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CPT code 11760: Nail bed repair, traumatic laceration2026 Medicare rate & RVUs in Washington, DC area

Repair of damaged nail-bed tissue, typically after a fingertip or toe injury that leaves a laceration requiring tissue approximation.

CMS RVU26DEffective Oct 1, 2026One payment locality9.6K Medicare services in 2024

In Washington, DC area, Medicare pays $212.95 for 11760 in the office and $115.37 when it’s performed in a hospital or facility.

$212.95Office (non-facility)
$115.37Hospital or facility
+14.1%vs the national office rate ($186.71)

Check a contract rate as a % of Medicare · 11760 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 11760 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11760 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 11760 covers

This service repairs a laceration in the tissue beneath a fingernail or toenail, commonly after a crush injury or other trauma. The clinician may need to lift or remove the nail plate to reach the wound, then approximate the nail-bed tissue. Emergency clinicians and hand surgeons commonly perform the repair in an emergency department or procedure setting; podiatrists may treat comparable injuries involving toes.

Report the code when the nail-bed wound itself is repaired, rather than for nail-plate removal or drainage of blood beneath the nail alone. The record should identify the injured nail, describe the nail-bed laceration and repair performed, and support why the repair was needed. The 10-day global period includes related postoperative visits during that period. 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 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; 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 Washington, DC area compares for 11760

Across 109 of 109 payment localities, the office rate for 11760 runs from $165.69 in Arkansas to $245.86 in San Benito County, CA. Washington, DC area pays $212.95. The RVUs are the same everywhere; the geographic indexes change the dollars.

11760 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$212.95
  2. Los Angeles, CA · California$210.04−$2.91
  3. Miami, FL · Florida$201.63−$11.32
  4. Chicago, IL · Illinois$195.94−$17.01
  5. Manhattan, NY · New York$214.44+$1.49
  6. Alaska · Alaska$218.69+$5.74
  7. Alabama · Alabama$168.05−$44.90

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11760 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$165.69$94.54
ArizonaArizona$181.85$101.59
Bakersfield, CACalifornia$197.46$106.67
Chico, CACalifornia$196.89$106.10
El Centro, CACalifornia$196.92$106.13
Fresno, CACalifornia$196.89$106.10
Hanford, CACalifornia$196.89$106.10
Madera, CACalifornia$196.89$106.10

11760 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.

$165.69

$221.38

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

View every state and territory as a table
11760 office rate range by state
State / territoryOffice rate rangeLocalities
AK$218.691
AL$168.051
AR$165.691
AZ$181.851
CA$196.89–$245.8629
CO$194.101
CT$198.901
DC$212.951
DE$184.811
FL$184.30–$201.633
GA$174.19–$190.182
GU$201.471
HI$201.471
IA$172.071
ID$173.191
IL$179.21–$195.944
IN$174.161
KS$171.351
KY$172.051
LA$171.81–$180.072
MA$193.02–$212.882
MD$188.25–$212.953
ME$174.13–$183.222
MI$176.46–$186.612
MN$185.931
MO$168.98–$180.623
MS$167.371
MT$186.701
NC$175.891
ND$182.941
NE$172.961
NH$191.141
NJ$201.16–$210.852
NM$177.421
NV$185.781
NY$178.46–$219.605
OH$175.691
OK$171.681
OR$184.32–$200.062
PA$175.93–$194.112
PR$188.021
RI$191.231
SC$176.091
SD$182.501
TN$172.191
TX$174.81–$193.478
UT$178.431
VA$182.68–$212.952
VI$188.021
VT$182.301
WA$192.63–$217.092
WI$176.971
WV$172.781
WY$185.061

See 11760 in every payment locality

How the 11760 rate is calculated

Each of 11760’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 · 11760

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.59

1.59 RVUs× 1.000 GPCI

Practice expense3.81

3.81 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

5.5900

Conversion factor

$33.4009

Medicare rate

$186.71

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,369

Code
11760
Physician work
1.59
Practice expense
3.81
Malpractice
0.19

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11760 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.59× 1.0541.6759
Practice expense3.81× 1.1784.4882
Malpractice0.19× 1.1130.2115
Total RVUs6.3755
Conversion factor× 33.4009

Office rate, Washington, DC area$212.95

Office: (1.59 × 1.054 + 3.81 × 1.178 + 0.19 × 1.113) × $33.4009 = $212.95

Facility: (1.59 × 1.054 + 1.33 × 1.178 + 0.19 × 1.113) × $33.4009 = $115.37

Open 11760 in the RVU calculator

Payment rules and modifiers for 11760

11760 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11760

Nail bed repair, traumatic laceration

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 · 11760

Nail bed repair, traumatic laceration

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

11760 without 51 · national office

$186.71

Nail bed repair, traumatic laceration

11760-51 · Second procedure: 50%

$93.36

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 11760

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

Codes related to 11760
CodeHow it relatesOffice range, Washington, DC area
Same family
11762Nail reconstruction, reconstructive procedureNail-bed reconstruction is a distinct, more reconstructive service.$334.02
Used instead
11730Nail avulsion, single nail plateApplies to simple avulsion of one nail plate without nail-bed repair.$127.02
11740Nail drainage, subungual hematomaApplies to evacuation of a subungual hematoma rather than laceration repair.$66.12

How 11760 has changed in Washington, DC area

11760 · Office / nonfacility

$212.95

Effective 2026-10-01

The base rate is $6.99 higher than on 2025-10-01, moving from $205.96 to $212.95 (3.4%).

