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HCPCS code G0127: Nail trimming, dystrophic nails, any number2026 Medicare rate & RVUs in Kansas

Report G0127 when a clinician trims dystrophic toenails or fingernails in a qualifying Medicare coverage circumstance, rather than debriding nail material.

CMS RVU26DEffective Oct 1, 2026One payment locality1.2M Medicare services in 2024

In Kansas, Medicare pays $21.85 for G0127 in the office and $6.45 when it’s performed in a hospital or facility.

$21.85Office (non-facility)
$6.45Hospital or facility
−7.8%vs the national office rate ($23.71)

Check a contract rate as a % of Medicare · G0127 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 G0127 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kansas
  2. What G0127 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 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.

How Kansas compares for G0127

Across 109 of 109 payment localities, the office rate for G0127 runs from $21.06 in Arkansas to $32.01 in San Benito County, CA. Kansas pays $21.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0127 in Kansas vs other payment areas
  1. Kansas · this page$21.85
  2. Los Angeles, CA · California$27.07+$5.22
  3. Washington, DC area · District of Columbia$27.21+$5.36
  4. Miami, FL · Florida$24.95+$3.10
  5. Chicago, IL · Illinois$24.28+$2.43
  6. Manhattan, NY · New York$27.14+$5.29
  7. Alaska · Alaska$27.55+$5.70

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

Every other payment area

G0127 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$21.36$6.45
ArkansasArkansas$21.06$6.42
ArizonaArizona$23.12$6.61
Bakersfield, CACalifornia$25.39$6.72
Chico, CACalifornia$25.36$6.69
El Centro, CACalifornia$25.36$6.69
Fresno, CACalifornia$25.36$6.69
Hanford, CACalifornia$25.36$6.69

G0127 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.

$21.06

$28.69

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

View every state and territory as a table
G0127 office rate range by state
State / territoryOffice rate rangeLocalities
AK$27.551
AL$21.361
AR$21.061
AZ$23.121
CA$25.36–$32.0129
CO$24.841
CT$25.261
DC$27.211
DE$23.501
FL$23.10–$24.953
GA$21.87–$24.082
GU$26.001
HI$26.001
IA$22.011
ID$22.121
IL$22.36–$24.494
IN$22.251
KS$21.851
KY$21.721
LA$21.66–$22.722
MA$24.68–$27.342
MD$23.96–$27.213
ME$22.17–$23.432
MI$22.22–$23.322
MN$23.991
MO$21.26–$22.873
MS$21.171
MT$23.711
NC$22.411
ND$23.521
NE$22.141
NH$24.401
NJ$25.60–$26.932
NM$22.311
NV$23.681
NY$22.73–$27.715
OH$22.181
OK$21.751
OR$23.54–$25.682
PA$22.24–$24.612
PR$23.901
RI$24.371
SC$22.321
SD$23.491
TN$21.951
TX$22.10–$24.718
UT$22.621
VA$23.32–$27.212
VI$23.901
VT$23.371
WA$24.65–$27.962
WI$22.741
WV$21.541
WY$23.631

See G0127 in every payment locality

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

Office or facility?

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.

The exact Kansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,097

Code
G0127
Physician work
0.17
Practice expense
0.53
Malpractice
0.01

GPCI2026.csv

54

Locality
Kansas
Physician work
1.000
Practice expense
0.904
Malpractice
0.504
Office calculation for G0127 in Kansas
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.53× 0.9040.4791
Malpractice0.01× 0.5040.0050
Total RVUs0.6542
Conversion factor× 33.4009

Office rate, Kansas$21.85

Office: (0.17 × 1 + 0.53 × 0.904 + 0.01 × 0.504) × $33.4009 = $21.85

Facility: (0.17 × 1 + 0.02 × 0.904 + 0.01 × 0.504) × $33.4009 = $6.45

Open G0127 in the RVU calculator

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

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

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%).

When to use modifier 51

Codes related to G0127

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

Codes related to G0127
CodeHow it relatesOffice range, Kansas
Used instead
11719Nail trimming, any number of nailsTrimming nondystrophic nails instead of dystrophic nails.$13.40
11720Nail debridement, one to five nailsDebridement of 1–5 nails instead of dystrophic nail trimming.$30.18
11721Nail debridement, six or more nailsDebridement of 6 or more nails instead of dystrophic nail trimming.$41.79

How G0127 has changed in Kansas

G0127 · Office / nonfacility

$21.85

Effective 2026-10-01

The base rate is $0.35 higher than on 2025-10-01, moving from $21.50 to $21.85 (1.6%).

