CPT code 11720: Nail debridement, one to five nails2026 Medicare rate & RVUs in West Virginia
Debridement of one to five dystrophic or mycotic fingernails or toenails, by any method, reported once per session, most often by podiatrists for onychomycosis.
In West Virginia, Medicare pays $30.36 for 11720 in the office and $12.95 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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $30.36. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$30.36
- Los Angeles, CA · California$36.73+$6.37
- Washington, DC area · District of Columbia$37.21+$6.85
- Miami, FL · Florida$35.14+$4.78
- Chicago, IL · Illinois$34.21+$3.85
- Manhattan, NY · New York$37.45+$7.09
- Alaska · Alaska$38.85+$8.49
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $29.63 | $12.09 |
| ArkansasArkansas | $29.23 | $12.02 |
| ArizonaArizona | $31.93 | $12.51 |
| Bakersfield, CACalifornia | $34.59 | $12.63 |
| Chico, CACalifornia | $34.50 | $12.53 |
| El Centro, CACalifornia | $34.50 | $12.54 |
| Fresno, CACalifornia | $34.50 | $12.53 |
| Hanford, CACalifornia | $34.50 | $12.53 |
| Madera, CACalifornia | $34.50 | $12.53 |
| Merced, CACalifornia | $34.50 | $12.53 |
| Modesto, CACalifornia | $34.50 | $12.53 |
| Napa, CACalifornia | $39.69 | $13.28 |
| Oxnard, CACalifornia | $36.54 | $12.85 |
| Redding, CACalifornia | $34.50 | $12.53 |
| Rest of CaliforniaCalifornia | $34.50 | $12.53 |
| Riverside, CACalifornia | $34.82 | $12.86 |
| Sacramento, CACalifornia | $36.13 | $12.82 |
| Salinas, CACalifornia | $35.99 | $12.76 |
| San Diego, CACalifornia | $36.77 | $12.81 |
| Marin County, CACalifornia | $41.94 | $13.68 |
| San Francisco, CACalifornia | $41.90 | $13.65 |
| San Benito County, CACalifornia | $42.86 | $13.96 |
| Santa Clara County, CACalifornia | $42.72 | $13.82 |
| San Luis Obispo, CACalifornia | $35.42 | $12.59 |
| Santa Cruz, CACalifornia | $37.08 | $12.73 |
| Santa Maria, CACalifornia | $36.11 | $12.74 |
| Santa Rosa, CACalifornia | $37.45 | $12.84 |
| Stockton, CACalifornia | $34.50 | $12.53 |
| Vallejo, CACalifornia | $39.64 | $13.23 |
| Visalia, CACalifornia | $34.50 | $12.53 |
| Yuba City, CACalifornia | $34.50 | $12.53 |
| ColoradoColorado | $34.01 | $12.68 |
| ConnecticutConnecticut | $34.80 | $13.21 |
| DelawareDelaware | $32.43 | $12.63 |
| Fort Lauderdale, FLFlorida | $33.82 | $13.52 |
| Rest of FloridaFlorida | $32.30 | $13.14 |
| Atlanta, GAGeorgia | $33.31 | $12.95 |
| Rest of GeorgiaGeorgia | $30.62 | $12.74 |
| Hawaii, Guam, HIHawaii | $35.24 | $12.45 |
| IowaIowa | $30.31 | $11.97 |
| IdahoIdaho | $30.49 | $12.06 |
| East St. Louis, ILIllinois | $32.04 | $13.60 |
| Rest of IllinoisIllinois | $31.44 | $13.14 |
| Suburban Chicago, ILIllinois | $34.16 | $13.57 |
| IndianaIndiana | $30.66 | $12.08 |
| KansasKansas | $30.18 | $12.07 |
| KentuckyKentucky | $30.27 | $12.46 |
| New Orleans, LALouisiana | $31.61 | $12.75 |
| Rest of LouisianaLouisiana | $30.23 | $12.50 |
| Metropolitan Boston, MAMassachusetts | $37.19 | $13.27 |
| Rest of MassachusettsMassachusetts | $33.83 | $12.73 |
| Baltimore area, MDMaryland | $34.70 | $13.19 |
| Rest of MarylandMaryland | $33.01 | $12.73 |
| Rest of MaineMaine | $30.64 | $12.21 |
| Southern Maine, MEMaine | $32.17 | $12.31 |
| Detroit, MIMichigan | $32.67 | $13.33 |
| Rest of MichiganMichigan | $31.00 | $12.71 |
| MinnesotaMinnesota | $32.65 | $12.03 |
