HCPCS code G0127: Nail trimming, dystrophic nails, any number2026 Medicare rate & RVUs in California
Report G0127 when a clinician trims dystrophic toenails or fingernails in a qualifying Medicare coverage circumstance, rather than debriding nail material.
Medicare pays $25.36–$32.01 for G0127 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What G0127 covers
G0127 covers trimming one or more dystrophic nails; it is distinct from reducing thickened nail material through debridement. Podiatrists commonly perform it during office or facility foot-care visits. Medicare pays only in specified circumstances, so documentation should identify the dystrophic findings, nails treated, trimming performed, and clinical circumstances supporting coverage.
Report one unit for the service, not one unit per nail. The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50% under the standard multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is barred, 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.
Where G0127 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$25.36 to $32.01
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $25.39 | $6.72 |
| Chico, CA | $25.36 | $6.69 |
| El Centro, CA | $25.36 | $6.69 |
| Fresno, CA | $25.36 | $6.69 |
| Hanford, CA | $25.36 | $6.69 |
| Los Angeles, CA | $27.07 | $6.92 |
| Madera, CA | $25.36 | $6.69 |
| Marin County, CA | $31.33 | $7.31 |
| Merced, CA | $25.36 | $6.69 |
| Modesto, CA | $25.36 | $6.69 |
| Napa, CA | $29.54 | $7.09 |
| Oxnard, CA | $26.97 | $6.83 |
| Redding, CA | $25.36 | $6.69 |
| Rest of California | $25.36 | $6.69 |
| Riverside, CA | $25.47 | $6.80 |
| Sacramento, CA | $26.65 | $6.84 |
| Salinas, CA | $26.55 | $6.81 |
| San Benito County, CA | $32.01 | $7.45 |
| San Diego, CA | $27.20 | $6.83 |
| San Francisco, CA | $31.32 | $7.30 |
| San Luis Obispo, CA | $26.12 | $6.71 |
| Santa Clara County, CA | $31.96 | $7.40 |
| Santa Cruz, CA | $27.48 | $6.79 |
| Santa Maria, CA | $26.66 | $6.80 |
| Santa Rosa, CA | $27.77 | $6.85 |
| Stockton, CA | $25.36 | $6.69 |
| Vallejo, CA | $29.52 | $7.07 |
| Visalia, CA | $25.36 | $6.69 |
| Yuba City, CA | $25.36 | $6.69 |
How the G0127 rate is calculated
Each of G0127’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 · G0127
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.53
0.53 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.7100
Conversion factor
$33.4009
Medicare rate
$23.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0127
The CMS indicators that decide how G0127 is paid alongside other services.
CMS payment indicators · G0127
Nail trimming, dystrophic nails, any number
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
G0127 without 51 · national office
$23.71
Nail trimming, dystrophic nails, any number
G0127-51 · Second procedure: 50%
$11.86
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%).
G0127 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11719Nail trimmingAny number of nails
- Choose 11719 for trimming nondystrophic nails. G0127 is for trimming dystrophic nails.
- 11720Nail debridementOne to five nails
- 11720 describes nail debridement when 1–5 nails are treated; G0127 describes trimming dystrophic nails.
- 11721Nail debridementSix or more nails
- 11721 describes nail debridement when 6 or more nails are treated; G0127 is selected for trimming dystrophic nails, not by a debridement count threshold.
G0127 billing questions
How is G0127 different from routine nail trimming?
G0127 is for trimming dystrophic nails. For trimming nondystrophic nails, consider 11719 instead.
When is nail debridement reported instead?
Use 11720 for debridement of 1–5 nails or 11721 for 6 or more nails, rather than G0127 when the service is debridement.
Is G0127 reported per nail?
No. Report one unit for the service, whether one or multiple nails are trimmed.
What documentation supports G0127?
Document the dystrophic nail findings, which nails were treated, the trimming performed, and the clinical circumstances supporting Medicare coverage.
Can modifier 50 or an assistant-at-surgery claim be used?
No. Modifier 50 is inappropriate for this service, and CMS does not pay an assistant at surgery for G0127.
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
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