CPT code 11300: Shave removal, trunk or extremity, 0.5 cm or less2026 Medicare rate & RVUs in New York
Reports superficial shave removal of a skin lesion measuring 0.5 cm or less on the trunk, arm, or leg for diagnostic or therapeutic care.
Medicare pays $92.19–$113.65 for 11300 in the office in New York, from Rest of New York to NYC suburbs and Long Island, NY. 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 11300 covers
A clinician removes a small, raised or superficial skin lesion by shaving through the epidermis and into the dermis, rather than excising the lesion through its full thickness. Dermatologists, primary care clinicians, and other qualified practitioners commonly perform this service in an office; it may also be performed in a facility. The specimen may be submitted for histopathologic examination when indicated.
Select this code for a lesion on the trunk, arm, or leg that measures 0.5 cm or less. Document the lesion’s location, size, clinical reason for removal, and shave technique; report each lesion separately rather than combining measurements. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment 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 11300 pays more and less in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
5 payment localities
$92.19 to $113.65
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $111.08 | $31.13 |
| NYC suburbs and Long Island, NY | $113.65 | $31.84 |
| Poughkeepsie and northern NYC suburbs, NY | $104.94 | $29.60 |
| Queens, NY | $112.29 | $30.96 |
| Rest of New York | $92.19 | $26.83 |
How the 11300 rate is calculated
Each of 11300’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 · 11300
RVUs × geographic indexes × conversion factor
Work0.59
0.59 RVUs× 1.000 GPCI
Practice expense2.24
2.24 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
2.8900
Conversion factor
$33.4009
Medicare rate
$96.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11300
The CMS indicators that decide how 11300 is paid alongside other services.
CMS payment indicators · 11300
Shave removal, trunk or extremity, 0.5 cm or less
| 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) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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
11300 without 51 · national office
$96.53
Shave removal, trunk or extremity, 0.5 cm or less
11300-51 · Second procedure: 50%
$48.27
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%).
11300 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11301Shave lesionTrunk or limb, 0.6–1.0 cm
- Both cover shave removal on the trunk, arms, or legs; choose 11301 when the lesion measures 0.6–1.0 cm.
- 11305Shave removalScalp, neck, hands, feet, genitalia
- The size range is the same, but 11305 applies to specified sites including the scalp, neck, hands, feet, and genitalia.
- 11102Tangential skin biopsyFirst or only lesion
- Use 11102 for a tangential biopsy that samples a lesion for diagnosis; use 11300 when the service shaves off the small lesion itself.
- 11400Skin lesion excisionTrunk, arm, or leg; 0.5 cm or less
- 11400 describes full-thickness excision of a small benign lesion on the trunk or extremities, rather than superficial shave removal.
11300 billing questions
Which body sites qualify for this code?
Use it for a lesion on the trunk, arm, or leg measuring 0.5 cm or less. Site-specific shave codes apply to other body regions.
How is the lesion size selected?
Use the lesion’s measured size before removal, not the size of the specimen after shaving. This code is for lesions measuring 0.5 cm or less.
Can this code be used for a diagnostic biopsy?
Use this code when the clinician shaves off the lesion itself. A tangential biopsy code such as 11102 is generally considered when the service obtains a diagnostic sample rather than removing the lesion.
Is same-day care included in the procedure?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How are multiple procedures paid in one session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction.
What should the record show?
Document the exact body site, lesion size, clinical indication, and shave technique. When multiple lesions are treated, identify each lesion separately.
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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