CPT code 11308: Shave removal, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Washington, DC area

Report this service for shave removal of one superficial skin lesion larger than 2.0 cm on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 2026One payment locality16.3K Medicare services in 2024

In Washington, DC area, Medicare pays $159.48 for 11308 in the office and $64.27 when it’s performed in a hospital or facility.

$159.48Office (non-facility)
$64.27Hospital or facility
+13.4%vs the national office rate ($140.62)

Check a contract rate as a % of Medicare · 11308 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 11308 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11308 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 11308 covers

A clinician uses a blade or similar instrument to remove a superficial epidermal or dermal lesion at the skin surface. This code covers a single lesion larger than 2.0 cm on the scalp, neck, hand, foot, or genitalia; common office examples include a broad raised lesion on the scalp or hand. Dermatologists and other clinicians who perform skin procedures commonly provide the service in an office setting.

Choose the code by the lesion’s location and documented diameter, not by the amount of tissue submitted or the number of passes. Record the specific site, size, clinical indication, and removal method; report separate lesions individually. 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-surgeon and team-surgery payment 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 Washington, DC area compares for 11308

Across 109 of 109 payment localities, the office rate for 11308 runs from $125.98 in Arkansas to $183.09 in San Benito County, CA. Washington, DC area pays $159.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

11308 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$159.48
  2. Los Angeles, CA · California$157.36−$2.12
  3. Miami, FL · Florida$150.90−$8.58
  4. Chicago, IL · Illinois$147.02−$12.46
  5. Manhattan, NY · New York$160.59+$1.11
  6. Alaska · Alaska$168.16+$8.68
  7. Alabama · Alabama$127.63−$31.85

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11308 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$125.98$56.55
ArizonaArizona$137.24$58.91
Bakersfield, CACalifornia$148.35$59.76
Chico, CACalifornia$147.94$59.35
El Centro, CACalifornia$147.96$59.37
Fresno, CACalifornia$147.94$59.35
Hanford, CACalifornia$147.94$59.35
Madera, CACalifornia$147.94$59.35

11308 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.

$125.98

$168.16

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

View every state and territory as a table
11308 office rate range by state
State / territoryOffice rate rangeLocalities
AK$168.161
AL$127.631
AR$125.981
AZ$137.241
CA$147.94–$183.0929
CO$145.921
CT$149.321
DC$159.481
DE$139.351
FL$138.89–$150.903
GA$131.86–$143.052
GU$150.961
HI$150.961
IA$130.451
ID$131.221
IL$135.33–$147.024
IN$131.901
KS$129.931
KY$130.391
LA$130.22–$135.972
MA$145.20–$159.322
MD$141.80–$159.483
ME$131.87–$138.222
MI$133.45–$140.492
MN$140.141
MO$128.24–$136.363
MS$127.131
MT$140.611
NC$133.101
ND$138.041
NE$131.081
NH$143.721
NJ$151.11–$158.122
NM$134.121
NV$139.981
NY$134.89–$164.175
OH$132.921
OK$130.141
OR$138.97–$150.132
PA$133.09–$145.952
PR$141.531
RI$143.981
SC$133.211
SD$137.731
TN$130.521
TX$132.31–$145.378
UT$134.841
VA$137.83–$159.482
VI$141.531
VT$137.581
WA$144.91–$162.362
WI$133.881
WV$130.851
WY$139.491

See 11308 in every payment locality

How the 11308 rate is calculated

Each of 11308’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 · 11308

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.42

1.42 RVUs× 1.000 GPCI

Practice expense2.66

2.66 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.2100

Conversion factor

$33.4009

Medicare rate

$140.62

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,299

Code
11308
Physician work
1.42
Practice expense
2.66
Malpractice
0.13

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11308 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0541.4967
Practice expense2.66× 1.1783.1335
Malpractice0.13× 1.1130.1447
Total RVUs4.7748
Conversion factor× 33.4009

Office rate, Washington, DC area$159.48

Office: (1.42 × 1.054 + 2.66 × 1.178 + 0.13 × 1.113) × $33.4009 = $159.48

Facility: (1.42 × 1.054 + 0.24 × 1.178 + 0.13 × 1.113) × $33.4009 = $64.27

Open 11308 in the RVU calculator

Payment rules and modifiers for 11308

The CMS indicators that decide how 11308 is paid alongside other services.

