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CPT code 11740: Nail drainage, subungual hematoma2026 Medicare rate & RVUs in Los Angeles, CA

Report nail trephination to release trapped blood and pressure from a traumatic subungual hematoma without removing the nail plate.

CMS RVU26DEffective Oct 1, 2026One payment locality15.9K Medicare services in 2024

In Los Angeles, CA, Medicare pays $65.74 for 11740 in the office and $34.91 when it’s performed in a hospital or facility.

$65.74Office (non-facility)
$34.91Hospital or facility
+14.4%vs the national office rate ($57.45)

Check a contract rate as a % of Medicare · 11740 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 11740 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 11740 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 11740 covers

This service relieves pressure from blood trapped beneath a fingernail or toenail, commonly after a crush injury or direct blow. The clinician makes a small opening through the nail plate and drains the hematoma; the nail plate is generally left in place. Physicians and podiatrists may perform the procedure in an office, urgent care clinic, or emergency department when the nail injury is appropriate for drainage.

Report 11740 when the documented service is evacuation of a subungual hematoma, not nail-plate removal, nail-bed repair, or routine nail care. The record should identify the injured nail, the traumatic hematoma, and the drainage performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, 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 Los Angeles, CA compares for 11740

Across 109 of 109 payment localities, the office rate for 11740 runs from $50.70 in Arkansas to $77.94 in San Benito County, CA. Los Angeles, CA pays $65.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

11740 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$65.74
  2. Bakersfield, CA · California$61.55−$4.19
  3. Chico, CA · California$61.45−$4.29
  4. El Centro, CA · California$61.46−$4.28
  5. Fresno, CA · California$61.45−$4.29
  6. Hanford, CA · California$61.45−$4.29
  7. Madera, CA · California$61.45−$4.29

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

Every other payment area

11740 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$61.45$32.90
Modesto, CACalifornia$61.45$32.90
Napa, CACalifornia$71.84$37.50
Oxnard, CACalifornia$65.49$34.70
Redding, CACalifornia$61.45$32.90
Rest of CaliforniaCalifornia$61.45$32.90
Riverside, CACalifornia$61.78$33.23
Sacramento, CACalifornia$64.66$34.36

11740 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.

$50.70

$69.70

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

View every state and territory as a table
11740 office rate range by state
State / territoryOffice rate rangeLocalities
AK$65.901
AL$51.461
AR$50.701
AZ$55.931
CA$61.45–$77.9429
CO$60.221
CT$61.321
DC$66.121
DE$56.881
FL$56.00–$60.803
GA$52.84–$58.402
GU$63.111
HI$63.111
IA$53.071
ID$53.371
IL$54.15–$59.514
IN$53.691
KS$52.691
KY$52.431
LA$52.30–$54.962
MA$59.79–$66.452
MD$58.02–$66.123
ME$53.52–$56.682
MI$53.71–$56.582
MN$58.031
MO$51.29–$55.323
MS$51.011
MT$57.451
NC$54.111
ND$56.851
NE$53.411
NH$59.151
NJ$62.11–$65.382
NM$53.961
NV$57.331
NY$54.93–$67.475
OH$53.591
OK$52.471
OR$56.97–$62.322
PA$53.75–$59.682
PR$57.921
RI$59.041
SC$53.921
SD$56.781
TN$52.941
TX$53.38–$59.948
UT$54.681
VA$56.40–$66.122
VI$57.921
VT$56.511
WA$59.72–$67.952
WI$54.891
WV$52.061
WY$57.191

See 11740 in every payment locality

How the 11740 rate is calculated

Each of 11740’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 · 11740

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.36

0.36 RVUs× 1.000 GPCI

Practice expense1.33

1.33 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

1.7200

Conversion factor

$33.4009

Medicare rate

$57.45

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,365

Code
11740
Physician work
0.36
Practice expense
1.33
Malpractice
0.03

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 11740 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0410.3748
Practice expense1.33× 1.1831.5734
Malpractice0.03× 0.6640.0199
Total RVUs1.9681
Conversion factor× 33.4009

Office rate, Los Angeles, CA$65.74

Office: (0.36 × 1.041 + 1.33 × 1.183 + 0.03 × 0.664) × $33.4009 = $65.74

Facility: (0.36 × 1.041 + 0.55 × 1.183 + 0.03 × 0.664) × $33.4009 = $34.91

Open 11740 in the RVU calculator

Payment rules and modifiers for 11740

The CMS indicators that decide how 11740 is paid alongside other services.

