CPT code 11056: Lesion paring, two to four lesions2026 Medicare rate & RVUs in King County, WA

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 King County, WA, Medicare pays $96.14 for 11056 in the office and $20.74 when it’s performed in a hospital or facility.

$96.14Office (non-facility)
$20.74Hospital or facility
+18.5%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 King County, WA
  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 King County, WA 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. King County, WA pays $96.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

11056 in King County, WA vs other payment areas
  1. King County, WA · this page$96.14
  2. Rest of Washington · Washington$84.42−$11.72
  3. Los Angeles, CA · California$93.00−$3.14
  4. Washington, DC area · District of Columbia$93.50−$2.64
  5. Miami, FL · Florida$85.81−$10.33
  6. Chicago, IL · Illinois$83.33−$12.81
  7. Manhattan, NY · New York$93.28−$2.86

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

Every other payment area

11056 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$92.87$27.42
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

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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 11056 in King County, WA
ComponentRVULocality factorAdjusted
Physician work0.49× 1.0500.5145
Practice expense1.90× 1.2272.3313
Malpractice0.04× 0.8170.0327
Total RVUs2.8785
Conversion factor× 33.4009

Office rate, King County, WA$96.14

Office: (0.49 × 1.05 + 1.9 × 1.227 + 0.04 × 0.817) × $33.4009 = $96.14

Facility: (0.49 × 1.05 + 0.06 × 1.227 + 0.04 × 0.817) × $33.4009 = $20.74

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 King County, WA

11056 · Office / nonfacility

$96.14

Effective 2026-10-01

The base rate is $3.19 higher than on 2025-10-01, moving from $92.95 to $96.14 (3.4%).

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

    $92.95changed to$96.14

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.50 changed to 0.49
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $97.28changed to$92.95

    • 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

    $95.69changed to$97.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $97.65changed to$95.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.93 changed to 1.94
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853
  5. January 1, 2023

    RVU23A

    $98.75changed to$97.65

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $94.57changed to$98.75

    • 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

    $85.59changed to$94.57

    • 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
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $76.09changed to$85.59

    • 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
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $66.52changed to$76.09

    • 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

    $65.44changed to$66.52

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.12 changed to 1.14
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $64.78changed to$65.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.11 changed to 1.12
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $65.43changed to$64.78

    • 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

    $65.11changed to$65.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $64.41changed to$65.11

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.10 changed to 1.12
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $65.04changed to$64.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.20 changed to 1.10
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $65.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$96.14$20.74RVU26D
2026-07-01$96.14$20.74RVU26C
2026-04-01$96.14$20.74RVU26B
2026-01-01$96.14$20.74RVU26A
2025-10-01$92.95$22.71RVU25D
2025-07-01$92.95$22.71RVU25C
2025-04-01$92.95$22.71RVU25B
2025-01-01$92.95$22.71RVU25A
2024-10-01$97.28$22.96RVU24D
2024-07-01$97.28$22.96RVU24C
2024-04-01$97.28$22.96RVU24B
2024-03-09$97.28$22.96RVU24AR
2024-01-01$95.69$22.59RVU24A
2023-10-01$97.65$23.21RVU23D
2023-07-01$97.65$23.21RVU23C
2023-04-01$97.65$23.21RVU23B
2023-01-01$97.65$23.21RVU23A
2022-10-01$98.75$23.55RVU22D
2022-07-01$98.75$23.55RVU22C
2022-04-01$98.75$23.55RVU22B
2022-01-01$98.75$23.55RVU22A
2021-10-01$94.57$23.74RVU21D
2021-07-01$94.57$23.74RVU21C
2021-04-01$94.57$23.74RVU21B
2021-01-01$94.57$23.74RVU21A
2020-10-01$85.59$25.21RVU20D
2020-07-01$85.59$25.21RVU20C
2020-04-01$85.59$25.21RVU20B
2020-01-01$85.59$25.21RVU20A
2019-10-01$76.09$24.47RVU19D
2019-07-01$76.09$24.47RVU19C
2019-04-01$76.09$24.47RVU19B
2019-01-01$76.09$24.47RVU19A
2018-10-01$66.52$24.44RVU18D
2018-07-01$66.52$24.44RVU18C
2018-04-01$66.52$24.44RVU18B
2018-01-01$66.52$24.44RVU18AR1
2017-10-01$65.44$24.14RVU17D
2017-07-01$65.44$24.14RVU17C
2017-04-01$65.44$24.14RVU17B
2017-01-01$65.44$24.14RVU17A
2016-10-01$64.78$23.84RVU16D
2016-07-01$64.78$23.84RVU16C
2016-04-01$64.78$23.84RVU16B
2016-01-01$64.78$23.84RVU16A
2015-10-01$65.43$23.93RVU15D
2015-07-01$65.43$23.93RVU15C
2015-04-01$65.11$23.81RVU15B
2015-01-01$65.11$23.81RVU15A
2014-10-01$64.41$24.04RVU14D
2014-07-01$64.41$24.04RVU14C
2014-04-01$64.41$24.04RVU14B
2014-01-01$64.41$24.04RVU14A
2013-10-01$65.04$23.40RVU13D
2013-07-01$65.04$23.40RVU13C
2013-04-01$65.04$23.40RVU13B
2013-01-01$65.04$23.40RVU13AR

Price 11056 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 11056 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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