CPT code 11307: Shave removal, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Puerto Rico

Reports shave removal of a single 1.1-2.0 cm skin lesion on the scalp, neck, hands, feet, or genitalia using a tangential technique.

CMS RVU26DEffective Oct 1, 2026One payment locality52.3K Medicare services in 2024

In Puerto Rico, Medicare pays $133.20 for 11307 in the office and $51.48 when it’s performed in a hospital or facility.

$133.20Office (non-facility)
$51.48Hospital or facility
+0.7%vs the national office rate ($132.27)

Check a contract rate as a % of Medicare · 11307 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 11307 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 11307 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 11307 covers

This code represents tangential removal of one epidermal or dermal lesion measuring 1.1-2.0 cm on the scalp, neck, hands, feet, or genitalia. A physician or other qualified practitioner typically uses a blade or similar instrument to shave the lesion without excising it through the full thickness of the skin. The service is performed in office or facility settings, often for a raised or superficial lesion selected for removal.

Choose the code by the lesion’s measured size and anatomic site, not by the amount of tissue submitted or the instrument used. Document the site, lesion dimensions, and the shave-removal procedure; report separately for distinct lesions when supported. The 0-day global period includes same-day preoperative and postoperative care. 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% multiple-procedure 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 Puerto Rico compares for 11307

Across 109 of 109 payment localities, the office rate for 11307 runs from $117.86 in Arkansas to $174.43 in San Benito County, CA. Puerto Rico pays $133.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

11307 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$133.20
  2. Los Angeles, CA · California$149.02+$15.82
  3. Washington, DC area · District of Columbia$150.73+$17.53
  4. Miami, FL · Florida$141.56+$8.36
  5. Chicago, IL · Illinois$137.75+$4.55
  6. Manhattan, NY · New York$151.42+$18.22
  7. Alaska · Alaska$155.98+$22.78

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

Every other payment area

11307 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$119.48$48.76
ArkansasArkansas$117.86$48.43
ArizonaArizona$128.96$50.64
Bakersfield, CACalifornia$140.17$51.58
Chico, CACalifornia$139.82$51.23
El Centro, CACalifornia$139.84$51.25
Fresno, CACalifornia$139.82$51.23
Hanford, CACalifornia$139.82$51.23

11307 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.

$117.86

$157.13

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

View every state and territory as a table
11307 office rate range by state
State / territoryOffice rate rangeLocalities
AK$155.981
AL$119.481
AR$117.861
AZ$128.961
CA$139.82–$174.4329
CO$137.661
CT$140.711
DC$150.731
DE$131.021
FL$130.18–$141.563
GA$123.31–$134.562
GU$142.981
HI$142.981
IA$122.441
ID$123.171
IL$126.55–$137.794
IN$123.841
KS$121.851
KY$122.021
LA$121.82–$127.492
MA$136.89–$150.832
MD$133.43–$150.733
ME$123.72–$130.112
MI$124.95–$131.652
MN$132.281
MO$119.82–$127.983
MS$118.871
MT$132.261
NC$124.941
ND$130.091
NE$123.091
NH$135.481
NJ$142.42–$149.302
NM$125.581
NV$131.741
NY$126.70–$154.845
OH$124.511
OK$121.871
OR$130.82–$141.892
PA$124.73–$137.352
PR$133.201
RI$135.571
SC$124.911
SD$129.831
TN$122.421
TX$123.95–$137.128
UT$126.521
VA$129.67–$150.732
VI$133.201
VT$129.561
WA$136.64–$153.872
WI$125.971
WV$122.121
WY$131.311

See 11307 in every payment locality

How the 11307 rate is calculated

Each of 11307’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 · 11307

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.17

1.17 RVUs× 1.000 GPCI

Practice expense2.68

2.68 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

3.9600

Conversion factor

$33.4009

Medicare rate

$132.27

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,298

Code
11307
Physician work
1.17
Practice expense
2.68
Malpractice
0.11

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11307 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0001.1700
Practice expense2.68× 1.0112.7095
Malpractice0.11× 0.9850.1084
Total RVUs3.9878
Conversion factor× 33.4009

Office rate, Puerto Rico$133.20

Office: (1.17 × 1 + 2.68 × 1.011 + 0.11 × 0.985) × $33.4009 = $133.20

Facility: (1.17 × 1 + 0.26 × 1.011 + 0.11 × 0.985) × $33.4009 = $51.48

Open 11307 in the RVU calculator

Payment rules and modifiers for 11307

The CMS indicators that decide how 11307 is paid alongside other services.

CMS payment indicators · 11307

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

11307 without 51 · national office

$132.27

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

11307-51 · Second procedure: 50%

$66.14

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 11307 has changed in Puerto Rico

11307 · Office / nonfacility

$133.20

Effective 2026-10-01

The base rate is $0.67 higher than on 2025-10-01, moving from $132.53 to $133.20 (0.5%).

