CPT code 11300: Shave removal, trunk or extremity, 0.5 cm or less2026 Medicare rate & RVUs in Vermont

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.

CMS RVU26DEffective Oct 1, 2026One payment locality98.2K Medicare services in 2024

In Vermont, Medicare pays $94.79 for 11300 in the office and $26.67 when it’s performed in a hospital or facility.

$94.79Office (non-facility)
$26.67Hospital or facility
−1.8%vs the national office rate ($96.53)

Check a contract rate as a % of Medicare · 11300 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 11300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 11300 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 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.

How Vermont compares for 11300

Across 109 of 109 payment localities, the office rate for 11300 runs from $85.01 in Arkansas to $130.84 in San Benito County, CA. Vermont pays $94.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

11300 in Vermont vs other payment areas
  1. Vermont · this page$94.79
  2. Los Angeles, CA · California$110.35+$15.56
  3. Washington, DC area · District of Columbia$111.14+$16.35
  4. Miami, FL · Florida$102.66+$7.87
  5. Chicago, IL · Illinois$99.64+$4.85
  6. Manhattan, NY · New York$111.08+$16.29
  7. Alaska · Alaska$110.35+$15.56

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

Every other payment area

11300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$86.31$26.10
ArkansasArkansas$85.01$25.90
ArizonaArizona$93.92$27.25
Bakersfield, CACalifornia$103.30$27.89
Chico, CACalifornia$103.12$27.71
El Centro, CACalifornia$103.13$27.72
Fresno, CACalifornia$103.12$27.71
Hanford, CACalifornia$103.12$27.71

11300 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.

$85.01

$116.98

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

View every state and territory as a table
11300 office rate range by state
State / territoryOffice rate rangeLocalities
AK$110.351
AL$86.311
AR$85.011
AZ$93.921
CA$103.12–$130.8429
CO$101.111
CT$103.101
DC$111.141
DE$95.531
FL$94.24–$102.663
GA$88.83–$98.192
GU$105.931
HI$105.931
IA$88.961
ID$89.491
IL$91.15–$100.234
IN$90.041
KS$88.351
KY$88.051
LA$87.84–$92.392
MA$100.40–$111.632
MD$97.46–$111.143
ME$89.79–$95.122
MI$90.28–$95.282
MN$97.291
MO$86.15–$92.943
MS$85.611
MT$96.521
NC$90.791
ND$95.341
NE$89.521
NH$99.351
NJ$104.39–$109.882
NM$90.721
NV$96.271
NY$92.19–$113.655
OH$90.041
OK$88.081
OR$95.63–$104.642
PA$90.28–$100.342
PR$97.321
RI$99.161
SC$90.541
SD$95.201
TN$88.791
TX$89.65–$100.688
UT$91.841
VA$94.67–$111.142
VI$97.321
VT$94.791
WA$100.27–$114.132
WI$92.001
WV$87.591
WY$96.011

See 11300 in every payment locality

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

Office or facility?

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,292

Code
11300
Physician work
0.59
Practice expense
2.24
Malpractice
0.06

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 11300 in Vermont
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense2.24× 0.9902.2176
Malpractice0.06× 0.5060.0304
Total RVUs2.8380
Conversion factor× 33.4009

Office rate, Vermont$94.79

Office: (0.59 × 1 + 2.24 × 0.99 + 0.06 × 0.506) × $33.4009 = $94.79

Facility: (0.59 × 1 + 0.18 × 0.99 + 0.06 × 0.506) × $33.4009 = $26.67

Open 11300 in the RVU calculator

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

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)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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

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%).

When to use modifier 51

How 11300 has changed in Vermont

11300 · Office / nonfacility

$94.79

Effective 2026-10-01

The base rate is $0.82 higher than on 2025-10-01, moving from $93.97 to $94.79 (0.9%).

