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CPT code 11732: Nail avulsion, each additional nail2026 Medicare rate & RVUs in Washington, DC area

Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail.

CMS RVU26DEffective Oct 1, 2026One payment locality20.6K Medicare services in 2024

In Washington, DC area, Medicare pays $36.57 for 11732 in the office and $16.11 when it’s performed in a hospital or facility.

$36.57Office (non-facility)
$16.11Hospital or facility
+12.9%vs the national office rate ($32.40)

Check a contract rate as a % of Medicare · 11732 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 11732 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11732 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 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.

How Washington, DC area compares for 11732

Across 109 of 109 payment localities, the office rate for 11732 runs from $29.23 in Arkansas to $41.71 in San Benito County, CA. Washington, DC area pays $36.57. The RVUs are the same everywhere; the geographic indexes change the dollars.

11732 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$36.57
  2. Los Angeles, CA · California$36.05−$0.52
  3. Miami, FL · Florida$34.71−$1.86
  4. Chicago, IL · Illinois$33.88−$2.69
  5. Manhattan, NY · New York$36.86+$0.29
  6. Alaska · Alaska$39.37+$2.80
  7. Alabama · Alabama$29.58−$6.99

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

Every other payment area

11732 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$29.23$14.31
ArizonaArizona$31.66$14.83
Bakersfield, CACalifornia$34.07$15.03
Chico, CACalifornia$33.97$14.94
El Centro, CACalifornia$33.98$14.94
Fresno, CACalifornia$33.97$14.94
Hanford, CACalifornia$33.97$14.94
Madera, CACalifornia$33.97$14.94

11732 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.

$29.23

$39.37

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

View every state and territory as a table
11732 office rate range by state
State / territoryOffice rate rangeLocalities
AK$39.371
AL$29.581
AR$29.231
AZ$31.661
CA$33.97–$41.7129
CO$33.551
CT$34.321
DC$36.571
DE$32.131
FL$32.07–$34.713
GA$30.54–$32.942
GU$34.591
HI$34.591
IA$30.181
ID$30.351
IL$31.31–$33.884
IN$30.491
KS$30.071
KY$30.201
LA$30.17–$31.412
MA$33.40–$36.492
MD$32.67–$36.573
ME$30.50–$31.862
MI$30.87–$32.422
MN$32.251
MO$29.75–$31.493
MS$29.491
MT$32.401
NC$30.761
ND$31.801
NE$30.311
NH$33.051
NJ$34.74–$36.292
NM$31.021
NV$32.251
NY$31.15–$37.655
OH$30.751
OK$30.141
OR$32.03–$34.452
PA$30.78–$33.602
PR$32.591
RI$33.151
SC$30.801
SD$31.731
TN$30.201
TX$30.61–$33.418
UT$31.151
VA$31.78–$36.572
VI$32.591
VT$31.711
WA$33.33–$37.162
WI$30.911
WV$30.341
WY$32.141

See 11732 in every payment locality

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

Office or facility?

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,364

Code
11732
Physician work
0.37
Practice expense
0.57
Malpractice
0.03

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11732 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0540.3900
Practice expense0.57× 1.1780.6715
Malpractice0.03× 1.1130.0334
Total RVUs1.0948
Conversion factor× 33.4009

Office rate, Washington, DC area$36.57

Office: (0.37 × 1.054 + 0.57 × 1.178 + 0.03 × 1.113) × $33.4009 = $36.57

Facility: (0.37 × 1.054 + 0.05 × 1.178 + 0.03 × 1.113) × $33.4009 = $16.11

Open 11732 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

Codes related to 11732

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

Codes related to 11732
CodeHow it relatesOffice range, Washington, DC area
Primary code
11730Nail avulsion, single nail platePrimary simple nail plate avulsion reported for the first nail.$127.02
Used instead
11750Nail matrix excision, permanent partial or complete removalUsed when the nail and matrix are excised rather than simply avulsed.$179.03
11720Nail debridement, one to five nailsNail debridement when the service reduces nail material instead of removing the plate.$37.21

How 11732 has changed in Washington, DC area

11732 · Office / nonfacility

$36.57

Effective 2026-10-01

The base rate is $0.47 higher than on 2025-10-01, moving from $36.10 to $36.57 (1.3%).