CMS payment indicators · 11740

Nail drainage, subungual hematoma

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

11740 without 51 · national office

$57.45

Nail drainage, subungual hematoma

11740-51 · Second procedure: 50%

$28.73

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 11740

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

Codes related to 11740
CodeHow it relatesOffice range, Los Angeles, CA
Used instead
11730Nail avulsion, single nail plateSimple nail-plate avulsion is a different approach when removal, rather than trephination, is performed.$125.75
11732Nail avulsion, each additional nailAdditional nail-plate avulsion code when another nail is treated by removal rather than drainage.$36.05
Often billed with
11760Nail bed repair, traumatic lacerationMay accompany evacuation when a distinct nail-bed laceration is also repaired.$210.04

How 11740 has changed in Los Angeles, CA

11740 · Office / nonfacility

$65.74

Effective 2026-10-01

The base rate is $1.23 higher than on 2025-10-01, moving from $64.51 to $65.74 (1.9%).

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

    $64.51changed to$65.74

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $66.78changed to$64.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.34 changed to 1.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $65.69changed to$66.78

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $66.29changed to$65.69

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.30 changed to 1.34
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $66.92changed to$66.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.29 changed to 1.30
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $65.43changed to$66.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.24 changed to 1.29

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $62.30changed to$65.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.12 changed to 1.24
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $59.66changed to$62.30

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.06 changed to 1.12
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $58.32changed to$59.66

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.03 changed to 1.06

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $56.72changed to$58.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.00 changed to 1.03
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $56.41changed to$56.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $56.62changed to$56.41

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $56.34changed to$56.62

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $55.71changed to$56.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.99 changed to 1.00
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $56.10changed to$55.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.08 changed to 0.99
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$56.10

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$65.74$34.91RVU26D
2026-07-01$65.74$34.91RVU26C
2026-04-01$65.74$34.91RVU26B
2026-01-01$65.74$34.91RVU26A
2025-10-01$64.51$35.93RVU25D
2025-07-01$64.51$35.93RVU25C
2025-04-01$64.51$35.93RVU25B
2025-01-01$64.51$35.93RVU25A
2024-10-01$66.78$36.18RVU24D
2024-07-01$66.78$36.18RVU24C
2024-04-01$66.78$36.18RVU24B
2024-03-09$66.78$36.18RVU24AR
2024-01-01$65.69$35.59RVU24A
2023-10-01$66.29$35.77RVU23D
2023-07-01$66.29$35.77RVU23C
2023-04-01$66.29$35.77RVU23B
2023-01-01$66.29$35.77RVU23A
2022-10-01$66.92$35.20RVU22D
2022-07-01$66.92$35.20RVU22C
2022-04-01$66.92$35.20RVU22B
2022-01-01$66.92$35.20RVU22A
2021-10-01$65.43$35.09RVU21D
2021-07-01$65.43$35.09RVU21C
2021-04-01$65.43$35.09RVU21B
2021-01-01$65.43$35.09RVU21A
2020-10-01$62.30$35.99RVU20D
2020-07-01$62.30$35.99RVU20C
2020-04-01$62.30$35.99RVU20B
2020-01-01$62.30$35.99RVU20A
2019-10-01$59.66$36.76RVU19D
2019-07-01$59.66$36.76RVU19C
2019-04-01$59.66$36.76RVU19B
2019-01-01$59.66$36.76RVU19A
2018-10-01$58.32$37.56RVU18D
2018-07-01$58.32$37.56RVU18C
2018-04-01$58.32$37.56RVU18B
2018-01-01$58.32$37.56RVU18AR1
2017-10-01$56.72$37.00RVU17D
2017-07-01$56.72$37.00RVU17C
2017-04-01$56.72$37.00RVU17B
2017-01-01$56.72$37.00RVU17A
2016-10-01$56.41$36.88RVU16D
2016-07-01$56.41$36.88RVU16C
2016-04-01$56.41$36.88RVU16B
2016-01-01$56.41$36.88RVU16A
2015-10-01$56.62$37.01RVU15D
2015-07-01$56.62$37.01RVU15C
2015-04-01$56.34$36.83RVU15B
2015-01-01$56.34$36.83RVU15A
2014-10-01$55.71$36.63RVU14D
2014-07-01$55.71$36.63RVU14C
2014-04-01$55.71$36.63RVU14B
2014-01-01$55.71$36.63RVU14A
2013-10-01$56.10$36.08RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11740 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

11740 billing questions

When should 11740 be used instead of 11730?

Use 11740 for draining blood beneath the nail while leaving the nail plate in place. Use 11730 when a simple nail-plate avulsion is performed.

Can nail-bed repair also be reported?

A separate nail-bed laceration repair may be reported when it is actually performed and documented; evacuation alone is not nail-bed repair.

Should modifier 50 be appended for matching nails?

No. CMS identifies bilateral adjustment as inapplicable to 11740, and modifier 50 is inappropriate.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care for the evacuation.

How does the multiple procedure rule affect 11740?

When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction.

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 11740PPRRVU2026_Oct_nonQPP.csv, line 1,365 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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