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CPT code 11312: Shave removal, face, 1.1-2.0 cm2026 Medicare rate & RVUs in Washington, DC area

Reports tangential removal of a 1.1-2.0 cm lesion on the face or related sites when the service removes epidermal or dermal tissue.

CMS RVU26DEffective Oct 1, 2026One payment locality36.3K Medicare services in 2024

In Washington, DC area, Medicare pays $171.91 for 11312 in the office and $65.67 when it’s performed in a hospital or facility.

$171.91Office (non-facility)
$65.67Hospital or facility
+14.1%vs the national office rate ($150.64)

Check a contract rate as a % of Medicare · 11312 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 11312 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11312 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 11312 covers

CPT 11312 represents tangential removal of an epidermal or dermal lesion on the face, ear, eyelid, nose, or lip, without removing the lesion through the full thickness of the skin. Dermatologists and other clinicians who perform skin procedures may use it for a raised lesion requiring removal for treatment or evaluation. Local anesthesia is part of the shave service; a specimen may also be submitted for separate pathology examination.

Select this code by the lesion’s site and measured diameter, and document the location, size, technique, and clinical reason for removal. Report each separate lesion according to its own site and size. 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 multiple procedure reduction. 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 Washington, DC area compares for 11312

Across 109 of 109 payment localities, the office rate for 11312 runs from $133.89 in Arkansas to $199.20 in San Benito County, CA. Washington, DC area pays $171.91. The RVUs are the same everywhere; the geographic indexes change the dollars.

11312 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$171.91
  2. Los Angeles, CA · California$169.93−$1.98
  3. Miami, FL · Florida$161.54−$10.37
  4. Chicago, IL · Illinois$157.08−$14.83
  5. Manhattan, NY · New York$172.73+$0.82
  6. Alaska · Alaska$176.65+$4.74
  7. Alabama · Alabama$135.77−$36.14

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11312 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$133.89$56.42
ArizonaArizona$146.79$59.41
Bakersfield, CACalifornia$159.72$60.88
Chico, CACalifornia$159.32$60.48
El Centro, CACalifornia$159.34$60.50
Fresno, CACalifornia$159.32$60.48
Hanford, CACalifornia$159.32$60.48
Madera, CACalifornia$159.32$60.48

11312 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.

$133.89

$179.26

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

View every state and territory as a table
11312 office rate range by state
State / territoryOffice rate rangeLocalities
AK$176.651
AL$135.771
AR$133.891
AZ$146.791
CA$159.32–$199.2029
CO$156.841
CT$160.401
DC$171.911
DE$149.171
FL$148.25–$161.543
GA$140.25–$153.302
GU$163.041
HI$163.041
IA$139.191
ID$140.041
IL$144.05–$157.094
IN$140.821
KS$138.511
KY$138.741
LA$138.51–$145.102
MA$155.94–$172.052
MD$151.95–$171.913
ME$140.69–$148.102
MI$142.16–$149.982
MN$150.591
MO$136.19–$145.663
MS$135.071
MT$150.631
NC$142.111
ND$148.061
NE$139.941
NH$154.351
NJ$162.31–$170.232
NM$142.891
NV$150.021
NY$144.15–$176.715
OH$141.641
OK$138.551
OR$148.93–$161.742
PA$141.88–$156.502
PR$151.721
RI$154.401
SC$142.091
SD$147.751
TN$139.171
TX$140.98–$156.258
UT$143.961
VA$147.60–$171.912
VI$151.721
VT$147.451
WA$155.66–$175.542
WI$143.271
WV$138.901
WY$149.511

See 11312 in every payment locality

How the 11312 rate is calculated

Each of 11312’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 · 11312

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.27

1.27 RVUs× 1.000 GPCI

Practice expense3.11

3.11 RVUs× 1.000 GPCI

Malpractice0.13

0.13 RVUs× 1.000 GPCI

Adjusted RVUs

4.5100

Conversion factor

$33.4009

Medicare rate

$150.64

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,303

Code
11312
Physician work
1.27
Practice expense
3.11
Malpractice
0.13

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11312 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0541.3386
Practice expense3.11× 1.1783.6636
Malpractice0.13× 1.1130.1447
Total RVUs5.1468
Conversion factor× 33.4009

Office rate, Washington, DC area$171.91

Office: (1.27 × 1.054 + 3.11 × 1.178 + 0.13 × 1.113) × $33.4009 = $171.91

Facility: (1.27 × 1.054 + 0.41 × 1.178 + 0.13 × 1.113) × $33.4009 = $65.67

Open 11312 in the RVU calculator

Payment rules and modifiers for 11312

The CMS indicators that decide how 11312 is paid alongside other services.

CMS payment indicators · 11312

Shave removal, face, 1.1-2.0 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

11312 without 51 · national office

$150.64

Shave removal, face, 1.1-2.0 cm

11312-51 · Second procedure: 50%

$75.32

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 11312

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

Codes related to 11312
CodeHow it relatesOffice range, Washington, DC area
Same family
11311Shave removal, face and related sites, 0.6–1.0 cmFacial-site shave removal for a smaller lesion measuring 0.6-1.0 cm.$151.14
11313Shave removal, face, >2.0 cmFacial-site shave removal for a lesion larger than 2.0 cm.$200.98
11307Shave removal, scalp, neck, hands, feet, genitaliaSame size range, but for the scalp, neck, hands, feet, or external genitalia.$150.73
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy when the service samples a lesion for diagnosis rather than removing it.$109.75
11442Facial lesion excision, 1.1–2 cm excised diameterFull-thickness excision of a benign facial lesion in the corresponding size range.$220.96

How 11312 has changed in Washington, DC area

11312 · Office / nonfacility

$171.91

Effective 2026-10-01

The base rate is $0.82 lower than on 2025-10-01, moving from $172.73 to $171.91 (0.5%).

