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CPT code 11750: Nail matrix excision, permanent partial or complete removal2026 Medicare rate & RVUs in Delaware

Permanent nail-matrix removal treats recurrent ingrown or deformed nails when the clinician removes part or all of the nail and prevents regrowth.

CMS RVU26DEffective Oct 1, 2026One payment locality148.3K Medicare services in 2024

In Delaware, Medicare pays $156.22 for 11750 in the office and $93.52 when it’s performed in a hospital or facility.

$156.22Office (non-facility)
$93.52Hospital or facility
−0.9%vs the national office rate ($157.65)

Check a contract rate as a % of Medicare · 11750 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 11750 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 11750 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 11750 covers

CPT 11750 represents a nail procedure intended to stop regrowth: the clinician removes part or all of the nail plate and excises or destroys the corresponding matrix. It is commonly used for a recurrent ingrown toenail or persistently deformed nail when permanent removal of the involved portion is planned. Podiatrists, dermatologists, and other clinicians qualified to perform nail surgery typically do this in an office under local anesthesia; it may also be performed in an outpatient facility.

Document the specific nail, the extent of nail removal, treatment of the matrix, and the clinical reason for choosing a permanent approach. A simple nail-plate avulsion with the matrix left intact is a different service. The 10-day global period includes related postoperative visits. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing 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 Delaware compares for 11750

Across 109 of 109 payment localities, the office rate for 11750 runs from $141.07 in Arkansas to $206.02 in San Benito County, CA. Delaware pays $156.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

11750 in Delaware vs other payment areas
  1. Delaware · this page$156.22
  2. Los Angeles, CA · California$176.77+$20.55
  3. Washington, DC area · District of Columbia$179.03+$22.81
  4. Miami, FL · Florida$168.97+$12.75
  5. Chicago, IL · Illinois$164.58+$8.36
  6. Manhattan, NY · New York$180.13+$23.91
  7. Alaska · Alaska$187.87+$31.65

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

Every other payment area

11750 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$142.93$87.40
ArkansasArkansas$141.07$86.55
ArizonaArizona$153.83$92.34
Bakersfield, CACalifornia$166.55$96.99
Chico, CACalifornia$166.10$96.55
El Centro, CACalifornia$166.13$96.57
Fresno, CACalifornia$166.10$96.55
Hanford, CACalifornia$166.10$96.55

11750 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.

$141.07

$187.87

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

View every state and territory as a table
11750 office rate range by state
State / territoryOffice rate rangeLocalities
AK$187.871
AL$142.931
AR$141.071
AZ$153.831
CA$166.10–$206.0229
CO$163.741
CT$167.481
DC$179.031
DE$156.221
FL$155.54–$168.973
GA$147.58–$160.372
GU$169.591
HI$169.591
IA$146.201
ID$147.061
IL$151.45–$164.584
IN$147.841
KS$145.591
KY$145.981
LA$145.78–$152.302
MA$162.91–$178.952
MD$159.00–$179.033
ME$147.76–$155.012
MI$149.42–$157.312
MN$157.301
MO$143.52–$152.793
MS$142.321
MT$157.641
NC$149.161
ND$154.871
NE$146.931
NH$161.231
NJ$169.50–$177.462
NM$150.161
NV$156.971
NY$151.19–$184.145
OH$148.861
OK$145.741
OR$155.86–$168.552
PA$149.07–$163.642
PR$158.701
RI$161.481
SC$149.231
SD$154.551
TN$146.251
TX$148.18–$163.118
UT$151.081
VA$154.55–$179.032
VI$158.701
VT$154.331
WA$162.58–$182.422
WI$150.151
WV$146.371
WY$156.441

See 11750 in every payment locality

How the 11750 rate is calculated

Each of 11750’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 · 11750

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.54

1.54 RVUs× 1.000 GPCI

Practice expense3.04

3.04 RVUs× 1.000 GPCI

Malpractice0.14

0.14 RVUs× 1.000 GPCI

Adjusted RVUs

4.7200

Conversion factor

$33.4009

Medicare rate

$157.65

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,366

Code
11750
Physician work
1.54
Practice expense
3.04
Malpractice
0.14

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 11750 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.54× 1.0051.5477
Practice expense3.04× 0.9883.0035
Malpractice0.14× 0.8990.1259
Total RVUs4.6771
Conversion factor× 33.4009

Office rate, Delaware$156.22

Office: (1.54 × 1.005 + 3.04 × 0.988 + 0.14 × 0.899) × $33.4009 = $156.22

Facility: (1.54 × 1.005 + 1.14 × 0.988 + 0.14 × 0.899) × $33.4009 = $93.52

Open 11750 in the RVU calculator

Payment rules and modifiers for 11750

11750 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11750

Nail matrix excision, permanent partial or complete removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are 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.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 11750

Nail matrix excision, permanent partial or complete removal

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11750 without 51 · national office

$157.65

Nail matrix excision, permanent partial or complete removal

11750-51 · Second procedure: 50%

$78.83

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 11750

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

Codes related to 11750
CodeHow it relatesOffice range, Delaware
Used instead
11730Nail avulsion, single nail plateSimple nail-plate avulsion when the matrix is not treated for permanent removal.$110.56
11755Nail biopsy, diagnostic tissue samplingNail-unit biopsy for diagnostic sampling rather than permanent nail-matrix removal.$118.51
11765Nail-fold excision, skin fold onlyWedge excision of nail-fold skin is a different approach to selected nail-fold problems.$161.45

How 11750 has changed in Delaware

11750 · Office / nonfacility

$156.22

Effective 2026-10-01

The base rate is $1.51 higher than on 2025-10-01, moving from $154.71 to $156.22 (1.0%).

