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

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 Houston, TX, Medicare pays $148.54 for 11303 in the office and $59.65 when it’s performed in a hospital or facility.

$148.54Office (non-facility)
$59.65Hospital or facility
+0.8%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $148.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

11303 in Houston, TX vs other payment areas
  1. Houston, TX · this page$148.54
  2. Austin, TX · Texas$152.81+$4.27
  3. Beaumont, TX · Texas$137.79−$10.75
  4. Brazoria, TX · Texas$145.75−$2.79
  5. Dallas, TX · Texas$146.64−$1.90
  6. Fort Worth, TX · Texas$145.67−$2.87
  7. Galveston, TX · Texas$146.16−$2.38

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

Every other payment area

11303 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$141.66$56.72
Los Angeles, CACalifornia$166.21$60.32
Washington, DC areaDistrict of Columbia$168.18$62.73
Miami, FLFlorida$158.13$64.94
Chicago, ILIllinois$153.72$63.76
Manhattan, NYNew York$169.01$64.99
AlaskaAlaska$172.37$77.03
AlabamaAlabama$132.64$54.31

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11303 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0081.2298
Practice expense3.06× 0.9933.0386
Malpractice0.13× 1.3760.1789
Total RVUs4.4472
Conversion factor× 33.4009

Office rate, Houston, TX$148.54

Office: (1.22 × 1.008 + 3.06 × 0.993 + 0.13 × 1.376) × $33.4009 = $148.54

Facility: (1.22 × 1.008 + 0.38 × 0.993 + 0.13 × 1.376) × $33.4009 = $59.65

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, Houston, TX
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.$132.34
11308Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, for lesions on the scalp, neck, hands, feet, or genitalia.$142.01
11313Shave removal, face, >2.0 cmSame size tier, for lesions on the face, ears, eyelids, nose, or lips.$178.45
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.$202.43

How 11303 has changed in Houston, TX

11303 · Office / nonfacility

$148.54

Effective 2026-10-01

The base rate is $0.52 lower than on 2025-10-01, moving from $149.06 to $148.54 (0.3%).

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

    $149.06changed to$148.54

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $154.60changed to$149.06

    • 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

    $152.07changed to$154.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $158.64changed to$152.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.19 changed to 3.17
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $161.97changed to$158.64

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $164.71changed to$161.97

    • 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

    $161.43changed to$164.71

    • 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
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $159.98changed to$161.43

    • 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
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.99changed to$159.98

    • 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

    $161.23changed to$161.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $158.74changed to$161.23

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 3.02
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $158.99changed to$158.74

    • 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

    $158.19changed to$158.99

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $155.43changed to$158.19

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $160.04changed to$155.43

    • 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 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $160.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$148.54$59.65RVU26D
2026-07-01$148.54$59.65RVU26C
2026-04-01$148.54$59.65RVU26B
2026-01-01$148.54$59.65RVU26A
2025-10-01$149.06$71.84RVU25D
2025-07-01$149.06$71.84RVU25C
2025-04-01$149.06$71.84RVU25B
2025-01-01$149.06$71.84RVU25A
2024-10-01$154.60$72.80RVU24D
2024-07-01$154.60$72.80RVU24C
2024-04-01$154.60$72.80RVU24B
2024-03-09$154.60$72.80RVU24AR
2024-01-01$152.07$71.61RVU24A
2023-10-01$158.64$73.25RVU23D
2023-07-01$158.64$73.25RVU23C
2023-04-01$158.64$73.25RVU23B
2023-01-01$158.64$73.25RVU23A
2022-10-01$161.97$72.95RVU22D
2022-07-01$161.97$72.95RVU22C
2022-04-01$161.97$72.95RVU22B
2022-01-01$161.97$72.95RVU22A
2021-10-01$164.71$73.87RVU21D
2021-07-01$164.71$73.87RVU21C
2021-04-01$164.71$73.87RVU21B
2021-01-01$164.71$73.87RVU21A
2020-10-01$161.43$76.03RVU20D
2020-07-01$161.43$76.03RVU20C
2020-04-01$161.43$76.03RVU20B
2020-01-01$161.43$76.03RVU20A
2019-10-01$159.98$77.55RVU19D
2019-07-01$159.98$77.55RVU19C
2019-04-01$159.98$77.55RVU19B
2019-01-01$159.98$77.55RVU19A
2018-10-01$161.99$77.83RVU18D
2018-07-01$161.99$77.83RVU18C
2018-04-01$161.99$77.83RVU18B
2018-01-01$161.99$77.83RVU18AR1
2017-10-01$161.23$77.94RVU17D
2017-07-01$161.23$77.94RVU17C
2017-04-01$161.23$77.94RVU17B
2017-01-01$161.23$77.94RVU17A
2016-10-01$158.74$77.33RVU16D
2016-07-01$158.74$77.33RVU16C
2016-04-01$158.74$77.33RVU16B
2016-01-01$158.74$77.33RVU16A
2015-10-01$158.99$76.93RVU15D
2015-07-01$158.99$76.93RVU15C
2015-04-01$158.19$76.54RVU15B
2015-01-01$158.19$76.54RVU15A
2014-10-01$155.43$76.30RVU14D
2014-07-01$155.43$76.30RVU14C
2014-04-01$155.43$76.30RVU14B
2014-01-01$155.43$76.30RVU14A
2013-10-01$160.04$74.81RVU13D
2013-07-01$160.04$74.81RVU13C
2013-04-01$160.04$74.81RVU13B
2013-01-01$160.04$74.81RVU13AR

Price 11303 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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