FeeBase
Log inGet started
Menu

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

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 Utah, Medicare pays $126.32 for 11311 in the office and $49.71 when it’s performed in a hospital or facility.

$126.32Office (non-facility)
$49.71Hospital or facility
−4.5%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 Utah
  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 Utah 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. Utah pays $126.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

11311 in Utah vs other payment areas
  1. Utah · this page$126.32
  2. Los Angeles, CA · California$149.49+$23.17
  3. Washington, DC area · District of Columbia$151.14+$24.82
  4. Miami, FL · Florida$141.69+$15.37
  5. Chicago, IL · Illinois$137.74+$11.42
  6. Manhattan, NY · New York$151.75+$25.43
  7. Alaska · Alaska$154.52+$28.20

Other areas in Utah 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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 11311 in Utah
ComponentRVULocality factorAdjusted
Physician work1.07× 1.0001.0700
Practice expense2.78× 0.9402.6132
Malpractice0.11× 0.8980.0988
Total RVUs3.7820
Conversion factor× 33.4009

Office rate, Utah$126.32

Office: (1.07 × 1 + 2.78 × 0.94 + 0.11 × 0.898) × $33.4009 = $126.32

Facility: (1.07 × 1 + 0.34 × 0.94 + 0.11 × 0.898) × $33.4009 = $49.71

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, Utah
Same family
11310Shave removal, face, 0.5 cm or smallerSame anatomic sites, for lesions measuring 0.5 cm or smaller.$106.33
11312Shave removal, face, 1.1-2.0 cmSame anatomic sites, for lesions measuring 1.1–2.0 cm.$143.96
11301Shave lesion, trunk or limb, 0.6–1.0 cmSame size range, but for trunk, arms, or legs.$110.91
11306Shave removal, scalp, neck, hands, feet, genitaliaSame size range, but for scalp, neck, hands, feet, or genitalia.$112.60
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.$165.98
11102Tangential skin biopsy, first or only lesionFor tangential biopsy when sampling, rather than shave removal, is performed.$90.99

How 11311 has changed in Utah

11311 · Office / nonfacility

$126.32

Effective 2026-10-01

The base rate is $1.12 higher than on 2025-10-01, moving from $125.20 to $126.32 (0.9%).

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

    $125.20changed to$126.32

    • 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
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $130.09changed to$125.20

    • 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

    $127.96changed to$130.09

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $131.79changed to$127.96

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.90 changed to 2.89
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $133.34changed to$131.79

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.11 changed to 0.12
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $134.68changed to$133.34

    • 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

    $133.20changed to$134.68

    • 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
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $133.14changed to$133.20

    • 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
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $110.30changed to$133.14

    • 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

    $108.83changed to$110.30

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.90 changed to 1.93
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $108.47changed to$108.83

    • 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
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $108.36changed to$108.47

    • 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

    $107.82changed to$108.36

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $105.68changed to$107.82

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.84 changed to 1.90
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $108.18changed to$105.68

    • 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 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $108.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$126.32$49.71RVU26D
2026-07-01$126.32$49.71RVU26C
2026-04-01$126.32$49.71RVU26B
2026-01-01$126.32$49.71RVU26A
2025-10-01$125.20$59.11RVU25D
2025-07-01$125.20$59.11RVU25C
2025-04-01$125.20$59.11RVU25B
2025-01-01$125.20$59.11RVU25A
2024-10-01$130.09$60.21RVU24D
2024-07-01$130.09$60.21RVU24C
2024-04-01$130.09$60.21RVU24B
2024-03-09$130.09$60.21RVU24AR
2024-01-01$127.96$59.23RVU24A
2023-10-01$131.79$60.88RVU23D
2023-07-01$131.79$60.88RVU23C
2023-04-01$131.79$60.88RVU23B
2023-01-01$131.79$60.88RVU23A
2022-10-01$133.34$60.51RVU22D
2022-07-01$133.34$60.51RVU22C
2022-04-01$133.34$60.51RVU22B
2022-01-01$133.34$60.51RVU22A
2021-10-01$134.68$61.57RVU21D
2021-07-01$134.68$61.57RVU21C
2021-04-01$134.68$61.57RVU21B
2021-01-01$134.68$61.57RVU21A
2020-10-01$133.20$64.25RVU20D
2020-07-01$133.20$64.25RVU20C
2020-04-01$133.20$64.25RVU20B
2020-01-01$133.20$64.25RVU20A
2019-10-01$133.14$66.99RVU19D
2019-07-01$133.14$66.99RVU19C
2019-04-01$133.14$66.99RVU19B
2019-01-01$133.14$66.99RVU19A
2018-10-01$110.30$67.25RVU18D
2018-07-01$110.30$67.25RVU18C
2018-04-01$110.30$67.25RVU18B
2018-01-01$110.30$67.25RVU18AR1
2017-10-01$108.83$67.01RVU17D
2017-07-01$108.83$67.01RVU17C
2017-04-01$108.83$67.01RVU17B
2017-01-01$108.83$67.01RVU17A
2016-10-01$108.47$66.88RVU16D
2016-07-01$108.47$66.88RVU16C
2016-04-01$108.47$66.88RVU16B
2016-01-01$108.47$66.88RVU16A
2015-10-01$108.36$66.61RVU15D
2015-07-01$108.36$66.61RVU15C
2015-04-01$107.82$66.28RVU15B
2015-01-01$107.82$66.28RVU15A
2014-10-01$105.68$65.51RVU14D
2014-07-01$105.68$65.51RVU14C
2014-04-01$105.68$65.51RVU14B
2014-01-01$105.68$65.51RVU14A
2013-10-01$108.18$64.55RVU13D
2013-07-01$108.18$64.55RVU13C
2013-04-01$108.18$64.55RVU13B
2013-01-01$108.18$64.55RVU13AR

Price 11311 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

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 UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11311 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11311 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist