CPT code 11310: Shave removal, face, 0.5 cm or smaller2026 Medicare rate & RVUs in Queens, NY

Reports tangential removal of a skin lesion measuring 0.5 cm or less on the face and specified adjacent sites, such as the nose or lips.

CMS RVU26DEffective Oct 1, 2026One payment locality56.5K Medicare services in 2024

In Queens, NY, Medicare pays $129.40 for 11310 in the office and $40.57 when it’s performed in a hospital or facility.

$129.40Office (non-facility)
$40.57Hospital or facility
+16.0%vs the national office rate ($111.56)

Check a contract rate as a % of Medicare · 11310 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 11310 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 11310 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 11310 covers

A clinician removes a small skin lesion by shaving it tangentially from the epidermal or dermal surface. This code is for lesions on the face, ears, eyelids, nose, lips, or mucous membrane, including a raised lesion such as a seborrheic keratosis or nevus. Dermatologists commonly perform the service in an office; other qualified clinicians may perform it in office or facility settings. Tissue may be sent for histopathology when indicated.

Select the code using the lesion’s documented size and anatomic site; this code is for a lesion measuring 0.5 cm or less at one of the specified sites. Record the exact site, lesion measurement, and removal technique. The 0-day global period includes same-day preoperative and postoperative care. 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% multiple-procedure reduction. Assistant-at-surgery payment requires documentation of 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 Queens, NY compares for 11310

Across 109 of 109 payment localities, the office rate for 11310 runs from $98.70 in Arkansas to $150.10 in San Benito County, CA. Queens, NY pays $129.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

11310 in Queens, NY vs other payment areas
  1. Queens, NY · this page$129.40
  2. Manhattan, NY · New York$128.07−$1.33
  3. NYC suburbs and Long Island, NY · New York$130.95+$1.55
  4. Rest of New York · New York$106.71−$22.69
  5. Los Angeles, CA · California$127.06−$2.34
  6. Washington, DC area · District of Columbia$128.03−$1.37

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

Every other payment area

11310 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$118.54$40.31
Chicago, ILIllinois$115.19$39.66
AlaskaAlaska$128.94$48.90
AlabamaAlabama$100.15$34.39
ArkansasArkansas$98.70$34.14
ArizonaArizona$108.64$35.82
Bakersfield, CACalifornia$119.12$36.76
Chico, CACalifornia$118.90$36.53

11310 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$98.70

$134.50

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

View every state and territory as a table
11310 office rate range by state
State / territoryOffice rate rangeLocalities
AK$128.941
AL$100.151
AR$98.701
AZ$108.641
CA$118.90–$150.1029
CO$116.681
CT$118.981
DC$128.031
DE$110.461
FL$109.08–$118.543
GA$103.03–$113.442
GU$121.971
HI$121.971
IA$103.081
ID$103.671
IL$105.64–$115.794
IN$104.291
KS$102.421
KY$102.131
LA$101.90–$106.972
MA$115.91–$128.502
MD$112.63–$128.033
ME$104.02–$109.952
MI$104.62–$110.252
MN$112.321
MO$100.02–$107.573
MS$99.391
MT$111.551
NC$105.141
ND$110.171
NE$103.701
NH$114.681
NJ$120.48–$126.672
NM$105.131
NV$111.251
NY$106.71–$130.955
OH$104.341
OK$102.141
OR$110.53–$120.612
PA$104.61–$115.892
PR$112.441
RI$114.551
SC$104.891
SD$110.011
TN$102.911
TX$103.91–$116.178
UT$106.331
VA$109.46–$128.032
VI$112.441
VT$109.571
WA$115.75–$131.312
WI$106.451
WV$101.671
WY$110.951

See 11310 in every payment locality

How the 11310 rate is calculated

Each of 11310’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 · 11310

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.78

0.78 RVUs× 1.000 GPCI

Practice expense2.49

2.49 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

3.3400

Conversion factor

$33.4009

Medicare rate

$111.56

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,301

Code
11310
Physician work
0.78
Practice expense
2.49
Malpractice
0.07

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 11310 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0640.8299
Practice expense2.49× 1.1822.9432
Malpractice0.07× 1.4420.1009
Total RVUs3.8740
Conversion factor× 33.4009

Office rate, Queens, NY$129.40

Office: (0.78 × 1.064 + 2.49 × 1.182 + 0.07 × 1.442) × $33.4009 = $129.40

Facility: (0.78 × 1.064 + 0.24 × 1.182 + 0.07 × 1.442) × $33.4009 = $40.57

Open 11310 in the RVU calculator

Payment rules and modifiers for 11310

The CMS indicators that decide how 11310 is paid alongside other services.

