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CPT code 11312: Shave removal, face, 1.1-2.0 cm2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $151.72 for 11312 in the office and $60.54 when it’s performed in a hospital or facility.

$151.72Office (non-facility)
$60.54Hospital or facility
+0.7%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $151.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

11312 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$151.72
  2. Los Angeles, CA · California$169.93+$18.21
  3. Washington, DC area · District of Columbia$171.91+$20.19
  4. Miami, FL · Florida$161.54+$9.82
  5. Chicago, IL · Illinois$157.08+$5.36
  6. Manhattan, NY · New York$172.73+$21.01
  7. Alaska · Alaska$176.65+$24.93

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

Every other payment area

11312 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$135.77$56.86
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

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11312 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0001.2700
Practice expense3.11× 1.0113.1442
Malpractice0.13× 0.9850.1280
Total RVUs4.5423
Conversion factor× 33.4009

Office rate, Puerto Rico$151.72

Office: (1.27 × 1 + 3.11 × 1.011 + 0.13 × 0.985) × $33.4009 = $151.72

Facility: (1.27 × 1 + 0.41 × 1.011 + 0.13 × 0.985) × $33.4009 = $60.54

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, Puerto Rico
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.$133.23
11313Shave removal, face, >2.0 cmFacial-site shave removal for a lesion larger than 2.0 cm.$177.88
11307Shave removal, scalp, neck, hands, feet, genitaliaSame size range, but for the scalp, neck, hands, feet, or external genitalia.$133.20
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy when the service samples a lesion for diagnosis rather than removing it.$96.29
11442Facial lesion excision, 1.1–2 cm excised diameterFull-thickness excision of a benign facial lesion in the corresponding size range.$195.37

How 11312 has changed in Puerto Rico

11312 · Office / nonfacility

$151.72

Effective 2026-10-01

The base rate is $1.32 higher than on 2025-10-01, moving from $150.40 to $151.72 (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

    $150.40changed to$151.72

    • 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
    • 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

    $156.12changed to$150.40

    • 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

    $153.57changed to$156.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $160.39changed to$153.57

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

  5. October 1, 2023

    RVU23D

    $159.61changed to$160.39

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

  6. January 1, 2023

    RVU23A

    $161.75changed to$159.61

    • 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
    • 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

    $164.84changed to$161.75

    • 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.

  8. January 1, 2021

    RVU21A

    $163.60changed to$164.84

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $163.59changed to$163.60

    • 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
    • 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

    $165.59changed to$163.59

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $145.65changed to$165.59

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.08 changed to 3.09
    • 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

    $125.27changed to$145.65

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.04 changed to 3.08
    • 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

    $125.77changed to$125.27

    • 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.

  14. July 1, 2015

    RVU15C

    $125.14changed to$125.77

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $121.79changed to$125.14

    • 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
    • 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

    $123.43changed to$121.79

    • 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
    • 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: $123.43

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.72$60.54RVU26D
2026-07-01$151.72$60.54RVU26C
2026-04-01$151.72$60.54RVU26B
2026-01-01$151.72$60.54RVU26A
2025-10-01$150.40$72.22RVU25D
2025-07-01$150.40$72.22RVU25C
2025-04-01$150.40$72.22RVU25B
2025-01-01$150.40$72.22RVU25A
2024-10-01$156.12$73.33RVU24D
2024-07-01$156.12$73.33RVU24C
2024-04-01$156.12$73.33RVU24B
2024-03-09$156.12$73.33RVU24AR
2024-01-01$153.57$72.13RVU24A
2023-10-01$160.39$75.68RVU23D
2023-07-01$159.61$75.57RVU23C
2023-04-01$159.61$75.57RVU23B
2023-01-01$159.61$75.57RVU23A
2022-10-01$161.75$74.55RVU22D
2022-07-01$161.75$74.55RVU22C
2022-04-01$161.75$74.55RVU22B
2022-01-01$161.75$74.55RVU22A
2021-10-01$164.84$75.85RVU21D
2021-07-01$164.84$75.85RVU21C
2021-04-01$164.84$75.85RVU21B
2021-01-01$164.84$75.85RVU21A
2020-10-01$163.60$78.47RVU20D
2020-07-01$163.60$78.47RVU20C
2020-04-01$163.60$78.47RVU20B
2020-01-01$163.60$78.47RVU20A
2019-10-01$163.59$80.49RVU19D
2019-07-01$163.59$80.49RVU19C
2019-04-01$163.59$80.49RVU19B
2019-01-01$163.59$80.49RVU19A
2018-10-01$165.59$81.12RVU18D
2018-07-01$165.59$81.12RVU18C
2018-04-01$165.59$81.12RVU18B
2018-01-01$165.59$81.12RVU18AR1
2017-10-01$145.65$74.69RVU17D
2017-07-01$145.65$74.69RVU17C
2017-04-01$145.65$74.69RVU17B
2017-01-01$145.65$74.69RVU17A
2016-10-01$125.27$67.72RVU16D
2016-07-01$125.27$67.72RVU16C
2016-04-01$125.27$67.72RVU16B
2016-01-01$125.27$67.72RVU16A
2015-10-01$125.77$67.76RVU15D
2015-07-01$125.77$67.76RVU15C
2015-04-01$125.14$67.42RVU15B
2015-01-01$125.14$67.42RVU15A
2014-10-01$121.79$67.01RVU14D
2014-07-01$121.79$67.01RVU14C
2014-04-01$121.79$67.01RVU14B
2014-01-01$121.79$67.01RVU14A
2013-10-01$123.43$64.84RVU13D
2013-07-01$123.43$64.84RVU13C
2013-04-01$123.43$64.84RVU13B
2013-01-01$123.43$64.84RVU13AR

Price 11312 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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