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

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 Metropolitan Boston, MA, Medicare pays $200.86 for 11313 in the office and $82.02 when it’s performed in a hospital or facility.

$200.86Office (non-facility)
$82.02Hospital or facility
+13.7%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 Metropolitan Boston, MA
  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 Metropolitan Boston, MA 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. Metropolitan Boston, MA pays $200.86. The RVUs are the same everywhere; the geographic indexes change the dollars.

11313 in Metropolitan Boston, MA vs other payment areas
  1. Metropolitan Boston, MA · this page$200.86
  2. Rest of Massachusetts · Massachusetts$182.57−$18.29
  3. Los Angeles, CA · California$198.30−$2.56
  4. Washington, DC area · District of Columbia$200.98+$0.12
  5. Miami, FL · Florida$190.14−$10.72
  6. Chicago, IL · Illinois$185.01−$15.85
  7. Manhattan, NY · New York$202.35+$1.49

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

Every other payment area

11313 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$209.09$103.08
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

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 Metropolitan Boston, MA 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

62

Locality
Metropolitan Boston, MA
Physician work
1.041
Practice expense
1.194
Malpractice
0.890
Office calculation for 11313 in Metropolitan Boston, MA
ComponentRVULocality factorAdjusted
Physician work1.64× 1.0411.7072
Practice expense3.48× 1.1944.1551
Malpractice0.17× 0.8900.1513
Total RVUs6.0137
Conversion factor× 33.4009

Office rate, Metropolitan Boston, MA$200.86

Office: (1.64 × 1.041 + 3.48 × 1.194 + 0.17 × 0.89) × $33.4009 = $200.86

Facility: (1.64 × 1.041 + 0.5 × 1.194 + 0.17 × 0.89) × $33.4009 = $82.02

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, Metropolitan Boston, MA
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.$172.05
11303Shave removal, trunk, arms, or legs over 2 cmSame size tier, but for covered trunk, arm, or leg sites.$168.32
11308Shave removal, scalp, neck, hands, feet, genitaliaSame size tier, but for covered scalp, neck, hand, foot, or genital sites.$159.32
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.$110.18

How 11313 has changed in Metropolitan Boston, MA

11313 · Office / nonfacility

$200.86

Effective 2026-10-01

The base rate is $2.35 higher than on 2025-10-01, moving from $198.51 to $200.86 (1.2%).

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

    $198.51changed to$200.86

    • 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 1.042 changed to 1.041
    • Practice expense GPCI 1.197 changed to 1.194
    • Malpractice GPCI 0.894 changed to 0.890

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $206.17changed to$198.51

    • 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

    $202.81changed to$206.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $210.66changed to$202.81

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.57
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.200 changed to 1.197
    • Malpractice GPCI 0.868 changed to 0.894

  5. January 1, 2023

    RVU23A

    $214.73changed to$210.66

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.56 changed to 3.58
    • Work GPCI 1.049 changed to 1.045
    • Practice expense GPCI 1.203 changed to 1.200
    • Malpractice GPCI 0.842 changed to 0.868

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $217.60changed to$214.73

    • 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

    $215.87changed to$217.60

    • 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 1.041 changed to 1.049
    • Practice expense GPCI 1.191 changed to 1.203
    • Malpractice GPCI 0.952 changed to 0.842

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $215.29changed to$215.87

    • 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 1.033 changed to 1.041
    • Practice expense GPCI 1.179 changed to 1.191
    • Malpractice GPCI 1.061 changed to 0.952

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $215.48changed to$215.29

    • 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

    $210.95changed to$215.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.37 changed to 3.38
    • Work GPCI 1.025 changed to 1.033
    • Practice expense GPCI 1.171 changed to 1.179
    • Malpractice GPCI 0.839 changed to 1.061

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $204.94changed to$210.95

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.32 changed to 3.37
    • Work GPCI 1.017 changed to 1.025
    • Practice expense GPCI 1.163 changed to 1.171
    • Malpractice GPCI 0.617 changed to 0.839

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $205.24changed to$204.94

    • 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

    $204.22changed to$205.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $201.78changed to$204.22

    • 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
    • Work GPCI 1.016 changed to 1.017
    • Practice expense GPCI 1.156 changed to 1.163
    • Malpractice GPCI 0.704 changed to 0.617

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$201.78

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$200.86$82.02RVU26D
2026-07-01$200.86$82.02RVU26C
2026-04-01$200.86$82.02RVU26B
2026-01-01$200.86$82.02RVU26A
2025-10-01$198.51$100.55RVU25D
2025-07-01$198.51$100.55RVU25C
2025-04-01$198.51$100.55RVU25B
2025-01-01$198.51$100.55RVU25A
2024-10-01$206.17$102.97RVU24D
2024-07-01$206.17$102.97RVU24C
2024-04-01$206.17$102.97RVU24B
2024-03-09$206.17$102.97RVU24AR
2024-01-01$202.81$101.29RVU24A
2023-10-01$210.66$104.12RVU23D
2023-07-01$210.66$104.12RVU23C
2023-04-01$210.66$104.12RVU23B
2023-01-01$210.66$104.12RVU23A
2022-10-01$214.73$105.66RVU22D
2022-07-01$214.73$105.66RVU22C
2022-04-01$214.73$105.66RVU22B
2022-01-01$214.73$105.66RVU22A
2021-10-01$217.60$105.95RVU21D
2021-07-01$217.60$105.95RVU21C
2021-04-01$217.60$105.95RVU21B
2021-01-01$217.60$105.95RVU21A
2020-10-01$215.87$110.56RVU20D
2020-07-01$215.87$110.56RVU20C
2020-04-01$215.87$110.56RVU20B
2020-01-01$215.87$110.56RVU20A
2019-10-01$215.29$112.89RVU19D
2019-07-01$215.29$112.89RVU19C
2019-04-01$215.29$112.89RVU19B
2019-01-01$215.29$112.89RVU19A
2018-10-01$215.48$113.19RVU18D
2018-07-01$215.48$113.19RVU18C
2018-04-01$215.48$113.19RVU18B
2018-01-01$215.48$113.19RVU18AR1
2017-10-01$210.95$110.09RVU17D
2017-07-01$210.95$110.09RVU17C
2017-04-01$210.95$110.09RVU17B
2017-01-01$210.95$110.09RVU17A
2016-10-01$204.94$106.67RVU16D
2016-07-01$204.94$106.67RVU16C
2016-04-01$204.94$106.67RVU16B
2016-01-01$204.94$106.67RVU16A
2015-10-01$205.24$106.61RVU15D
2015-07-01$205.24$106.61RVU15C
2015-04-01$204.22$106.08RVU15B
2015-01-01$204.22$106.08RVU15A
2014-10-01$201.78$106.54RVU14D
2014-07-01$201.78$106.54RVU14C
2014-04-01$201.78$106.54RVU14B
2014-01-01$201.78$106.54RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11313 for an earlier date of service

Where the Metropolitan Boston, MA rate applies

Metropolitan Boston, MA is a Medicare payment area, not a city. Our Census mapping connects it to 60 cities and communities in Massachusetts. Some span more than one payment area; confirm with the service ZIP.

  • Boston
  • Arlington
  • Ayer
  • Bellingham
  • Belmont
  • Braintree Town
  • Brookline
  • Burlington

Browse all communities in Massachusetts

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 Metropolitan Boston, MAGPCI2026.csv, line 62 (RVU26D)

Open CMS sourceHow we calculate rates

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