CPT code 11055: Lesion paring, one lesion2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $65.55 for 11055 in the office and $13.78 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11055 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11055 covers

This service removes the thickened surface of one benign hyperkeratotic lesion, commonly a corn or callus, by paring or cutting it. Podiatrists, dermatologists, and other qualified clinicians may perform it in an office or outpatient setting. The target is a localized thickened lesion, not a wound requiring tissue-depth debridement or a nail requiring trimming or debridement.

Select this code when one lesion is treated; use 11056 for two to four lesions or 11057 for more than four. Document the lesion, its location, the treatment performed, and the clinical reason for care. Medicare payment is restricted to specific circumstances, so the record must support coverage under the applicable criteria. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate because this code counts lesions rather than paired anatomy. Medicare does not pay an assistant at surgery for this service, and co-surgeon or team-surgery billing is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for 11055

Across 109 of 109 payment localities, the office rate for 11055 runs from $61.51 in Arkansas to $96.47 in San Benito County, CA. New Mexico pays $65.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11055 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 11055 in every payment locality

How the 11055 rate is calculated

Each of 11055’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 11055

The CMS indicators that decide how 11055 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 11055

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 11055 has changed in New Mexico

Price 11055 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates