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

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 South Dakota, Medicare pays $144.41 for 11303 in the office and $54.90 when it’s performed in a hospital or facility.

$144.41Office (non-facility)
$54.90Hospital or facility
−2.0%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 South Dakota
  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 South Dakota 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. South Dakota pays $144.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

11303 in South Dakota vs other payment areas
  1. South Dakota · this page$144.41
  2. Los Angeles, CA · California$166.21+$21.80
  3. Washington, DC area · District of Columbia$168.18+$23.77
  4. Miami, FL · Florida$158.13+$13.72
  5. Chicago, IL · Illinois$153.72+$9.31
  6. Manhattan, NY · New York$169.01+$24.60
  7. Alaska · Alaska$172.37+$27.96

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11303 in South Dakota
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0001.2200
Practice expense3.06× 1.0003.0600
Malpractice0.13× 0.3360.0437
Total RVUs4.3237
Conversion factor× 33.4009

Office rate, South Dakota$144.41

Office: (1.22 × 1 + 3.06 × 1 + 0.13 × 0.336) × $33.4009 = $144.41

Facility: (1.22 × 1 + 0.38 × 1 + 0.13 × 0.336) × $33.4009 = $54.90

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 South Dakota

11303 · Office / nonfacility

$144.41

Effective 2026-10-01

The base rate is $1.20 higher than on 2025-10-01, moving from $143.21 to $144.41 (0.8%).

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

    $143.21changed to$144.41

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $148.91changed to$143.21

    • 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

    $146.48changed to$148.91

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $152.19changed to$146.48

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.19 changed to 3.17
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $155.09changed to$152.19

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $157.55changed to$155.09

    • 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

    $155.70changed to$157.55

    • 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 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $154.25changed to$155.70

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $156.24changed to$154.25

    • 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

    $155.80changed to$156.24

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $153.67changed to$155.80

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 3.02
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $154.30changed to$153.67

    • 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

    $153.53changed to$154.30

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $151.20changed to$153.53

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $156.43changed to$151.20

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $156.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$144.41$54.90RVU26D
2026-07-01$144.41$54.90RVU26C
2026-04-01$144.41$54.90RVU26B
2026-01-01$144.41$54.90RVU26A
2025-10-01$143.21$66.22RVU25D
2025-07-01$143.21$66.22RVU25C
2025-04-01$143.21$66.22RVU25B
2025-01-01$143.21$66.22RVU25A
2024-10-01$148.91$67.36RVU24D
2024-07-01$148.91$67.36RVU24C
2024-04-01$148.91$67.36RVU24B
2024-03-09$148.91$67.36RVU24AR
2024-01-01$146.48$66.26RVU24A
2023-10-01$152.19$68.15RVU23D
2023-07-01$152.19$68.15RVU23C
2023-04-01$152.19$68.15RVU23B
2023-01-01$152.19$68.15RVU23A
2022-10-01$155.09$68.58RVU22D
2022-07-01$155.09$68.58RVU22C
2022-04-01$155.09$68.58RVU22B
2022-01-01$155.09$68.58RVU22A
2021-10-01$157.55$69.27RVU21D
2021-07-01$157.55$69.27RVU21C
2021-04-01$157.55$69.27RVU21B
2021-01-01$157.55$69.27RVU21A
2020-10-01$155.70$71.97RVU20D
2020-07-01$155.70$71.97RVU20C
2020-04-01$155.70$71.97RVU20B
2020-01-01$155.70$71.97RVU20A
2019-10-01$154.25$72.80RVU19D
2019-07-01$154.25$72.80RVU19C
2019-04-01$154.25$72.80RVU19B
2019-01-01$154.25$72.80RVU19A
2018-10-01$156.24$73.08RVU18D
2018-07-01$156.24$73.08RVU18C
2018-04-01$156.24$73.08RVU18B
2018-01-01$156.24$73.08RVU18AR1
2017-10-01$155.80$73.25RVU17D
2017-07-01$155.80$73.25RVU17C
2017-04-01$155.80$73.25RVU17B
2017-01-01$155.80$73.25RVU17A
2016-10-01$153.67$72.75RVU16D
2016-07-01$153.67$72.75RVU16C
2016-04-01$153.67$72.75RVU16B
2016-01-01$153.67$72.75RVU16A
2015-10-01$154.30$72.73RVU15D
2015-07-01$154.30$72.73RVU15C
2015-04-01$153.53$72.37RVU15B
2015-01-01$153.53$72.37RVU15A
2014-10-01$151.20$72.39RVU14D
2014-07-01$151.20$72.39RVU14C
2014-04-01$151.20$72.39RVU14B
2014-01-01$151.20$72.39RVU14A
2013-10-01$156.43$71.37RVU13D
2013-07-01$156.43$71.37RVU13C
2013-04-01$156.43$71.37RVU13B
2013-01-01$156.43$71.37RVU13AR

Price 11303 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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