CPT code 11720: Nail debridement, one to five nails2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $32.02 for 11720 in the office and $12.18 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11720 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11720 covers

This service reduces the thickness and bulk of diseased nails, often thick, discolored, crumbly nails affected by onychomycosis or other dystrophy. A clinician uses nippers, curettes, or a burr to remove thickened nail plate and subungual debris; debriding painful toenails may relieve pressure from footwear. Podiatrists commonly perform the service in offices, nursing facilities, and patients’ homes. Patients may have diabetes, peripheral vascular disease, or neuropathy that makes self-care difficult.

Count all fingernails and toenails debrided during the session. Report one unit of 11720 for one to five nails; use 11721 instead for six or more. Document each treated nail, its condition, and the reason debridement was needed. For Medicare coverage, document applicable findings, such as pain or secondary infection associated with mycotic nails, or qualifying systemic disease and class findings when required. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team surgery arrangements 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 Vermont compares for 11720

Across 109 of 109 payment localities, the office rate for 11720 runs from $29.23 in Arkansas to $42.86 in San Benito County, CA. Vermont pays $32.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11720 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 11720 in every payment locality

How the 11720 rate is calculated

Each of 11720’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.

Payment rules and modifiers for 11720

The CMS indicators that decide how 11720 is paid alongside other services.

Codes related to 11720

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 11720 has changed in Vermont

Price 11720 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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

Open CMS sourceHow we calculate rates