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

    $93.97changed to$94.79

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 2.29 changed to 2.24
    • Practice expense GPCI 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $98.86changed to$93.97

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.35 changed to 2.29
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $97.24changed to$98.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $102.03changed to$97.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.35
    • Practice expense GPCI 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $104.93changed to$102.03

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.39 changed to 2.38
    • Practice expense GPCI 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $105.06changed to$104.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.38 changed to 2.39
    • Malpractice RVU 0.05 changed to 0.07

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $102.22changed to$105.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.18 changed to 2.38
    • Malpractice RVU 0.06 changed to 0.05
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $99.79changed to$102.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.09 changed to 2.18
    • Malpractice RVU 0.08 changed to 0.06
    • Practice expense GPCI 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $100.41changed to$99.79

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.11 changed to 2.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $99.49changed to$100.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.10 changed to 2.11
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $97.49changed to$99.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.06 changed to 2.10
    • Practice expense GPCI 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $97.96changed to$97.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.07 changed to 2.06
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $97.47changed to$97.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $95.34changed to$97.47

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.00 changed to 2.07
    • Malpractice RVU 0.08 changed to 0.07
    • Practice expense GPCI 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$95.34

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$94.79$26.67RVU26D
2026-07-01$94.79$26.67RVU26C
2026-04-01$94.79$26.67RVU26B
2026-01-01$94.79$26.67RVU26A
2025-10-01$93.97$31.66RVU25D
2025-07-01$93.97$31.66RVU25C
2025-04-01$93.97$31.66RVU25B
2025-01-01$93.97$31.66RVU25A
2024-10-01$98.86$32.42RVU24D
2024-07-01$98.86$32.42RVU24C
2024-04-01$98.86$32.42RVU24B
2024-03-09$98.86$32.42RVU24AR
2024-01-01$97.24$31.89RVU24A
2023-10-01$102.03$33.11RVU23D
2023-07-01$102.03$33.11RVU23C
2023-04-01$102.03$33.11RVU23B
2023-01-01$102.03$33.11RVU23A
2022-10-01$104.93$33.57RVU22D
2022-07-01$104.93$33.57RVU22C
2022-04-01$104.93$33.57RVU22B
2022-01-01$104.93$33.57RVU22A
2021-10-01$105.06$33.45RVU21D
2021-07-01$105.06$33.45RVU21C
2021-04-01$105.06$33.45RVU21B
2021-01-01$105.06$33.45RVU21A
2020-10-01$102.22$34.92RVU20D
2020-07-01$102.22$34.92RVU20C
2020-04-01$102.22$34.92RVU20B
2020-01-01$102.22$34.92RVU20A
2019-10-01$99.79$35.41RVU19D
2019-07-01$99.79$35.41RVU19C
2019-04-01$99.79$35.41RVU19B
2019-01-01$99.79$35.41RVU19A
2018-10-01$100.41$35.74RVU18D
2018-07-01$100.41$35.74RVU18C
2018-04-01$100.41$35.74RVU18B
2018-01-01$100.41$35.74RVU18AR1
2017-10-01$99.49$35.69RVU17D
2017-07-01$99.49$35.69RVU17C
2017-04-01$99.49$35.69RVU17B
2017-01-01$99.49$35.69RVU17A
2016-10-01$97.49$35.30RVU16D
2016-07-01$97.49$35.30RVU16C
2016-04-01$97.49$35.30RVU16B
2016-01-01$97.49$35.30RVU16A
2015-10-01$97.96$35.18RVU15D
2015-07-01$97.96$35.18RVU15C
2015-04-01$97.47$35.01RVU15B
2015-01-01$97.47$35.01RVU15A
2014-10-01$95.34$34.80RVU14D
2014-07-01$95.34$34.80RVU14C
2014-04-01$95.34$34.80RVU14B
2014-01-01$95.34$34.80RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11300 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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
RVUs for 11300PPRRVU2026_Oct_nonQPP.csv, line 1,292 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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