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

    $154.71changed to$156.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.58 changed to 1.54
    • Practice expense RVU 3.09 changed to 3.04
    • Malpractice RVU 0.13 changed to 0.14
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $160.53changed to$154.71

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.13 changed to 3.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $157.91changed to$160.53

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $162.49changed to$157.91

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.07 changed to 3.13
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $167.03changed to$162.49

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.06 changed to 3.07
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $168.73changed to$167.03

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.13 changed to 0.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $163.12changed to$168.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.75 changed to 3.06
    • Malpractice RVU 0.12 changed to 0.13
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $161.70changed to$163.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.71 changed to 2.75
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $160.06changed to$161.70

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.67 changed to 2.71

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $159.13changed to$160.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.64 changed to 2.67
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $187.78changed to$159.13

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.41 changed to 2.64
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $232.42changed to$187.78

    • Conversion factor 35.9335 changed to 35.8043
    • Work RVU 2.50 changed to 1.58
    • Practice expense RVU 3.62 changed to 3.41
    • Malpractice RVU 0.19 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $231.26changed to$232.42

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $230.73changed to$231.26

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.59 changed to 3.62
    • Malpractice RVU 0.21 changed to 0.19
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $231.06changed to$230.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.94 changed to 3.59
    • Malpractice RVU 0.22 changed to 0.21
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $231.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$156.22$93.52RVU26D
2026-07-01$156.22$93.52RVU26C
2026-04-01$156.22$93.52RVU26B
2026-01-01$156.22$93.52RVU26A
2025-10-01$154.71$99.20RVU25D
2025-07-01$154.71$99.20RVU25C
2025-04-01$154.71$99.20RVU25B
2025-01-01$154.71$99.20RVU25A
2024-10-01$160.53$101.75RVU24D
2024-07-01$160.53$101.75RVU24C
2024-04-01$160.53$101.75RVU24B
2024-03-09$160.53$101.75RVU24AR
2024-01-01$157.91$100.09RVU24A
2023-10-01$162.49$101.75RVU23D
2023-07-01$162.49$101.75RVU23C
2023-04-01$162.49$101.75RVU23B
2023-01-01$162.49$101.75RVU23A
2022-10-01$167.03$103.72RVU22D
2022-07-01$167.03$103.72RVU22C
2022-04-01$167.03$103.72RVU22B
2022-01-01$167.03$103.72RVU22A
2021-10-01$168.73$104.19RVU21D
2021-07-01$168.73$104.19RVU21C
2021-04-01$168.73$104.19RVU21B
2021-01-01$168.73$104.19RVU21A
2020-10-01$163.12$106.38RVU20D
2020-07-01$163.12$106.38RVU20C
2020-04-01$163.12$106.38RVU20B
2020-01-01$163.12$106.38RVU20A
2019-10-01$161.70$106.98RVU19D
2019-07-01$161.70$106.98RVU19C
2019-04-01$161.70$106.98RVU19B
2019-01-01$161.70$106.98RVU19A
2018-10-01$160.06$106.50RVU18D
2018-07-01$160.06$106.50RVU18C
2018-04-01$160.06$106.50RVU18B
2018-01-01$160.06$106.50RVU18AR1
2017-10-01$159.13$118.66RVU17D
2017-07-01$159.13$118.66RVU17C
2017-04-01$159.13$118.66RVU17B
2017-01-01$159.13$118.66RVU17A
2016-10-01$187.78$147.17RVU16D
2016-07-01$187.78$147.17RVU16C
2016-04-01$187.78$147.17RVU16B
2016-01-01$187.78$147.17RVU16A
2015-10-01$232.42$182.03RVU15D
2015-07-01$232.42$182.03RVU15C
2015-04-01$231.26$181.13RVU15B
2015-01-01$231.26$181.13RVU15A
2014-10-01$230.73$180.16RVU14D
2014-07-01$230.73$180.16RVU14C
2014-04-01$230.73$180.16RVU14B
2014-01-01$230.73$180.16RVU14A
2013-10-01$231.06$177.42RVU13D
2013-07-01$231.06$177.42RVU13C
2013-04-01$231.06$177.42RVU13B
2013-01-01$231.06$177.42RVU13AR

Price 11750 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

11750 billing questions

How is 11750 different from a simple nail avulsion?

11750 includes treatment of the nail matrix with the intent to prevent regrowth. Use 11730 for a simple nail-plate avulsion when permanent matrix treatment is not performed.

What documentation supports reporting 11750?

Record the affected nail, the ingrown or deformed nail condition, how much of the nail was removed, and the excision or destruction of the matrix.

Does 11750 have a postoperative global period?

Yes. Its 10-day global period includes related postoperative visits during that period.

Can modifier 50 be used for bilateral nail treatment?

No. CMS identifies bilateral adjustment as inappropriate for this code. When multiple procedures are performed in the same session, the standard multiple-procedure reduction applies.

Can an assistant or co-surgeon be billed for 11750?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.

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 11750PPRRVU2026_Oct_nonQPP.csv, line 1,366 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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