CPT code 11719: Nail trimming, any number of nails2026 Medicare rate & RVUs in West Virginia
Reports routine trimming of nails when the service meets Medicare’s restricted coverage requirements, rather than nail debridement or removal.
In West Virginia, Medicare pays $13.41 for 11719 in the office and $6.74 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $13.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$13.41
- Los Angeles, CA · California$16.01+$2.60
- Washington, DC area · District of Columbia$16.19+$2.78
- Miami, FL · Florida$15.22+$1.81
- Chicago, IL · Illinois$14.88+$1.47
- Manhattan, NY · New York$16.27+$2.86
- Alaska · Alaska$17.59+$4.18
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $15.11 | $6.69 |
| Merced, CACalifornia | $15.11 | $6.69 |
| Modesto, CACalifornia | $15.11 | $6.69 |
| Napa, CACalifornia | $17.21 | $7.09 |
| Oxnard, CACalifornia | $15.92 | $6.83 |
| Redding, CACalifornia | $15.11 | $6.69 |
| Rest of CaliforniaCalifornia | $15.11 | $6.69 |
| Riverside, CACalifornia | $15.22 | $6.80 |
| Sacramento, CACalifornia | $15.77 | $6.84 |
| Salinas, CACalifornia | $15.71 | $6.81 |
| San Diego, CACalifornia | $16.02 | $6.83 |
| Marin County, CACalifornia | $18.14 | $7.31 |
| San Francisco, CACalifornia | $18.13 | $7.30 |
| San Benito County, CACalifornia | $18.52 | $7.45 |
| Santa Clara County, CACalifornia | $18.48 | $7.40 |
| San Luis Obispo, CACalifornia | $15.46 | $6.71 |
| Santa Cruz, CACalifornia | $16.12 | $6.79 |
| Santa Maria, CACalifornia | $15.75 | $6.80 |
| Santa Rosa, CACalifornia | $16.28 | $6.85 |
| Stockton, CACalifornia | $15.11 | $6.69 |
| Vallejo, CACalifornia | $17.19 | $7.07 |
| Visalia, CACalifornia | $15.11 | $6.69 |
| Yuba City, CACalifornia | $15.11 | $6.69 |
| ColoradoColorado | $14.89 | $6.72 |
| ConnecticutConnecticut | $15.19 | $6.92 |
| DelawareDelaware | $14.26 | $6.67 |
| Fort Lauderdale, FLFlorida | $14.74 | $6.96 |
| Rest of FloridaFlorida | $14.16 | $6.82 |
| Atlanta, GAGeorgia | $14.58 | $6.78 |
| Rest of GeorgiaGeorgia | $13.52 | $6.67 |
| Hawaii, Guam, HIHawaii | $15.37 | $6.63 |
| IowaIowa | $13.45 | $6.42 |
| IdahoIdaho | $13.52 | $6.45 |
| East St. Louis, ILIllinois | $14.03 | $6.97 |
| Rest of IllinoisIllinois | $13.82 | $6.81 |
| Suburban Chicago, ILIllinois | $14.89 | $7.00 |
| IndianaIndiana | $13.58 | $6.46 |
| KansasKansas | $13.40 | $6.45 |
| KentuckyKentucky | $13.41 | $6.58 |
| New Orleans, LALouisiana | $13.92 | $6.69 |
| Rest of LouisianaLouisiana | $13.39 | $6.59 |
| Metropolitan Boston, MAMassachusetts | $16.18 | $7.01 |
| Rest of MassachusettsMassachusetts | $14.83 | $6.74 |
| Baltimore area, MDMaryland | $15.14 | $6.90 |
| Rest of MarylandMaryland | $14.49 | $6.72 |
| Rest of MaineMaine | $13.57 | $6.50 |
| Southern Maine, MEMaine | $14.16 | $6.55 |
| Detroit, MIMichigan | $14.30 | $6.89 |
| Rest of MichiganMichigan | $13.68 | $6.67 |
| MinnesotaMinnesota | $14.37 | $6.46 |
| Metropolitan Kansas City, MOMissouri | $13.85 | $6.63 |
| Metropolitan St. Louis, MOMissouri | $13.96 | $6.65 |
| Rest of MissouriMissouri | $13.20 | $6.58 |
| MississippiMississippi | $13.11 | $6.50 |
| MontanaMontana | $14.36 | $6.68 |
| North CarolinaNorth Carolina | $13.68 | $6.51 |
| North DakotaNorth Dakota | $14.16 | $6.48 |
| NebraskaNebraska | $13.51 | $6.42 |
| New HampshireNew Hampshire | $14.66 | $6.67 |
