CPT code 11305: Shave removal, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Los Angeles, CA

Report this service for shave removal of a lesion measuring 0.5 cm or less on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 2026One payment locality82.2K Medicare services in 2024

In Los Angeles, CA, Medicare pays $114.81 for 11305 in the office and $33.81 when it’s performed in a hospital or facility.

$114.81Office (non-facility)
$33.81Hospital or facility
+13.4%vs the national office rate ($101.20)

Check a contract rate as a % of Medicare · 11305 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 11305 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 11305 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 11305 covers

This service removes a small, superficial skin lesion by shaving through the epidermal or dermal layers rather than excising a full-thickness section of skin. Dermatologists and other clinicians who perform office skin procedures may use it for a raised lesion selected for removal, including a lesion on the hand or foot. The site must fall within this code’s anatomic group; facial lesions belong to a different group.

Choose the code by the lesion’s anatomic site and measured diameter, and document both, along with the removal technique and clinical reason. This code represents one lesion; distinct lesions are reported separately when supported by the record. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 documented 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 Los Angeles, CA compares for 11305

Across 109 of 109 payment localities, the office rate for 11305 runs from $89.80 in Arkansas to $135.17 in San Benito County, CA. Los Angeles, CA pays $114.81. The RVUs are the same everywhere; the geographic indexes change the dollars.

11305 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$114.81
  2. Bakersfield, CA · California$107.78−$7.03
  3. Chico, CA · California$107.55−$7.26
  4. El Centro, CA · California$107.56−$7.25
  5. Fresno, CA · California$107.55−$7.26
  6. Hanford, CA · California$107.55−$7.26
  7. Madera, CA · California$107.55−$7.26

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

Every other payment area

11305 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$107.55$32.51
Modesto, CACalifornia$107.55$32.51
Napa, CACalifornia$124.85$34.60
Oxnard, CACalifornia$114.30$33.37
Redding, CACalifornia$107.55$32.51
Rest of CaliforniaCalifornia$107.55$32.51
Riverside, CACalifornia$108.32$33.27
Sacramento, CACalifornia$112.93$33.29

11305 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.

$89.80

$121.36

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

View every state and territory as a table
11305 office rate range by state
State / territoryOffice rate rangeLocalities
AK$117.911
AL$91.091
AR$89.801
AZ$98.611
CA$107.55–$135.1729
CO$105.671
CT$107.821
DC$115.841
DE$100.231
FL$99.18–$107.763
GA$93.79–$102.922
GU$110.201
HI$110.201
IA$93.611
ID$94.151
IL$96.19–$105.164
IN$94.691
KS$93.051
KY$92.921
LA$92.73–$97.232
MA$105.01–$116.142
MD$102.15–$115.843
ME$94.50–$99.692
MI$95.17–$100.262
MN$101.671
MO$91.10–$97.713
MS$90.471
MT$101.201
NC$95.481
ND$99.821
NE$94.141
NH$103.901
NJ$109.17–$114.662
NM$95.631
NV$100.891
NY$96.87–$118.645
OH$94.891
OK$92.891
OR$100.22–$109.112
PA$95.11–$105.112
PR$101.971
RI$103.851
SC$95.321
SD$99.651
TN$93.501
TX$94.49–$105.218
UT$96.601
VA$99.28–$115.842
VI$101.971
VT$99.321
WA$104.84–$118.612
WI$96.531
WV$92.671
WY$100.601

See 11305 in every payment locality

How the 11305 rate is calculated

Each of 11305’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 · 11305

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense2.18

2.18 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

3.0300

Conversion factor

$33.4009

Medicare rate

$101.20

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,296

Code
11305
Physician work
0.78
Practice expense
2.18
Malpractice
0.07

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 11305 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0410.8120
Practice expense2.18× 1.1832.5789
Malpractice0.07× 0.6640.0465
Total RVUs3.4374
Conversion factor× 33.4009

Office rate, Los Angeles, CA$114.81

Office: (0.78 × 1.041 + 2.18 × 1.183 + 0.07 × 0.664) × $33.4009 = $114.81

Facility: (0.78 × 1.041 + 0.13 × 1.183 + 0.07 × 0.664) × $33.4009 = $33.81

Open 11305 in the RVU calculator

Payment rules and modifiers for 11305

The CMS indicators that decide how 11305 is paid alongside other services.

CMS payment indicators · 11305

Shave removal, scalp, neck, hands, feet, genitalia

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

11305 without 51 · national office

$101.20

Shave removal, scalp, neck, hands, feet, genitalia

11305-51 · Second procedure: 50%

$50.60

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 11305 has changed in Los Angeles, CA

11305 · Office / nonfacility

$114.81

Effective 2026-10-01

The base rate is $0.01 lower than on 2025-10-01, moving from $114.82 to $114.81 (0.0%).

