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CPT code 11762: Nail reconstruction, reconstructive procedure2026 Medicare rate & RVUs in Connecticut

Reconstructs a damaged or deficient nail bed, typically after tissue loss or injury when simple nail-bed repair is not sufficient.

CMS RVU26DEffective Oct 1, 2026One payment locality260 Medicare services in 2024

In Connecticut, Medicare pays $312.97 for 11762 in the office and $184.54 when it’s performed in a hospital or facility.

$312.97Office (non-facility)
$184.54Hospital or facility
+6.4%vs the national office rate ($294.26)

Check a contract rate as a % of Medicare · 11762 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 11762 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 11762 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 11762 covers

This procedure rebuilds the nail bed when tissue loss or a substantial defect cannot be addressed by simply closing a laceration. It may be performed after traumatic injury or to address a damaged nail bed that no longer provides an adequate surface for nail growth. A podiatrist, hand surgeon, or plastic surgeon may perform the work in an office procedure room or operating room; the technique depends on the defect and may involve graft tissue.

Select this code for reconstruction, rather than straightforward repair of a nail-bed laceration. Document the affected digit, cause and extent of the defect, reconstructive work performed, and any grafting. CMS assigns a 10-day global period, so related postoperative visits during that period are 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. Medicare does not pay an assistant at surgery for this service, 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 Connecticut compares for 11762

Across 109 of 109 payment localities, the office rate for 11762 runs from $262.38 in Arkansas to $382.21 in San Benito County, CA. Connecticut pays $312.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

11762 in Connecticut vs other payment areas
  1. Connecticut · this page$312.97
  2. Los Angeles, CA · California$328.61+$15.64
  3. Washington, DC area · District of Columbia$334.02+$21.05
  4. Miami, FL · Florida$319.29+$6.32
  5. Chicago, IL · Illinois$310.57−$2.40
  6. Manhattan, NY · New York$337.35+$24.38
  7. Alaska · Alaska$349.25+$36.28

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

Every other payment area

11762 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$265.95$161.62
ArkansasArkansas$262.38$159.95
ArizonaArizona$286.83$171.28
Bakersfield, CACalifornia$309.60$178.91
Chico, CACalifornia$308.58$177.89
El Centro, CACalifornia$308.64$177.95
Fresno, CACalifornia$308.58$177.89
Hanford, CACalifornia$308.58$177.89

11762 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.

$262.38

$349.25

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

View every state and territory as a table
11762 office rate range by state
State / territoryOffice rate rangeLocalities
AK$349.251
AL$265.951
AR$262.381
AZ$286.831
CA$308.58–$382.2129
CO$304.901
CT$312.971
DC$334.021
DE$291.351
FL$291.74–$319.293
GA$276.24–$299.822
GU$315.111
HI$315.111
IA$271.521
ID$273.311
IL$284.38–$310.574
IN$274.771
KS$270.671
KY$272.531
LA$272.27–$284.772
MA$303.40–$333.232
MD$296.53–$334.023
ME$275.01–$288.392
MI$279.45–$295.512
MN$291.691
MO$268.15–$285.313
MS$265.301
MT$294.241
NC$277.631
ND$287.521
NE$272.801
NH$300.511
NJ$316.41–$331.002
NM$281.021
NV$292.551
NY$281.54–$345.485
OH$278.081
OK$271.721
OR$290.14–$313.652
PA$278.30–$305.852
PR$296.151
RI$301.031
SC$278.341
SD$286.721
TN$271.981
TX$276.62–$304.018
UT$281.881
VA$287.74–$334.022
VI$296.151
VT$286.781
WA$302.71–$339.442
WI$278.551
WV$274.651
WY$291.311

See 11762 in every payment locality

How the 11762 rate is calculated

Each of 11762’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 · 11762

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.87

2.87 RVUs× 1.000 GPCI

Practice expense5.60

5.60 RVUs× 1.000 GPCI

Malpractice0.34

0.34 RVUs× 1.000 GPCI

Adjusted RVUs

8.8100

Conversion factor

$33.4009

Medicare rate

$294.26

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,370

Code
11762
Physician work
2.87
Practice expense
5.60
Malpractice
0.34

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 11762 in Connecticut
ComponentRVULocality factorAdjusted
Physician work2.87× 1.0202.9274
Practice expense5.60× 1.0776.0312
Malpractice0.34× 1.2100.4114
Total RVUs9.3700
Conversion factor× 33.4009

Office rate, Connecticut$312.97

Office: (2.87 × 1.02 + 5.6 × 1.077 + 0.34 × 1.21) × $33.4009 = $312.97

Facility: (2.87 × 1.02 + 2.03 × 1.077 + 0.34 × 1.21) × $33.4009 = $184.54

Open 11762 in the RVU calculator

Payment rules and modifiers for 11762

11762 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11762

Nail reconstruction, reconstructive procedure

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 · 11762

Nail reconstruction, reconstructive procedure

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

11762 without 51 · national office

$294.26

Nail reconstruction, reconstructive procedure

11762-51 · Second procedure: 50%

$147.13

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 11762

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

Codes related to 11762
CodeHow it relatesOffice range, Connecticut
Same family
11760Nail bed repair, traumatic lacerationNail-bed repair for an injury addressed by repair rather than reconstruction.$198.90
Often billed with
11730Nail avulsion, single nail plateNail-plate avulsion may occur in the same injury encounter; removal alone does not establish separate reporting.$118.56
11740Nail drainage, subungual hematomaHematoma evacuation may occur in the same traumatic nail encounter when separately performed.$61.32

How 11762 has changed in Connecticut

11762 · Office / nonfacility

$312.97

Effective 2026-10-01

The base rate is $11.94 higher than on 2025-10-01, moving from $301.03 to $312.97 (4.0%).

