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

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 Puerto Rico, Medicare pays $112.44 for 11310 in the office and $36.46 when it’s performed in a hospital or facility.

$112.44Office (non-facility)
$36.46Hospital or facility
+0.8%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $112.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

11310 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$112.44
  2. Los Angeles, CA · California$127.06+$14.62
  3. Washington, DC area · District of Columbia$128.03+$15.59
  4. Miami, FL · Florida$118.54+$6.10
  5. Chicago, IL · Illinois$115.19+$2.75
  6. Manhattan, NY · New York$128.07+$15.63
  7. Alaska · Alaska$128.94+$16.50

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

Every other payment area

11310 in every other Medicare payment locality
Payment localityOfficeFacility
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
El Centro, CACalifornia$118.91$36.55
Fresno, CACalifornia$118.90$36.53
Hanford, CACalifornia$118.90$36.53

11310 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.

$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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11310 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0000.7800
Practice expense2.49× 1.0112.5174
Malpractice0.07× 0.9850.0690
Total RVUs3.3663
Conversion factor× 33.4009

Office rate, Puerto Rico$112.44

Office: (0.78 × 1 + 2.49 × 1.011 + 0.07 × 0.985) × $33.4009 = $112.44

Facility: (0.78 × 1 + 0.24 × 1.011 + 0.07 × 0.985) × $33.4009 = $36.46

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

Codes related to 11310

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

Codes related to 11310
CodeHow it relatesOffice range, Puerto Rico
Same family
11311Shave removal, face and related sites, 0.6–1.0 cmShave removal at the same sites for a lesion measuring 0.6 to 1.0 cm.$133.23
11312Shave removal, face, 1.1-2.0 cmShave removal at the same sites for a lesion measuring 1.1 to 2.0 cm.$151.72
11313Shave removal, face, >2.0 cmShave removal at the same sites for a lesion larger than 2.0 cm.$177.88
11300Shave removal, trunk or extremity, 0.5 cm or lessSame size level for shave removal on the trunk, arms, or legs.$97.32
11305Shave removal, scalp, neck, hands, feet, genitaliaSame size level for shave removal on the scalp, neck, hands, feet, or genitalia.$101.97
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy of one lesion when sampling, rather than lesion removal, is performed.$96.29
11440Lesion excision, face, 0.5 cm or lessExcision of a small benign lesion at the same general facial sites rather than shave removal.$143.05

How 11310 has changed in Puerto Rico

11310 · Office / nonfacility

$112.44

Effective 2026-10-01

The base rate is $1.61 higher than on 2025-10-01, moving from $110.83 to $112.44 (1.5%).

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

    $110.83changed to$112.44

    • 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
    • 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

    $116.39changed to$110.83

    • 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

    $114.49changed to$116.39

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $119.60changed to$114.49

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $118.94changed to$119.60

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $121.45changed to$118.94

    • 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
    • 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

    $122.46changed to$121.45

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $119.39changed to$122.46

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.40 changed to 2.60
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $116.95changed to$119.39

    • 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
    • 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

    $117.55changed to$116.95

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $102.82changed to$117.55

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.33 changed to 2.34
    • 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

    $87.60changed to$102.82

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.29 changed to 2.33
    • 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

    $88.07changed to$87.60

    • 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.

  14. July 1, 2015

    RVU15C

    $87.63changed to$88.07

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $85.01changed to$87.63

    • 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
    • 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

    $86.28changed to$85.01

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.52 changed to 2.23
    • 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: $86.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$112.44$36.46RVU26D
2026-07-01$112.44$36.46RVU26C
2026-04-01$112.44$36.46RVU26B
2026-01-01$112.44$36.46RVU26A
2025-10-01$110.83$43.73RVU25D
2025-07-01$110.83$43.73RVU25C
2025-04-01$110.83$43.73RVU25B
2025-01-01$110.83$43.73RVU25A
2024-10-01$116.39$44.99RVU24D
2024-07-01$116.39$44.99RVU24C
2024-04-01$116.39$44.99RVU24B
2024-03-09$116.39$44.99RVU24AR
2024-01-01$114.49$44.26RVU24A
2023-10-01$119.60$46.16RVU23D
2023-07-01$118.94$46.09RVU23C
2023-04-01$118.94$46.09RVU23B
2023-01-01$118.94$46.09RVU23A
2022-10-01$121.45$46.10RVU22D
2022-07-01$121.45$46.10RVU22C
2022-04-01$121.45$46.10RVU22B
2022-01-01$121.45$46.10RVU22A
2021-10-01$122.46$46.49RVU21D
2021-07-01$122.46$46.49RVU21C
2021-04-01$122.46$46.49RVU21B
2021-01-01$122.46$46.49RVU21A
2020-10-01$119.39$48.45RVU20D
2020-07-01$119.39$48.45RVU20C
2020-04-01$119.39$48.45RVU20B
2020-01-01$119.39$48.45RVU20A
2019-10-01$116.95$49.09RVU19D
2019-07-01$116.95$49.09RVU19C
2019-04-01$116.95$49.09RVU19B
2019-01-01$116.95$49.09RVU19A
2018-10-01$117.55$49.40RVU18D
2018-07-01$117.55$49.40RVU18C
2018-04-01$117.55$49.40RVU18B
2018-01-01$117.55$49.40RVU18AR1
2017-10-01$102.82$45.38RVU17D
2017-07-01$102.82$45.38RVU17C
2017-04-01$102.82$45.38RVU17B
2017-01-01$102.82$45.38RVU17A
2016-10-01$87.60$41.16RVU16D
2016-07-01$87.60$41.16RVU16C
2016-04-01$87.60$41.16RVU16B
2016-01-01$87.60$41.16RVU16A
2015-10-01$88.07$41.20RVU15D
2015-07-01$88.07$41.20RVU15C
2015-04-01$87.63$40.99RVU15B
2015-01-01$87.63$40.99RVU15A
2014-10-01$85.01$40.63RVU14D
2014-07-01$85.01$40.63RVU14C
2014-04-01$85.01$40.63RVU14B
2014-01-01$85.01$40.63RVU14A
2013-10-01$86.28$39.22RVU13D
2013-07-01$86.28$39.22RVU13C
2013-04-01$86.28$39.22RVU13B
2013-01-01$86.28$39.22RVU13AR

Price 11310 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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