CPT code 11313: Shave removal, face, >2.0 cm2026 Medicare rate & RVUs

Medicare pays $176.69 for 11313 nationally in the office and $77.16 in a hospital or facility. Local office rates run $157.55–$231.46.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11313 covers

This code covers shave removal of one epidermal or dermal lesion larger than 2.0 cm on the face, ears, eyelids, nose, lips, or mucous membrane. A clinician uses a blade or similar instrument to remove the lesion superficially rather than excising it through the full skin thickness. Dermatologists and other clinicians who perform skin procedures commonly use it in office settings; the removed tissue may be submitted for pathologic examination.

Select the code by the lesion’s site and diameter, and document both, along with the shave technique and the lesion treated. The code has a 0-day global period, so same-day preoperative and postoperative care is included. 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 documentation of 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 11313 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

11313 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 11313 rate is calculated

Each of 11313’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.

Payment rules and modifiers for 11313

The CMS indicators that decide how 11313 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

11313 compared with similar codes

How to choose

11312Shave removalFace, 1.1-2.0 cm

Both codes cover shave removal in the same site group. Choose 11313 when the lesion is larger than 2.0 cm; 11312 covers 1.1 to 2.0 cm.

11303Shave removalTrunk, arms, or legs over 2 cm

The size tier is the same, but 11303 is for covered trunk, arm, or leg sites rather than the face and adjacent sites assigned to 11313.

11308Shave removalScalp, neck, hands, feet, genitalia

Both codes cover lesions larger than 2.0 cm, but 11308 applies to its scalp, neck, hand, foot, and genital site group.

11102Tangential skin biopsyFirst or only lesion

Use 11102 for a tangential biopsy of one lesion when the service is performed to obtain a diagnostic specimen; 11313 describes shave removal of a large lesion.

Codes related to 11313

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

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

Open CMS sourceHow we calculate rates