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

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 Virginia, Medicare pays $99.28 for 11305 in the office and $31.97 when it’s performed in a hospital or facility.

$99.28Office (non-facility)
$31.97Hospital or facility
−1.9%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 Virginia
  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 Virginia 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. Virginia pays $99.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

11305 in Virginia vs other payment areas
  1. Virginia · this page$99.28
  2. Los Angeles, CA · California$114.81+$15.53
  3. Washington, DC area · District of Columbia$115.84+$16.56
  4. Miami, FL · Florida$107.76+$8.48
  5. Chicago, IL · Illinois$104.78+$5.50
  6. Manhattan, NY · New York$116.04+$16.76
  7. Alaska · Alaska$117.91+$18.63

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 11305 in Virginia
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense2.18× 0.9832.1429
Malpractice0.07× 0.7060.0494
Total RVUs2.9724
Conversion factor× 33.4009

Office rate, Virginia$99.28

Office: (0.78 × 1 + 2.18 × 0.983 + 0.07 × 0.706) × $33.4009 = $99.28

Facility: (0.78 × 1 + 0.13 × 0.983 + 0.07 × 0.706) × $33.4009 = $31.97

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, Virginia
Same family
11300Shave removal, trunk or extremity, 0.5 cm or lessSame size tier, for the trunk, arms, or legs.$94.67
11306Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group, next lesion-size tier.$115.69
11310Shave removal, face, 0.5 cm or smallerSame size tier, for the face and other specified facial sites.$109.46
Used instead
11102Tangential skin biopsy, first or only lesionTangential sampling when the service is a diagnostic biopsy rather than lesion removal.$93.71
11420Benign lesion excision, scalp, neck, hands, feet, genitaliaFull-thickness excision option for a small lesion at the same anatomic group.$122.35

How 11305 has changed in Virginia

11305 · Office / nonfacility

$99.28

Effective 2026-10-01

The base rate is $0.59 higher than on 2025-10-01, moving from $98.69 to $99.28 (0.6%).

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

    $98.69changed to$99.28

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $103.45changed to$98.69

    • 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

    $101.76changed to$103.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $106.57changed to$101.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.31 changed to 2.29
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $110.40changed to$106.57

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $110.34changed to$110.40

    • 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

    $106.94changed to$110.34

    • 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 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $103.26changed to$106.94

    • 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 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $100.30changed to$103.26

    • 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

    $99.47changed to$100.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.94 changed to 1.95
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $98.64changed to$99.47

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.93 changed to 1.94
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $98.34changed to$98.64

    • 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

    $97.85changed to$98.34

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $96.33changed to$97.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.88 changed to 1.92
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $98.18changed to$96.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.09 changed to 1.88
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $98.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$99.28$31.97RVU26D
2026-07-01$99.28$31.97RVU26C
2026-04-01$99.28$31.97RVU26B
2026-01-01$99.28$31.97RVU26A
2025-10-01$98.69$35.35RVU25D
2025-07-01$98.69$35.35RVU25C
2025-04-01$98.69$35.35RVU25B
2025-01-01$98.69$35.35RVU25A
2024-10-01$103.45$36.30RVU24D
2024-07-01$103.45$36.30RVU24C
2024-04-01$103.45$36.30RVU24B
2024-03-09$103.45$36.30RVU24AR
2024-01-01$101.76$35.71RVU24A
2023-10-01$106.57$37.12RVU23D
2023-07-01$106.57$37.12RVU23C
2023-04-01$106.57$37.12RVU23B
2023-01-01$106.57$37.12RVU23A
2022-10-01$110.40$38.43RVU22D
2022-07-01$110.40$38.43RVU22C
2022-04-01$110.40$38.43RVU22B
2022-01-01$110.40$38.43RVU22A
2021-10-01$110.34$38.12RVU21D
2021-07-01$110.34$38.12RVU21C
2021-04-01$110.34$38.12RVU21B
2021-01-01$110.34$38.12RVU21A
2020-10-01$106.94$40.42RVU20D
2020-07-01$106.94$40.42RVU20C
2020-04-01$106.94$40.42RVU20B
2020-01-01$106.94$40.42RVU20A
2019-10-01$103.26$40.01RVU19D
2019-07-01$103.26$40.01RVU19C
2019-04-01$103.26$40.01RVU19B
2019-01-01$103.26$40.01RVU19A
2018-10-01$100.30$39.96RVU18D
2018-07-01$100.30$39.96RVU18C
2018-04-01$100.30$39.96RVU18B
2018-01-01$100.30$39.96RVU18AR1
2017-10-01$99.47$40.08RVU17D
2017-07-01$99.47$40.08RVU17C
2017-04-01$99.47$40.08RVU17B
2017-01-01$99.47$40.08RVU17A
2016-10-01$98.64$39.86RVU16D
2016-07-01$98.64$39.86RVU16C
2016-04-01$98.64$39.86RVU16B
2016-01-01$98.64$39.86RVU16A
2015-10-01$98.34$39.35RVU15D
2015-07-01$98.34$39.35RVU15C
2015-04-01$97.85$39.16RVU15B
2015-01-01$97.85$39.16RVU15A
2014-10-01$96.33$39.11RVU14D
2014-07-01$96.33$39.11RVU14C
2014-04-01$96.33$39.11RVU14B
2014-01-01$96.33$39.11RVU14A
2013-10-01$98.18$37.69RVU13D
2013-07-01$98.18$37.69RVU13C
2013-04-01$98.18$37.69RVU13B
2013-01-01$98.18$37.69RVU13AR

Price 11305 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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