| Northern New JerseyNew Jersey | $16.08 | $7.17 |
| Rest of New JerseyNew Jersey | $15.39 | $7.00 |
| New MexicoNew Mexico | $13.74 | $6.69 |
| NevadaNevada | $14.31 | $6.63 |
| NYC suburbs and Long Island, NYNew York | $16.59 | $7.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $15.48 | $7.07 |
| Queens, NYNew York | $16.39 | $7.31 |
| Rest of New YorkNew York | $13.85 | $6.55 |
| OhioOhio | $13.64 | $6.62 |
| OklahomaOklahoma | $13.39 | $6.53 |
| Portland, OROregon | $15.29 | $6.76 |
| Rest of OregonOregon | $14.23 | $6.58 |
| Metropolitan Philadelphia, PAPennsylvania | $14.87 | $6.87 |
| Rest of PennsylvaniaPennsylvania | $13.66 | $6.61 |
| Puerto RicoPuerto Rico | $14.45 | $6.68 |
| Rhode IslandRhode Island | $14.71 | $6.77 |
| South CarolinaSouth Carolina | $13.68 | $6.58 |
| South DakotaSouth Dakota | $14.14 | $6.46 |
| TennesseeTennessee | $13.45 | $6.46 |
| Austin, TXTexas | $14.82 | $6.69 |
| Beaumont, TXTexas | $13.59 | $6.60 |
| Brazoria, TXTexas | $14.26 | $6.65 |
| Dallas, TXTexas | $14.33 | $6.68 |
| Fort Worth, TXTexas | $14.25 | $6.68 |
| Galveston, TXTexas | $14.29 | $6.66 |
| Houston, TXTexas | $14.47 | $6.85 |
| Rest of TexasTexas | $13.90 | $6.61 |
| UtahUtah | $13.83 | $6.61 |
| VirginiaVirginia | $14.12 | $6.57 |
| Virgin Islands, VIUnited States Virgin Islands | $14.45 | $6.68 |
| VermontVermont | $14.11 | $6.51 |
| Rest of WashingtonWashington | $14.80 | $6.71 |
| King County, WAWashington | $16.48 | $7.05 |
| WisconsinWisconsin | $13.78 | $6.42 |
| WyomingWyoming | $14.28 | $6.59 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $17.59 | 1 |
| AL | $13.17 | 1 |
| AR | $13.02 | 1 |
| AZ | $14.06 | 1 |
| CA | $15.11–$18.52 | 29 |
| CO | $14.89 | 1 |
| CT | $15.19 | 1 |
| DC | $16.19 | 1 |
| DE | $14.26 | 1 |
| FL | $14.16–$15.22 | 3 |
| GA | $13.52–$14.58 | 2 |
| GU | $15.37 | 1 |
| HI | $15.37 | 1 |
| IA | $13.45 | 1 |
| ID | $13.52 | 1 |
| IL | $13.82–$14.89 | 4 |
| IN | $13.58 | 1 |
| KS | $13.40 | 1 |
| KY | $13.41 | 1 |
| LA | $13.39–$13.92 | 2 |
| MA | $14.83–$16.18 | 2 |
| MD | $14.49–$16.19 | 3 |
| ME | $13.57–$14.16 | 2 |
| MI | $13.68–$14.30 | 2 |
| MN | $14.37 | 1 |
| MO | $13.20–$13.96 | 3 |
| MS | $13.11 | 1 |
| MT | $14.36 | 1 |
| NC | $13.68 | 1 |
| ND | $14.16 | 1 |
| NE | $13.51 | 1 |
| NH | $14.66 | 1 |
| NJ | $15.39–$16.08 | 2 |
| NM | $13.74 | 1 |
| NV | $14.31 | 1 |
| NY | $13.85–$16.59 | 5 |
| OH | $13.64 | 1 |
| OK | $13.39 | 1 |
| OR | $14.23–$15.29 | 2 |
| PA | $13.66–$14.87 | 2 |
| PR | $14.45 | 1 |
| RI | $14.71 | 1 |
| SC | $13.68 | 1 |
| SD | $14.14 | 1 |
| TN | $13.45 | 1 |
| TX | $13.59–$14.82 | 8 |
| UT | $13.83 | 1 |
| VA | $14.12–$16.19 | 2 |
| VI | $14.45 | 1 |
| VT | $14.11 | 1 |
| WA | $14.80–$16.48 | 2 |
| WI | $13.78 | 1 |
| WV | $13.41 | 1 |
| WY | $14.28 | 1 |
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.
The exact West Virginia 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
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.25 | × 0.869 | 0.2172 |
| Malpractice | 0.01 | × 1.431 | 0.0143 |
| Total RVUs | 0.4016 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$13.41
Office: (0.17 × 1 + 0.25 × 0.869 + 0.01 × 1.431) × $33.4009 = $13.41
Facility: (0.17 × 1 + 0.02 × 0.869 + 0.01 × 1.431) × $33.4009 = $6.74
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%).
