CPT code 11303: Shave removal, trunk, arms, or legs over 2 cm2026 Medicare rate & RVUs in Detroit, MI

Report this code when a clinician tangentially removes a skin lesion larger than 2 cm from the trunk, an arm, or a leg.

CMS RVU26DEffective Oct 1, 2026One payment locality16K Medicare services in 2024

In Detroit, MI, Medicare pays $146.70 for 11303 in the office and $60.32 when it’s performed in a hospital or facility.

$146.70Office (non-facility)
$60.32Hospital or facility
−0.4%vs the national office rate ($147.30)

Check a contract rate as a % of Medicare · 11303 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 11303 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 11303 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 11303 covers

This service removes a superficial epidermal or dermal lesion by shaving across its surface rather than cutting out a full-thickness section of skin. Dermatologists and other clinicians may perform it in an office or facility for a raised lesion on the trunk, arm, or leg that is symptomatic, repeatedly irritated, or needs diagnostic evaluation. A specimen may be sent for pathology when indicated.

Select the code by the lesion’s body region and measured diameter; this code is for a lesion over 2 cm on the trunk, arms, or legs. Document the site, size, removal method, and reason for treatment, and identify separately treated lesions. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed 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 documentation of 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 Detroit, MI compares for 11303

Across 109 of 109 payment localities, the office rate for 11303 runs from $130.78 in Arkansas to $194.94 in San Benito County, CA. Detroit, MI pays $146.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

11303 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$146.70
  2. Rest of Michigan · Michigan$138.97−$7.73
  3. Los Angeles, CA · California$166.21+$19.51
  4. Washington, DC area · District of Columbia$168.18+$21.48
  5. Miami, FL · Florida$158.13+$11.43
  6. Chicago, IL · Illinois$153.72+$7.02
  7. Manhattan, NY · New York$169.01+$22.31

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

Every other payment area

11303 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$172.37$77.03
AlabamaAlabama$132.64$54.31
ArkansasArkansas$130.78$53.89
ArizonaArizona$143.50$56.76
Bakersfield, CACalifornia$156.19$58.08
Chico, CACalifornia$155.79$57.68
El Centro, CACalifornia$155.81$57.70
Fresno, CACalifornia$155.79$57.68

11303 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.

$130.78

$175.37

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

View every state and territory as a table
11303 office rate range by state
State / territoryOffice rate rangeLocalities
AK$172.371
AL$132.641
AR$130.781
AZ$143.501
CA$155.79–$194.9429
CO$153.381
CT$156.891
DC$168.181
DE$145.841
FL$144.98–$158.133
GA$137.09–$149.932
GU$159.471
HI$159.471
IA$135.991
ID$136.831
IL$140.85–$153.724
IN$137.611
KS$135.331
KY$135.581
LA$135.36–$141.862
MA$152.49–$168.322
MD$148.58–$168.183
ME$137.48–$144.782
MI$138.97–$146.702
MN$147.211
MO$133.08–$142.403
MS$131.961
MT$147.291
NC$138.881
ND$144.721
NE$136.731
NH$150.951
NJ$158.75–$166.512
NM$139.691
NV$146.681
NY$140.90–$172.945
OH$138.441
OK$135.391
OR$145.60–$158.182
PA$138.68–$153.062
PR$148.361
RI$150.981
SC$138.881
SD$144.411
TN$135.991
TX$137.79–$152.818
UT$140.721
VA$144.28–$168.182
VI$148.361
VT$144.131
WA$152.21–$171.742
WI$140.001
WV$135.781
WY$146.171

See 11303 in every payment locality

How the 11303 rate is calculated

Each of 11303’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 · 11303

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.22

1.22 RVUs× 1.000 GPCI

Practice expense3.06

3.06 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.4100

Conversion factor

$33.4009

Medicare rate

$147.30

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

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,295

Code
11303
Physician work
1.22
Practice expense
3.06
Malpractice
0.13

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 11303 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense3.06× 0.9652.9529
Malpractice0.13× 1.6860.2192
Total RVUs4.3921
Conversion factor× 33.4009

Office rate, Detroit, MI$146.70

Office: (1.22 × 1 + 3.06 × 0.965 + 0.13 × 1.686) × $33.4009 = $146.70

Facility: (1.22 × 1 + 0.38 × 0.965 + 0.13 × 1.686) × $33.4009 = $60.32

Open 11303 in the RVU calculator

Payment rules and modifiers for 11303

The CMS indicators that decide how 11303 is paid alongside other services.

CMS payment indicators · 11303

Shave removal, trunk, arms, or legs over 2 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

11303 without 51 · national office

$147.30

Shave removal, trunk, arms, or legs over 2 cm

11303-51 · Second procedure: 50%

$73.65

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 11303 has changed in Detroit, MI

11303 · Office / nonfacility

$146.70

Effective 2026-10-01

The base rate is $1.70 lower than on 2025-10-01, moving from $148.40 to $146.70 (1.1%).