| Metropolitan Kansas City, MOMissouri | $31.41 | $12.59 |
| Metropolitan St. Louis, MOMissouri | $31.71 | $12.63 |
| Rest of MissouriMissouri | $29.76 | $12.48 |
| MississippiMississippi | $29.50 | $12.25 |
| MontanaMontana | $32.73 | $12.69 |
| North CarolinaNorth Carolina | $30.94 | $12.24 |
| North DakotaNorth Dakota | $32.14 | $12.10 |
| NebraskaNebraska | $30.46 | $11.97 |
| New HampshireNew Hampshire | $33.48 | $12.62 |
| Northern New JerseyNew Jersey | $36.87 | $13.63 |
| Rest of New JerseyNew Jersey | $35.21 | $13.33 |
| New MexicoNew Mexico | $31.16 | $12.78 |
| NevadaNevada | $32.59 | $12.53 |
| NYC suburbs and Long Island, NYNew York | $38.29 | $14.47 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $35.44 | $13.50 |
| Queens, NYNew York | $37.73 | $14.04 |
| Rest of New YorkNew York | $31.37 | $12.33 |
| OhioOhio | $30.88 | $12.58 |
| OklahomaOklahoma | $30.22 | $12.33 |
| Portland, OROregon | $35.01 | $12.75 |
| Rest of OregonOregon | $32.35 | $12.39 |
| Metropolitan Philadelphia, PAPennsylvania | $33.99 | $13.13 |
| Rest of PennsylvaniaPennsylvania | $30.92 | $12.53 |
| Puerto RicoPuerto Rico | $32.95 | $12.69 |
| Rhode IslandRhode Island | $33.53 | $12.82 |
| South CarolinaSouth Carolina | $30.96 | $12.44 |
| South DakotaSouth Dakota | $32.07 | $12.03 |
| TennesseeTennessee | $30.32 | $12.11 |
| Austin, TXTexas | $33.88 | $12.68 |
| Beaumont, TXTexas | $30.74 | $12.50 |
| Brazoria, TXTexas | $32.40 | $12.54 |
| Dallas, TXTexas | $32.60 | $12.64 |
| Fort Worth, TXTexas | $32.40 | $12.64 |
| Galveston, TXTexas | $32.49 | $12.59 |
| Houston, TXTexas | $33.04 | $13.14 |
| Rest of TexasTexas | $31.55 | $12.53 |
| UtahUtah | $31.35 | $12.51 |
| VirginiaVirginia | $32.07 | $12.38 |
| Virgin Islands, VIUnited States Virgin Islands | $32.95 | $12.69 |
| VermontVermont | $32.02 | $12.18 |
| Rest of WashingtonWashington | $33.76 | $12.66 |
| King County, WAWashington | $37.92 | $13.33 |
| WisconsinWisconsin | $31.14 | $11.94 |
| WyomingWyoming | $32.47 | $12.43 |
11720 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.
$29.23
$38.85
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 | $38.85 | 1 |
| AL | $29.63 | 1 |
| AR | $29.23 | 1 |
| AZ | $31.93 | 1 |
| CA | $34.50–$42.86 | 29 |
| CO | $34.01 | 1 |
| CT | $34.80 | 1 |
| DC | $37.21 | 1 |
| DE | $32.43 | 1 |
| FL | $32.30–$35.14 | 3 |
| GA | $30.62–$33.31 | 2 |
| GU | $35.24 | 1 |
| HI | $35.24 | 1 |
| IA | $30.31 | 1 |
| ID | $30.49 | 1 |
| IL | $31.44–$34.21 | 4 |
| IN | $30.66 | 1 |
| KS | $30.18 | 1 |
| KY | $30.27 | 1 |
| LA | $30.23–$31.61 | 2 |
| MA | $33.83–$37.19 | 2 |
| MD | $33.01–$37.21 | 3 |
| ME | $30.64–$32.17 | 2 |
| MI | $31.00–$32.67 | 2 |
| MN | $32.65 | 1 |
| MO | $29.76–$31.71 | 3 |
| MS | $29.50 | 1 |
| MT | $32.73 | 1 |
| NC | $30.94 | 1 |
| ND | $32.14 | 1 |
| NE | $30.46 | 1 |
| NH | $33.48 | 1 |
| NJ | $35.21–$36.87 | 2 |
| NM | $31.16 | 1 |
| NV | $32.59 | 1 |
| NY | $31.37–$38.29 | 5 |
| OH | $30.88 | 1 |
| OK | $30.22 | 1 |
| OR | $32.35–$35.01 | 2 |
| PA | $30.92–$33.99 | 2 |
| PR | $32.95 | 1 |
| RI | $33.53 | 1 |
| SC | $30.96 | 1 |
| SD | $32.07 | 1 |
| TN | $30.32 | 1 |
| TX | $30.74–$33.88 | 8 |
| UT | $31.35 | 1 |
| VA | $32.07–$37.21 | 2 |
| VI | $32.95 | 1 |
| VT | $32.02 | 1 |
| WA | $33.76–$37.92 | 2 |
| WI | $31.14 | 1 |
| WV | $30.36 | 1 |
| WY | $32.47 | 1 |
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.
