CPT code 11719: Nail trimming, any number of nails2026 Medicare rate & RVUs in Montana

Reports routine trimming of nails when the service meets Medicare’s restricted coverage requirements, rather than nail debridement or removal.

CMS RVU26DEffective Oct 1, 2026One payment locality521.8K Medicare services in 2024

In Montana, Medicare pays $14.36 for 11719 in the office and $6.68 when it’s performed in a hospital or facility.

$14.36Office (non-facility)
$6.68Hospital or facility
+0.0%vs the national office rate ($14.36)

Check a contract rate as a % of Medicare · 11719 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 11719 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 11719 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 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.

How Montana compares for 11719

Across 109 of 109 payment localities, the office rate for 11719 runs from $13.02 in Arkansas to $18.52 in San Benito County, CA. Montana pays $14.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

11719 in Montana vs other payment areas
  1. Montana · this page$14.36
  2. Los Angeles, CA · California$16.01+$1.65
  3. Washington, DC area · District of Columbia$16.19+$1.83
  4. Miami, FL · Florida$15.22+$0.86
  5. Chicago, IL · Illinois$14.88+$0.52
  6. Manhattan, NY · New York$16.27+$1.91
  7. Alaska · Alaska$17.59+$3.23

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

Every other payment area

11719 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$13.17$6.45
ArkansasArkansas$13.02$6.42
ArizonaArizona$14.06$6.61
Bakersfield, CACalifornia$15.14$6.72
Chico, CACalifornia$15.11$6.69
El Centro, CACalifornia$15.11$6.69
Fresno, CACalifornia$15.11$6.69
Hanford, CACalifornia$15.11$6.69

11719 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.

$13.02

$17.59

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

View every state and territory as a table
11719 office rate range by state
State / territoryOffice rate rangeLocalities
AK$17.591
AL$13.171
AR$13.021
AZ$14.061
CA$15.11–$18.5229
CO$14.891
CT$15.191
DC$16.191
DE$14.261
FL$14.16–$15.223
GA$13.52–$14.582
GU$15.371
HI$15.371
IA$13.451
ID$13.521
IL$13.82–$14.894
IN$13.581
KS$13.401
KY$13.411
LA$13.39–$13.922
MA$14.83–$16.182
MD$14.49–$16.193
ME$13.57–$14.162
MI$13.68–$14.302
MN$14.371
MO$13.20–$13.963
MS$13.111
MT$14.361
NC$13.681
ND$14.161
NE$13.511
NH$14.661
NJ$15.39–$16.082
NM$13.741
NV$14.311
NY$13.85–$16.595
OH$13.641
OK$13.391
OR$14.23–$15.292
PA$13.66–$14.872
PR$14.451
RI$14.711
SC$13.681
SD$14.141
TN$13.451
TX$13.59–$14.828
UT$13.831
VA$14.12–$16.192
VI$14.451
VT$14.111
WA$14.80–$16.482
WI$13.781
WV$13.411
WY$14.281

See 11719 in every payment locality

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

Office or facility?

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.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,360

Code
11719
Physician work
0.17
Practice expense
0.25
Malpractice
0.01

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 11719 in Montana
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.25× 1.0000.2500
Malpractice0.01× 0.9980.0100
Total RVUs0.4300
Conversion factor× 33.4009

Office rate, Montana$14.36

Office: (0.17 × 1 + 0.25 × 1 + 0.01 × 0.998) × $33.4009 = $14.36

Facility: (0.17 × 1 + 0.02 × 1 + 0.01 × 0.998) × $33.4009 = $6.68

Open 11719 in the RVU calculator

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

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
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

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%).

When to use modifier 51

How 11719 has changed in Montana

11719 · Office / nonfacility

$14.36

Effective 2026-10-01

The base rate is $0.46 higher than on 2025-10-01, moving from $13.90 to $14.36 (3.3%).

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

    $13.90changed to$14.36

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $14.31changed to$13.90

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $14.07changed to$14.31

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $14.23changed to$14.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.24 changed to 0.25
  5. January 1, 2023

    RVU23A

    $14.18changed to$14.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.23 changed to 0.24
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $14.30changed to$14.18

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.55changed to$14.30

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $15.00changed to$14.55

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.23 changed to 0.22
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $14.99changed to$15.00

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $14.51changed to$14.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $14.04changed to$14.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.21 changed to 0.22
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $14.10changed to$14.04

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $14.03changed to$14.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $14.03changed to$14.03

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $11.60changed to$14.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.16 changed to 0.21
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $11.60

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$14.36$6.68RVU26D
2026-07-01$14.36$6.68RVU26C
2026-04-01$14.36$6.68RVU26B
2026-01-01$14.36$6.68RVU26A
2025-10-01$13.90$7.11RVU25D
2025-07-01$13.90$7.11RVU25C
2025-04-01$13.90$7.11RVU25B
2025-01-01$13.90$7.11RVU25A
2024-10-01$14.31$7.32RVU24D
2024-07-01$14.31$7.32RVU24C
2024-04-01$14.31$7.32RVU24B
2024-03-09$14.31$7.32RVU24AR
2024-01-01$14.07$7.20RVU24A
2023-10-01$14.23$7.45RVU23D
2023-07-01$14.23$7.45RVU23C
2023-04-01$14.23$7.45RVU23B
2023-01-01$14.23$7.45RVU23A
2022-10-01$14.18$7.61RVU22D
2022-07-01$14.18$7.61RVU22C
2022-04-01$14.18$7.61RVU22B
2022-01-01$14.18$7.61RVU22A
2021-10-01$14.30$7.67RVU21D
2021-07-01$14.30$7.67RVU21C
2021-04-01$14.30$7.67RVU21B
2021-01-01$14.30$7.67RVU21A
2020-10-01$14.55$8.05RVU20D
2020-07-01$14.55$8.05RVU20C
2020-04-01$14.55$8.05RVU20B
2020-01-01$14.55$8.05RVU20A
2019-10-01$15.00$8.16RVU19D
2019-07-01$15.00$8.16RVU19C
2019-04-01$15.00$8.16RVU19B
2019-01-01$15.00$8.16RVU19A
2018-10-01$14.99$8.15RVU18D
2018-07-01$14.99$8.15RVU18C
2018-04-01$14.99$8.15RVU18B
2018-01-01$14.99$8.15RVU18AR1
2017-10-01$14.51$8.05RVU17D
2017-07-01$14.51$8.05RVU17C
2017-04-01$14.51$8.05RVU17B
2017-01-01$14.51$8.05RVU17A
2016-10-01$14.04$7.96RVU16D
2016-07-01$14.04$7.96RVU16C
2016-04-01$14.04$7.96RVU16B
2016-01-01$14.04$7.96RVU16A
2015-10-01$14.10$7.99RVU15D
2015-07-01$14.10$7.99RVU15C
2015-04-01$14.03$7.95RVU15B
2015-01-01$14.03$7.95RVU15A
2014-10-01$14.03$7.94RVU14D
2014-07-01$14.03$7.94RVU14C
2014-04-01$14.03$7.94RVU14B
2014-01-01$14.03$7.94RVU14A
2013-10-01$11.60$7.52RVU13D
2013-07-01$11.60$7.52RVU13C
2013-04-01$11.60$7.52RVU13B
2013-01-01$11.60$7.52RVU13AR

Price 11719 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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
RVUs for 11719PPRRVU2026_Oct_nonQPP.csv, line 1,360 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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