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

    $148.40changed to$146.70

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.25 changed to 1.22
    • Practice expense RVU 3.12 changed to 3.06
    • Malpractice RVU 0.15 changed to 0.13
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $153.78changed to$148.40

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.17 changed to 3.12
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $151.27changed to$153.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $157.52changed to$151.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.19 changed to 3.17
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718
  5. January 1, 2023

    RVU23A

    $160.06changed to$157.52

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $162.99changed to$160.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.22 changed to 3.19
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $160.52changed to$162.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.02 changed to 3.22
    • Malpractice RVU 0.12 changed to 0.13
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.52changed to$160.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.96 changed to 3.02
    • Malpractice RVU 0.18 changed to 0.12
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $163.48changed to$161.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.02 changed to 2.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $162.13changed to$163.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $159.01changed to$162.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 3.02
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $158.99changed to$159.01

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.98 changed to 2.97
    • Malpractice RVU 0.16 changed to 0.18

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $158.20changed to$158.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $159.61changed to$158.20

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.90 changed to 2.98
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $168.39changed to$159.61

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.27 changed to 2.90
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $168.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$146.70$60.32RVU26D
2026-07-01$146.70$60.32RVU26C
2026-04-01$146.70$60.32RVU26B
2026-01-01$146.70$60.32RVU26A
2025-10-01$148.40$72.49RVU25D
2025-07-01$148.40$72.49RVU25C
2025-04-01$148.40$72.49RVU25B
2025-01-01$148.40$72.49RVU25A
2024-10-01$153.78$73.37RVU24D
2024-07-01$153.78$73.37RVU24C
2024-04-01$153.78$73.37RVU24B
2024-03-09$153.78$73.37RVU24AR
2024-01-01$151.27$72.17RVU24A
2023-10-01$157.52$74.15RVU23D
2023-07-01$157.52$74.15RVU23C
2023-04-01$157.52$74.15RVU23B
2023-01-01$157.52$74.15RVU23A
2022-10-01$160.06$73.80RVU22D
2022-07-01$160.06$73.80RVU22C
2022-04-01$160.06$73.80RVU22B
2022-01-01$160.06$73.80RVU22A
2021-10-01$162.99$74.98RVU21D
2021-07-01$162.99$74.98RVU21C
2021-04-01$162.99$74.98RVU21B
2021-01-01$162.99$74.98RVU21A
2020-10-01$160.52$77.37RVU20D
2020-07-01$160.52$77.37RVU20C
2020-04-01$160.52$77.37RVU20B
2020-01-01$160.52$77.37RVU20A
2019-10-01$161.52$80.97RVU19D
2019-07-01$161.52$80.97RVU19C
2019-04-01$161.52$80.97RVU19B
2019-01-01$161.52$80.97RVU19A
2018-10-01$163.48$81.24RVU18D
2018-07-01$163.48$81.24RVU18C
2018-04-01$163.48$81.24RVU18B
2018-01-01$163.48$81.24RVU18AR1
2017-10-01$162.13$80.25RVU17D
2017-07-01$162.13$80.25RVU17C
2017-04-01$162.13$80.25RVU17B
2017-01-01$162.13$80.25RVU17A
2016-10-01$159.01$78.58RVU16D
2016-07-01$159.01$78.58RVU16C
2016-04-01$159.01$78.58RVU16B
2016-01-01$159.01$78.58RVU16A
2015-10-01$158.99$77.91RVU15D
2015-07-01$158.99$77.91RVU15C
2015-04-01$158.20$77.52RVU15B
2015-01-01$158.20$77.52RVU15A
2014-10-01$159.61$80.10RVU14D
2014-07-01$159.61$80.10RVU14C
2014-04-01$159.61$80.10RVU14B
2014-01-01$159.61$80.10RVU14A
2013-10-01$168.39$81.37RVU13D
2013-07-01$168.39$81.37RVU13C
2013-04-01$168.39$81.37RVU13B
2013-01-01$168.39$81.37RVU13AR

Price 11303 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

11303 billing questions

How does this code differ from 11302?

Both apply to the trunk, arms, or legs, but 11302 is for a lesion measuring 1.1–2.0 cm. Use this code when the lesion is larger than 2 cm.

Does this code describe a shave or an excision?

It describes superficial tangential removal by shaving. A procedure that cuts out a full-thickness section of skin is an excision, not a shave removal.

What documentation supports reporting this code?

Record the lesion’s precise trunk, arm, or leg location, measured diameter, removal technique, and clinical reason for treatment. Document separately treated lesions individually.

Is same-day care included?

Yes. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included in the procedure.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery payment requires documented medical necessity.

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 11303PPRRVU2026_Oct_nonQPP.csv, line 1,295 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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