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CPT code 11301: Shave lesion, trunk or limb, 0.6–1.0 cm2026 Medicare rate & RVUs in Santa Clara County, CA

Tangential shave removal of a 0.6–1.0 cm skin lesion on the trunk, arm, or leg, selected by anatomic site and lesion size.

CMS RVU26DEffective Oct 1, 2026One payment locality199.2K Medicare services in 2024

In Santa Clara County, CA, Medicare pays $155.06 for 11301 in the office and $47.65 when it’s performed in a hospital or facility.

$155.06Office (non-facility)
$47.65Hospital or facility
+33.4%vs the national office rate ($116.24)

Check a contract rate as a % of Medicare · 11301 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 11301 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 11301 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 11301 covers

This service removes a skin lesion by shaving across its surface rather than excising it through the full thickness of the skin. Dermatologists commonly perform it in an office for a raised lesion on the trunk, arm, or leg when shave removal is the intended treatment or diagnostic approach. The code’s site group excludes lesions on the scalp, neck, hands, feet, genitalia, face, ears, eyelids, nose, and lips, which have separate code families.

Select the code using the lesion’s documented diameter and anatomic site. The record should identify the site, size, and reason for removal, and support that a shave technique was performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery 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 Santa Clara County, CA compares for 11301

Across 109 of 109 payment localities, the office rate for 11301 runs from $103.07 in Arkansas to $155.43 in San Benito County, CA. Santa Clara County, CA pays $155.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

11301 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$155.06
  2. Bakersfield, CA · California$123.83−$31.23
  3. Chico, CA · California$123.58−$31.48
  4. El Centro, CA · California$123.59−$31.47
  5. Fresno, CA · California$123.58−$31.48
  6. Hanford, CA · California$123.58−$31.48
  7. Los Angeles, CA · California$131.95−$23.11

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

Every other payment area

11301 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$123.58$41.94
Merced, CACalifornia$123.58$41.94
Modesto, CACalifornia$123.58$41.94
Napa, CACalifornia$143.54$45.37
Oxnard, CACalifornia$131.37$43.33
Redding, CACalifornia$123.58$41.94
Rest of CaliforniaCalifornia$123.58$41.94
Riverside, CACalifornia$124.45$42.82

11301 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$103.07

$139.51

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

View every state and territory as a table
11301 office rate range by state
State / territoryOffice rate rangeLocalities
AK$135.201
AL$104.551
AR$103.071
AZ$113.241
CA$123.58–$155.4329
CO$121.391
CT$123.871
DC$133.111
DE$115.101
FL$113.88–$123.773
GA$107.66–$118.212
GU$126.641
HI$126.641
IA$107.471
ID$108.091
IL$110.42–$120.784
IN$108.721
KS$106.831
KY$106.671
LA$106.44–$111.632
MA$120.62–$133.482
MD$117.32–$133.113
ME$108.49–$114.492
MI$109.26–$115.122
MN$116.791
MO$104.55–$112.203
MS$103.841
MT$116.231
NC$109.631
ND$114.651
NE$108.091
NH$119.351
NJ$125.41–$131.742
NM$109.791
NV$115.871
NY$111.23–$136.315
OH$108.931
OK$106.631
OR$115.10–$125.362
PA$109.19–$120.732
PR$117.121
RI$119.281
SC$109.441
SD$114.461
TN$107.341
TX$108.47–$120.878
UT$110.911
VA$114.02–$133.112
VI$117.121
VT$114.071
WA$120.44–$136.322
WI$110.851
WV$106.361
WY$115.541

See 11301 in every payment locality

How the 11301 rate is calculated

Each of 11301’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 · 11301

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.88

0.88 RVUs× 1.000 GPCI

Practice expense2.52

2.52 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

3.4800

Conversion factor

$33.4009

Medicare rate

$116.24

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,293

Code
11301
Physician work
0.88
Practice expense
2.52
Malpractice
0.08

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 11301 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work0.88× 1.1100.9768
Practice expense2.52× 1.4423.6338
Malpractice0.08× 0.3970.0318
Total RVUs4.6424
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$155.06

Office: (0.88 × 1.11 + 2.52 × 1.442 + 0.08 × 0.397) × $33.4009 = $155.06

Facility: (0.88 × 1.11 + 0.29 × 1.442 + 0.08 × 0.397) × $33.4009 = $47.65

Open 11301 in the RVU calculator

Payment rules and modifiers for 11301

The CMS indicators that decide how 11301 is paid alongside other services.

CMS payment indicators · 11301

Shave lesion, trunk or limb, 0.6–1.0 cm

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

11301 without 51 · national office

$116.24

Shave lesion, trunk or limb, 0.6–1.0 cm

11301-51 · Second procedure: 50%

$58.12

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

Codes related to 11301

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11301
CodeHow it relatesOffice range, Santa Clara County, CA
Same family
11300Shave removal, trunk or extremity, 0.5 cm or lessSame site group, for lesions in the smaller size tier.$130.56
11302Shave removal, trunk or limb, 1.1–2.0 cmSame site group, for lesions in the next larger size tier.$175.31
11306Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, for lesions in the scalp, neck, hands, feet, or genitalia group.$156.80
11311Shave removal, face and related sites, 0.6–1.0 cmSame size tier, for lesions in the face, ears, eyelids, nose, or lips group.$175.03
Used instead
11102Tangential skin biopsy, first or only lesionTangential skin biopsy for a diagnostic sample rather than shave removal.$128.56
11401Benign lesion excision, trunk/extremities, 0.6–1 cmFull-thickness excision of a benign lesion in the same site group and size tier.$204.04

How 11301 has changed in Santa Clara County, CA

11301 · Office / nonfacility

$155.06

Effective 2026-10-01

The base rate is $1.46 higher than on 2025-10-01, moving from $153.60 to $155.06 (1.0%).