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

    $114.82changed to$114.81

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 2.24 changed to 2.18
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $120.37changed to$114.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.29 changed to 2.24
    • Malpractice RVU 0.07 changed to 0.06

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $118.41changed to$120.37

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $122.81changed to$118.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690
  5. January 1, 2023

    RVU23A

    $125.85changed to$122.81

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.33 changed to 2.31
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $125.96changed to$125.85

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.32 changed to 2.33
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $121.87changed to$125.96

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.11 changed to 2.32
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $118.02changed to$121.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.03 changed to 2.11
    • Malpractice RVU 0.07 changed to 0.08
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $114.50changed to$118.02

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.95 changed to 2.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.46changed to$114.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.94 changed to 1.95
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $112.49changed to$113.46

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.93 changed to 1.94
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $112.16changed to$112.49

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.92 changed to 1.93
    • Malpractice RVU 0.06 changed to 0.07

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $111.60changed to$112.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $109.52changed to$111.60

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.88 changed to 1.92
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $111.57changed to$109.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.09 changed to 1.88
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$111.57

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$114.81$33.81RVU26D
2026-07-01$114.81$33.81RVU26C
2026-04-01$114.81$33.81RVU26B
2026-01-01$114.81$33.81RVU26A
2025-10-01$114.82$37.96RVU25D
2025-07-01$114.82$37.96RVU25C
2025-04-01$114.82$37.96RVU25B
2025-01-01$114.82$37.96RVU25A
2024-10-01$120.37$38.90RVU24D
2024-07-01$120.37$38.90RVU24C
2024-04-01$120.37$38.90RVU24B
2024-03-09$120.37$38.90RVU24AR
2024-01-01$118.41$38.26RVU24A
2023-10-01$122.81$39.68RVU23D
2023-07-01$122.81$39.68RVU23C
2023-04-01$122.81$39.68RVU23B
2023-01-01$122.81$39.68RVU23A
2022-10-01$125.85$40.87RVU22D
2022-07-01$125.85$40.87RVU22C
2022-04-01$125.85$40.87RVU22B
2022-01-01$125.85$40.87RVU22A
2021-10-01$125.96$40.68RVU21D
2021-07-01$125.96$40.68RVU21C
2021-04-01$125.96$40.68RVU21B
2021-01-01$125.96$40.68RVU21A
2020-10-01$121.87$42.93RVU20D
2020-07-01$121.87$42.93RVU20C
2020-04-01$121.87$42.93RVU20B
2020-01-01$121.87$42.93RVU20A
2019-10-01$118.02$42.51RVU19D
2019-07-01$118.02$42.51RVU19C
2019-04-01$118.02$42.51RVU19B
2019-01-01$118.02$42.51RVU19A
2018-10-01$114.50$42.47RVU18D
2018-07-01$114.50$42.47RVU18C
2018-04-01$114.50$42.47RVU18B
2018-01-01$114.50$42.47RVU18AR1
2017-10-01$113.46$42.98RVU17D
2017-07-01$113.46$42.98RVU17C
2017-04-01$113.46$42.98RVU17B
2017-01-01$113.46$42.98RVU17A
2016-10-01$112.49$43.07RVU16D
2016-07-01$112.49$43.07RVU16C
2016-04-01$112.49$43.07RVU16B
2016-01-01$112.49$43.07RVU16A
2015-10-01$112.16$42.49RVU15D
2015-07-01$112.16$42.49RVU15C
2015-04-01$111.60$42.27RVU15B
2015-01-01$111.60$42.27RVU15A
2014-10-01$109.52$41.90RVU14D
2014-07-01$109.52$41.90RVU14C
2014-04-01$109.52$41.90RVU14B
2014-01-01$109.52$41.90RVU14A
2013-10-01$111.57$40.11RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11305 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

11305 billing questions

Which sites qualify for this code?

Use it for a lesion on the scalp, neck, hands, feet, or genitalia. Face, ear, eyelid, nose, and lip lesions use a different anatomic group.

How do I distinguish this code from 11306?

Both cover the same anatomic group, but 11306 is for a lesion larger than 0.5 cm through 1.0 cm. This code is for a lesion measuring 0.5 cm or less.

Can I report multiple units for separate lesions?

The code describes removal of one lesion. Report distinct lesions separately with the code matching each lesion’s site and size, subject to applicable claim edits.

Is a pathology examination included?

The shave-removal service does not itself describe the pathology examination. If a specimen is submitted, pathology services are considered and reported separately when supported.

How does this differ from a tangential biopsy?

Use this code when the service is removal of the lesion; use 11102 when the purpose is a tangential biopsy for diagnostic sampling rather than lesion removal.

What happens when other procedures are performed in the same session?

CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Same-day preoperative and postoperative care is included in this code’s 0-day global period.

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 11305PPRRVU2026_Oct_nonQPP.csv, line 1,296 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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