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CPT code 11730: Nail avulsion, single nail plate2026 Medicare rate & RVUs in Washington, DC area

Reports simple partial or complete removal of one nail plate, such as for a painful ingrown nail or a damaged, detached nail.

CMS RVU26DEffective Oct 1, 2026One payment locality209.1K Medicare services in 2024

In Washington, DC area, Medicare pays $127.02 for 11730 in the office and $53.05 when it’s performed in a hospital or facility.

$127.02Office (non-facility)
$53.05Hospital or facility
+13.9%vs the national office rate ($111.56)

Check a contract rate as a % of Medicare · 11730 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 11730 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11730 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 11730 covers

This service removes part or all of one nail plate by simple avulsion, without excising the nail matrix. Common situations include a painful ingrown nail, a detached or damaged nail, or removal needed to address local nail pathology. Podiatrists, dermatologists, and other clinicians who perform minor procedures commonly provide it in an office or outpatient setting.

Report one unit for the first nail treated; use 11732 for each additional nail plate avulsed in the same session. Document the affected digit, the reason for removal, and whether the removal was partial or complete. 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 subject to the standard 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 Washington, DC area compares for 11730

Across 109 of 109 payment localities, the office rate for 11730 runs from $99.71 in Arkansas to $147.14 in San Benito County, CA. Washington, DC area pays $127.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

11730 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$127.02
  2. Los Angeles, CA · California$125.75−$1.27
  3. Miami, FL · Florida$118.71−$8.31
  4. Chicago, IL · Illinois$115.63−$11.39
  5. Manhattan, NY · New York$127.43+$0.41
  6. Alaska · Alaska$132.26+$5.24
  7. Alabama · Alabama$101.05−$25.97

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11730 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$99.71$45.77
ArizonaArizona$108.85$48.01
Bakersfield, CACalifornia$118.34$49.52
Chico, CACalifornia$118.08$49.26
El Centro, CACalifornia$118.09$49.27
Fresno, CACalifornia$118.08$49.26
Hanford, CACalifornia$118.08$49.26
Madera, CACalifornia$118.08$49.26

11730 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$99.71

$132.61

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

View every state and territory as a table
11730 office rate range by state
State / territoryOffice rate rangeLocalities
AK$132.261
AL$101.051
AR$99.711
AZ$108.851
CA$118.08–$147.1429
CO$116.171
CT$118.561
DC$127.021
DE$110.561
FL$109.61–$118.713
GA$103.99–$113.402
GU$120.681
HI$120.681
IA$103.591
ID$104.171
IL$106.55–$115.884
IN$104.721
KS$103.051
KY$103.031
LA$102.84–$107.512
MA$115.53–$127.182
MD$112.58–$127.023
ME$104.56–$109.902
MI$105.39–$110.772
MN$111.851
MO$101.16–$107.973
MS$100.461
MT$111.551
NC$105.581
ND$109.971
NE$104.141
NH$114.291
NJ$120.06–$125.862
NM$105.891
NV$111.191
NY$107.02–$130.175
OH$105.071
OK$102.961
OR$110.47–$119.722
PA$105.28–$115.762
PR$112.341
RI$114.391
SC$105.471
SD$109.781
TN$103.511
TX$104.64–$115.668
UT$106.801
VA$109.50–$127.022
VI$112.341
VT$109.491
WA$115.33–$129.762
WI$106.571
WV$102.911
WY$110.861

See 11730 in every payment locality

How the 11730 rate is calculated

Each of 11730’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 · 11730

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.02

1.02 RVUs× 1.000 GPCI

Practice expense2.24

2.24 RVUs× 1.000 GPCI

Malpractice0.08

0.08 RVUs× 1.000 GPCI

Adjusted RVUs

3.3400

Conversion factor

$33.4009

Medicare rate

$111.56

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,363

Code
11730
Physician work
1.02
Practice expense
2.24
Malpractice
0.08

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11730 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0541.0751
Practice expense2.24× 1.1782.6387
Malpractice0.08× 1.1130.0890
Total RVUs3.8028
Conversion factor× 33.4009

Office rate, Washington, DC area$127.02

Office: (1.02 × 1.054 + 2.24 × 1.178 + 0.08 × 1.113) × $33.4009 = $127.02

Facility: (1.02 × 1.054 + 0.36 × 1.178 + 0.08 × 1.113) × $33.4009 = $53.05

Open 11730 in the RVU calculator

Payment rules and modifiers for 11730

The CMS indicators that decide how 11730 is paid alongside other services.

CMS payment indicators · 11730

Nail avulsion, single nail plate

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

11730 without 51 · national office

$111.56

Nail avulsion, single nail plate

11730-51 · Second procedure: 50%

$55.78

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

Codes related to 11730

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

Codes related to 11730
CodeHow it relatesOffice range, Washington, DC area
Add-on codes
11732Nail avulsion, each additional nailAdd-on code for each additional nail plate avulsed in the same session.$36.57
Used instead
11750Nail matrix excision, permanent partial or complete removalUsed when the procedure excises the nail and matrix rather than simply avulsing the plate.$179.03
11720Nail debridement, one to five nailsDescribes debridement of a limited number of nails, not nail plate avulsion.$37.21

How 11730 has changed in Washington, DC area

11730 · Office / nonfacility

$127.02

Effective 2026-10-01

The base rate is $0.20 lower than on 2025-10-01, moving from $127.22 to $127.02 (0.2%).

