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

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 Houston, TX, Medicare pays $151.88 for 11312 in the office and $62.33 when it’s performed in a hospital or facility.

$151.88Office (non-facility)
$62.33Hospital or facility
+0.8%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $151.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

11312 in Houston, TX vs other payment areas
  1. Houston, TX · this page$151.88
  2. Austin, TX · Texas$156.25+$4.37
  3. Beaumont, TX · Texas$140.98−$10.90
  4. Brazoria, TX · Texas$149.09−$2.79
  5. Dallas, TX · Texas$149.99−$1.89
  6. Fort Worth, TX · Texas$149.01−$2.87
  7. Galveston, TX · Texas$149.50−$2.38

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

Every other payment area

11312 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$144.92$59.34
Los Angeles, CACalifornia$169.93$63.24
Washington, DC areaDistrict of Columbia$171.91$65.67
Miami, FLFlorida$161.54$67.66
Chicago, ILIllinois$157.08$66.44
Manhattan, NYNew York$172.73$67.93
AlaskaAlaska$176.65$80.61
AlabamaAlabama$135.77$56.86

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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 11312 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.27× 1.0081.2802
Practice expense3.11× 0.9933.0882
Malpractice0.13× 1.3760.1789
Total RVUs4.5473
Conversion factor× 33.4009

Office rate, Houston, TX$151.88

Office: (1.27 × 1.008 + 3.11 × 0.993 + 0.13 × 1.376) × $33.4009 = $151.88

Facility: (1.27 × 1.008 + 0.41 × 0.993 + 0.13 × 1.376) × $33.4009 = $62.33

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, Houston, TX
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.$133.28
11313Shave removal, face, >2.0 cmFacial-site shave removal for a lesion larger than 2.0 cm.$178.45
11307Shave removal, scalp, neck, hands, feet, genitaliaSame size range, but for the scalp, neck, hands, feet, or external genitalia.$133.34
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy when the service samples a lesion for diagnosis rather than removing it.$95.95
11442Facial lesion excision, 1.1–2 cm excised diameterFull-thickness excision of a benign facial lesion in the corresponding size range.$196.38

How 11312 has changed in Houston, TX

11312 · Office / nonfacility

$151.88

Effective 2026-10-01

The base rate is $0.77 lower than on 2025-10-01, moving from $152.65 to $151.88 (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

    $152.65changed to$151.88

    • 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 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $158.29changed to$152.65

    • 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

    $155.70changed to$158.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $163.27changed to$155.70

    • 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 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409

  5. January 1, 2023

    RVU23A

    $165.18changed to$163.27

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $168.26changed to$165.18

    • 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

    $165.82changed to$168.26

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $164.71changed to$165.82

    • 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 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $166.71changed to$164.71

    • 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

    $165.57changed to$166.71

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.08 changed to 3.09
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $163.42changed to$165.57

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.04 changed to 3.08
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.006 changed to 1.009
    • Malpractice GPCI 0.955 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $163.69changed to$163.42

    • 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

    $162.88changed to$163.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $160.07changed to$162.88

    • 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 1.014 changed to 1.019
    • Practice expense GPCI 1.004 changed to 1.006
    • Malpractice GPCI 0.939 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $165.45changed to$160.07

    • 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 1.009 changed to 1.014
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 0.923 changed to 0.939

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $165.45

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.88$62.33RVU26D
2026-07-01$151.88$62.33RVU26C
2026-04-01$151.88$62.33RVU26B
2026-01-01$151.88$62.33RVU26A
2025-10-01$152.65$74.78RVU25D
2025-07-01$152.65$74.78RVU25C
2025-04-01$152.65$74.78RVU25B
2025-01-01$152.65$74.78RVU25A
2024-10-01$158.29$75.82RVU24D
2024-07-01$158.29$75.82RVU24C
2024-04-01$158.29$75.82RVU24B
2024-03-09$158.29$75.82RVU24AR
2024-01-01$155.70$74.58RVU24A
2023-10-01$163.27$77.88RVU23D
2023-07-01$163.27$77.88RVU23C
2023-04-01$163.27$77.88RVU23B
2023-01-01$163.27$77.88RVU23A
2022-10-01$165.18$76.16RVU22D
2022-07-01$165.18$76.16RVU22C
2022-04-01$165.18$76.16RVU22B
2022-01-01$165.18$76.16RVU22A
2021-10-01$168.26$77.42RVU21D
2021-07-01$168.26$77.42RVU21C
2021-04-01$168.26$77.42RVU21B
2021-01-01$168.26$77.42RVU21A
2020-10-01$165.82$79.68RVU20D
2020-07-01$165.82$79.68RVU20C
2020-04-01$165.82$79.68RVU20B
2020-01-01$165.82$79.68RVU20A
2019-10-01$164.71$81.19RVU19D
2019-07-01$164.71$81.19RVU19C
2019-04-01$164.71$81.19RVU19B
2019-01-01$164.71$81.19RVU19A
2018-10-01$166.71$81.83RVU18D
2018-07-01$166.71$81.83RVU18C
2018-04-01$166.71$81.83RVU18B
2018-01-01$166.71$81.83RVU18AR1
2017-10-01$165.57$81.92RVU17D
2017-07-01$165.57$81.92RVU17C
2017-04-01$165.57$81.92RVU17B
2017-01-01$165.57$81.92RVU17A
2016-10-01$163.42$81.30RVU16D
2016-07-01$163.42$81.30RVU16C
2016-04-01$163.42$81.30RVU16B
2016-01-01$163.42$81.30RVU16A
2015-10-01$163.69$80.91RVU15D
2015-07-01$163.69$80.91RVU15C
2015-04-01$162.88$80.51RVU15B
2015-01-01$162.88$80.51RVU15A
2014-10-01$160.07$80.59RVU14D
2014-07-01$160.07$80.59RVU14C
2014-04-01$160.07$80.59RVU14B
2014-01-01$160.07$80.59RVU14A
2013-10-01$165.45$78.86RVU13D
2013-07-01$165.45$78.86RVU13C
2013-04-01$165.45$78.86RVU13B
2013-01-01$165.45$78.86RVU13AR

Price 11312 for an earlier date of service

Where the Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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