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

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 South Dakota, Medicare pays $14.14 for 11719 in the office and $6.46 when it’s performed in a hospital or facility.

$14.14Office (non-facility)
$6.46Hospital or facility
−1.5%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 South Dakota
  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 South Dakota 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. South Dakota pays $14.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

11719 in South Dakota vs other payment areas
  1. South Dakota · this page$14.14
  2. Los Angeles, CA · California$16.01+$1.87
  3. Washington, DC area · District of Columbia$16.19+$2.05
  4. Miami, FL · Florida$15.22+$1.08
  5. Chicago, IL · Illinois$14.88+$0.74
  6. Manhattan, NY · New York$16.27+$2.13
  7. Alaska · Alaska$17.59+$3.45

Other areas in South Dakota 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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11719 in South Dakota
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.25× 1.0000.2500
Malpractice0.01× 0.3360.0034
Total RVUs0.4234
Conversion factor× 33.4009

Office rate, South Dakota$14.14

Office: (0.17 × 1 + 0.25 × 1 + 0.01 × 0.336) × $33.4009 = $14.14

Facility: (0.17 × 1 + 0.02 × 1 + 0.01 × 0.336) × $33.4009 = $6.46

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 South Dakota

11719 · Office / nonfacility

$14.14

Effective 2026-10-01

The base rate is $0.43 higher than on 2025-10-01, moving from $13.71 to $14.14 (3.1%).

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

    $13.71changed to$14.14

    • Conversion factor 32.3465 changed to 33.4009
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $14.11changed to$13.71

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $13.88changed to$14.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $14.02changed to$13.88

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.24 changed to 0.25
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $13.96changed to$14.02

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.23 changed to 0.24
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $14.08changed to$13.96

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $14.21changed to$14.08

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $14.56changed to$14.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.23 changed to 0.22
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $14.54changed to$14.56

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $14.14changed to$14.54

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.22 changed to 0.23
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $13.75changed to$14.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.21 changed to 0.22
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $13.80changed to$13.75

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $13.73changed to$13.80

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $13.76changed to$13.73

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $11.37changed to$13.76

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.16 changed to 0.21
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $11.37

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$14.14$6.46RVU26D
2026-07-01$14.14$6.46RVU26C
2026-04-01$14.14$6.46RVU26B
2026-01-01$14.14$6.46RVU26A
2025-10-01$13.71$6.92RVU25D
2025-07-01$13.71$6.92RVU25C
2025-04-01$13.71$6.92RVU25B
2025-01-01$13.71$6.92RVU25A
2024-10-01$14.11$7.12RVU24D
2024-07-01$14.11$7.12RVU24C
2024-04-01$14.11$7.12RVU24B
2024-03-09$14.11$7.12RVU24AR
2024-01-01$13.88$7.00RVU24A
2023-10-01$14.02$7.24RVU23D
2023-07-01$14.02$7.24RVU23C
2023-04-01$14.02$7.24RVU23B
2023-01-01$14.02$7.24RVU23A
2022-10-01$13.96$7.39RVU22D
2022-07-01$13.96$7.39RVU22C
2022-04-01$13.96$7.39RVU22B
2022-01-01$13.96$7.39RVU22A
2021-10-01$14.08$7.45RVU21D
2021-07-01$14.08$7.45RVU21C
2021-04-01$14.08$7.45RVU21B
2021-01-01$14.08$7.45RVU21A
2020-10-01$14.21$7.71RVU20D
2020-07-01$14.21$7.71RVU20C
2020-04-01$14.21$7.71RVU20B
2020-01-01$14.21$7.71RVU20A
2019-10-01$14.56$7.71RVU19D
2019-07-01$14.56$7.71RVU19C
2019-04-01$14.56$7.71RVU19B
2019-01-01$14.56$7.71RVU19A
2018-10-01$14.54$7.70RVU18D
2018-07-01$14.54$7.70RVU18C
2018-04-01$14.54$7.70RVU18B
2018-01-01$14.54$7.70RVU18AR1
2017-10-01$14.14$7.68RVU17D
2017-07-01$14.14$7.68RVU17C
2017-04-01$14.14$7.68RVU17B
2017-01-01$14.14$7.68RVU17A
2016-10-01$13.75$7.66RVU16D
2016-07-01$13.75$7.66RVU16C
2016-04-01$13.75$7.66RVU16B
2016-01-01$13.75$7.66RVU16A
2015-10-01$13.80$7.69RVU15D
2015-07-01$13.80$7.69RVU15C
2015-04-01$13.73$7.65RVU15B
2015-01-01$13.73$7.65RVU15A
2014-10-01$13.76$7.67RVU14D
2014-07-01$13.76$7.67RVU14C
2014-04-01$13.76$7.67RVU14B
2014-01-01$13.76$7.67RVU14A
2013-10-01$11.37$7.29RVU13D
2013-07-01$11.37$7.29RVU13C
2013-04-01$11.37$7.29RVU13B
2013-01-01$11.37$7.29RVU13AR

Price 11719 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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