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CPT code 11306: Shave removal, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Houston, TX

Report this code for shave removal of one skin lesion measuring 0.6 to 1.0 cm on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 2026One payment locality98.9K Medicare services in 2024

In Houston, TX, Medicare pays $118.57 for 11306 in the office and $41.96 when it’s performed in a hospital or facility.

$118.57Office (non-facility)
$41.96Hospital or facility
+0.6%vs the national office rate ($117.91)

Check a contract rate as a % of Medicare · 11306 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 11306 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Houston, TX
  2. What 11306 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 11306 covers

This service removes a single superficial skin lesion by shaving through the epidermis and into the dermis, rather than excising it through the full thickness of the skin. It applies to lesions on the scalp, neck, hands, feet, or genitalia that measure 0.6 to 1.0 cm. Dermatologists commonly perform the procedure in an office; primary care clinicians and other qualified practitioners may also remove lesions in office or facility settings. A specimen may be sent for pathology when clinically indicated.

Choose the code by the lesion’s diameter and the treated anatomic area, and document the site, measurement, and removal technique. Report each distinct lesion according to its own size and location. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same 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 Houston, TX compares for 11306

Across 109 of 109 payment localities, the office rate for 11306 runs from $104.79 in Arkansas to $157.17 in San Benito County, CA. Houston, TX pays $118.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

11306 in Houston, TX vs other payment areas
  1. Houston, TX · this page$118.57
  2. Austin, TX · Texas$122.53+$3.96
  3. Beaumont, TX · Texas$110.17−$8.40
  4. Brazoria, TX · Texas$116.81−$1.76
  5. Dallas, TX · Texas$117.47−$1.10
  6. Fort Worth, TX · Texas$116.67−$1.90
  7. Galveston, TX · Texas$117.11−$1.46

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

Every other payment area

11306 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$113.37$40.15
Los Angeles, CACalifornia$133.64$42.36
Washington, DC areaDistrict of Columbia$134.83$43.94
Miami, FLFlorida$125.43$45.11
Chicago, ILIllinois$122.00$44.46
Manhattan, NYNew York$135.06$45.41
AlaskaAlaska$137.85$55.68
AlabamaAlabama$106.27$38.75

11306 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.

$104.79

$141.21

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

View every state and territory as a table
11306 office rate range by state
State / territoryOffice rate rangeLocalities
AK$137.851
AL$106.271
AR$104.791
AZ$114.921
CA$125.25–$157.1729
CO$123.061
CT$125.551
DC$134.831
DE$116.791
FL$115.56–$125.433
GA$109.36–$119.882
GU$128.271
HI$128.271
IA$109.171
ID$109.791
IL$112.12–$122.454
IN$110.411
KS$108.531
KY$108.371
LA$108.15–$113.322
MA$122.31–$135.162
MD$119.01–$134.833
ME$110.19–$116.162
MI$110.96–$116.802
MN$118.461
MO$106.27–$113.893
MS$105.551
MT$117.901
NC$111.321
ND$116.321
NE$109.791
NH$121.011
NJ$127.13–$133.482
NM$111.481
NV$117.541
NY$112.92–$138.055
OH$110.631
OK$108.341
OR$116.78–$127.032
PA$110.88–$122.422
PR$118.791
RI$120.981
SC$111.131
SD$116.131
TN$109.041
TX$110.17–$122.538
UT$112.601
VA$115.69–$134.832
VI$118.791
VT$115.751
WA$122.12–$138.022
WI$112.531
WV$108.071
WY$117.211

See 11306 in every payment locality

How the 11306 rate is calculated

Each of 11306’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 · 11306

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.94

0.94 RVUs× 1.000 GPCI

Practice expense2.51

2.51 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

3.5300

Conversion factor

$33.4009

Medicare rate

$117.91

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

1,297

Code
11306
Physician work
0.94
Practice expense
2.51
Malpractice
0.08

GPCI2026.csv

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11306 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work0.94× 1.0080.9475
Practice expense2.51× 0.9932.4924
Malpractice0.08× 1.3760.1101
Total RVUs3.5500
Conversion factor× 33.4009

Office rate, Houston, TX$118.57

Office: (0.94 × 1.008 + 2.51 × 0.993 + 0.08 × 1.376) × $33.4009 = $118.57

Facility: (0.94 × 1.008 + 0.2 × 0.993 + 0.08 × 1.376) × $33.4009 = $41.96

Open 11306 in the RVU calculator

Payment rules and modifiers for 11306

The CMS indicators that decide how 11306 is paid alongside other services.

CMS payment indicators · 11306

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

11306 without 51 · national office

$117.91

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

11306-51 · Second procedure: 50%

$58.96

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 11306

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

Codes related to 11306
CodeHow it relatesOffice range, Houston, TX
Same family
11305Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group and technique for a lesion up to 0.5 cm.$101.78
11307Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group and technique for a 1.1 to 2.0 cm lesion.$133.34
11308Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group and technique for a lesion larger than 2.0 cm.$142.01
11301Shave lesion, trunk or limb, 0.6–1.0 cmSame size range and shave technique for lesions on the trunk, arms, or legs.$116.89
11311Shave removal, face and related sites, 0.6–1.0 cmSame size range and shave technique for lesions on the face, ears, eyelids, nose, or lips.$133.28
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy when the service is diagnostic sampling rather than shave removal.$95.95

How 11306 has changed in Houston, TX

11306 · Office / nonfacility

$118.57

Effective 2026-10-01

The base rate is $0.06 higher than on 2025-10-01, moving from $118.51 to $118.57 (0.1%).

