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CPT code 11732: Nail avulsion, each additional nail2026 Medicare rate & RVUs in West Virginia

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 West Virginia, Medicare pays $30.34 for 11732 in the office and $15.24 when it’s performed in a hospital or facility.

$30.34Office (non-facility)
$15.24Hospital or facility
−6.4%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 West Virginia
  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 West Virginia 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. West Virginia pays $30.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

11732 in West Virginia vs other payment areas
  1. West Virginia · this page$30.34
  2. Los Angeles, CA · California$36.05+$5.71
  3. Washington, DC area · District of Columbia$36.57+$6.23
  4. Miami, FL · Florida$34.71+$4.37
  5. Chicago, IL · Illinois$33.88+$3.54
  6. Manhattan, NY · New York$36.86+$6.52
  7. Alaska · Alaska$39.37+$9.03

Other areas in West Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

11732 in every other Medicare payment locality
Payment localityOfficeFacility
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

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 West Virginia 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 11732 in West Virginia
ComponentRVULocality factorAdjusted
Physician work0.37× 1.0000.3700
Practice expense0.57× 0.8690.4953
Malpractice0.03× 1.4310.0429
Total RVUs0.9083
Conversion factor× 33.4009

Office rate, West Virginia$30.34

Office: (0.37 × 1 + 0.57 × 0.869 + 0.03 × 1.431) × $33.4009 = $30.34

Facility: (0.37 × 1 + 0.05 × 0.869 + 0.03 × 1.431) × $33.4009 = $15.24

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, West Virginia
Primary code
11730Nail avulsion, single nail platePrimary simple nail plate avulsion reported for the first nail.$102.91
Used instead
11750Nail matrix excision, permanent partial or complete removalUsed when the nail and matrix are excised rather than simply avulsed.$146.37
11720Nail debridement, one to five nailsNail debridement when the service reduces nail material instead of removing the plate.$30.36

How 11732 has changed in West Virginia

11732 · Office / nonfacility

$30.34

Effective 2026-10-01

The base rate is $0.86 higher than on 2025-10-01, moving from $29.48 to $30.34 (2.9%).

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

    $29.48changed to$30.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.38 changed to 0.37
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $30.62changed to$29.48

    • 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

    $30.12changed to$30.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $31.50changed to$30.12

    • Conversion factor 33.8872 changed to 32.7442
    • 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

  5. January 1, 2023

    RVU23A

    $32.03changed to$31.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $32.30changed to$32.03

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.77changed to$32.30

    • 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
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.16changed to$31.77

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.52 changed to 0.54
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $30.20changed to$31.16

    • 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

    $29.92changed to$30.20

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $33.29changed to$29.92

    • 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
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.41changed to$33.29

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $33.25changed to$33.41

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.91changed to$33.25

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $32.56changed to$32.91

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.58 changed to 0.53
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $32.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$30.34$15.24RVU26D
2026-07-01$30.34$15.24RVU26C
2026-04-01$30.34$15.24RVU26B
2026-01-01$30.34$15.24RVU26A
2025-10-01$29.48$16.09RVU25D
2025-07-01$29.48$16.09RVU25C
2025-04-01$29.48$16.09RVU25B
2025-01-01$29.48$16.09RVU25A
2024-10-01$30.62$16.56RVU24D
2024-07-01$30.62$16.56RVU24C
2024-04-01$30.62$16.56RVU24B
2024-03-09$30.62$16.56RVU24AR
2024-01-01$30.12$16.29RVU24A
2023-10-01$31.50$17.22RVU23D
2023-07-01$31.50$17.22RVU23C
2023-04-01$31.50$17.22RVU23B
2023-01-01$31.50$17.22RVU23A
2022-10-01$32.03$17.48RVU22D
2022-07-01$32.03$17.48RVU22C
2022-04-01$32.03$17.48RVU22B
2022-01-01$32.03$17.48RVU22A
2021-10-01$32.30$17.63RVU21D
2021-07-01$32.30$17.63RVU21C
2021-04-01$32.30$17.63RVU21B
2021-01-01$32.30$17.63RVU21A
2020-10-01$31.77$17.85RVU20D
2020-07-01$31.77$17.85RVU20C
2020-04-01$31.77$17.85RVU20B
2020-01-01$31.77$17.85RVU20A
2019-10-01$31.16$18.18RVU19D
2019-07-01$31.16$18.18RVU19C
2019-04-01$31.16$18.18RVU19B
2019-01-01$31.16$18.18RVU19A
2018-10-01$30.20$18.16RVU18D
2018-07-01$30.20$18.16RVU18C
2018-04-01$30.20$18.16RVU18B
2018-01-01$30.20$18.16RVU18AR1
2017-10-01$29.92$18.07RVU17D
2017-07-01$29.92$18.07RVU17C
2017-04-01$29.92$18.07RVU17B
2017-01-01$29.92$18.07RVU17A
2016-10-01$33.29$20.42RVU16D
2016-07-01$33.29$20.42RVU16C
2016-04-01$33.29$20.42RVU16B
2016-01-01$33.29$20.42RVU16A
2015-10-01$33.41$20.50RVU15D
2015-07-01$33.41$20.50RVU15C
2015-04-01$33.25$20.40RVU15B
2015-01-01$33.25$20.40RVU15A
2014-10-01$32.91$20.39RVU14D
2014-07-01$32.91$20.39RVU14C
2014-04-01$32.91$20.39RVU14B
2014-01-01$32.91$20.39RVU14A
2013-10-01$32.56$19.61RVU13D
2013-07-01$32.56$19.61RVU13C
2013-04-01$32.56$19.61RVU13B
2013-01-01$32.56$19.61RVU13AR

Price 11732 for an earlier date of service

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

Browse all communities in West Virginia

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 West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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