How 11719 has changed in West Virginia
11719 · Office / nonfacility
$13.41
Effective 2026-10-01
The base rate is $0.51 higher than on 2025-10-01, moving from $12.90 to $13.41 (4.0%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$12.90changed to$13.41
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$13.28changed to$12.90
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$13.06changed to$13.28
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$13.18changed to$13.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.24 changed to 0.25
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$13.13changed to$13.18
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.23 changed to 0.24
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.24changed to$13.13
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$13.39changed to$13.24
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$13.70changed to$13.39
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.23 changed to 0.22
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$13.68changed to$13.70
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$13.25changed to$13.68
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$12.83changed to$13.25
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.21 changed to 0.22
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$12.88changed to$12.83
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$12.81changed to$12.88
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$12.80changed to$12.81
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$10.71changed to$12.80
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.16 changed to 0.21
- Practice expense GPCI 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $10.71
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $13.41 | $6.74 | RVU26D |
| 2026-07-01 | $13.41 | $6.74 | RVU26C |
| 2026-04-01 | $13.41 | $6.74 | RVU26B |
| 2026-01-01 | $13.41 | $6.74 | RVU26A |
| 2025-10-01 | $12.90 | $7.05 | RVU25D |
| 2025-07-01 | $12.90 | $7.05 | RVU25C |
| 2025-04-01 | $12.90 | $7.05 | RVU25B |
| 2025-01-01 | $12.90 | $7.05 | RVU25A |
| 2024-10-01 | $13.28 | $7.25 | RVU24D |
| 2024-07-01 | $13.28 | $7.25 | RVU24C |
| 2024-04-01 | $13.28 | $7.25 | RVU24B |
| 2024-03-09 | $13.28 | $7.25 | RVU24AR |
| 2024-01-01 | $13.06 | $7.13 | RVU24A |
| 2023-10-01 | $13.18 | $7.36 | RVU23D |
| 2023-07-01 | $13.18 | $7.36 | RVU23C |
| 2023-04-01 | $13.18 | $7.36 | RVU23B |
| 2023-01-01 | $13.18 | $7.36 | RVU23A |
| 2022-10-01 | $13.13 | $7.49 | RVU22D |
| 2022-07-01 | $13.13 | $7.49 | RVU22C |
| 2022-04-01 | $13.13 | $7.49 | RVU22B |
| 2022-01-01 | $13.13 | $7.49 | RVU22A |
| 2021-10-01 | $13.24 | $7.55 | RVU21D |
| 2021-07-01 | $13.24 | $7.55 | RVU21C |
| 2021-04-01 | $13.24 | $7.55 | RVU21B |
| 2021-01-01 | $13.24 | $7.55 | RVU21A |
| 2020-10-01 | $13.39 | $7.82 | RVU20D |
| 2020-07-01 | $13.39 | $7.82 | RVU20C |
| 2020-04-01 | $13.39 | $7.82 | RVU20B |
| 2020-01-01 | $13.39 | $7.82 | RVU20A |
| 2019-10-01 | $13.70 | $7.83 | RVU19D |
| 2019-07-01 | $13.70 | $7.83 | RVU19C |
| 2019-04-01 | $13.70 | $7.83 | RVU19B |
| 2019-01-01 | $13.70 | $7.83 | RVU19A |
| 2018-10-01 | $13.68 | $7.82 | RVU18D |
| 2018-07-01 | $13.68 | $7.82 | RVU18C |
| 2018-04-01 | $13.68 | $7.82 | RVU18B |
| 2018-01-01 | $13.68 | $7.82 | RVU18AR1 |
| 2017-10-01 | $13.25 | $7.78 | RVU17D |
| 2017-07-01 | $13.25 | $7.78 | RVU17C |
| 2017-04-01 | $13.25 | $7.78 | RVU17B |
| 2017-01-01 | $13.25 | $7.78 | RVU17A |
| 2016-10-01 | $12.83 | $7.74 | RVU16D |
| 2016-07-01 | $12.83 | $7.74 | RVU16C |
| 2016-04-01 | $12.83 | $7.74 | RVU16B |
| 2016-01-01 | $12.83 | $7.74 | RVU16A |
| 2015-10-01 | $12.88 | $7.77 | RVU15D |
| 2015-07-01 | $12.88 | $7.77 | RVU15C |
| 2015-04-01 | $12.81 | $7.73 | RVU15B |
| 2015-01-01 | $12.81 | $7.73 | RVU15A |
| 2014-10-01 | $12.80 | $7.73 | RVU14D |
| 2014-07-01 | $12.80 | $7.73 | RVU14C |
| 2014-04-01 | $12.80 | $7.73 | RVU14B |
| 2014-01-01 | $12.80 | $7.73 | RVU14A |
| 2013-10-01 | $10.71 | $7.33 | RVU13D |
| 2013-07-01 | $10.71 | $7.33 | RVU13C |
| 2013-04-01 | $10.71 | $7.33 | RVU13B |
| 2013-01-01 | $10.71 | $7.33 | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
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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