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

    $21.50changed to$21.85

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.54 changed to 0.53
    • Practice expense GPCI 0.906 changed to 0.904
    • Malpractice GPCI 0.540 changed to 0.504

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $22.12changed to$21.50

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $21.76changed to$22.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $21.91changed to$21.76

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.52 changed to 0.54
    • Practice expense GPCI 0.907 changed to 0.906
    • Malpractice GPCI 0.499 changed to 0.540

  5. January 1, 2023

    RVU23A

    $22.07changed to$21.91

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.51 changed to 0.52
    • Practice expense GPCI 0.908 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.499

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $22.57changed to$22.07

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.52 changed to 0.51

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $22.42changed to$22.57

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.49 changed to 0.52
    • Practice expense GPCI 0.910 changed to 0.908
    • Malpractice GPCI 0.536 changed to 0.458

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $22.76changed to$22.42

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.911 changed to 0.910
    • Malpractice GPCI 0.615 changed to 0.536

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $23.07changed to$22.76

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.51 changed to 0.50

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $21.63changed to$23.07

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.47 changed to 0.51
    • Practice expense GPCI 0.907 changed to 0.911
    • Malpractice GPCI 0.639 changed to 0.615

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $21.52changed to$21.63

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.903 changed to 0.907
    • Malpractice GPCI 0.662 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $21.60changed to$21.52

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $21.49changed to$21.60

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $21.52changed to$21.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 0.899 changed to 0.903
    • Malpractice GPCI 0.810 changed to 0.662

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $21.62changed to$21.52

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.51 changed to 0.47
    • Practice expense GPCI 0.894 changed to 0.899
    • Malpractice GPCI 0.957 changed to 0.810

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $21.62

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$21.85$6.45RVU26D
2026-07-01$21.85$6.45RVU26C
2026-04-01$21.85$6.45RVU26B
2026-01-01$21.85$6.45RVU26A
2025-10-01$21.50$6.85RVU25D
2025-07-01$21.50$6.85RVU25C
2025-04-01$21.50$6.85RVU25B
2025-01-01$21.50$6.85RVU25A
2024-10-01$22.12$7.04RVU24D
2024-07-01$22.12$7.04RVU24C
2024-04-01$22.12$7.04RVU24B
2024-03-09$22.12$7.04RVU24AR
2024-01-01$21.76$6.93RVU24A
2023-10-01$21.91$7.16RVU23D
2023-07-01$21.91$7.16RVU23C
2023-04-01$21.91$7.16RVU23B
2023-01-01$21.91$7.16RVU23A
2022-10-01$22.07$7.30RVU22D
2022-07-01$22.07$7.30RVU22C
2022-04-01$22.07$7.30RVU22B
2022-01-01$22.07$7.30RVU22A
2021-10-01$22.57$7.36RVU21D
2021-07-01$22.57$7.36RVU21C
2021-04-01$22.57$7.36RVU21B
2021-01-01$22.57$7.36RVU21A
2020-10-01$22.42$7.64RVU20D
2020-07-01$22.42$7.64RVU20C
2020-04-01$22.42$7.64RVU20B
2020-01-01$22.42$7.64RVU20A
2019-10-01$22.76$7.66RVU19D
2019-07-01$22.76$7.66RVU19C
2019-04-01$22.76$7.66RVU19B
2019-01-01$22.76$7.66RVU19A
2018-10-01$23.07$7.65RVU18D
2018-07-01$23.07$7.65RVU18C
2018-04-01$23.07$7.65RVU18B
2018-01-01$23.07$7.65RVU18AR1
2017-10-01$21.63$7.63RVU17D
2017-07-01$21.63$7.63RVU17C
2017-04-01$21.63$7.63RVU17B
2017-01-01$21.63$7.63RVU17A
2016-10-01$21.52$7.62RVU16D
2016-07-01$21.52$7.62RVU16C
2016-04-01$21.52$7.62RVU16B
2016-01-01$21.52$7.62RVU16A
2015-10-01$21.60$7.64RVU15D
2015-07-01$21.60$7.64RVU15C
2015-04-01$21.49$7.61RVU15B
2015-01-01$21.49$7.61RVU15A
2014-10-01$21.52$7.67RVU14D
2014-07-01$21.52$7.67RVU14C
2014-04-01$21.52$7.67RVU14B
2014-01-01$21.52$7.67RVU14A
2013-10-01$21.62$7.33RVU13D
2013-07-01$21.62$7.33RVU13C
2013-04-01$21.62$7.33RVU13B
2013-01-01$21.62$7.33RVU13AR

Price G0127 for an earlier date of service

Where the Kansas rate applies

Kansas is a Medicare payment area, not a city. Our Census mapping connects it to 740 cities and communities in Kansas. Some span more than one payment area; confirm with the service ZIP.

  • Abbyville
  • Abilene
  • Ada
  • Admire
  • Agenda
  • Agra
  • Albert
  • Alden

Browse all communities in Kansas

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
RVUs for G0127PPRRVU2026_Oct_nonQPP.csv, line 15,097 (RVU26D)
Geographic factors for KansasGPCI2026.csv, line 54 (RVU26D)

Open CMS sourceHow we calculate rates

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