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

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 Utah, Medicare pays $96.60 for 11305 in the office and $32.23 when it’s performed in a hospital or facility.

$96.60Office (non-facility)
$32.23Hospital or facility
−4.5%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 Utah
  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 Utah 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. Utah pays $96.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

11305 in Utah vs other payment areas
  1. Utah · this page$96.60
  2. Los Angeles, CA · California$114.81+$18.21
  3. Washington, DC area · District of Columbia$115.84+$19.24
  4. Miami, FL · Florida$107.76+$11.16
  5. Chicago, IL · Illinois$104.78+$8.18
  6. Manhattan, NY · New York$116.04+$19.44
  7. Alaska · Alaska$117.91+$21.31

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

Every other payment area

11305 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$91.09$31.18
ArkansasArkansas$89.80$30.99
ArizonaArizona$98.61$32.26
Bakersfield, CACalifornia$107.78$32.73
Chico, CACalifornia$107.55$32.51
El Centro, CACalifornia$107.56$32.52
Fresno, CACalifornia$107.55$32.51
Hanford, CACalifornia$107.55$32.51

11305 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.

$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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 11305 in Utah
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense2.18× 0.9402.0492
Malpractice0.07× 0.8980.0629
Total RVUs2.8921
Conversion factor× 33.4009

Office rate, Utah$96.60

Office: (0.78 × 1 + 2.18 × 0.94 + 0.07 × 0.898) × $33.4009 = $96.60

Facility: (0.78 × 1 + 0.13 × 0.94 + 0.07 × 0.898) × $33.4009 = $32.23

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

Codes related to 11305

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

Codes related to 11305
CodeHow it relatesOffice range, Utah
Same family
11300Shave removal, trunk or extremity, 0.5 cm or lessSame size tier, for the trunk, arms, or legs.$91.84
11306Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group, next lesion-size tier.$112.60
11310Shave removal, face, 0.5 cm or smallerSame size tier, for the face and other specified facial sites.$106.33
Used instead
11102Tangential skin biopsy, first or only lesionTangential sampling when the service is a diagnostic biopsy rather than lesion removal.$90.99
11420Benign lesion excision, scalp, neck, hands, feet, genitaliaFull-thickness excision option for a small lesion at the same anatomic group.$119.27

How 11305 has changed in Utah

11305 · Office / nonfacility

$96.60

Effective 2026-10-01

The base rate is $1.32 higher than on 2025-10-01, moving from $95.28 to $96.60 (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

    $95.28changed to$96.60

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $99.92changed to$95.28

    • 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

    $98.29changed to$99.92

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $101.65changed to$98.29

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $104.00changed to$101.65

    • 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
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $103.98changed to$104.00

    • 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

    $101.99changed to$103.98

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $99.59changed to$101.99

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $96.81changed to$99.59

    • 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

    $96.04changed to$96.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.94 changed to 1.95
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $95.29changed to$96.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.93 changed to 1.94
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $94.88changed to$95.29

    • 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

    $94.41changed to$94.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $92.99changed to$94.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.88 changed to 1.92
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $94.60changed to$92.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.09 changed to 1.88
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $94.60

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$96.60$32.23RVU26D
2026-07-01$96.60$32.23RVU26C
2026-04-01$96.60$32.23RVU26B
2026-01-01$96.60$32.23RVU26A
2025-10-01$95.28$35.23RVU25D
2025-07-01$95.28$35.23RVU25C
2025-04-01$95.28$35.23RVU25B
2025-01-01$95.28$35.23RVU25A
2024-10-01$99.92$36.25RVU24D
2024-07-01$99.92$36.25RVU24C
2024-04-01$99.92$36.25RVU24B
2024-03-09$99.92$36.25RVU24AR
2024-01-01$98.29$35.66RVU24A
2023-10-01$101.65$36.69RVU23D
2023-07-01$101.65$36.69RVU23C
2023-04-01$101.65$36.69RVU23B
2023-01-01$101.65$36.69RVU23A
2022-10-01$104.00$37.53RVU22D
2022-07-01$104.00$37.53RVU22C
2022-04-01$104.00$37.53RVU22B
2022-01-01$104.00$37.53RVU22A
2021-10-01$103.98$37.28RVU21D
2021-07-01$103.98$37.28RVU21C
2021-04-01$103.98$37.28RVU21B
2021-01-01$103.98$37.28RVU21A
2020-10-01$101.99$40.03RVU20D
2020-07-01$101.99$40.03RVU20C
2020-04-01$101.99$40.03RVU20B
2020-01-01$101.99$40.03RVU20A
2019-10-01$99.59$40.12RVU19D
2019-07-01$99.59$40.12RVU19C
2019-04-01$99.59$40.12RVU19B
2019-01-01$99.59$40.12RVU19A
2018-10-01$96.81$40.08RVU18D
2018-07-01$96.81$40.08RVU18C
2018-04-01$96.81$40.08RVU18B
2018-01-01$96.81$40.08RVU18AR1
2017-10-01$96.04$40.27RVU17D
2017-07-01$96.04$40.27RVU17C
2017-04-01$96.04$40.27RVU17B
2017-01-01$96.04$40.27RVU17A
2016-10-01$95.29$40.16RVU16D
2016-07-01$95.29$40.16RVU16C
2016-04-01$95.29$40.16RVU16B
2016-01-01$95.29$40.16RVU16A
2015-10-01$94.88$39.55RVU15D
2015-07-01$94.88$39.55RVU15C
2015-04-01$94.41$39.35RVU15B
2015-01-01$94.41$39.35RVU15A
2014-10-01$92.99$39.33RVU14D
2014-07-01$92.99$39.33RVU14C
2014-04-01$92.99$39.33RVU14B
2014-01-01$92.99$39.33RVU14A
2013-10-01$94.60$37.88RVU13D
2013-07-01$94.60$37.88RVU13C
2013-04-01$94.60$37.88RVU13B
2013-01-01$94.60$37.88RVU13AR

Price 11305 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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