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CPT code 11311: Shave removal, face and related sites, 0.6–1.0 cm2026 Medicare rate & RVUs in Delaware

Reports tangential shave removal of a 0.6–1.0 cm skin lesion on the face, ear, eyelid, nose, lip, or mucosal surface.

CMS RVU26DEffective Oct 1, 2026One payment locality81.6K Medicare services in 2024

In Delaware, Medicare pays $130.96 for 11311 in the office and $50.44 when it’s performed in a hospital or facility.

$130.96Office (non-facility)
$50.44Hospital or facility
−1.0%vs the national office rate ($132.27)

Check a contract rate as a % of Medicare · 11311 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 11311 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 11311 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 11311 covers

CPT 11311 describes tangential removal of a superficial skin lesion measuring 0.6–1.0 cm on the face, ear, eyelid, nose, lip, or mucosal surface. A physician or other qualified clinician may perform the procedure in an office or facility, for example to remove a raised lesion from the cheek or nose. The shave removes the lesion at the skin surface rather than taking a full-thickness section of surrounding tissue.

Choose the code based on the lesion’s documented diameter and anatomic site. Record the site, size, number of lesions, and shave technique; use a different code family for other body areas. 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 the others at 50%. 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 Delaware compares for 11311

Across 109 of 109 payment localities, the office rate for 11311 runs from $117.39 in Arkansas to $175.54 in San Benito County, CA. Delaware pays $130.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

11311 in Delaware vs other payment areas
  1. Delaware · this page$130.96
  2. Los Angeles, CA · California$149.49+$18.53
  3. Washington, DC area · District of Columbia$151.14+$20.18
  4. Miami, FL · Florida$141.69+$10.73
  5. Chicago, IL · Illinois$137.74+$6.78
  6. Manhattan, NY · New York$151.75+$20.79
  7. Alaska · Alaska$154.52+$23.56

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

Every other payment area

11311 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$119.07$47.76
ArkansasArkansas$117.39$47.39
ArizonaArizona$128.86$49.89
Bakersfield, CACalifornia$140.42$51.10
Chico, CACalifornia$140.08$50.76
El Centro, CACalifornia$140.10$50.78
Fresno, CACalifornia$140.08$50.76
Hanford, CACalifornia$140.08$50.76

11311 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.

$117.39

$157.81

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

View every state and territory as a table
11311 office rate range by state
State / territoryOffice rate rangeLocalities
AK$154.521
AL$119.071
AR$117.391
AZ$128.861
CA$140.08–$175.5429
CO$137.831
CT$140.901
DC$151.141
DE$130.961
FL$130.03–$141.693
GA$122.94–$134.602
GU$143.441
HI$143.441
IA$122.161
ID$122.901
IL$126.26–$137.864
IN$123.601
KS$121.531
KY$121.651
LA$121.43–$127.292
MA$137.01–$151.342
MD$133.44–$151.143
ME$123.45–$130.082
MI$124.66–$131.542
MN$132.371
MO$119.36–$127.823
MS$118.401
MT$132.261
NC$124.721
ND$130.091
NE$122.831
NH$135.621
NJ$142.60–$149.632
NM$125.301
NV$131.751
NY$126.53–$155.255
OH$124.221
OK$121.511
OR$130.80–$142.212
PA$124.45–$137.432
PR$133.231
RI$135.611
SC$124.661
SD$129.831
TN$122.121
TX$123.65–$137.318
UT$126.321
VA$129.61–$151.142
VI$133.231
VT$129.521
WA$136.78–$154.462
WI$125.831
WV$121.691
WY$131.311

See 11311 in every payment locality

How the 11311 rate is calculated

Each of 11311’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 · 11311

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.07

1.07 RVUs× 1.000 GPCI

Practice expense2.78

2.78 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 Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,302

Code
11311
Physician work
1.07
Practice expense
2.78
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 11311 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.07× 1.0051.0754
Practice expense2.78× 0.9882.7466
Malpractice0.11× 0.8990.0989
Total RVUs3.9209
Conversion factor× 33.4009

Office rate, Delaware$130.96

Office: (1.07 × 1.005 + 2.78 × 0.988 + 0.11 × 0.899) × $33.4009 = $130.96

Facility: (1.07 × 1.005 + 0.34 × 0.988 + 0.11 × 0.899) × $33.4009 = $50.44

Open 11311 in the RVU calculator

Payment rules and modifiers for 11311

The CMS indicators that decide how 11311 is paid alongside other services.

CMS payment indicators · 11311

Shave removal, face and related sites, 0.6–1.0 cm

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

11311 without 51 · national office

$132.27

Shave removal, face and related sites, 0.6–1.0 cm

11311-51 · 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

Codes related to 11311

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

Codes related to 11311
CodeHow it relatesOffice range, Delaware
Same family
11310Shave removal, face, 0.5 cm or smallerSame anatomic sites, for lesions measuring 0.5 cm or smaller.$110.46
11312Shave removal, face, 1.1-2.0 cmSame anatomic sites, for lesions measuring 1.1–2.0 cm.$149.17
11301Shave lesion, trunk or limb, 0.6–1.0 cmSame size range, but for trunk, arms, or legs.$115.10
11306Shave removal, scalp, neck, hands, feet, genitaliaSame size range, but for scalp, neck, hands, feet, or genitalia.$116.79
Used instead
11441Benign lesion excision, face, 0.6 to 1 cmFor full-thickness excision of a benign lesion at these sites in the same size range.$171.88
11102Tangential skin biopsy, first or only lesionFor tangential biopsy when sampling, rather than shave removal, is performed.$94.57

How 11311 has changed in Delaware

11311 · Office / nonfacility

$130.96

Effective 2026-10-01

The base rate is $0.06 lower than on 2025-10-01, moving from $131.02 to $130.96 (0.0%).