CMS payment indicators · 11310

Shave removal, face, 0.5 cm or smaller

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

11310 without 51 · national office

$111.56

Shave removal, face, 0.5 cm or smaller

11310-51 · Second procedure: 50%

$55.78

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 11310 has changed in Queens, NY

11310 · Office / nonfacility

$129.40

Effective 2026-10-01

The base rate is $0.26 higher than on 2025-10-01, moving from $129.14 to $129.40 (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

    $129.14changed to$129.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 2.53 changed to 2.49
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $135.77changed to$129.14

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.59 changed to 2.53
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $133.55changed to$135.77

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $142.94changed to$133.55

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.61 changed to 2.59
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $148.01changed to$142.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.60 changed to 2.61
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $149.24changed to$148.01

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $143.35changed to$149.24

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.40 changed to 2.60
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $139.07changed to$143.35

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.32 changed to 2.40
    • Malpractice RVU 0.11 changed to 0.09
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $139.78changed to$139.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.34 changed to 2.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $139.04changed to$139.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.33 changed to 2.34
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $137.03changed to$139.04

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.29 changed to 2.33
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $137.17changed to$137.03

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.30 changed to 2.29
    • Malpractice RVU 0.10 changed to 0.11

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $136.49changed to$137.17

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $133.15changed to$136.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.23 changed to 2.30
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $136.94changed to$133.15

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.52 changed to 2.23
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $136.94

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$129.40$40.57RVU26D
2026-07-01$129.40$40.57RVU26C
2026-04-01$129.40$40.57RVU26B
2026-01-01$129.40$40.57RVU26A
2025-10-01$129.14$49.51RVU25D
2025-07-01$129.14$49.51RVU25C
2025-04-01$129.14$49.51RVU25B
2025-01-01$129.14$49.51RVU25A
2024-10-01$135.77$51.04RVU24D
2024-07-01$135.77$51.04RVU24C
2024-04-01$135.77$51.04RVU24B
2024-03-09$135.77$51.04RVU24AR
2024-01-01$133.55$50.21RVU24A
2023-10-01$142.94$54.64RVU23D
2023-07-01$142.94$54.64RVU23C
2023-04-01$142.94$54.64RVU23B
2023-01-01$142.94$54.64RVU23A
2022-10-01$148.01$56.22RVU22D
2022-07-01$148.01$56.22RVU22C
2022-04-01$148.01$56.22RVU22B
2022-01-01$148.01$56.22RVU22A
2021-10-01$149.24$56.69RVU21D
2021-07-01$149.24$56.69RVU21C
2021-04-01$149.24$56.69RVU21B
2021-01-01$149.24$56.69RVU21A
2020-10-01$143.35$57.91RVU20D
2020-07-01$143.35$57.91RVU20C
2020-04-01$143.35$57.91RVU20B
2020-01-01$143.35$57.91RVU20A
2019-10-01$139.07$58.20RVU19D
2019-07-01$139.07$58.20RVU19C
2019-04-01$139.07$58.20RVU19B
2019-01-01$139.07$58.20RVU19A
2018-10-01$139.78$58.57RVU18D
2018-07-01$139.78$58.57RVU18C
2018-04-01$139.78$58.57RVU18B
2018-01-01$139.78$58.57RVU18AR1
2017-10-01$139.04$58.51RVU17D
2017-07-01$139.04$58.51RVU17C
2017-04-01$139.04$58.51RVU17B
2017-01-01$139.04$58.51RVU17A
2016-10-01$137.03$58.04RVU16D
2016-07-01$137.03$58.04RVU16C
2016-04-01$137.03$58.04RVU16B
2016-01-01$137.03$58.04RVU16A
2015-10-01$137.17$57.47RVU15D
2015-07-01$137.17$57.47RVU15C
2015-04-01$136.49$57.18RVU15B
2015-01-01$136.49$57.18RVU15A
2014-10-01$133.15$56.39RVU14D
2014-07-01$133.15$56.39RVU14C
2014-04-01$133.15$56.39RVU14B
2014-01-01$133.15$56.39RVU14A
2013-10-01$136.94$54.00RVU13D
2013-07-01$136.94$54.00RVU13C
2013-04-01$136.94$54.00RVU13B
2013-01-01$136.94$54.00RVU13AR

Price 11310 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

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11310 billing questions

How does this differ from 11300 or 11305?

Those codes cover the same small size range at different anatomic sites. Use 11310 for the face, ears, eyelids, nose, lips, or mucous membrane.

When should 11311 be used instead?

Use 11311 for a shave-removed lesion at the same specified sites when it measures 0.6 to 1.0 cm. The size documented for the lesion determines the size level.

Is a shave removal the same as a tangential skin biopsy?

No. 11310 reports removal of a small lesion; 11102 is the tangential biopsy code when the service is a biopsy of a single lesion.

How should multiple lesions removed in one session be reported?

Document each lesion’s site and size and report the services separately as appropriate. The CMS multiple-procedure reduction applies when procedures are performed in the same session.

Does the 0-day global period include a later pathology visit?

The 0-day global period includes same-day preoperative and postoperative care. It does not define a later pathology-related service as part of the same-day care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted 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 11310PPRRVU2026_Oct_nonQPP.csv, line 1,301 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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