgery, trauma surgery, infectious disease, plastic surgery, and potentially others depending on context.
- Place of Service:Inpatient Hospital,Outpatient Hospital, Ambulatory Surgical Center. Other places of service possible depending upon the clinical scenario.