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CPT code 11308: Shave removal, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Houston, TX

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 Houston, TX, Medicare pays $142.01 for 11308 in the office and $61.74 when it’s performed in a hospital or facility.

$142.01Office (non-facility)
$61.74Hospital or facility
+1.0%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $142.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

11308 in Houston, TX vs other payment areas
  1. Houston, TX · this page$142.01
  2. Austin, TX · Texas$145.37+$3.36
  3. Beaumont, TX · Texas$132.31−$9.70
  4. Brazoria, TX · Texas$139.24−$2.77
  5. Dallas, TX · Texas$140.07−$1.94
  6. Fort Worth, TX · Texas$139.24−$2.77
  7. Galveston, TX · Texas$139.63−$2.38

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

Every other payment area

11308 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$135.67$58.96
Los Angeles, CACalifornia$157.36$61.74
Washington, DC areaDistrict of Columbia$159.48$64.27
Miami, FLFlorida$150.90$66.76
Chicago, ILIllinois$147.02$65.78
Manhattan, NYNew York$160.59$66.67
AlaskaAlaska$168.16$82.07
AlabamaAlabama$127.63$56.90

11308 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.

$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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11308 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.42× 1.0081.4314
Practice expense2.66× 0.9932.6414
Malpractice0.13× 1.3760.1789
Total RVUs4.2516
Conversion factor× 33.4009

Office rate, Houston, TX$142.01

Office: (1.42 × 1.008 + 2.66 × 0.993 + 0.13 × 1.376) × $33.4009 = $142.01

Facility: (1.42 × 1.008 + 0.24 × 0.993 + 0.13 × 1.376) × $33.4009 = $61.74

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

Codes related to 11308

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

Codes related to 11308
CodeHow it relatesOffice range, Houston, TX
Same family
11307Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group; applies to a lesion measuring 1.1 to 2.0 cm.$133.34
11305Shave removal, scalp, neck, hands, feet, genitaliaSame anatomic group; applies to a lesion measuring 0.5 cm or less.$101.78
Used instead
11303Shave removal, trunk, arms, or legs over 2 cmSame size level for a shave removal on the trunk, arms, or legs.$148.54
11313Shave removal, face, >2.0 cmSame size level for a shave removal on the face, ears, eyelids, nose, or lips.$178.45

How 11308 has changed in Houston, TX

11308 · Office / nonfacility

$142.01

Effective 2026-10-01

The base rate is $0.28 higher than on 2025-10-01, moving from $141.73 to $142.01 (0.2%).

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

    $141.73changed to$142.01

    • 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 1.014 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

    $148.53changed to$141.73

    • 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

    $146.10changed to$148.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $152.74changed to$146.10

    • 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 1.023 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

    $158.44changed to$152.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.88 changed to 2.83
    • 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

    $161.86changed to$158.44

    • 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

    $160.74changed to$161.86

    • 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 1.026 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

    $158.30changed to$160.74

    • 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 1.020 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

    $157.06changed to$158.30

    • 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

    $155.61changed to$157.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.69 changed to 2.71
    • 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

    $153.87changed to$155.61

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.66 changed to 2.69
    • 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

    $154.42changed to$153.87

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $153.65changed to$154.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $150.92changed to$153.65

    • 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 1.014 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

    $155.77changed to$150.92

    • 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 1.009 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: $155.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$142.01$61.74RVU26D
2026-07-01$142.01$61.74RVU26C
2026-04-01$142.01$61.74RVU26B
2026-01-01$142.01$61.74RVU26A
2025-10-01$141.73$69.06RVU25D
2025-07-01$141.73$69.06RVU25C
2025-04-01$141.73$69.06RVU25B
2025-01-01$141.73$69.06RVU25A
2024-10-01$148.53$71.40RVU24D
2024-07-01$148.53$71.40RVU24C
2024-04-01$148.53$71.40RVU24B
2024-03-09$148.53$71.40RVU24AR
2024-01-01$146.10$70.24RVU24A
2023-10-01$152.74$72.18RVU23D
2023-07-01$152.74$72.18RVU23C
2023-04-01$152.74$72.18RVU23B
2023-01-01$152.74$72.18RVU23A
2022-10-01$158.44$73.33RVU22D
2022-07-01$158.44$73.33RVU22C
2022-04-01$158.44$73.33RVU22B
2022-01-01$158.44$73.33RVU22A
2021-10-01$161.86$74.97RVU21D
2021-07-01$161.86$74.97RVU21C
2021-04-01$161.86$74.97RVU21B
2021-01-01$161.86$74.97RVU21A
2020-10-01$160.74$77.55RVU20D
2020-07-01$160.74$77.55RVU20C
2020-04-01$160.74$77.55RVU20B
2020-01-01$160.74$77.55RVU20A
2019-10-01$158.30$78.06RVU19D
2019-07-01$158.30$78.06RVU19C
2019-04-01$158.30$78.06RVU19B
2019-01-01$158.30$78.06RVU19A
2018-10-01$157.06$77.64RVU18D
2018-07-01$157.06$77.64RVU18C
2018-04-01$157.06$77.64RVU18B
2018-01-01$157.06$77.64RVU18AR1
2017-10-01$155.61$77.03RVU17D
2017-07-01$155.61$77.03RVU17C
2017-04-01$155.61$77.03RVU17B
2017-01-01$155.61$77.03RVU17A
2016-10-01$153.87$76.78RVU16D
2016-07-01$153.87$76.78RVU16C
2016-04-01$153.87$76.78RVU16B
2016-01-01$153.87$76.78RVU16A
2015-10-01$154.42$76.70RVU15D
2015-07-01$154.42$76.70RVU15C
2015-04-01$153.65$76.32RVU15B
2015-01-01$153.65$76.32RVU15A
2014-10-01$150.92$75.75RVU14D
2014-07-01$150.92$75.75RVU14C
2014-04-01$150.92$75.75RVU14B
2014-01-01$150.92$75.75RVU14A
2013-10-01$155.77$74.29RVU13D
2013-07-01$155.77$74.29RVU13C
2013-04-01$155.77$74.29RVU13B
2013-01-01$155.77$74.29RVU13AR

Price 11308 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

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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