CPT code 11056: Lesion paring, two to four lesions2026 Medicare rate & RVUs in Missouri
Reports paring or cutting two to four benign hyperkeratotic lesions, such as corns or calluses, when Medicare coverage requirements are met.
Medicare pays $72.37–$78.12 for 11056 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 11056 covers
A clinician pares or cuts two to four benign hyperkeratotic lesions, commonly corns or calluses, to reduce thickened tissue. Podiatrists frequently perform this service on the feet; other clinicians may treat lesions at other sites. The code reflects the number of lesions treated, not the number of cuts or the area of tissue removed.
Report 11056 once for two to four lesions; use the neighboring codes for a different lesion count. Document the number and location of lesions, their hyperkeratotic nature, the treatment performed, and the circumstances supporting Medicare coverage. Medicare pays this service only in specific circumstances. It has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures subject to the standard multiple procedure reduction are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are 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.
Where 11056 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$72.37 to $78.12
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $77.26 | $19.55 |
| Metropolitan St. Louis, MO | $78.12 | $19.61 |
| Rest of Missouri | $72.37 | $19.40 |
How the 11056 rate is calculated
Each of 11056’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.
How the rate is built · 11056
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense1.90
1.90 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.4300
Conversion factor
$33.4009
Medicare rate
$81.16
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11056
The CMS indicators that decide how 11056 is paid alongside other services.
CMS payment indicators · 11056
Lesion paring, two to four lesions
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11056 without 51 · national office
$81.16
Lesion paring, two to four lesions
11056-51 · Second procedure: 50%
$40.58
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
11056 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11055Lesion paringOne lesion
- Choose 11055 when one benign hyperkeratotic lesion is pared or cut; 11056 represents two to four lesions.
- 11057Callus paringMore than four lesions
- Choose 11057 when more than four benign hyperkeratotic lesions are pared or cut; 11056 is for two to four.
- 11042Wound debridementSubcutaneous tissue, first 20 sq cm
- 11042 describes debridement of subcutaneous tissue for a wound. Use 11056 for paring or cutting benign hyperkeratotic lesions, not wound-bed debridement.
- 17110Benign lesion destructionUp to 14 lesions
- 17110 is for destruction of benign lesions. 11056 is for paring or cutting hyperkeratotic lesions rather than destroying them.
11056 billing questions
When should 11056 be selected instead of 11055 or 11057?
Use 11056 when two to four benign hyperkeratotic lesions are pared or cut. Use 11055 for one lesion and 11057 for more than four.
Is 11056 reported once per lesion?
No. Report the code once for the session when two to four lesions are treated; do not submit one unit for each lesion.
What documentation supports Medicare coverage?
Record the number and sites of the lesions, their hyperkeratotic character, the service performed, and the circumstances that meet Medicare's coverage requirements.
Does 11056 have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can modifier 50 be used for lesions on both feet?
No. The bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be billed for this service?
Medicare does not pay an assistant at surgery for 11056. Co-surgeon and team-surgery billing are not permitted.
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
Show the CMS file lines behind this rate
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