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

    $205.96changed to$212.95

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.63 changed to 1.59
    • Practice expense RVU 3.72 changed to 3.81
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $213.14changed to$205.96

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.74 changed to 3.72
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $209.66changed to$213.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $222.17changed to$209.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.79 changed to 3.74
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $230.95changed to$222.17

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.80 changed to 3.79
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $237.63changed to$230.95

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.90 changed to 3.80
    • Malpractice RVU 0.21 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $234.87changed to$237.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.71 changed to 3.90
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $228.08changed to$234.87

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.65 changed to 3.71
    • Malpractice RVU 0.18 changed to 0.21
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $223.05changed to$228.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.54 changed to 3.65

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $222.63changed to$223.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.53 changed to 3.54
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $228.84changed to$222.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.67 changed to 3.53
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $271.72changed to$228.84

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.62 changed to 3.67
    • Malpractice RVU 0.22 changed to 0.20

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $270.37changed to$271.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $272.33changed to$270.37

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.65 changed to 4.62
    • Malpractice RVU 0.25 changed to 0.22
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $279.31changed to$272.33

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.18 changed to 4.65
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $279.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$212.95$115.37RVU26D
2026-07-01$212.95$115.37RVU26C
2026-04-01$212.95$115.37RVU26B
2026-01-01$212.95$115.37RVU26A
2025-10-01$205.96$119.98RVU25D
2025-07-01$205.96$119.98RVU25C
2025-04-01$205.96$119.98RVU25B
2025-01-01$205.96$119.98RVU25A
2024-10-01$213.14$123.07RVU24D
2024-07-01$213.14$123.07RVU24C
2024-04-01$213.14$123.07RVU24B
2024-03-09$213.14$123.07RVU24AR
2024-01-01$209.66$121.06RVU24A
2023-10-01$222.17$126.73RVU23D
2023-07-01$222.17$126.73RVU23C
2023-04-01$222.17$126.73RVU23B
2023-01-01$222.17$126.73RVU23A
2022-10-01$230.95$130.00RVU22D
2022-07-01$230.95$130.00RVU22C
2022-04-01$230.95$130.00RVU22B
2022-01-01$230.95$130.00RVU22A
2021-10-01$237.63$133.26RVU21D
2021-07-01$237.63$133.26RVU21C
2021-04-01$237.63$133.26RVU21B
2021-01-01$237.63$133.26RVU21A
2020-10-01$234.87$135.28RVU20D
2020-07-01$234.87$135.28RVU20C
2020-04-01$234.87$135.28RVU20B
2020-01-01$234.87$135.28RVU20A
2019-10-01$228.08$132.97RVU19D
2019-07-01$228.08$132.97RVU19C
2019-04-01$228.08$132.97RVU19B
2019-01-01$228.08$132.97RVU19A
2018-10-01$223.05$132.39RVU18D
2018-07-01$223.05$132.39RVU18C
2018-04-01$223.05$132.39RVU18B
2018-01-01$223.05$132.39RVU18AR1
2017-10-01$222.63$133.11RVU17D
2017-07-01$222.63$133.11RVU17C
2017-04-01$222.63$133.11RVU17B
2017-01-01$222.63$133.11RVU17A
2016-10-01$228.84$135.65RVU16D
2016-07-01$228.84$135.65RVU16C
2016-04-01$228.84$135.65RVU16B
2016-01-01$228.84$135.65RVU16A
2015-10-01$271.72$154.38RVU15D
2015-07-01$271.72$154.38RVU15C
2015-04-01$270.37$153.61RVU15B
2015-01-01$270.37$153.61RVU15A
2014-10-01$272.33$154.78RVU14D
2014-07-01$272.33$154.78RVU14C
2014-04-01$272.33$154.78RVU14B
2014-01-01$272.33$154.78RVU14A
2013-10-01$279.31$154.58RVU13D
2013-07-01$279.31$154.58RVU13C
2013-04-01$279.31$154.58RVU13B
2013-01-01$279.31$154.58RVU13AR

Price 11760 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11760 billing questions

How is this different from nail reconstruction?

Use this code for repair of an injured nail bed. Nail-bed reconstruction is a distinct service represented by 11762.

Can nail-plate removal be reported separately?

This code represents repair of the nail bed, not nail-plate avulsion alone. If plate removal is performed as part of access to the same repair, document its role; do not treat the access step as a separate avulsion service.

When is 11740 more appropriate?

11740 describes evacuation of a subungual hematoma. It is the relevant choice when the service is drainage of blood beneath the nail rather than repair of a nail-bed laceration.

Does the 10-day global period include follow-up visits?

Related postoperative visits for 10 days are included in the global period.

Can modifier 50 be used for injuries to both hands or feet?

No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

How are other same-session procedures paid?

The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting 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 11760PPRRVU2026_Oct_nonQPP.csv, line 1,369 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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