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

    $131.02changed to$130.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.10 changed to 1.07
    • Practice expense RVU 2.84 changed to 2.78
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $136.17changed to$131.02

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.89 changed to 2.84
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $133.95changed to$136.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $140.31changed to$133.95

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.90 changed to 2.89
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $144.35changed to$140.31

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.11 changed to 0.12
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $145.84changed to$144.35

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.89 changed to 2.90
    • Malpractice RVU 0.13 changed to 0.11

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $143.12changed to$145.84

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.69 changed to 2.89
    • Malpractice RVU 0.11 changed to 0.13
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $141.82changed to$143.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.61 changed to 2.69
    • Malpractice RVU 0.15 changed to 0.11
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $116.72changed to$141.82

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.93 changed to 2.61

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $115.69changed to$116.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.90 changed to 1.93
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.83changed to$115.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 1.89 changed to 1.90
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $115.84changed to$115.83

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.90 changed to 1.89
    • Malpractice RVU 0.14 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $115.26changed to$115.84

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $112.70changed to$115.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.84 changed to 1.90
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $115.54changed to$112.70

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.09 changed to 1.84
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $115.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$130.96$50.44RVU26D
2026-07-01$130.96$50.44RVU26C
2026-04-01$130.96$50.44RVU26B
2026-01-01$130.96$50.44RVU26A
2025-10-01$131.02$60.75RVU25D
2025-07-01$131.02$60.75RVU25C
2025-04-01$131.02$60.75RVU25B
2025-01-01$131.02$60.75RVU25A
2024-10-01$136.17$61.87RVU24D
2024-07-01$136.17$61.87RVU24C
2024-04-01$136.17$61.87RVU24B
2024-03-09$136.17$61.87RVU24AR
2024-01-01$133.95$60.86RVU24A
2023-10-01$140.31$63.19RVU23D
2023-07-01$140.31$63.19RVU23C
2023-04-01$140.31$63.19RVU23B
2023-01-01$140.31$63.19RVU23A
2022-10-01$144.35$63.36RVU22D
2022-07-01$144.35$63.36RVU22C
2022-04-01$144.35$63.36RVU22B
2022-01-01$144.35$63.36RVU22A
2021-10-01$145.84$64.53RVU21D
2021-07-01$145.84$64.53RVU21C
2021-04-01$145.84$64.53RVU21B
2021-01-01$145.84$64.53RVU21A
2020-10-01$143.12$66.84RVU20D
2020-07-01$143.12$66.84RVU20C
2020-04-01$143.12$66.84RVU20B
2020-01-01$143.12$66.84RVU20A
2019-10-01$141.82$69.11RVU19D
2019-07-01$141.82$69.11RVU19C
2019-04-01$141.82$69.11RVU19B
2019-01-01$141.82$69.11RVU19A
2018-10-01$116.72$69.40RVU18D
2018-07-01$116.72$69.40RVU18C
2018-04-01$116.72$69.40RVU18B
2018-01-01$116.72$69.40RVU18AR1
2017-10-01$115.69$69.34RVU17D
2017-07-01$115.69$69.34RVU17C
2017-04-01$115.69$69.34RVU17B
2017-01-01$115.69$69.34RVU17A
2016-10-01$115.83$69.32RVU16D
2016-07-01$115.83$69.32RVU16C
2016-04-01$115.83$69.32RVU16B
2016-01-01$115.83$69.32RVU16A
2015-10-01$115.84$69.16RVU15D
2015-07-01$115.84$69.16RVU15C
2015-04-01$115.26$68.82RVU15B
2015-01-01$115.26$68.82RVU15A
2014-10-01$112.70$67.34RVU14D
2014-07-01$112.70$67.34RVU14C
2014-04-01$112.70$67.34RVU14B
2014-01-01$112.70$67.34RVU14A
2013-10-01$115.54$65.81RVU13D
2013-07-01$115.54$65.81RVU13C
2013-04-01$115.54$65.81RVU13B
2013-01-01$115.54$65.81RVU13AR

Price 11311 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

11311 billing questions

Which lesions qualify for 11311?

Use it for a shaved lesion measuring 0.6–1.0 cm on the face, ear, eyelid, nose, lip, or mucosal surface. The site and size distinguish it from codes for other locations or size ranges.

How does 11311 differ from a tangential biopsy?

11311 represents shave removal of the lesion. A tangential biopsy code is used when the intent is to sample a lesion rather than remove it.

How should multiple lesions be reported?

Report each lesion according to its own site and size. When multiple procedures are performed in the same session, CMS applies the multiple-procedure rule: the highest-valued procedure is paid in full and the others at 50%.

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. 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 11311PPRRVU2026_Oct_nonQPP.csv, line 1,302 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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