CPT code 11719: Nail trimming, any number of nails2026 Medicare rate & RVUs in Illinois
Reports routine trimming of nails when the service meets Medicare’s restricted coverage requirements, rather than nail debridement or removal.
Medicare pays $13.82–$14.89 for 11719 in the office in Illinois, from Rest of Illinois to Suburban Chicago, IL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 11719 covers
CPT 11719 represents trimming nails during foot care, typically by a podiatrist or other clinician in an office or facility. The descriptor allows any number of nails. It is distinct from debridement of thickened nails and from procedures that remove a nail plate. The service may be part of care for a patient whose clinical circumstances make nail trimming medically necessary under applicable coverage criteria.
Medicare pays this service only in specific circumstances. Document the clinical reason for trimming, the nails treated, and the findings that support coverage. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. The code covers any number of nails, so modifier 50 is not appropriate. Assistant-at-surgery services are not paid; 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 11719 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$13.82 to $14.89
| Payment locality | Office | Facility |
|---|---|---|
| Chicago, IL | $14.88 | $7.16 |
| East St. Louis, IL | $14.03 | $6.97 |
| Rest of Illinois | $13.82 | $6.81 |
| Suburban Chicago, IL | $14.89 | $7.00 |
How the 11719 rate is calculated
Each of 11719’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 · 11719
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.25
0.25 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.4300
Conversion factor
$33.4009
Medicare rate
$14.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11719
The CMS indicators that decide how 11719 is paid alongside other services.
CMS payment indicators · 11719
Nail trimming, any number of nails
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11719 without 51 · national office
$14.36
Nail trimming, any number of nails
11719-51 · Second procedure: 50%
$7.18
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%).
11719 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11720Nail debridementOne to five nails
- 11720 describes debridement of one to five nails. Choose 11719 when the service is trimming rather than debridement.
- 11721Nail debridementSix or more nails
- 11721 describes debridement of six or more nails. Nail count does not change 11719, which covers trimming any number.
- 11730Nail avulsionSingle nail plate
- 11730 is for simple removal of one nail plate. Use 11719 when the nail is trimmed and remains in place.
11719 billing questions
When should 11719 be used instead of 11720 or 11721?
Use 11719 for nail trimming. Use 11720 or 11721 when the service is debridement of nails, with the code selected by the number of nails debrided.
How many nails can be reported under 11719?
The descriptor covers any number of nails. Do not report separate units based on the number of nails trimmed.
What documentation supports Medicare payment?
Record the clinical reason for trimming, the nails treated, and findings supporting the applicable restricted coverage criteria. Routine trimming alone does not establish coverage.
Can modifier 50 be used when both feet are treated?
No. The code allows trimming any number of nails, so modifier 50 is not appropriate.
Is same-day care included in the procedure?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How is 11719 paid when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are paid at 50% under the standard multiple procedure reduction.
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
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