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CPT code 11760: Nail bed repair, traumatic laceration2026 Medicare rate & RVUs in Idaho

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 Idaho, Medicare pays $173.19 for 11760 in the office and $96.98 when it’s performed in a hospital or facility.

$173.19Office (non-facility)
$96.98Hospital or facility
−7.2%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 Idaho
  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 Idaho 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. Idaho pays $173.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

11760 in Idaho vs other payment areas
  1. Idaho · this page$173.19
  2. Los Angeles, CA · California$210.04+$36.85
  3. Washington, DC area · District of Columbia$212.95+$39.76
  4. Miami, FL · Florida$201.63+$28.44
  5. Chicago, IL · Illinois$195.94+$22.75
  6. Manhattan, NY · New York$214.44+$41.25
  7. Alaska · Alaska$218.69+$45.50

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

Every other payment area

11760 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$168.05$95.57
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

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 Idaho 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

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for 11760 in Idaho
ComponentRVULocality factorAdjusted
Physician work1.59× 1.0001.5900
Practice expense3.81× 0.9203.5052
Malpractice0.19× 0.4730.0899
Total RVUs5.1851
Conversion factor× 33.4009

Office rate, Idaho$173.19

Office: (1.59 × 1 + 3.81 × 0.92 + 0.19 × 0.473) × $33.4009 = $173.19

Facility: (1.59 × 1 + 1.33 × 0.92 + 0.19 × 0.473) × $33.4009 = $96.98

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, Idaho
Same family
11762Nail reconstruction, reconstructive procedureNail-bed reconstruction is a distinct, more reconstructive service.$273.31
Used instead
11730Nail avulsion, single nail plateApplies to simple avulsion of one nail plate without nail-bed repair.$104.17
11740Nail drainage, subungual hematomaApplies to evacuation of a subungual hematoma rather than laceration repair.$53.37

How 11760 has changed in Idaho

11760 · Office / nonfacility

$173.19

Effective 2026-10-01

The base rate is $8.52 higher than on 2025-10-01, moving from $164.67 to $173.19 (5.2%).

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

    $164.67changed to$173.19

    • 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
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $170.22changed to$164.67

    • 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

    $167.44changed to$170.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $172.75changed to$167.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.79 changed to 3.74
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461

  5. January 1, 2023

    RVU23A

    $174.62changed to$172.75

    • 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
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $179.27changed to$174.62

    • 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

    $181.51changed to$179.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.71 changed to 3.90
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $180.72changed to$181.51

    • 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
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $176.95changed to$180.72

    • 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

    $175.99changed to$176.95

    • 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
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $180.00changed to$175.99

    • 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
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $211.67changed to$180.00

    • 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

    $210.61changed to$211.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $212.62changed to$210.61

    • 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
    • Practice expense GPCI 0.896 changed to 0.898
    • Malpractice GPCI 0.556 changed to 0.508

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $218.35changed to$212.62

    • 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
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.603 changed to 0.556

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $218.35

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$173.19$96.98RVU26D
2026-07-01$173.19$96.98RVU26C
2026-04-01$173.19$96.98RVU26B
2026-01-01$173.19$96.98RVU26A
2025-10-01$164.67$99.17RVU25D
2025-07-01$164.67$99.17RVU25C
2025-04-01$164.67$99.17RVU25B
2025-01-01$164.67$99.17RVU25A
2024-10-01$170.22$101.61RVU24D
2024-07-01$170.22$101.61RVU24C
2024-04-01$170.22$101.61RVU24B
2024-03-09$170.22$101.61RVU24AR
2024-01-01$167.44$99.95RVU24A
2023-10-01$172.75$102.55RVU23D
2023-07-01$172.75$102.55RVU23C
2023-04-01$172.75$102.55RVU23B
2023-01-01$172.75$102.55RVU23A
2022-10-01$174.62$102.99RVU22D
2022-07-01$174.62$102.99RVU22C
2022-04-01$174.62$102.99RVU22B
2022-01-01$174.62$102.99RVU22A
2021-10-01$179.27$105.21RVU21D
2021-07-01$179.27$105.21RVU21C
2021-04-01$179.27$105.21RVU21B
2021-01-01$179.27$105.21RVU21A
2020-10-01$181.51$108.92RVU20D
2020-07-01$181.51$108.92RVU20C
2020-04-01$181.51$108.92RVU20B
2020-01-01$181.51$108.92RVU20A
2019-10-01$180.72$109.53RVU19D
2019-07-01$180.72$109.53RVU19C
2019-04-01$180.72$109.53RVU19B
2019-01-01$180.72$109.53RVU19A
2018-10-01$176.95$109.08RVU18D
2018-07-01$176.95$109.08RVU18C
2018-04-01$176.95$109.08RVU18B
2018-01-01$176.95$109.08RVU18AR1
2017-10-01$175.99$109.13RVU17D
2017-07-01$175.99$109.13RVU17C
2017-04-01$175.99$109.13RVU17B
2017-01-01$175.99$109.13RVU17A
2016-10-01$180.00$110.55RVU16D
2016-07-01$180.00$110.55RVU16C
2016-04-01$180.00$110.55RVU16B
2016-01-01$180.00$110.55RVU16A
2015-10-01$211.67$124.22RVU15D
2015-07-01$211.67$124.22RVU15C
2015-04-01$210.61$123.60RVU15B
2015-01-01$210.61$123.60RVU15A
2014-10-01$212.62$125.00RVU14D
2014-07-01$212.62$125.00RVU14C
2014-04-01$212.62$125.00RVU14B
2014-01-01$212.62$125.00RVU14A
2013-10-01$218.35$125.27RVU13D
2013-07-01$218.35$125.27RVU13C
2013-04-01$218.35$125.27RVU13B
2013-01-01$218.35$125.27RVU13AR

Price 11760 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

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 IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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