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

    $153.60changed to$155.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.90 changed to 0.88
    • Practice expense RVU 2.59 changed to 2.52
    • Malpractice RVU 0.10 changed to 0.08
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $160.94changed to$153.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.65 changed to 2.59

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $158.31changed to$160.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $162.39changed to$158.31

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.67 changed to 2.65
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $163.21changed to$162.39

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $164.57changed to$163.21

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $158.21changed to$164.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.67
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $152.94changed to$158.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.38 changed to 2.46
    • Malpractice RVU 0.12 changed to 0.09
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $153.75changed to$152.94

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.40 changed to 2.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $153.17changed to$153.75

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $150.67changed to$153.17

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.36 changed to 2.40
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $151.54changed to$150.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.37 changed to 2.36
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $150.79changed to$151.54

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $146.84changed to$150.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.29 changed to 2.37
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $153.36changed to$146.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.60 changed to 2.29
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$153.36

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$155.06$47.65RVU26D
2026-07-01$155.06$47.65RVU26C
2026-04-01$155.06$47.65RVU26B
2026-01-01$155.06$47.65RVU26A
2025-10-01$153.60$58.45RVU25D
2025-07-01$153.60$58.45RVU25C
2025-04-01$153.60$58.45RVU25B
2025-01-01$153.60$58.45RVU25A
2024-10-01$160.94$59.19RVU24D
2024-07-01$160.94$59.19RVU24C
2024-04-01$160.94$59.19RVU24B
2024-03-09$160.94$59.19RVU24AR
2024-01-01$158.31$58.23RVU24A
2023-10-01$162.39$59.73RVU23D
2023-07-01$162.39$59.73RVU23C
2023-04-01$162.39$59.73RVU23B
2023-01-01$162.39$59.73RVU23A
2022-10-01$163.21$59.36RVU22D
2022-07-01$163.21$59.36RVU22C
2022-04-01$163.21$59.36RVU22B
2022-01-01$163.21$59.36RVU22A
2021-10-01$164.57$59.85RVU21D
2021-07-01$164.57$59.85RVU21C
2021-04-01$164.57$59.85RVU21B
2021-01-01$164.57$59.85RVU21A
2020-10-01$158.21$61.87RVU20D
2020-07-01$158.21$61.87RVU20C
2020-04-01$158.21$61.87RVU20B
2020-01-01$158.21$61.87RVU20A
2019-10-01$152.94$61.69RVU19D
2019-07-01$152.94$61.69RVU19C
2019-04-01$152.94$61.69RVU19B
2019-01-01$152.94$61.69RVU19A
2018-10-01$153.75$62.11RVU18D
2018-07-01$153.75$62.11RVU18C
2018-04-01$153.75$62.11RVU18B
2018-01-01$153.75$62.11RVU18AR1
2017-10-01$153.17$62.51RVU17D
2017-07-01$153.17$62.51RVU17C
2017-04-01$153.17$62.51RVU17B
2017-01-01$153.17$62.51RVU17A
2016-10-01$150.67$61.93RVU16D
2016-07-01$150.67$61.93RVU16C
2016-04-01$150.67$61.93RVU16B
2016-01-01$150.67$61.93RVU16A
2015-10-01$151.54$62.00RVU15D
2015-07-01$151.54$62.00RVU15C
2015-04-01$150.79$61.69RVU15B
2015-01-01$150.79$61.69RVU15A
2014-10-01$146.84$61.27RVU14D
2014-07-01$146.84$61.27RVU14C
2014-04-01$146.84$61.27RVU14B
2014-01-01$146.84$61.27RVU14A
2013-10-01$153.36$60.56RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11301 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

11301 billing questions

How does 11301 differ from 11300 or 11302?

All three are shave-removal codes for the trunk, arms, or legs. Choose among them by the lesion’s documented diameter: 11300 is the smaller size tier, 11301 is 0.6–1.0 cm, and 11302 is the next larger tier.

Does the code depend on the lesion’s location as well as its size?

Yes. Code 11301 is for the trunk, arms, or legs; lesions in other designated site groups use their corresponding shave-code family, even at the same diameter.

Is pathology included in the shave removal?

The code reports the removal, not the histopathologic examination. A pathology service may be reported separately when a specimen is submitted and the examination is performed.

What documentation supports reporting 11301?

Document the lesion’s anatomic site and diameter, the reason for removal, and the shave technique. The record should support a lesion size of 0.6–1.0 cm and a site in this code’s group.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. The 0-day global period includes same-day preoperative and postoperative care.

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 11301PPRRVU2026_Oct_nonQPP.csv, line 1,293 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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