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

Reports shave removal of a single skin lesion larger than 2.0 cm on the face or specified adjacent sites, such as the ear, nose, or lip.

CMS RVU26DEffective Oct 1, 2026One payment locality5.6K Medicare services in 2024

In Delaware, Medicare pays $175.00 for 11313 in the office and $76.66 when it’s performed in a hospital or facility.

$175.00Office (non-facility)
$76.66Hospital or facility
−1.0%vs the national office rate ($176.69)

Check a contract rate as a % of Medicare · 11313 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 11313 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 11313 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 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.

How Delaware compares for 11313

Across 109 of 109 payment localities, the office rate for 11313 runs from $157.55 in Arkansas to $231.46 in San Benito County, CA. Delaware pays $175.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

11313 in Delaware vs other payment areas
  1. Delaware · this page$175.00
  2. Los Angeles, CA · California$198.30+$23.30
  3. Washington, DC area · District of Columbia$200.98+$25.98
  4. Miami, FL · Florida$190.14+$15.14
  5. Chicago, IL · Illinois$185.01+$10.01
  6. Manhattan, NY · New York$202.35+$27.35
  7. Alaska · Alaska$209.09+$34.09

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

Every other payment area

11313 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$159.70$72.60
ArkansasArkansas$157.55$72.05
ArizonaArizona$172.27$75.82
Bakersfield, CACalifornia$186.67$77.58
Chico, CACalifornia$186.15$77.06
El Centro, CACalifornia$186.17$77.08
Fresno, CACalifornia$186.15$77.06
Hanford, CACalifornia$186.15$77.06

11313 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.

$157.55

$209.09

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

View every state and territory as a table
11313 office rate range by state
State / territoryOffice rate rangeLocalities
AK$209.091
AL$159.701
AR$157.551
AZ$172.271
CA$186.15–$231.4629
CO$183.541
CT$187.931
DC$200.981
DE$175.001
FL$174.43–$190.143
GA$165.23–$179.862
GU$190.221
HI$190.221
IA$163.391
ID$164.401
IL$169.78–$185.014
IN$165.291
KS$162.721
KY$163.311
LA$163.09–$170.612
MA$182.57–$200.862
MD$178.17–$200.983
ME$165.25–$173.552
MI$167.31–$176.522
MN$176.061
MO$160.50–$171.123
MS$159.051
MT$176.681
NC$166.851
ND$173.321
NE$164.211
NH$180.751
NJ$190.13–$199.132
NM$168.181
NV$175.861
NY$169.19–$207.035
OH$166.621
OK$162.991
OR$174.54–$189.022
PA$166.85–$183.542
PR$177.881
RI$180.951
SC$167.011
SD$172.921
TN$163.481
TX$165.83–$182.898
UT$169.141
VA$173.05–$200.982
VI$177.881
VT$172.721
WA$182.21–$204.782
WI$167.881
WV$163.911
WY$175.211

See 11313 in every payment locality

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.

How the rate is built · 11313

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.64

1.64 RVUs× 1.000 GPCI

Practice expense3.48

3.48 RVUs× 1.000 GPCI

Malpractice0.17

0.17 RVUs× 1.000 GPCI

Adjusted RVUs

5.2900

Conversion factor

$33.4009

Medicare rate

$176.69

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,304

Code
11313
Physician work
1.64
Practice expense
3.48
Malpractice
0.17

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 11313 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.64× 1.0051.6482
Practice expense3.48× 0.9883.4382
Malpractice0.17× 0.8990.1528
Total RVUs5.2393
Conversion factor× 33.4009

Office rate, Delaware$175.00

Office: (1.64 × 1.005 + 3.48 × 0.988 + 0.17 × 0.899) × $33.4009 = $175.00

Facility: (1.64 × 1.005 + 0.5 × 0.988 + 0.17 × 0.899) × $33.4009 = $76.66

Open 11313 in the RVU calculator

Payment rules and modifiers for 11313

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

CMS payment indicators · 11313

Shave removal, face, >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

11313 without 51 · national office

$176.69

Shave removal, face, >2.0 cm

11313-51 · Second procedure: 50%

$88.35

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 11313

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

Codes related to 11313
CodeHow it relatesOffice range, Delaware
Same family
11312Shave removal, face, 1.1-2.0 cmSame facial and adjacent site group, for a lesion measuring 1.1 to 2.0 cm.$149.17
11303Shave removal, trunk, arms, or legs over 2 cmSame size tier, but for covered trunk, arm, or leg sites.$145.84
11308Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, but for covered scalp, neck, hand, foot, or genital sites.$139.35
Used instead
11102Tangential skin biopsy, first or only lesionTangential biopsy for a single lesion when the service is a diagnostic biopsy rather than shave removal.$94.57

How 11313 has changed in Delaware

11313 · Office / nonfacility

$175.00

Effective 2026-10-01

The base rate is $1.37 higher than on 2025-10-01, moving from $173.63 to $175.00 (0.8%).

