CPT code 11732: Nail avulsion, each additional nail2026 Medicare rate & RVUs in South Dakota
Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail.
In South Dakota, Medicare pays $31.73 for 11732 in the office and $14.37 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $31.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$31.73
- Los Angeles, CA · California$36.05+$4.32
- Washington, DC area · District of Columbia$36.57+$4.84
- Miami, FL · Florida$34.71+$2.98
- Chicago, IL · Illinois$33.88+$2.15
- Manhattan, NY · New York$36.86+$5.13
- Alaska · Alaska$39.37+$7.64
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $29.58 | $14.39 |
| 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 |
| Merced, CACalifornia | $33.97 | $14.94 |
| Modesto, CACalifornia | $33.97 | $14.94 |
| Napa, CACalifornia | $38.74 | $15.85 |
| Oxnard, CACalifornia | $35.83 | $15.30 |
| Redding, CACalifornia | $33.97 | $14.94 |
| Rest of CaliforniaCalifornia | $33.97 | $14.94 |
| Riverside, CACalifornia | $34.30 | $15.27 |
| Sacramento, CACalifornia | $35.48 | $15.28 |
| Salinas, CACalifornia | $35.34 | $15.21 |
| San Diego, CACalifornia | $36.04 | $15.27 |
| Marin County, CACalifornia | $40.84 | $16.35 |
| San Francisco, CACalifornia | $40.80 | $16.31 |
| San Benito County, CACalifornia | $41.71 | $16.66 |
| Santa Clara County, CACalifornia | $41.57 | $16.52 |
| San Luis Obispo, CACalifornia | $34.79 | $15.01 |
| Santa Cruz, CACalifornia | $36.29 | $15.18 |
| Santa Maria, CACalifornia | $35.44 | $15.19 |
| Santa Rosa, CACalifornia | $36.65 | $15.32 |
| Stockton, CACalifornia | $33.97 | $14.94 |
| Vallejo, CACalifornia | $38.69 | $15.80 |
| Visalia, CACalifornia | $33.97 | $14.94 |
| Yuba City, CACalifornia | $33.97 | $14.94 |
| ColoradoColorado | $33.55 | $15.07 |
| ConnecticutConnecticut | $34.32 | $15.62 |
| DelawareDelaware | $32.13 | $14.97 |
| Fort Lauderdale, FLFlorida | $33.46 | $15.86 |
| Rest of FloridaFlorida | $32.07 | $15.46 |
| Atlanta, GAGeorgia | $32.94 | $15.30 |
| Rest of GeorgiaGeorgia | $30.54 | $15.04 |
| Hawaii, Guam, HIHawaii | $34.59 | $14.84 |
| IowaIowa | $30.18 | $14.28 |
| IdahoIdaho | $30.35 | $14.37 |
| East St. Louis, ILIllinois | $31.89 | $15.91 |
| Rest of IllinoisIllinois | $31.31 | $15.45 |
| Suburban Chicago, ILIllinois | $33.77 | $15.94 |
| IndianaIndiana | $30.49 | $14.39 |
| KansasKansas | $30.07 | $14.37 |
| KentuckyKentucky | $30.20 | $14.76 |
| New Orleans, LALouisiana | $31.41 | $15.07 |
| Rest of LouisianaLouisiana | $30.17 | $14.80 |
| Metropolitan Boston, MAMassachusetts | $36.49 | $15.75 |
| Rest of MassachusettsMassachusetts | $33.40 | $15.11 |
| Baltimore area, MDMaryland | $34.22 | $15.59 |
| Rest of MarylandMaryland | $32.67 | $15.09 |
| Rest of MaineMaine | $30.50 | $14.52 |
| Southern Maine, MEMaine | $31.86 | $14.65 |
| Detroit, MIMichigan | $32.42 | $15.66 |
| Rest of MichiganMichigan | $30.87 | $15.01 |
| MinnesotaMinnesota | $32.25 | $14.37 |
| Metropolitan Kansas City, MOMissouri | $31.21 | $14.91 |
| Metropolitan St. Louis, MOMissouri | $31.49 | $14.95 |
| Rest of MissouriMissouri | $29.75 | $14.77 |
| MississippiMississippi | $29.49 | $14.54 |
| MontanaMontana | $32.40 | $15.03 |
| North CarolinaNorth Carolina | $30.76 | $14.56 |
| North DakotaNorth Dakota | $31.80 | $14.44 |
| NebraskaNebraska | $30.31 | $14.28 |
| New HampshireNew Hampshire | $33.05 | $14.97 |
| Northern New JerseyNew Jersey | $36.29 | $16.14 |
| Rest of New JerseyNew Jersey | $34.74 | $15.78 |