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

    $127.22changed to$127.02

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.05 changed to 1.02
    • Practice expense RVU 2.29 changed to 2.24
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $132.50changed to$127.22

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.32 changed to 2.29
    • Malpractice RVU 0.09 changed to 0.08

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $130.34changed to$132.50

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $136.37changed to$130.34

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.30 changed to 2.32
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $140.28changed to$136.37

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.29 changed to 2.30
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $141.44changed to$140.28

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $132.03changed to$141.44

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.00 changed to 2.29
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $128.30changed to$132.03

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.96 changed to 2.00
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $124.69changed to$128.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.88 changed to 1.96

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $122.71changed to$124.69

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.84 changed to 1.88
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $114.95changed to$122.71

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.10 changed to 1.05
    • Practice expense RVU 1.62 changed to 1.84
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $114.91changed to$114.95

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.07 changed to 0.08

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $114.34changed to$114.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $113.72changed to$114.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 1.60 changed to 1.62
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $113.66changed to$113.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.75 changed to 1.60
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $113.66

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$127.02$53.05RVU26D
2026-07-01$127.02$53.05RVU26C
2026-04-01$127.02$53.05RVU26B
2026-01-01$127.02$53.05RVU26A
2025-10-01$127.22$57.43RVU25D
2025-07-01$127.22$57.43RVU25C
2025-04-01$127.22$57.43RVU25B
2025-01-01$127.22$57.43RVU25A
2024-10-01$132.50$58.70RVU24D
2024-07-01$132.50$58.70RVU24C
2024-04-01$132.50$58.70RVU24B
2024-03-09$132.50$58.70RVU24AR
2024-01-01$130.34$57.74RVU24A
2023-10-01$136.37$59.85RVU23D
2023-07-01$136.37$59.85RVU23C
2023-04-01$136.37$59.85RVU23B
2023-01-01$136.37$59.85RVU23A
2022-10-01$140.28$60.72RVU22D
2022-07-01$140.28$60.72RVU22C
2022-04-01$140.28$60.72RVU22B
2022-01-01$140.28$60.72RVU22A
2021-10-01$141.44$61.22RVU21D
2021-07-01$141.44$61.22RVU21C
2021-04-01$141.44$61.22RVU21B
2021-01-01$141.44$61.22RVU21A
2020-10-01$132.03$62.85RVU20D
2020-07-01$132.03$62.85RVU20C
2020-04-01$132.03$62.85RVU20B
2020-01-01$132.03$62.85RVU20A
2019-10-01$128.30$62.72RVU19D
2019-07-01$128.30$62.72RVU19C
2019-04-01$128.30$62.72RVU19B
2019-01-01$128.30$62.72RVU19A
2018-10-01$124.69$63.09RVU18D
2018-07-01$124.69$63.09RVU18C
2018-04-01$124.69$63.09RVU18B
2018-01-01$124.69$63.09RVU18AR1
2017-10-01$122.71$63.03RVU17D
2017-07-01$122.71$63.03RVU17C
2017-04-01$122.71$63.03RVU17B
2017-01-01$122.71$63.03RVU17A
2016-10-01$114.95$57.14RVU16D
2016-07-01$114.95$57.14RVU16C
2016-04-01$114.95$57.14RVU16B
2016-01-01$114.95$57.14RVU16A
2015-10-01$114.91$56.45RVU15D
2015-07-01$114.91$56.45RVU15C
2015-04-01$114.34$56.17RVU15B
2015-01-01$114.34$56.17RVU15A
2014-10-01$113.72$56.89RVU14D
2014-07-01$113.72$56.89RVU14C
2014-04-01$113.72$56.89RVU14B
2014-01-01$113.72$56.89RVU14A
2013-10-01$113.66$54.16RVU13D
2013-07-01$113.66$54.16RVU13C
2013-04-01$113.66$54.16RVU13B
2013-01-01$113.66$54.16RVU13AR

Price 11730 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11730 billing questions

When should 11730 be used instead of 11750?

Use 11730 for simple removal of part or all of the nail plate without excising the nail matrix. 11750 describes excision involving the nail and matrix.

How is a second nail treated in the same session reported?

Report 11730 for the first nail and 11732 for each additional nail plate avulsed.

Can modifier 50 be used when nails on both feet are treated?

No. Modifier 50 is inappropriate for 11730; report the additional nail using 11732 when applicable.

Is nail trimming or debridement included in 11730?

The code reports nail plate avulsion, not routine trimming or debridement. Those services describe different work and should not be substituted for removal of the plate.

What documentation supports reporting 11730?

Record the digit and side, the clinical reason for removal, and whether the nail plate was removed partially or completely. The record should support that an avulsion was performed.

How does the multiple procedure rule affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The 0-day global period includes same-day preoperative and postoperative care.

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 11730PPRRVU2026_Oct_nonQPP.csv, line 1,363 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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