CPT code 11311: Shave removal, face and related sites, 0.6–1.0 cm2026 Medicare rate & RVUs in Texas
Reports tangential shave removal of a 0.6–1.0 cm skin lesion on the face, ear, eyelid, nose, lip, or mucosal surface.
Medicare pays $123.65–$137.31 for 11311 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 11311 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$123.65 to $137.31
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $137.31 | $51.08 |
| Beaumont, TX | $123.65 | $49.49 |
| Brazoria, TX | $130.91 | $50.14 |
| Dallas, TX | $131.70 | $50.52 |
| Fort Worth, TX | $130.82 | $50.46 |
| Galveston, TX | $131.27 | $50.34 |
| Houston, TX | $133.28 | $52.36 |
| Rest of Texas | $127.18 | $49.83 |
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
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.
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
11311 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11310Shave removalFace, 0.5 cm or smaller
- Use 11310 for the same sites when the lesion measures 0.5 cm or smaller; 11311 is for 0.6–1.0 cm.
- 11312Shave removalFace, 1.1-2.0 cm
- Use 11312 for the same sites when the lesion measures 1.1–2.0 cm; 11311 covers 0.6–1.0 cm.
- 11441Benign lesion excisionFace, 0.6 to 1 cm
- 11441 is for full-thickness excision of a benign lesion at these sites in the 0.6–1.0 cm range; 11311 reports a superficial shave removal.
- 11102Tangential skin biopsyFirst or only lesion
- Use 11102 when a tangential sample is taken for biopsy rather than removing the lesion by shave.
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
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