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

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 Puerto Rico, Medicare pays $148.36 for 11303 in the office and $57.86 when it’s performed in a hospital or facility.

$148.36Office (non-facility)
$57.86Hospital or facility
+0.7%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $148.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

11303 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$148.36
  2. Los Angeles, CA · California$166.21+$17.85
  3. Washington, DC area · District of Columbia$168.18+$19.82
  4. Miami, FL · Florida$158.13+$9.77
  5. Chicago, IL · Illinois$153.72+$5.36
  6. Manhattan, NY · New York$169.01+$20.65
  7. Alaska · Alaska$172.37+$24.01

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

Every other payment area

11303 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, CACalifornia$155.79$57.68

11303 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.

$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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11303 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense3.06× 1.0113.0937
Malpractice0.13× 0.9850.1280
Total RVUs4.4417
Conversion factor× 33.4009

Office rate, Puerto Rico$148.36

Office: (1.22 × 1 + 3.06 × 1.011 + 0.13 × 0.985) × $33.4009 = $148.36

Facility: (1.22 × 1 + 0.38 × 1.011 + 0.13 × 0.985) × $33.4009 = $57.86

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

Codes related to 11303

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

Codes related to 11303
CodeHow it relatesOffice range, Puerto Rico
Same family
11302Shave removal, trunk or limb, 1.1–2.0 cmSame body regions and shave technique, for a lesion measuring 1.1–2.0 cm.$132.59
11308Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, for lesions on the scalp, neck, hands, feet, or genitalia.$141.53
11313Shave removal, face, >2.0 cmSame size tier, for lesions on the face, ears, eyelids, nose, or lips.$177.88
Used instead
11403Benign lesion excision, trunk or limb, 2.1–3 cmExcision option for a benign lesion on the trunk, arms, or legs when full-thickness removal is performed.$201.06

How 11303 has changed in Puerto Rico

11303 · Office / nonfacility

$148.36

Effective 2026-10-01

The base rate is $1.53 higher than on 2025-10-01, moving from $146.83 to $148.36 (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

    $146.83changed to$148.36

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $152.45changed to$146.83

    • 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

    $149.96changed to$152.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $155.99changed to$149.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.19 changed to 3.17
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $155.20changed to$155.99

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $158.63changed to$155.20

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $161.34changed to$158.63

    • 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.

  8. January 1, 2021

    RVU21A

    $159.25changed to$161.34

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $158.89changed to$159.25

    • 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 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $160.89changed to$158.89

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $141.78changed to$160.89

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $121.61changed to$141.78

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 3.02
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $122.09changed to$121.61

    • 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.

  14. July 1, 2015

    RVU15C

    $121.49changed to$122.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $118.32changed to$121.49

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $119.48changed to$118.32

    • 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
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $119.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$148.36$57.86RVU26D
2026-07-01$148.36$57.86RVU26C
2026-04-01$148.36$57.86RVU26B
2026-01-01$148.36$57.86RVU26A
2025-10-01$146.83$69.30RVU25D
2025-07-01$146.83$69.30RVU25C
2025-04-01$146.83$69.30RVU25B
2025-01-01$146.83$69.30RVU25A
2024-10-01$152.45$70.32RVU24D
2024-07-01$152.45$70.32RVU24C
2024-04-01$152.45$70.32RVU24B
2024-03-09$152.45$70.32RVU24AR
2024-01-01$149.96$69.17RVU24A
2023-10-01$155.99$71.28RVU23D
2023-07-01$155.20$71.16RVU23C
2023-04-01$155.20$71.16RVU23B
2023-01-01$155.20$71.16RVU23A
2022-10-01$158.63$71.42RVU22D
2022-07-01$158.63$71.42RVU22C
2022-04-01$158.63$71.42RVU22B
2022-01-01$158.63$71.42RVU22A
2021-10-01$161.34$72.36RVU21D
2021-07-01$161.34$72.36RVU21C
2021-04-01$161.34$72.36RVU21B
2021-01-01$161.34$72.36RVU21A
2020-10-01$159.25$74.86RVU20D
2020-07-01$159.25$74.86RVU20C
2020-04-01$159.25$74.86RVU20B
2020-01-01$159.25$74.86RVU20A
2019-10-01$158.89$76.88RVU19D
2019-07-01$158.89$76.88RVU19C
2019-04-01$158.89$76.88RVU19B
2019-01-01$158.89$76.88RVU19A
2018-10-01$160.89$77.15RVU18D
2018-07-01$160.89$77.15RVU18C
2018-04-01$160.89$77.15RVU18B
2018-01-01$160.89$77.15RVU18AR1
2017-10-01$141.78$71.13RVU17D
2017-07-01$141.78$71.13RVU17C
2017-04-01$141.78$71.13RVU17B
2017-01-01$141.78$71.13RVU17A
2016-10-01$121.61$64.57RVU16D
2016-07-01$121.61$64.57RVU16C
2016-04-01$121.61$64.57RVU16B
2016-01-01$121.61$64.57RVU16A
2015-10-01$122.09$64.59RVU15D
2015-07-01$122.09$64.59RVU15C
2015-04-01$121.49$64.27RVU15B
2015-01-01$121.49$64.27RVU15A
2014-10-01$118.32$63.78RVU14D
2014-07-01$118.32$63.78RVU14C
2014-04-01$118.32$63.78RVU14B
2014-01-01$118.32$63.78RVU14A
2013-10-01$119.48$61.82RVU13D
2013-07-01$119.48$61.82RVU13C
2013-04-01$119.48$61.82RVU13B
2013-01-01$119.48$61.82RVU13AR

Price 11303 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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