How the rate is built · 11720
RVUs × geographic indexes × conversion factor
Work0.31
0.31 RVUs× 1.000 GPCI
Practice expense0.64
0.64 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.9800
Conversion factor
$33.4009
Medicare rate
$32.73
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
1,361
- Code
- 11720
- Physician work
- 0.31
- Practice expense
- 0.64
- Malpractice
- 0.03
GPCI2026.csv
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.31 | × 1.000 | 0.3100 |
| Practice expense | 0.64 | × 0.869 | 0.5562 |
| Malpractice | 0.03 | × 1.431 | 0.0429 |
| Total RVUs | 0.9091 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$30.36
Office: (0.31 × 1 + 0.64 × 0.869 + 0.03 × 1.431) × $33.4009 = $30.36
Facility: (0.31 × 1 + 0.04 × 0.869 + 0.03 × 1.431) × $33.4009 = $12.95
Payment rules and modifiers for 11720
The CMS indicators that decide how 11720 is paid alongside other services.
CMS payment indicators · 11720
Nail debridement, one to five 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 | 0 | No multiple-procedure reduction. |
| 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. |
How 11720 has changed in West Virginia
11720 · Office / nonfacility
$30.36
Effective 2026-10-01
The base rate is $0.87 higher than on 2025-10-01, moving from $29.49 to $30.36 (3.0%).
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
$29.49changed to$30.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.32 changed to 0.31
- 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
$30.35changed to$29.49
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$29.85changed to$30.35
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$30.63changed to$29.85
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.62 changed to 0.64
- Malpractice RVU 0.04 changed to 0.03
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$30.55changed to$30.63
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.60 changed to 0.62
- 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
$31.10changed to$30.55
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.61 changed to 0.60
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$30.84changed to$31.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.58 changed to 0.61
- Malpractice RVU 0.03 changed to 0.04
- 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
$31.00changed to$30.84
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.60 changed to 0.58
- Malpractice RVU 0.02 changed to 0.03
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$30.96changed to$31.00
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$29.74changed to$30.96
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.57 changed to 0.60
- 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
$29.44changed to$29.74
- Conversion factor 35.8043 changed to 35.8887
- 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
$29.54changed to$29.44
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$29.40changed to$29.54
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$29.50changed to$29.40
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.56 changed to 0.57
- Malpractice RVU 0.03 changed to 0.02
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$29.33changed to$29.50
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.61 changed to 0.56
- 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: $29.33
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $30.36 | $12.95 | RVU26D |
| 2026-07-01 | $30.36 | $12.95 | RVU26C |
| 2026-04-01 | $30.36 | $12.95 | RVU26B |
| 2026-01-01 | $30.36 | $12.95 | RVU26A |
| 2025-10-01 | $29.49 | $13.88 | RVU25D |
| 2025-07-01 | $29.49 | $13.88 | RVU25C |
| 2025-04-01 | $29.49 | $13.88 | RVU25B |
| 2025-01-01 | $29.49 | $13.88 | RVU25A |
| 2024-10-01 | $30.35 | $13.99 | RVU24D |
