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CPT code 11740: Nail drainage, subungual hematoma2026 Medicare rate & RVUs in Puerto Rico

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 Puerto Rico, Medicare pays $57.92 for 11740 in the office and $31.58 when it’s performed in a hospital or facility.

$57.92Office (non-facility)
$31.58Hospital or facility
+0.8%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $57.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

11740 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$57.92
  2. Los Angeles, CA · California$65.74+$7.82
  3. Washington, DC area · District of Columbia$66.12+$8.20
  4. Miami, FL · Florida$60.80+$2.88
  5. Chicago, IL · Illinois$59.05+$1.13
  6. Manhattan, NY · New York$66.00+$8.08
  7. Alaska · Alaska$65.90+$7.98

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

Every other payment area

11740 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$51.46$28.67
ArkansasArkansas$50.70$28.32
ArizonaArizona$55.93$30.68
Bakersfield, CACalifornia$61.55$33.00
Chico, CACalifornia$61.45$32.90
El Centro, CACalifornia$61.46$32.90
Fresno, CACalifornia$61.45$32.90
Hanford, CACalifornia$61.45$32.90

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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11740 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0000.3600
Practice expense1.33× 1.0111.3446
Malpractice0.03× 0.9850.0295
Total RVUs1.7342
Conversion factor× 33.4009

Office rate, Puerto Rico$57.92

Office: (0.36 × 1 + 1.33 × 1.011 + 0.03 × 0.985) × $33.4009 = $57.92

Facility: (0.36 × 1 + 0.55 × 1.011 + 0.03 × 0.985) × $33.4009 = $31.58

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, Puerto Rico
Used instead
11730Nail avulsion, single nail plateSimple nail-plate avulsion is a different approach when removal, rather than trephination, is performed.$112.34
11732Nail avulsion, each additional nailAdditional nail-plate avulsion code when another nail is treated by removal rather than drainage.$32.59
Often billed with
11760Nail bed repair, traumatic lacerationMay accompany evacuation when a distinct nail-bed laceration is also repaired.$188.02

How 11740 has changed in Puerto Rico

11740 · Office / nonfacility

$57.92

Effective 2026-10-01

The base rate is $1.68 higher than on 2025-10-01, moving from $56.24 to $57.92 (3.0%).

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

    $56.24changed to$57.92

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $58.21changed to$56.24

    • 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

    $57.26changed to$58.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $58.28changed to$57.26

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $57.95changed to$58.28

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $59.17changed to$57.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.29 changed to 1.30
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $57.90changed to$59.17

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

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $55.17changed to$57.90

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $52.87changed to$55.17

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.06 changed to 1.12
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $51.73changed to$52.87

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $44.69changed to$51.73

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 1.00 changed to 1.03
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $38.80changed to$44.69

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $38.94changed to$38.80

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $38.75changed to$38.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $38.09changed to$38.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.99 changed to 1.00
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $37.76changed to$38.09

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 1.08 changed to 0.99
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $37.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$57.92$31.58RVU26D
2026-07-01$57.92$31.58RVU26C
2026-04-01$57.92$31.58RVU26B
2026-01-01$57.92$31.58RVU26A
2025-10-01$56.24$32.14RVU25D
2025-07-01$56.24$32.14RVU25C
2025-04-01$56.24$32.14RVU25B
2025-01-01$56.24$32.14RVU25A
2024-10-01$58.21$32.40RVU24D
2024-07-01$58.21$32.40RVU24C
2024-04-01$58.21$32.40RVU24B
2024-03-09$58.21$32.40RVU24AR
2024-01-01$57.26$31.87RVU24A
2023-10-01$58.28$32.32RVU23D
2023-07-01$57.95$32.19RVU23C
2023-04-01$57.95$32.19RVU23B
2023-01-01$57.95$32.19RVU23A
2022-10-01$59.17$31.96RVU22D
2022-07-01$59.17$31.96RVU22C
2022-04-01$59.17$31.96RVU22B
2022-01-01$59.17$31.96RVU22A
2021-10-01$57.90$31.87RVU21D
2021-07-01$57.90$31.87RVU21C
2021-04-01$57.90$31.87RVU21B
2021-01-01$57.90$31.87RVU21A
2020-10-01$55.17$32.61RVU20D
2020-07-01$55.17$32.61RVU20C
2020-04-01$55.17$32.61RVU20B
2020-01-01$55.17$32.61RVU20A
2019-10-01$52.87$33.28RVU19D
2019-07-01$52.87$33.28RVU19C
2019-04-01$52.87$33.28RVU19B
2019-01-01$52.87$33.28RVU19A
2018-10-01$51.73$33.96RVU18D
2018-07-01$51.73$33.96RVU18C
2018-04-01$51.73$33.96RVU18B
2018-01-01$51.73$33.96RVU18AR1
2017-10-01$44.69$30.25RVU17D
2017-07-01$44.69$30.25RVU17C
2017-04-01$44.69$30.25RVU17B
2017-01-01$44.69$30.25RVU17A
2016-10-01$38.80$26.94RVU16D
2016-07-01$38.80$26.94RVU16C
2016-04-01$38.80$26.94RVU16B
2016-01-01$38.80$26.94RVU16A
2015-10-01$38.94$27.04RVU15D
2015-07-01$38.94$27.04RVU15C
2015-04-01$38.75$26.90RVU15B
2015-01-01$38.75$26.90RVU15A
2014-10-01$38.09$26.68RVU14D
2014-07-01$38.09$26.68RVU14C
2014-04-01$38.09$26.68RVU14B
2014-01-01$38.09$26.68RVU14A
2013-10-01$37.76$25.99RVU13D
2013-07-01$37.76$25.99RVU13C
2013-04-01$37.76$25.99RVU13B
2013-01-01$37.76$25.99RVU13AR

Price 11740 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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