CPT code 11056: Lesion paring, two to four lesions2026 Medicare rate & RVUs in South Dakota

Reports paring or cutting two to four benign hyperkeratotic lesions, such as corns or calluses, when Medicare coverage requirements are met.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8M Medicare services in 2024

In South Dakota, Medicare pays $80.28 for 11056 in the office and $18.82 when it’s performed in a hospital or facility.

$80.28Office (non-facility)
$18.82Hospital or facility
−1.1%vs the national office rate ($81.16)

Check a contract rate as a % of Medicare · 11056 nationwide

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

We’ll open 11056 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 11056 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How South Dakota compares for 11056

Across 109 of 109 payment localities, the office rate for 11056 runs from $71.57 in Arkansas to $110.39 in San Benito County, CA. South Dakota pays $80.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

11056 in South Dakota vs other payment areas
  1. South Dakota · this page$80.28
  2. Los Angeles, CA · California$93.00+$12.72
  3. Washington, DC area · District of Columbia$93.50+$13.22
  4. Miami, FL · Florida$85.81+$5.53
  5. Chicago, IL · Illinois$83.33+$3.05
  6. Manhattan, NY · New York$93.28+$13.00
  7. Alaska · Alaska$92.87+$12.59

Other areas in South Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

11056 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$72.65$18.88
ArkansasArkansas$71.57$18.78
ArizonaArizona$79.00$19.45
Bakersfield, CACalifornia$87.05$19.69
Chico, CACalifornia$86.91$19.56
El Centro, CACalifornia$86.92$19.56
Fresno, CACalifornia$86.91$19.56
Hanford, CACalifornia$86.91$19.56

11056 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$71.57

$98.65

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11056 office rate range by state
State / territoryOffice rate rangeLocalities
AK$92.871
AL$72.651
AR$71.571
AZ$79.001
CA$86.91–$110.3929
CO$85.131
CT$86.661
DC$93.501
DE$80.351
FL$79.04–$85.813
GA$74.57–$82.502
GU$89.301
HI$89.301
IA$74.961
ID$75.381
IL$76.40–$84.024
IN$75.841
KS$74.411
KY$74.011
LA$73.81–$77.602
MA$84.52–$94.002
MD$81.98–$93.503
ME$75.58–$80.102
MI$75.82–$79.862
MN$82.061
MO$72.37–$78.123
MS$71.991
MT$81.161
NC$76.431
ND$80.371
NE$75.451
NH$83.601
NJ$87.79–$92.442
NM$76.171
NV$81.001
NY$77.59–$95.355
OH$75.651
OK$74.081
OR$80.51–$88.132
PA$75.89–$84.322
PR$81.841
RI$83.431
SC$76.141
SD$80.281
TN$74.771
TX$75.36–$84.738
UT$77.221
VA$79.69–$93.502
VI$81.841
VT$79.871
WA$84.42–$96.142
WI$77.571
WV$73.431
WY$80.821

See 11056 in every payment locality

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

Office or facility?

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.

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,263

Code
11056
Physician work
0.49
Practice expense
1.90
Malpractice
0.04

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11056 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0000.4900
Practice expense1.90× 1.0001.9000
Malpractice0.04× 0.3360.0134
Total RVUs2.4034
Conversion factor× 33.4009

Office rate, South Dakota$80.28

Office: (0.49 × 1 + 1.9 × 1 + 0.04 × 0.336) × $33.4009 = $80.28

Facility: (0.49 × 1 + 0.06 × 1 + 0.04 × 0.336) × $33.4009 = $18.82

Open 11056 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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%).

When to use modifier 51

How 11056 has changed in South Dakota

11056 · Office / nonfacility

$80.28

Effective 2026-10-01

The base rate is $2.15 higher than on 2025-10-01, moving from $78.13 to $80.28 (2.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $78.13changed to$80.28

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $81.73changed to$78.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.94 changed to 1.90

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $80.40changed to$81.73

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $82.84changed to$80.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.93 changed to 1.94
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $84.57changed to$82.84

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $81.09changed to$84.57

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.81 changed to 1.93

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $74.65changed to$81.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.55 changed to 1.81
    • Malpractice RVU 0.05 changed to 0.04
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $67.81changed to$74.65

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.37 changed to 1.55
    • Malpractice RVU 0.03 changed to 0.05
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $59.46changed to$67.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.14 changed to 1.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $58.56changed to$59.46

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.12 changed to 1.14
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $58.07changed to$58.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.11 changed to 1.12
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $58.64changed to$58.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.12 changed to 1.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $58.35changed to$58.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $57.76changed to$58.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.10 changed to 1.12
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $58.28changed to$57.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.20 changed to 1.10
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $58.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$80.28$18.82RVU26D
2026-07-01$80.28$18.82RVU26C
2026-04-01$80.28$18.82RVU26B
2026-01-01$80.28$18.82RVU26A
2025-10-01$78.13$20.55RVU25D
2025-07-01$78.13$20.55RVU25C
2025-04-01$78.13$20.55RVU25B
2025-01-01$78.13$20.55RVU25A
2024-10-01$81.73$20.81RVU24D
2024-07-01$81.73$20.81RVU24C
2024-04-01$81.73$20.81RVU24B
2024-03-09$81.73$20.81RVU24AR
2024-01-01$80.40$20.47RVU24A
2023-10-01$82.84$21.16RVU23D
2023-07-01$82.84$21.16RVU23C
2023-04-01$82.84$21.16RVU23B
2023-01-01$82.84$21.16RVU23A
2022-10-01$84.57$21.59RVU22D
2022-07-01$84.57$21.59RVU22C
2022-04-01$84.57$21.59RVU22B
2022-01-01$84.57$21.59RVU22A
2021-10-01$81.09$21.77RVU21D
2021-07-01$81.09$21.77RVU21C
2021-04-01$81.09$21.77RVU21B
2021-01-01$81.09$21.77RVU21A
2020-10-01$74.65$23.04RVU20D
2020-07-01$74.65$23.04RVU20C
2020-04-01$74.65$23.04RVU20B
2020-01-01$74.65$23.04RVU20A
2019-10-01$67.81$22.76RVU19D
2019-07-01$67.81$22.76RVU19C
2019-04-01$67.81$22.76RVU19B
2019-01-01$67.81$22.76RVU19A
2018-10-01$59.46$22.74RVU18D
2018-07-01$59.46$22.74RVU18C
2018-04-01$59.46$22.74RVU18B
2018-01-01$59.46$22.74RVU18AR1
2017-10-01$58.56$22.68RVU17D
2017-07-01$58.56$22.68RVU17C
2017-04-01$58.56$22.68RVU17B
2017-01-01$58.56$22.68RVU17A
2016-10-01$58.07$22.63RVU16D
2016-07-01$58.07$22.63RVU16C
2016-04-01$58.07$22.63RVU16B
2016-01-01$58.07$22.63RVU16A
2015-10-01$58.64$22.71RVU15D
2015-07-01$58.64$22.71RVU15C
2015-04-01$58.35$22.60RVU15B
2015-01-01$58.35$22.60RVU15A
2014-10-01$57.76$22.66RVU14D
2014-07-01$57.76$22.66RVU14C
2014-04-01$57.76$22.66RVU14B
2014-01-01$57.76$22.66RVU14A
2013-10-01$58.28$21.88RVU13D
2013-07-01$58.28$21.88RVU13C
2013-04-01$58.28$21.88RVU13B
2013-01-01$58.28$21.88RVU13AR

Price 11056 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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
RVUs for 11056PPRRVU2026_Oct_nonQPP.csv, line 1,263 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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