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CPT code 11762: Nail reconstruction, reconstructive procedure2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $334.02 for 11762 in the office and $193.55 when it’s performed in a hospital or facility.

$334.02Office (non-facility)
$193.55Hospital or facility
+13.5%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $334.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

11762 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$334.02
  2. Los Angeles, CA · California$328.61−$5.41
  3. Miami, FL · Florida$319.29−$14.73
  4. Chicago, IL · Illinois$310.57−$23.45
  5. Manhattan, NY · New York$337.35+$3.33
  6. Alaska · Alaska$349.25+$15.23
  7. Alabama · Alabama$265.95−$68.07

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

Every other payment area

11762 in every other Medicare payment locality
Payment localityOfficeFacility
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
Madera, 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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11762 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.87× 1.0543.0250
Practice expense5.60× 1.1786.5968
Malpractice0.34× 1.1130.3784
Total RVUs10.0002
Conversion factor× 33.4009

Office rate, Washington, DC area$334.02

Office: (2.87 × 1.054 + 5.6 × 1.178 + 0.34 × 1.113) × $33.4009 = $334.02

Facility: (2.87 × 1.054 + 2.03 × 1.178 + 0.34 × 1.113) × $33.4009 = $193.55

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, Washington, DC area
Same family
11760Nail bed repair, traumatic lacerationNail-bed repair for an injury addressed by repair rather than reconstruction.$212.95
Often billed with
11730Nail avulsion, single nail plateNail-plate avulsion may occur in the same injury encounter; removal alone does not establish separate reporting.$127.02
11740Nail drainage, subungual hematomaHematoma evacuation may occur in the same traumatic nail encounter when separately performed.$66.12

How 11762 has changed in Washington, DC area

11762 · Office / nonfacility

$334.02

Effective 2026-10-01

The base rate is $12.45 higher than on 2025-10-01, moving from $321.57 to $334.02 (3.9%).

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

    $321.57changed to$334.02

    • 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 1.057 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

    $330.14changed to$321.57

    • 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

    $324.75changed to$330.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $339.06changed to$324.75

    • 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 1.056 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

    $352.58changed to$339.06

    • 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 1.054 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

    $358.50changed to$352.58

    • 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

    $354.31changed to$358.50

    • 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 1.049 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

    $337.54changed to$354.31

    • 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 1.045 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

    $329.32changed to$337.54

    • 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

    $325.69changed to$329.32

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.70 changed to 4.77
    • 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

    $327.08changed to$325.69

    • 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 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $330.91changed to$327.08

    • 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

    $329.26changed to$330.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $326.34changed to$329.26

    • 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
    • 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

    $332.06changed to$326.34

    • 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
    • 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: $332.06

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$334.02$193.55RVU26D
2026-07-01$334.02$193.55RVU26C
2026-04-01$334.02$193.55RVU26B
2026-01-01$334.02$193.55RVU26A
2025-10-01$321.57$206.29RVU25D
2025-07-01$321.57$206.29RVU25C
2025-04-01$321.57$206.29RVU25B
2025-01-01$321.57$206.29RVU25A
2024-10-01$330.14$209.12RVU24D
2024-07-01$330.14$209.12RVU24C
2024-04-01$330.14$209.12RVU24B
2024-03-09$330.14$209.12RVU24AR
2024-01-01$324.75$205.71RVU24A
2023-10-01$339.06$212.76RVU23D
2023-07-01$339.06$212.76RVU23C
2023-04-01$339.06$212.76RVU23B
2023-01-01$339.06$212.76RVU23A
2022-10-01$352.58$219.56RVU22D
2022-07-01$352.58$219.56RVU22C
2022-04-01$352.58$219.56RVU22B
2022-01-01$352.58$219.56RVU22A
2021-10-01$358.50$221.36RVU21D
2021-07-01$358.50$221.36RVU21C
2021-04-01$358.50$221.36RVU21B
2021-01-01$358.50$221.36RVU21A
2020-10-01$354.31$223.88RVU20D
2020-07-01$354.31$223.88RVU20C
2020-04-01$354.31$223.88RVU20B
2020-01-01$354.31$223.88RVU20A
2019-10-01$337.54$215.08RVU19D
2019-07-01$337.54$215.08RVU19C
2019-04-01$337.54$215.08RVU19B
2019-01-01$337.54$215.08RVU19A
2018-10-01$329.32$211.33RVU18D
2018-07-01$329.32$211.33RVU18C
2018-04-01$329.32$211.33RVU18B
2018-01-01$329.32$211.33RVU18AR1
2017-10-01$325.69$210.23RVU17D
2017-07-01$325.69$210.23RVU17C
2017-04-01$325.69$210.23RVU17B
2017-01-01$325.69$210.23RVU17A
2016-10-01$327.08$211.45RVU16D
2016-07-01$327.08$211.45RVU16C
2016-04-01$327.08$211.45RVU16B
2016-01-01$327.08$211.45RVU16A
2015-10-01$330.91$214.43RVU15D
2015-07-01$330.91$214.43RVU15C
2015-04-01$329.26$213.37RVU15B
2015-01-01$329.26$213.37RVU15A
2014-10-01$326.34$211.81RVU14D
2014-07-01$326.34$211.81RVU14C
2014-04-01$326.34$211.81RVU14B
2014-01-01$326.34$211.81RVU14A
2013-10-01$332.06$209.78RVU13D
2013-07-01$332.06$209.78RVU13C
2013-04-01$332.06$209.78RVU13B
2013-01-01$332.06$209.78RVU13AR

Price 11762 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

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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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