| New MexicoNew Mexico | $31.02 | $15.09 |
| NevadaNevada | $32.25 | $14.86 |
| NYC suburbs and Long Island, NYNew York | $37.65 | $17.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $34.97 | $15.96 |
| Queens, NYNew York | $37.10 | $16.57 |
| Rest of New YorkNew York | $31.15 | $14.65 |
| OhioOhio | $30.75 | $14.89 |
| OklahomaOklahoma | $30.14 | $14.63 |
| Portland, OROregon | $34.45 | $15.16 |
| Rest of OregonOregon | $32.03 | $14.73 |
| Metropolitan Philadelphia, PAPennsylvania | $33.60 | $15.51 |
| Rest of PennsylvaniaPennsylvania | $30.78 | $14.84 |
| Puerto RicoPuerto Rico | $32.59 | $15.03 |
| Rhode IslandRhode Island | $33.15 | $15.21 |
| South CarolinaSouth Carolina | $30.80 | $14.75 |
| TennesseeTennessee | $30.20 | $14.41 |
| Austin, TXTexas | $33.41 | $15.04 |
| Beaumont, TXTexas | $30.61 | $14.81 |
| Brazoria, TXTexas | $32.11 | $14.89 |
| Dallas, TXTexas | $32.29 | $14.99 |
| Fort Worth, TXTexas | $32.11 | $14.99 |
| Galveston, TXTexas | $32.19 | $14.95 |
| Houston, TXTexas | $32.74 | $15.49 |
| Rest of TexasTexas | $31.33 | $14.85 |
| UtahUtah | $31.15 | $14.83 |
| VirginiaVirginia | $31.78 | $14.71 |
| Virgin Islands, VIUnited States Virgin Islands | $32.59 | $15.03 |
| VermontVermont | $31.71 | $14.52 |
| Rest of WashingtonWashington | $33.33 | $15.04 |
| King County, WAWashington | $37.16 | $15.84 |
| WisconsinWisconsin | $30.91 | $14.27 |
| West VirginiaWest Virginia | $30.34 | $15.24 |
| WyomingWyoming | $32.14 | $14.77 |
11732 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
$39.37
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 | $39.37 | 1 |
| AL | $29.58 | 1 |
| AR | $29.23 | 1 |
| AZ | $31.66 | 1 |
| CA | $33.97–$41.71 | 29 |
| CO | $33.55 | 1 |
| CT | $34.32 | 1 |
| DC | $36.57 | 1 |
| DE | $32.13 | 1 |
| FL | $32.07–$34.71 | 3 |
| GA | $30.54–$32.94 | 2 |
| GU | $34.59 | 1 |
| HI | $34.59 | 1 |
| IA | $30.18 | 1 |
| ID | $30.35 | 1 |
| IL | $31.31–$33.88 | 4 |
| IN | $30.49 | 1 |
| KS | $30.07 | 1 |
| KY | $30.20 | 1 |
| LA | $30.17–$31.41 | 2 |
| MA | $33.40–$36.49 | 2 |
| MD | $32.67–$36.57 | 3 |
| ME | $30.50–$31.86 | 2 |
| MI | $30.87–$32.42 | 2 |
| MN | $32.25 | 1 |
| MO | $29.75–$31.49 | 3 |
| MS | $29.49 | 1 |
| MT | $32.40 | 1 |
| NC | $30.76 | 1 |
| ND | $31.80 | 1 |
| NE | $30.31 | 1 |
| NH | $33.05 | 1 |
| NJ | $34.74–$36.29 | 2 |
| NM | $31.02 | 1 |
| NV | $32.25 | 1 |
| NY | $31.15–$37.65 | 5 |
| OH | $30.75 | 1 |
| OK | $30.14 | 1 |
| OR | $32.03–$34.45 | 2 |
| PA | $30.78–$33.60 | 2 |
| PR | $32.59 | 1 |
| RI | $33.15 | 1 |
| SC | $30.80 | 1 |
| SD | $31.73 | 1 |
| TN | $30.20 | 1 |
| TX | $30.61–$33.41 | 8 |
| UT | $31.15 | 1 |
| VA | $31.78–$36.57 | 2 |
| VI | $32.59 | 1 |
| VT | $31.71 | 1 |
| WA | $33.33–$37.16 | 2 |
| WI | $30.91 | 1 |
| WV | $30.34 | 1 |
| WY | $32.14 | 1 |
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.
The exact South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 0.57 | × 1.000 | 0.5700 |
| Malpractice | 0.03 | × 0.336 | 0.0101 |
| Total RVUs | 0.9501 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$31.73
Office: (0.37 × 1 + 0.57 × 1 + 0.03 × 0.336) × $33.4009 = $31.73
Facility: (0.37 × 1 + 0.05 × 1 + 0.03 × 0.336) × $33.4009 = $14.37
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. |
How 11732 has changed in South Dakota
11732 · Office / nonfacility
$31.73
Effective 2026-10-01
The base rate is $0.63 higher than on 2025-10-01, moving from $31.10 to $31.73 (2.0%).