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

    $132.53changed to$133.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 2.76 changed to 2.68
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $139.07changed to$132.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.84 changed to 2.76

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $136.80changed to$139.07

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $142.70changed to$136.80

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.87 changed to 2.84
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $141.99changed to$142.70

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $146.44changed to$141.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.90 changed to 2.87
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $149.41changed to$146.44

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.95 changed to 2.90

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $148.36changed to$149.41

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.78 changed to 2.95
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $148.04changed to$148.36

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.74 changed to 2.78
    • Malpractice RVU 0.15 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $149.32changed to$148.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.78 changed to 2.74

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $130.70changed to$149.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.74 changed to 2.78
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $112.94changed to$130.70

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.71 changed to 2.74
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $113.25changed to$112.94

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $112.68changed to$113.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $109.79changed to$112.68

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.64 changed to 2.71
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $110.61changed to$109.79

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.97 changed to 2.64
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $110.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$133.20$51.48RVU26D
2026-07-01$133.20$51.48RVU26C
2026-04-01$133.20$51.48RVU26B
2026-01-01$133.20$51.48RVU26A
2025-10-01$132.53$59.57RVU25D
2025-07-01$132.53$59.57RVU25C
2025-04-01$132.53$59.57RVU25B
2025-01-01$132.53$59.57RVU25A
2024-10-01$139.07$61.63RVU24D
2024-07-01$139.07$61.63RVU24C
2024-04-01$139.07$61.63RVU24B
2024-03-09$139.07$61.63RVU24AR
2024-01-01$136.80$60.63RVU24A
2023-10-01$142.70$63.11RVU23D
2023-07-01$141.99$63.03RVU23C
2023-04-01$141.99$63.03RVU23B
2023-01-01$141.99$63.03RVU23A
2022-10-01$146.44$63.77RVU22D
2022-07-01$146.44$63.77RVU22C
2022-04-01$146.44$63.77RVU22B
2022-01-01$146.44$63.77RVU22A
2021-10-01$149.41$64.65RVU21D
2021-07-01$149.41$64.65RVU21C
2021-04-01$149.41$64.65RVU21B
2021-01-01$149.41$64.65RVU21A
2020-10-01$148.36$67.60RVU20D
2020-07-01$148.36$67.60RVU20C
2020-04-01$148.36$67.60RVU20B
2020-01-01$148.36$67.60RVU20A
2019-10-01$148.04$69.28RVU19D
2019-07-01$148.04$69.28RVU19C
2019-04-01$148.04$69.28RVU19B
2019-01-01$148.04$69.28RVU19A
2018-10-01$149.32$69.57RVU18D
2018-07-01$149.32$69.57RVU18C
2018-04-01$149.32$69.57RVU18B
2018-01-01$149.32$69.57RVU18AR1
2017-10-01$130.70$64.34RVU17D
2017-07-01$130.70$64.34RVU17C
2017-04-01$130.70$64.34RVU17B
2017-01-01$130.70$64.34RVU17A
2016-10-01$112.94$58.93RVU16D
2016-07-01$112.94$58.93RVU16C
2016-04-01$112.94$58.93RVU16B
2016-01-01$112.94$58.93RVU16A
2015-10-01$113.25$58.78RVU15D
2015-07-01$113.25$58.78RVU15C
2015-04-01$112.68$58.49RVU15B
2015-01-01$112.68$58.49RVU15A
2014-10-01$109.79$58.23RVU14D
2014-07-01$109.79$58.23RVU14C
2014-04-01$109.79$58.23RVU14B
2014-01-01$109.79$58.23RVU14A
2013-10-01$110.61$56.17RVU13D
2013-07-01$110.61$56.17RVU13C
2013-04-01$110.61$56.17RVU13B
2013-01-01$110.61$56.17RVU13AR

Price 11307 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

11307 billing questions

Which anatomic sites fit this code?

Use it for a single 1.1-2.0 cm lesion on the scalp, neck, hands, feet, or genitalia. The same size on the trunk, arms, or legs falls in a different site series.

How is lesion size used to select the code?

Measure the lesion and select the size range within the series for its anatomic site. Document the dimensions and site in the procedure note.

How does this differ from a tangential biopsy?

This code describes shave removal of a lesion. A tangential biopsy code is used when the service is diagnostic sampling rather than removal of the lesion.

Is same-day evaluation or follow-up separately included?

The 0-day global period includes same-day preoperative and postoperative care. This rule does not extend the global period to later dates.

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

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. An assistant-at-surgery claim requires documentation of 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 11307PPRRVU2026_Oct_nonQPP.csv, line 1,298 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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