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

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 North Dakota, Medicare pays $173.32 for 11313 in the office and $73.78 when it’s performed in a hospital or facility.

$173.32Office (non-facility)
$73.78Hospital or facility
−1.9%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 North Dakota
  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 North Dakota 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. North Dakota pays $173.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

11313 in North Dakota vs other payment areas
  1. North Dakota · this page$173.32
  2. Los Angeles, CA · California$198.30+$24.98
  3. Washington, DC area · District of Columbia$200.98+$27.66
  4. Miami, FL · Florida$190.14+$16.82
  5. Chicago, IL · Illinois$185.01+$11.69
  6. Manhattan, NY · New York$202.35+$29.03
  7. Alaska · Alaska$209.09+$35.77

Other areas in North Dakota 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.

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 North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Office calculation for 11313 in North Dakota
ComponentRVULocality factorAdjusted
Physician work1.64× 1.0001.6400
Practice expense3.48× 1.0003.4800
Malpractice0.17× 0.4060.0690
Total RVUs5.1890
Conversion factor× 33.4009

Office rate, North Dakota$173.32

Office: (1.64 × 1 + 3.48 × 1 + 0.17 × 0.406) × $33.4009 = $173.32

Facility: (1.64 × 1 + 0.5 × 1 + 0.17 × 0.406) × $33.4009 = $73.78

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

How 11313 has changed in North Dakota

11313 · Office / nonfacility

$173.32

Effective 2026-10-01

The base rate is $1.78 higher than on 2025-10-01, moving from $171.54 to $173.32 (1.0%).

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

    $171.54changed to$173.32

    • 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
    • Malpractice GPCI 0.517 changed to 0.406

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $178.03changed to$171.54

    • 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

    $175.12changed to$178.03

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $181.30changed to$175.12

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.58 changed to 3.57
    • Malpractice GPCI 0.474 changed to 0.517
  5. January 1, 2023

    RVU23A

    $184.17changed to$181.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.56 changed to 3.58
    • Malpractice GPCI 0.431 changed to 0.474

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $186.79changed to$184.17

    • 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

    $186.85changed to$186.79

    • 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
    • Malpractice GPCI 0.485 changed to 0.431

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $186.86changed to$186.85

    • 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
    • Malpractice GPCI 0.540 changed to 0.485

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $187.02changed to$186.86

    • 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

    $186.15changed to$187.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.37 changed to 3.38
    • Malpractice GPCI 0.547 changed to 0.540

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $183.98changed to$186.15

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.32 changed to 3.37
    • Malpractice GPCI 0.554 changed to 0.547

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $184.25changed to$183.98

    • 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

    $183.33changed to$184.25

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $181.21changed to$183.33

    • 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
    • Malpractice GPCI 0.536 changed to 0.554

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $186.08changed to$181.21

    • 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
    • Malpractice GPCI 0.517 changed to 0.536

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $186.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$173.32$73.78RVU26D
2026-07-01$173.32$73.78RVU26C
2026-04-01$173.32$73.78RVU26B
2026-01-01$173.32$73.78RVU26A
2025-10-01$171.54$89.70RVU25D
2025-07-01$171.54$89.70RVU25C
2025-04-01$171.54$89.70RVU25B
2025-01-01$171.54$89.70RVU25A
2024-10-01$178.03$91.81RVU24D
2024-07-01$178.03$91.81RVU24C
2024-04-01$178.03$91.81RVU24B
2024-03-09$178.03$91.81RVU24AR
2024-01-01$175.12$90.32RVU24A
2023-10-01$181.30$92.51RVU23D
2023-07-01$181.30$92.51RVU23C
2023-04-01$181.30$92.51RVU23B
2023-01-01$181.30$92.51RVU23A
2022-10-01$184.17$93.50RVU22D
2022-07-01$184.17$93.50RVU22C
2022-04-01$184.17$93.50RVU22B
2022-01-01$184.17$93.50RVU22A
2021-10-01$186.79$93.98RVU21D
2021-07-01$186.79$93.98RVU21C
2021-04-01$186.79$93.98RVU21B
2021-01-01$186.79$93.98RVU21A
2020-10-01$186.85$98.43RVU20D
2020-07-01$186.85$98.43RVU20C
2020-04-01$186.85$98.43RVU20B
2020-01-01$186.85$98.43RVU20A
2019-10-01$186.86$100.01RVU19D
2019-07-01$186.86$100.01RVU19C
2019-04-01$186.86$100.01RVU19B
2019-01-01$186.86$100.01RVU19A
2018-10-01$187.02$100.26RVU18D
2018-07-01$187.02$100.26RVU18C
2018-04-01$187.02$100.26RVU18B
2018-01-01$187.02$100.26RVU18AR1
2017-10-01$186.15$100.01RVU17D
2017-07-01$186.15$100.01RVU17C
2017-04-01$186.15$100.01RVU17B
2017-01-01$186.15$100.01RVU17A
2016-10-01$183.98$99.48RVU16D
2016-07-01$183.98$99.48RVU16C
2016-04-01$183.98$99.48RVU16B
2016-01-01$183.98$99.48RVU16A
2015-10-01$184.25$99.44RVU15D
2015-07-01$184.25$99.44RVU15C
2015-04-01$183.33$98.95RVU15B
2015-01-01$183.33$98.95RVU15A
2014-10-01$181.21$98.82RVU14D
2014-07-01$181.21$98.82RVU14C
2014-04-01$181.21$98.82RVU14B
2014-01-01$181.21$98.82RVU14A
2013-10-01$186.08$96.94RVU13D
2013-07-01$186.08$96.94RVU13C
2013-04-01$186.08$96.94RVU13B
2013-01-01$186.08$96.94RVU13AR

Price 11313 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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 North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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