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
$31.10changed to$31.73
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.38 changed to 0.37
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$32.34changed to$31.10
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.58 changed to 0.57
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$31.81changed to$32.34
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$33.03changed to$31.81
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.04 changed to 0.03
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$33.70changed to$33.03
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$33.98changed to$33.70
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$33.60changed to$33.98
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.86changed to$33.60
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.52 changed to 0.54
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$31.74changed to$32.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.49 changed to 0.52
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$31.65changed to$31.74
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$35.52changed to$31.65
- 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
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$35.65changed to$35.52
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$35.47changed to$35.65
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$35.20changed to$35.47
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.53 changed to 0.54
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$35.14changed to$35.20
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.58 changed to 0.53
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $35.14
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $31.73 | $14.37 | RVU26D |
| 2026-07-01 | $31.73 | $14.37 | RVU26C |
| 2026-04-01 | $31.73 | $14.37 | RVU26B |
| 2026-01-01 | $31.73 | $14.37 | RVU26A |
| 2025-10-01 | $31.10 | $15.57 | RVU25D |
| 2025-07-01 | $31.10 | $15.57 | RVU25C |
| 2025-04-01 | $31.10 | $15.57 | RVU25B |
| 2025-01-01 | $31.10 | $15.57 | RVU25A |
| 2024-10-01 | $32.34 | $16.03 | RVU24D |
| 2024-07-01 | $32.34 | $16.03 | RVU24C |
| 2024-04-01 | $32.34 | $16.03 | RVU24B |
| 2024-03-09 | $32.34 | $16.03 | RVU24AR |
| 2024-01-01 | $31.81 | $15.77 | RVU24A |
| 2023-10-01 | $33.03 | $16.42 | RVU23D |
| 2023-07-01 | $33.03 | $16.42 | RVU23C |
| 2023-04-01 | $33.03 | $16.42 | RVU23B |
| 2023-01-01 | $33.03 | $16.42 | RVU23A |
| 2022-10-01 | $33.70 | $16.75 | RVU22D |
| 2022-07-01 | $33.70 | $16.75 | RVU22C |
| 2022-04-01 | $33.70 | $16.75 | RVU22B |
| 2022-01-01 | $33.70 | $16.75 | RVU22A |
| 2021-10-01 | $33.98 | $16.88 | RVU21D |
| 2021-07-01 | $33.98 | $16.88 | RVU21C |
| 2021-04-01 | $33.98 | $16.88 | RVU21B |
| 2021-01-01 | $33.98 | $16.88 | RVU21A |
| 2020-10-01 | $33.60 | $17.36 | RVU20D |
| 2020-07-01 | $33.60 | $17.36 | RVU20C |
| 2020-04-01 | $33.60 | $17.36 | RVU20B |
| 2020-01-01 | $33.60 | $17.36 | RVU20A |
| 2019-10-01 | $32.86 | $17.72 | RVU19D |
| 2019-07-01 | $32.86 | $17.72 | RVU19C |
| 2019-04-01 | $32.86 | $17.72 | RVU19B |
| 2019-01-01 | $32.86 | $17.72 | RVU19A |
| 2018-10-01 | $31.74 | $17.70 | RVU18D |
| 2018-07-01 | $31.74 | $17.70 | RVU18C |
| 2018-04-01 | $31.74 | $17.70 | RVU18B |
| 2018-01-01 | $31.74 | $17.70 | RVU18AR1 |
| 2017-10-01 | $31.65 | $17.65 | RVU17D |
| 2017-07-01 | $31.65 | $17.65 | RVU17C |
| 2017-04-01 | $31.65 | $17.65 | RVU17B |
| 2017-01-01 | $31.65 | $17.65 | RVU17A |
| 2016-10-01 | $35.52 | $20.12 | RVU16D |
| 2016-07-01 | $35.52 | $20.12 | RVU16C |
| 2016-04-01 | $35.52 | $20.12 | RVU16B |
| 2016-01-01 | $35.52 | $20.12 | RVU16A |
| 2015-10-01 | $35.65 | $20.19 | RVU15D |
| 2015-07-01 | $35.65 | $20.19 | RVU15C |
| 2015-04-01 | $35.47 | $20.09 | RVU15B |
| 2015-01-01 | $35.47 | $20.09 | RVU15A |
| 2014-10-01 | $35.20 | $20.15 | RVU14D |
| 2014-07-01 | $35.20 | $20.15 | RVU14C |
| 2014-04-01 | $35.20 | $20.15 | RVU14B |
| 2014-01-01 | $35.20 | $20.15 | RVU14A |
| 2013-10-01 | $35.14 | $19.49 | RVU13D |
| 2013-07-01 | $35.14 | $19.49 | RVU13C |
| 2013-04-01 | $35.14 | $19.49 | RVU13B |
| 2013-01-01 | $35.14 | $19.49 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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