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

    $173.63changed to$175.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.68 changed to 1.64
    • Practice expense RVU 3.53 changed to 3.48
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $180.31changed to$173.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.57 changed to 3.53
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $177.37changed to$180.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $185.53changed to$177.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.57
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $190.43changed to$185.53

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.56 changed to 3.58
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $192.79changed to$190.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.60 changed to 3.56
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $193.29changed to$192.79

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.41 changed to 3.60
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $194.81changed to$193.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.37 changed to 3.41
    • Malpractice RVU 0.25 changed to 0.18
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $194.96changed to$194.81

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.38 changed to 3.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $194.74changed to$194.96

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.37 changed to 3.38
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $193.12changed to$194.74

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.32 changed to 3.37
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $193.04changed to$193.12

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.23 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $192.08changed to$193.04

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $189.30changed to$192.08

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.25 changed to 3.32
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $193.56changed to$189.30

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.66 changed to 3.25
    • Malpractice RVU 0.25 changed to 0.24
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $193.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$175.00$76.66RVU26D
2026-07-01$175.00$76.66RVU26C
2026-04-01$175.00$76.66RVU26B
2026-01-01$175.00$76.66RVU26A
2025-10-01$173.63$92.44RVU25D
2025-07-01$173.63$92.44RVU25C
2025-04-01$173.63$92.44RVU25B
2025-01-01$173.63$92.44RVU25A
2024-10-01$180.31$94.79RVU24D
2024-07-01$180.31$94.79RVU24C
2024-04-01$180.31$94.79RVU24B
2024-03-09$180.31$94.79RVU24AR
2024-01-01$177.37$93.24RVU24A
2023-10-01$185.53$96.13RVU23D
2023-07-01$185.53$96.13RVU23C
2023-04-01$185.53$96.13RVU23B
2023-01-01$185.53$96.13RVU23A
2022-10-01$190.43$97.77RVU22D
2022-07-01$190.43$97.77RVU22C
2022-04-01$190.43$97.77RVU22B
2022-01-01$190.43$97.77RVU22A
2021-10-01$192.79$97.93RVU21D
2021-07-01$192.79$97.93RVU21C
2021-04-01$192.79$97.93RVU21B
2021-01-01$192.79$97.93RVU21A
2020-10-01$193.29$103.01RVU20D
2020-07-01$193.29$103.01RVU20C
2020-04-01$193.29$103.01RVU20B
2020-01-01$193.29$103.01RVU20A
2019-10-01$194.81$106.31RVU19D
2019-07-01$194.81$106.31RVU19C
2019-04-01$194.81$106.31RVU19B
2019-01-01$194.81$106.31RVU19A
2018-10-01$194.96$106.56RVU18D
2018-07-01$194.96$106.56RVU18C
2018-04-01$194.96$106.56RVU18B
2018-01-01$194.96$106.56RVU18AR1
2017-10-01$194.74$106.46RVU17D
2017-07-01$194.74$106.46RVU17C
2017-04-01$194.74$106.46RVU17B
2017-01-01$194.74$106.46RVU17A
2016-10-01$193.12$106.00RVU16D
2016-07-01$193.12$106.00RVU16C
2016-04-01$193.12$106.00RVU16B
2016-01-01$193.12$106.00RVU16A
2015-10-01$193.04$105.61RVU15D
2015-07-01$193.04$105.61RVU15C
2015-04-01$192.08$105.08RVU15B
2015-01-01$192.08$105.08RVU15A
2014-10-01$189.30$103.78RVU14D
2014-07-01$189.30$103.78RVU14C
2014-04-01$189.30$103.78RVU14B
2014-01-01$189.30$103.78RVU14A
2013-10-01$193.56$100.50RVU13D
2013-07-01$193.56$100.50RVU13C
2013-04-01$193.56$100.50RVU13B
2013-01-01$193.56$100.50RVU13AR

Price 11313 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

11313 billing questions

When is 11313 selected instead of 11312?

Use 11313 for a qualifying lesion larger than 2.0 cm at the covered facial or adjacent sites. Code 11312 is for a lesion in the same site group measuring 1.1 to 2.0 cm.

Does this code include examination of the removed tissue?

The shave removal is the service reported by 11313. A laboratory or pathologist may report a separate pathology service when the specimen is examined.

How should multiple lesions be reported?

The code describes removal of a single lesion. Document each lesion’s site and diameter, and apply the standard multiple-procedure reduction when multiple procedures are performed in the same session.

What documentation supports 11313?

Record the specific facial or adjacent site, lesion diameter greater than 2.0 cm, and that the lesion was removed by a superficial shave technique.

Can an assistant or another surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.

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.

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 11313PPRRVU2026_Oct_nonQPP.csv, line 1,304 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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