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

    $301.03changed to$312.97

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.94 changed to 2.87
    • Practice expense RVU 5.40 changed to 5.60
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $309.02changed to$301.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.39 changed to 5.40
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $303.98changed to$309.02

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $314.39changed to$303.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.37 changed to 5.39
    • Malpractice RVU 0.31 changed to 0.33
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $323.90changed to$314.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.38 changed to 5.37
    • Malpractice RVU 0.34 changed to 0.31
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $329.37changed to$323.90

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.46 changed to 5.38
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $329.88changed to$329.37

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.18 changed to 5.46
    • Malpractice RVU 0.32 changed to 0.33
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $318.42changed to$329.88

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.93 changed to 5.18
    • Malpractice RVU 0.28 changed to 0.32
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $310.76changed to$318.42

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.77 changed to 4.93
    • Malpractice RVU 0.26 changed to 0.28

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $307.96changed to$310.76

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.70 changed to 4.77
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $309.55changed to$307.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.73 changed to 4.70
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $313.16changed to$309.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.77 changed to 4.73
    • Malpractice RVU 0.29 changed to 0.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $311.60changed to$313.16

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $309.41changed to$311.60

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.71 changed to 4.77
    • Malpractice RVU 0.30 changed to 0.29
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $314.86changed to$309.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.28 changed to 4.71
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $314.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$312.97$184.54RVU26D
2026-07-01$312.97$184.54RVU26C
2026-04-01$312.97$184.54RVU26B
2026-01-01$312.97$184.54RVU26A
2025-10-01$301.03$195.51RVU25D
2025-07-01$301.03$195.51RVU25C
2025-04-01$301.03$195.51RVU25B
2025-01-01$301.03$195.51RVU25A
2024-10-01$309.02$198.26RVU24D
2024-07-01$309.02$198.26RVU24C
2024-04-01$309.02$198.26RVU24B
2024-03-09$309.02$198.26RVU24AR
2024-01-01$303.98$195.02RVU24A
2023-10-01$314.39$199.75RVU23D
2023-07-01$314.39$199.75RVU23C
2023-04-01$314.39$199.75RVU23B
2023-01-01$314.39$199.75RVU23A
2022-10-01$323.90$204.01RVU22D
2022-07-01$323.90$204.01RVU22C
2022-04-01$323.90$204.01RVU22B
2022-01-01$323.90$204.01RVU22A
2021-10-01$329.37$205.76RVU21D
2021-07-01$329.37$205.76RVU21C
2021-04-01$329.37$205.76RVU21B
2021-01-01$329.37$205.76RVU21A
2020-10-01$329.88$210.99RVU20D
2020-07-01$329.88$210.99RVU20C
2020-04-01$329.88$210.99RVU20B
2020-01-01$329.88$210.99RVU20A
2019-10-01$318.42$205.40RVU19D
2019-07-01$318.42$205.40RVU19C
2019-04-01$318.42$205.40RVU19B
2019-01-01$318.42$205.40RVU19A
2018-10-01$310.76$201.87RVU18D
2018-07-01$310.76$201.87RVU18C
2018-04-01$310.76$201.87RVU18B
2018-01-01$310.76$201.87RVU18AR1
2017-10-01$307.96$200.93RVU17D
2017-07-01$307.96$200.93RVU17C
2017-04-01$307.96$200.93RVU17B
2017-01-01$307.96$200.93RVU17A
2016-10-01$309.55$201.98RVU16D
2016-07-01$309.55$201.98RVU16C
2016-04-01$309.55$201.98RVU16B
2016-01-01$309.55$201.98RVU16A
2015-10-01$313.16$204.80RVU15D
2015-07-01$313.16$204.80RVU15C
2015-04-01$311.60$203.78RVU15B
2015-01-01$311.60$203.78RVU15A
2014-10-01$309.41$203.06RVU14D
2014-07-01$309.41$203.06RVU14C
2014-04-01$309.41$203.06RVU14B
2014-01-01$309.41$203.06RVU14A
2013-10-01$314.86$201.56RVU13D
2013-07-01$314.86$201.56RVU13C
2013-04-01$314.86$201.56RVU13B
2013-01-01$314.86$201.56RVU13AR

Price 11762 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

11762 billing questions

How is reconstruction different from nail-bed repair?

11762 is for rebuilding a deficient or substantially damaged nail bed. Use 11760 for repair of a nail-bed injury that can be addressed by repair rather than reconstruction.

Does removing the nail plate support reporting 11762?

No. Nail-plate removal alone does not establish that nail-bed reconstruction was performed; the record should describe the defect and the reconstructive work.

Can modifier 50 be used for both hands or feet?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

Are postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 11762. 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 11762PPRRVU2026_Oct_nonQPP.csv, line 1,370 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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