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

    $172.73changed to$171.91

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.30 changed to 1.27
    • Practice expense RVU 3.18 changed to 3.11
    • Malpractice RVU 0.15 changed to 0.13
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $179.35changed to$172.73

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.23 changed to 3.18
    • Malpractice RVU 0.14 changed to 0.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $176.42changed to$179.35

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $186.90changed to$176.42

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.24 changed to 3.23
    • Malpractice RVU 0.17 changed to 0.14
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $190.95changed to$186.90

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.23 changed to 3.24
    • Malpractice RVU 0.12 changed to 0.17
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $194.73changed to$190.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.26 changed to 3.23
    • Malpractice RVU 0.14 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $190.93changed to$194.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.08 changed to 3.26
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $189.18changed to$190.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.03 changed to 3.08
    • Malpractice RVU 0.19 changed to 0.13
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $191.57changed to$189.18

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.09 changed to 3.03

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $190.76changed to$191.57

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.08 changed to 3.09
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $188.79changed to$190.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.04 changed to 3.08
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $188.98changed to$188.79

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.05 changed to 3.04
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $188.04changed to$188.98

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $184.55changed to$188.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.96 changed to 3.05
    • Malpractice RVU 0.19 changed to 0.17
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $191.04changed to$184.55

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.36 changed to 2.96
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $191.04

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$171.91$65.67RVU26D
2026-07-01$171.91$65.67RVU26C
2026-04-01$171.91$65.67RVU26B
2026-01-01$171.91$65.67RVU26A
2025-10-01$172.73$80.19RVU25D
2025-07-01$172.73$80.19RVU25C
2025-04-01$172.73$80.19RVU25B
2025-01-01$172.73$80.19RVU25A
2024-10-01$179.35$81.34RVU24D
2024-07-01$179.35$81.34RVU24C
2024-04-01$179.35$81.34RVU24B
2024-03-09$179.35$81.34RVU24AR
2024-01-01$176.42$80.01RVU24A
2023-10-01$186.90$84.88RVU23D
2023-07-01$186.90$84.88RVU23C
2023-04-01$186.90$84.88RVU23B
2023-01-01$186.90$84.88RVU23A
2022-10-01$190.95$84.02RVU22D
2022-07-01$190.95$84.02RVU22C
2022-04-01$190.95$84.02RVU22B
2022-01-01$190.95$84.02RVU22A
2021-10-01$194.73$85.62RVU21D
2021-07-01$194.73$85.62RVU21C
2021-04-01$194.73$85.62RVU21B
2021-01-01$194.73$85.62RVU21A
2020-10-01$190.93$87.82RVU20D
2020-07-01$190.93$87.82RVU20C
2020-04-01$190.93$87.82RVU20B
2020-01-01$190.93$87.82RVU20A
2019-10-01$189.18$89.73RVU19D
2019-07-01$189.18$89.73RVU19C
2019-04-01$189.18$89.73RVU19B
2019-01-01$189.18$89.73RVU19A
2018-10-01$191.57$90.50RVU18D
2018-07-01$191.57$90.50RVU18C
2018-04-01$191.57$90.50RVU18B
2018-01-01$191.57$90.50RVU18AR1
2017-10-01$190.76$90.86RVU17D
2017-07-01$190.76$90.86RVU17C
2017-04-01$190.76$90.86RVU17B
2017-01-01$190.76$90.86RVU17A
2016-10-01$188.79$90.42RVU16D
2016-07-01$188.79$90.42RVU16C
2016-04-01$188.79$90.42RVU16B
2016-01-01$188.79$90.42RVU16A
2015-10-01$188.98$89.82RVU15D
2015-07-01$188.98$89.82RVU15C
2015-04-01$188.04$89.38RVU15B
2015-01-01$188.04$89.38RVU15A
2014-10-01$184.55$89.39RVU14D
2014-07-01$184.55$89.39RVU14C
2014-04-01$184.55$89.39RVU14B
2014-01-01$184.55$89.39RVU14A
2013-10-01$191.04$87.51RVU13D
2013-07-01$191.04$87.51RVU13C
2013-04-01$191.04$87.51RVU13B
2013-01-01$191.04$87.51RVU13AR

Price 11312 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11312 billing questions

How is 11312 distinguished from 11311?

Both apply to the facial site group, but 11312 is for a lesion measuring 1.1-2.0 cm; 11311 is for one measuring 0.6-1.0 cm.

Which body sites belong to this code?

Use 11312 for the face, ears, eyelids, nose, or lips. A lesion on the scalp, neck, hand, foot, or external genitalia belongs to a different site group.

Can pathology be billed separately?

A pathology service may be reported separately when a specimen is examined. The shave removal itself includes local anesthesia.

How are multiple lesions reported in one session?

Report each lesion using the code that matches its site and size, with documentation identifying each lesion. CMS applies the standard multiple procedure reduction when procedures are performed in the same session.

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.

Can a same-day E/M service be billed separately?

A significant, separately identifiable E/M service may be reported with modifier 25 when supported by the record; routine same-day preoperative and postoperative care is included in the 0-day global period.

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 11312PPRRVU2026_Oct_nonQPP.csv, line 1,303 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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