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

    $36.10changed to$36.57

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • 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

    $37.55changed to$36.10

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.58 changed to 0.57

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $36.94changed to$37.55

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $39.13changed to$36.94

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.04 changed to 0.03
    • 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

    $40.46changed to$39.13

    • Conversion factor 34.6062 changed to 33.8872
    • 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

    $40.80changed to$40.46

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.56changed to$40.80

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.54 changed to 0.58
    • Malpractice RVU 0.03 changed to 0.04
    • 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

    $38.26changed to$39.56

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.52 changed to 0.54
    • 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

    $36.91changed to$38.26

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.49 changed to 0.52

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $36.85changed to$36.91

    • Conversion factor 35.8887 changed to 35.9996
    • 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

    $41.23changed to$36.85

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 0.44 changed to 0.38
    • Practice expense RVU 0.54 changed to 0.49
    • 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

    $41.38changed to$41.23

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $41.17changed to$41.38

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $40.67changed to$41.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.53 changed to 0.54
    • 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

    $40.50changed to$40.67

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.53
    • 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: $40.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$36.57$16.11RVU26D
2026-07-01$36.57$16.11RVU26C
2026-04-01$36.57$16.11RVU26B
2026-01-01$36.57$16.11RVU26A
2025-10-01$36.10$17.60RVU25D
2025-07-01$36.10$17.60RVU25C
2025-04-01$36.10$17.60RVU25B
2025-01-01$36.10$17.60RVU25A
2024-10-01$37.55$18.11RVU24D
2024-07-01$37.55$18.11RVU24C
2024-04-01$37.55$18.11RVU24B
2024-03-09$37.55$18.11RVU24AR
2024-01-01$36.94$17.81RVU24A
2023-10-01$39.13$18.97RVU23D
2023-07-01$39.13$18.97RVU23C
2023-04-01$39.13$18.97RVU23B
2023-01-01$39.13$18.97RVU23A
2022-10-01$40.46$19.50RVU22D
2022-07-01$40.46$19.50RVU22C
2022-04-01$40.46$19.50RVU22B
2022-01-01$40.46$19.50RVU22A
2021-10-01$40.80$19.66RVU21D
2021-07-01$40.80$19.66RVU21C
2021-04-01$40.80$19.66RVU21B
2021-01-01$40.80$19.66RVU21A
2020-10-01$39.56$19.73RVU20D
2020-07-01$39.56$19.73RVU20C
2020-04-01$39.56$19.73RVU20B
2020-01-01$39.56$19.73RVU20A
2019-10-01$38.26$20.02RVU19D
2019-07-01$38.26$20.02RVU19C
2019-04-01$38.26$20.02RVU19B
2019-01-01$38.26$20.02RVU19A
2018-10-01$36.91$20.00RVU18D
2018-07-01$36.91$20.00RVU18C
2018-04-01$36.91$20.00RVU18B
2018-01-01$36.91$20.00RVU18AR1
2017-10-01$36.85$19.99RVU17D
2017-07-01$36.85$19.99RVU17C
2017-04-01$36.85$19.99RVU17B
2017-01-01$36.85$19.99RVU17A
2016-10-01$41.23$22.68RVU16D
2016-07-01$41.23$22.68RVU16C
2016-04-01$41.23$22.68RVU16B
2016-01-01$41.23$22.68RVU16A
2015-10-01$41.38$22.76RVU15D
2015-07-01$41.38$22.76RVU15C
2015-04-01$41.17$22.65RVU15B
2015-01-01$41.17$22.65RVU15A
2014-10-01$40.67$22.58RVU14D
2014-07-01$40.67$22.58RVU14C
2014-04-01$40.67$22.58RVU14B
2014-01-01$40.67$22.58RVU14A
2013-10-01$40.50$21.75RVU13D
2013-07-01$40.50$21.75RVU13C
2013-04-01$40.50$21.75RVU13B
2013-01-01$40.50$21.75RVU13AR

Price 11732 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

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

Show the CMS file lines behind this rate
RVUs for 11732PPRRVU2026_Oct_nonQPP.csv, line 1,364 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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