| 2024-07-01 | $30.35 | $13.99 | RVU24C |
| 2024-04-01 | $30.35 | $13.99 | RVU24B |
| 2024-03-09 | $30.35 | $13.99 | RVU24AR |
| 2024-01-01 | $29.85 | $13.76 | RVU24A |
| 2023-10-01 | $30.63 | $14.60 | RVU23D |
| 2023-07-01 | $30.63 | $14.60 | RVU23C |
| 2023-04-01 | $30.63 | $14.60 | RVU23B |
| 2023-01-01 | $30.63 | $14.60 | RVU23A |
| 2022-10-01 | $30.55 | $14.81 | RVU22D |
| 2022-07-01 | $30.55 | $14.81 | RVU22C |
| 2022-04-01 | $30.55 | $14.81 | RVU22B |
| 2022-01-01 | $30.55 | $14.81 | RVU22A |
| 2021-10-01 | $31.10 | $14.93 | RVU21D |
| 2021-07-01 | $31.10 | $14.93 | RVU21C |
| 2021-04-01 | $31.10 | $14.93 | RVU21B |
| 2021-01-01 | $31.10 | $14.93 | RVU21A |
| 2020-10-01 | $30.84 | $15.06 | RVU20D |
| 2020-07-01 | $30.84 | $15.06 | RVU20C |
| 2020-04-01 | $30.84 | $15.06 | RVU20B |
| 2020-01-01 | $30.84 | $15.06 | RVU20A |
| 2019-10-01 | $31.00 | $14.94 | RVU19D |
| 2019-07-01 | $31.00 | $14.94 | RVU19C |
| 2019-04-01 | $31.00 | $14.94 | RVU19B |
| 2019-01-01 | $31.00 | $14.94 | RVU19A |
| 2018-10-01 | $30.96 | $14.92 | RVU18D |
| 2018-07-01 | $30.96 | $14.92 | RVU18C |
| 2018-04-01 | $30.96 | $14.92 | RVU18B |
| 2018-01-01 | $30.96 | $14.92 | RVU18AR1 |
| 2017-10-01 | $29.74 | $14.84 | RVU17D |
| 2017-07-01 | $29.74 | $14.84 | RVU17C |
| 2017-04-01 | $29.74 | $14.84 | RVU17B |
| 2017-01-01 | $29.74 | $14.84 | RVU17A |
| 2016-10-01 | $29.44 | $14.77 | RVU16D |
| 2016-07-01 | $29.44 | $14.77 | RVU16C |
| 2016-04-01 | $29.44 | $14.77 | RVU16B |
| 2016-01-01 | $29.44 | $14.77 | RVU16A |
| 2015-10-01 | $29.54 | $14.82 | RVU15D |
| 2015-07-01 | $29.54 | $14.82 | RVU15C |
| 2015-04-01 | $29.40 | $14.75 | RVU15B |
| 2015-01-01 | $29.40 | $14.75 | RVU15A |
| 2014-10-01 | $29.50 | $15.20 | RVU14D |
| 2014-07-01 | $29.50 | $15.20 | RVU14C |
| 2014-04-01 | $29.50 | $15.20 | RVU14B |
| 2014-01-01 | $29.50 | $15.20 | RVU14A |
| 2013-10-01 | $29.33 | $14.40 | RVU13D |
| 2013-07-01 | $29.33 | $14.40 | RVU13C |
| 2013-04-01 | $29.33 | $14.40 | RVU13B |
| 2013-01-01 | $29.33 | $14.40 | 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
11720 billing questions
How are units reported when nails on both feet are debrided?
Add up all nails treated at the session, including any fingernails, and report one unit. Use 11720 for one to five nails or 11721 alone for six or more. Do not append modifier 50.
Can 11720 be billed with 11721 on the same date?
No. Choose the code by the total number of nails debrided during the session, and report one code with one unit.
What is the difference between nail debridement and nail trimming?
Debridement reduces the thickness and bulk of a diseased nail plate; trimming only shortens the nail. Use 11719 for trimming nondystrophic nails or G0127 for trimming dystrophic nails rather than reporting trimming alone as debridement.
Which modifiers might a Medicare claim for 11720 need?
When coverage relies on class findings under the routine foot care exception, report the applicable Q7, Q8, or Q9 modifier as supported by the record. Modifier 50 is inappropriate; append modifier 25 to a separately reported, significant E/M service, not to 11720.
Is a same-day office visit separately payable?
The routine evaluation associated with debridement is included in the 0-day global period. A significant, separately identifiable E/M service beyond that routine care may be reported with modifier 25, even if it concerns the same condition.
Can callus paring be billed at the same visit?
Paring corns or calluses under 11055 through 11057 may be separately reported when it is performed in addition to nail debridement. Document the treated sites and medical necessity for each service, subject to applicable coverage and coding requirements.
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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