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CPT code 11303: Shave removal, trunk, arms, or legs over 2 cm2026 Medicare rate & RVUs in King County, WA

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 King County, WA, Medicare pays $171.74 for 11303 in the office and $61.91 when it’s performed in a hospital or facility.

$171.74Office (non-facility)
$61.91Hospital or facility
+16.6%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 King County, WA
  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 King County, WA 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. King County, WA pays $171.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

11303 in King County, WA vs other payment areas
  1. King County, WA · this page$171.74
  2. Rest of Washington · Washington$152.21−$19.53
  3. Los Angeles, CA · California$166.21−$5.53
  4. Washington, DC area · District of Columbia$168.18−$3.56
  5. Miami, FL · Florida$158.13−$13.61
  6. Chicago, IL · Illinois$153.72−$18.02
  7. Manhattan, NY · New York$169.01−$2.73

Other areas in Washington 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.

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 King County, WA 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

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 11303 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.22× 1.0501.2810
Practice expense3.06× 1.2273.7546
Malpractice0.13× 0.8170.1062
Total RVUs5.1418
Conversion factor× 33.4009

Office rate, King County, WA$171.74

Office: (1.22 × 1.05 + 3.06 × 1.227 + 0.13 × 0.817) × $33.4009 = $171.74

Facility: (1.22 × 1.05 + 0.38 × 1.227 + 0.13 × 0.817) × $33.4009 = $61.91

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, King County, WA
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.$154.21
11308Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, for lesions on the scalp, neck, hands, feet, or genitalia.$162.36
11313Shave removal, face, >2.0 cmSame size tier, for lesions on the face, ears, eyelids, nose, or lips.$204.78
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.$231.07

How 11303 has changed in King County, WA

11303 · Office / nonfacility

$171.74

Effective 2026-10-01

The base rate is $2.31 higher than on 2025-10-01, moving from $169.43 to $171.74 (1.4%).

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

    $169.43changed to$171.74

    • 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 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $176.11changed to$169.43

    • 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

    $173.24changed to$176.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $178.35changed to$173.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.19 changed to 3.17
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $179.85changed to$178.35

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.12 changed to 0.14
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $182.86changed to$179.85

    • 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

    $177.73changed to$182.86

    • 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 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $174.56changed to$177.73

    • 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 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $176.84changed to$174.56

    • 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

    $175.38changed to$176.84

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $171.89changed to$175.38

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.97 changed to 3.02
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $172.57changed to$171.89

    • 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

    $171.71changed to$172.57

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $169.56changed to$171.71

    • 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 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $176.26changed to$169.56

    • 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 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $176.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$171.74$61.91RVU26D
2026-07-01$171.74$61.91RVU26C
2026-04-01$171.74$61.91RVU26B
2026-01-01$171.74$61.91RVU26A
2025-10-01$169.43$75.51RVU25D
2025-07-01$169.43$75.51RVU25C
2025-04-01$169.43$75.51RVU25B
2025-01-01$169.43$75.51RVU25A
2024-10-01$176.11$76.61RVU24D
2024-07-01$176.11$76.61RVU24C
2024-04-01$176.11$76.61RVU24B
2024-03-09$176.11$76.61RVU24AR
2024-01-01$173.24$75.36RVU24A
2023-10-01$178.35$76.92RVU23D
2023-07-01$178.35$76.92RVU23C
2023-04-01$178.35$76.92RVU23B
2023-01-01$178.35$76.92RVU23A
2022-10-01$179.85$76.55RVU22D
2022-07-01$179.85$76.55RVU22C
2022-04-01$179.85$76.55RVU22B
2022-01-01$179.85$76.55RVU22A
2021-10-01$182.86$77.45RVU21D
2021-07-01$182.86$77.45RVU21C
2021-04-01$182.86$77.45RVU21B
2021-01-01$182.86$77.45RVU21A
2020-10-01$177.73$79.77RVU20D
2020-07-01$177.73$79.77RVU20C
2020-04-01$177.73$79.77RVU20B
2020-01-01$177.73$79.77RVU20A
2019-10-01$174.56$81.22RVU19D
2019-07-01$174.56$81.22RVU19C
2019-04-01$174.56$81.22RVU19B
2019-01-01$174.56$81.22RVU19A
2018-10-01$176.84$81.54RVU18D
2018-07-01$176.84$81.54RVU18C
2018-04-01$176.84$81.54RVU18B
2018-01-01$176.84$81.54RVU18AR1
2017-10-01$175.38$80.37RVU17D
2017-07-01$175.38$80.37RVU17C
2017-04-01$175.38$80.37RVU17B
2017-01-01$175.38$80.37RVU17A
2016-10-01$171.89$78.43RVU16D
2016-07-01$171.89$78.43RVU16C
2016-04-01$171.89$78.43RVU16B
2016-01-01$171.89$78.43RVU16A
2015-10-01$172.57$78.35RVU15D
2015-07-01$172.57$78.35RVU15C
2015-04-01$171.71$77.96RVU15B
2015-01-01$171.71$77.96RVU15A
2014-10-01$169.56$78.93RVU14D
2014-07-01$169.56$78.93RVU14C
2014-04-01$169.56$78.93RVU14B
2014-01-01$169.56$78.93RVU14A
2013-10-01$176.26$78.96RVU13D
2013-07-01$176.26$78.96RVU13C
2013-04-01$176.26$78.96RVU13B
2013-01-01$176.26$78.96RVU13AR

Price 11303 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 11303 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

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 King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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