CPT code 11732: Nail avulsion, each additional nail2026 Medicare rate & RVUs in California
Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail.
Medicare pays $33.97–$41.71 for 11732 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 11732 covers
This add-on code covers simple avulsion of an additional finger or toenail plate, either partially or completely, during the same treatment session as the primary avulsion. A podiatrist, dermatologist, or other qualified clinician may perform it in an office or facility for problems such as an ingrown or traumatically loosened nail. It describes removal of the plate, not excision of the nail matrix for permanent removal.
Report 11732 for each additional nail treated after the first nail, with 11730 as the primary procedure. The record should identify the indication, the digits and sides treated, the number of additional nails, and the work performed. CMS classifies 11732 as an add-on code: it is reported only with a primary procedure, and payment falls within that procedure’s global period.
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.
Where 11732 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$33.97 to $41.71
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $34.07 | $15.03 |
| Chico, CA | $33.97 | $14.94 |
| El Centro, CA | $33.98 | $14.94 |
| Fresno, CA | $33.97 | $14.94 |
| Hanford, CA | $33.97 | $14.94 |
| Los Angeles, CA | $36.05 | $15.51 |
| Madera, CA | $33.97 | $14.94 |
| Marin County, CA | $40.84 | $16.35 |
| Merced, CA | $33.97 | $14.94 |
| Modesto, CA | $33.97 | $14.94 |
| Napa, CA | $38.74 | $15.85 |
| Oxnard, CA | $35.83 | $15.30 |
| Redding, CA | $33.97 | $14.94 |
| Rest of California | $33.97 | $14.94 |
| Riverside, CA | $34.30 | $15.27 |
| Sacramento, CA | $35.48 | $15.28 |
| Salinas, CA | $35.34 | $15.21 |
| San Benito County, CA | $41.71 | $16.66 |
| San Diego, CA | $36.04 | $15.27 |
| San Francisco, CA | $40.80 | $16.31 |
| San Luis Obispo, CA | $34.79 | $15.01 |
| Santa Clara County, CA | $41.57 | $16.52 |
| Santa Cruz, CA | $36.29 | $15.18 |
| Santa Maria, CA | $35.44 | $15.19 |
| Santa Rosa, CA | $36.65 | $15.32 |
| Stockton, CA | $33.97 | $14.94 |
| Vallejo, CA | $38.69 | $15.80 |
| Visalia, CA | $33.97 | $14.94 |
| Yuba City, CA | $33.97 | $14.94 |
How the 11732 rate is calculated
Each of 11732’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 · 11732
RVUs × geographic indexes × conversion factor
Work0.37
0.37 RVUs× 1.000 GPCI
Practice expense0.57
0.57 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.9700
Conversion factor
$33.4009
Medicare rate
$32.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11732
The CMS indicators that decide how 11732 is paid alongside other services.
CMS payment indicators · 11732
Nail avulsion, each additional nail
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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. |
11732 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11730Nail avulsionSingle nail plate
- 11730 represents the primary avulsion for the first nail; 11732 reports each additional nail avulsed in that session.
- 11750Nail matrix excisionPermanent partial or complete removal
- Choose 11750 when the procedure excises the nail and matrix for permanent removal. 11732 is for simple plate avulsion of an additional nail.
- 11720Nail debridementOne to five nails
- 11720 covers debridement of one to five nails, not avulsion of the plate. Use 11732 when an additional nail plate is removed.
- 11740Nail drainageSubungual hematoma
- 11740 describes evacuation of blood beneath a nail, such as for a subungual hematoma; 11732 describes avulsion of an additional nail plate.
11732 billing questions
Can 11732 be reported by itself?
No. Report it only with the primary nail avulsion, generally 11730, for additional nails treated in the same session.
How many units of 11732 should be reported?
Report one unit for each nail beyond the first nail avulsed. The first nail is represented by the primary procedure.
Does 11732 include permanent removal of the nail?
No. It represents simple plate avulsion; excision of the nail and matrix for permanent removal is a different service, such as 11750.
What should the procedure note identify?
Document the reason for avulsion, each treated digit and side, the number of additional nails, and whether the plate was partially or completely removed.
How does 11732 differ from 11720?
11732 represents removal of an additional nail plate. 11720 is for debridement of one to five nails, such as reducing diseased or thickened nail material.
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
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