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

    $118.51changed to$118.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.96 changed to 0.94
    • Practice expense RVU 2.57 changed to 2.51
    • 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

    $124.43changed to$118.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.63 changed to 2.57
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $122.40changed to$124.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.08changed to$122.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.64 changed to 2.63
    • Malpractice RVU 0.10 changed to 0.09
    • 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

    $130.74changed to$128.08

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.63 changed to 2.64
    • Malpractice RVU 0.09 changed to 0.10
    • 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

    $131.83changed to$130.74

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $128.72changed to$131.83

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.45 changed to 2.63
    • 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

    $125.80changed to$128.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.38 changed to 2.45
    • Malpractice RVU 0.11 changed to 0.09
    • 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

    $126.76changed to$125.80

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.41 changed to 2.38

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $126.15changed to$126.76

    • 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

    $124.15changed to$126.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.37 changed to 2.41
    • 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

    $124.26changed to$124.15

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $123.64changed to$124.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $121.29changed to$123.64

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.30 changed to 2.37
    • Malpractice RVU 0.11 changed to 0.10
    • 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

    $124.37changed to$121.29

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.58 changed to 2.30
    • 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: $124.37

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$118.57$41.96RVU26D
2026-07-01$118.57$41.96RVU26C
2026-04-01$118.57$41.96RVU26B
2026-01-01$118.57$41.96RVU26A
2025-10-01$118.51$48.44RVU25D
2025-07-01$118.51$48.44RVU25C
2025-04-01$118.51$48.44RVU25B
2025-01-01$118.51$48.44RVU25A
2024-10-01$124.43$49.98RVU24D
2024-07-01$124.43$49.98RVU24C
2024-04-01$124.43$49.98RVU24B
2024-03-09$124.43$49.98RVU24AR
2024-01-01$122.40$49.16RVU24A
2023-10-01$128.08$50.96RVU23D
2023-07-01$128.08$50.96RVU23C
2023-04-01$128.08$50.96RVU23B
2023-01-01$128.08$50.96RVU23A
2022-10-01$130.74$50.98RVU22D
2022-07-01$130.74$50.98RVU22C
2022-04-01$130.74$50.98RVU22B
2022-01-01$130.74$50.98RVU22A
2021-10-01$131.83$51.40RVU21D
2021-07-01$131.83$51.40RVU21C
2021-04-01$131.83$51.40RVU21B
2021-01-01$131.83$51.40RVU21A
2020-10-01$128.72$53.25RVU20D
2020-07-01$128.72$53.25RVU20C
2020-04-01$128.72$53.25RVU20B
2020-01-01$128.72$53.25RVU20A
2019-10-01$125.80$54.32RVU19D
2019-07-01$125.80$54.32RVU19C
2019-04-01$125.80$54.32RVU19B
2019-01-01$125.80$54.32RVU19A
2018-10-01$126.76$54.62RVU18D
2018-07-01$126.76$54.62RVU18C
2018-04-01$126.76$54.62RVU18B
2018-01-01$126.76$54.62RVU18AR1
2017-10-01$126.15$54.45RVU17D
2017-07-01$126.15$54.45RVU17C
2017-04-01$126.15$54.45RVU17B
2017-01-01$126.15$54.45RVU17A
2016-10-01$124.15$53.91RVU16D
2016-07-01$124.15$53.91RVU16C
2016-04-01$124.15$53.91RVU16B
2016-01-01$124.15$53.91RVU16A
2015-10-01$124.26$53.77RVU15D
2015-07-01$124.26$53.77RVU15C
2015-04-01$123.64$53.50RVU15B
2015-01-01$123.64$53.50RVU15A
2014-10-01$121.29$53.32RVU14D
2014-07-01$121.29$53.32RVU14C
2014-04-01$121.29$53.32RVU14B
2014-01-01$121.29$53.32RVU14A
2013-10-01$124.37$51.41RVU13D
2013-07-01$124.37$51.41RVU13C
2013-04-01$124.37$51.41RVU13B
2013-01-01$124.37$51.41RVU13AR

Price 11306 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

11306 billing questions

How does this code differ from 11305 or 11307?

All three are for shave removal in the scalp, neck, hands, feet, or genitalia group. Select 11305 for a lesion up to 0.5 cm, 11306 for 0.6 to 1.0 cm, and 11307 for 1.1 to 2.0 cm.

When should 11311 be used instead?

Use 11311 for a 0.6 to 1.0 cm shave removal on the face, ears, eyelids, nose, or lips. The size is the same, but the anatomic group differs.

What documentation supports reporting 11306?

Document the lesion’s location, measured diameter, and shave-removal technique. If multiple lesions are treated, record each lesion separately so the size and site supporting each code are clear.

Does same-day care have a separate global-period payment?

CMS assigns this minor procedure a 0-day global period. Same-day preoperative and postoperative care is included.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.

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 11306PPRRVU2026_Oct_nonQPP.csv, line 1,297 (RVU26D)
Geographic factors for Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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