CMS payment indicators · 11308

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

11308 without 51 · national office

$140.62

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

11308-51 · Second procedure: 50%

$70.31

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 11308 has changed in Washington, DC area

11308 · Office / nonfacility

$159.48

Effective 2026-10-01

The base rate is $0.16 higher than on 2025-10-01, moving from $159.32 to $159.48 (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

    $159.32changed to$159.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.46 changed to 1.42
    • Practice expense RVU 2.71 changed to 2.66
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $167.13changed to$159.32

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.79 changed to 2.71

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $164.40changed to$167.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $173.68changed to$164.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.83 changed to 2.79
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $181.81changed to$173.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.88 changed to 2.83
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $185.93changed to$181.81

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.93 changed to 2.88
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $183.75changed to$185.93

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.79 changed to 2.93
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $180.36changed to$183.75

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.73 changed to 2.79
    • Malpractice RVU 0.15 changed to 0.12
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $178.84changed to$180.36

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.71 changed to 2.73
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $177.63changed to$178.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.69 changed to 2.71
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $176.12changed to$177.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.66 changed to 2.69
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $176.76changed to$176.12

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $175.88changed to$176.76

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $172.48changed to$175.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.60 changed to 2.66
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $178.55changed to$172.48

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.97 changed to 2.60
    • Malpractice RVU 0.14 changed to 0.13
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $178.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$159.48$64.27RVU26D
2026-07-01$159.48$64.27RVU26C
2026-04-01$159.48$64.27RVU26B
2026-01-01$159.48$64.27RVU26A
2025-10-01$159.32$72.95RVU25D
2025-07-01$159.32$72.95RVU25C
2025-04-01$159.32$72.95RVU25B
2025-01-01$159.32$72.95RVU25A
2024-10-01$167.13$75.47RVU24D
2024-07-01$167.13$75.47RVU24C
2024-04-01$167.13$75.47RVU24B
2024-03-09$167.13$75.47RVU24AR
2024-01-01$164.40$74.24RVU24A
2023-10-01$173.68$77.41RVU23D
2023-07-01$173.68$77.41RVU23C
2023-04-01$173.68$77.41RVU23B
2023-01-01$173.68$77.41RVU23A
2022-10-01$181.81$79.59RVU22D
2022-07-01$181.81$79.59RVU22C
2022-04-01$181.81$79.59RVU22B
2022-01-01$181.81$79.59RVU22A
2021-10-01$185.93$81.56RVU21D
2021-07-01$185.93$81.56RVU21C
2021-04-01$185.93$81.56RVU21B
2021-01-01$185.93$81.56RVU21A
2020-10-01$183.75$84.16RVU20D
2020-07-01$183.75$84.16RVU20C
2020-04-01$183.75$84.16RVU20B
2020-01-01$183.75$84.16RVU20A
2019-10-01$180.36$84.82RVU19D
2019-07-01$180.36$84.82RVU19C
2019-04-01$180.36$84.82RVU19B
2019-01-01$180.36$84.82RVU19A
2018-10-01$178.84$84.27RVU18D
2018-07-01$178.84$84.27RVU18C
2018-04-01$178.84$84.27RVU18B
2018-01-01$178.84$84.27RVU18AR1
2017-10-01$177.63$83.79RVU17D
2017-07-01$177.63$83.79RVU17C
2017-04-01$177.63$83.79RVU17B
2017-01-01$177.63$83.79RVU17A
2016-10-01$176.12$83.79RVU16D
2016-07-01$176.12$83.79RVU16C
2016-04-01$176.12$83.79RVU16B
2016-01-01$176.12$83.79RVU16A
2015-10-01$176.76$83.66RVU15D
2015-07-01$176.76$83.66RVU15C
2015-04-01$175.88$83.24RVU15B
2015-01-01$175.88$83.24RVU15A
2014-10-01$172.48$82.49RVU14D
2014-07-01$172.48$82.49RVU14C
2014-04-01$172.48$82.49RVU14B
2014-01-01$172.48$82.49RVU14A
2013-10-01$178.55$81.13RVU13D
2013-07-01$178.55$81.13RVU13C
2013-04-01$178.55$81.13RVU13B
2013-01-01$178.55$81.13RVU13AR

Price 11308 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11308 billing questions

Which sites qualify for this code?

Use it for a lesion over 2.0 cm on the scalp, neck, hands, feet, or genitalia. For the same size lesion on the trunk, arms, or legs, compare 11303; for the face, ears, eyelids, nose, or lips, compare 11313.

How is the lesion size selected?

Document the lesion’s diameter and select the size level that matches the service performed. This code is for a single lesion larger than 2.0 cm.

Can a shave removal and a skin biopsy be reported for the same lesion?

The distinction is whether the procedure removes the lesion or samples it for diagnosis. Do not report both services for the same lesion when they describe the same work.

How many units should be reported for multiple lesions?

The code describes removal of one lesion, so document each lesion’s location and size when reporting multiple removals. CMS applies the standard multiple-procedure reduction to additional procedures performed in the same session.

Does the 0-day global period include a follow-up visit?

Same-day preoperative and postoperative care is included. The code does not include a global period extending to later dates.

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 11308PPRRVU2026_Oct_nonQPP.csv, line 1,299 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11308 pays in Washington, DC area?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11308 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist