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CMS RVU26D · Effective 2026-10-01

11310 in Delaware

Office / nonfacility

$110.46

Base rate per service

Facility setting

$36.20

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Dermatology procedure

About 11310: Small facial lesion shave removal

Reports tangential removal of a skin lesion measuring 0.5 cm or less on the face and specified adjacent sites, such as the nose or lips.

A clinician removes a small skin lesion by shaving it tangentially from the epidermal or dermal surface. This code is for lesions on the face, ears, eyelids, nose, lips, or mucous membrane, including a raised lesion such as a seborrheic keratosis or nevus. Dermatologists commonly perform the service in an office; other qualified clinicians may perform it in office or facility settings. Tissue may be sent for histopathology when indicated.

Select the code using the lesion’s documented size and anatomic site; this code is for a lesion measuring 0.5 cm or less at one of the specified sites. Record the exact site, lesion measurement, and removal technique. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 11310

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.78 · 23%
  • Practice expense (office) RVU2.49 · 75%
  • Malpractice RVU0.07 · 2%

56.5K

Medicare services in 2024 · #737 by national volume

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.

11310 compared with similar codes

Office rates for Delaware, from the same CMS release.

11300

Shave removal

Trunk or extremity, 0.5 cm or less

$95.53

Both cover shave removal of a lesion 0.5 cm or less; 11300 is for the trunk, arms, or legs, while 11310 is for specified facial and adjacent sites.

11305

Shave removal

Scalp, neck, hands, feet, genitalia

$100.23

Both cover shave removal of a lesion 0.5 cm or less. 11305 applies to the scalp, neck, hands, feet, or genitalia rather than the sites assigned to 11310.

11311

Shave removal

Face and related sites, 0.6–1.0 cm

$130.96

11311 applies to lesions measuring 0.6 to 1.0 cm at the sites covered by 11310; 11310 is for lesions 0.5 cm or less.

11440

Lesion excision

Face, 0.5 cm or less

$140.50

11440 reports excision of a small benign lesion at facial sites, whereas 11310 reports tangential shave removal. The removal method and depth distinguish the services.

The same code, a different location

How does Delaware compare?

11310 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $110.46

  2. $16.60 higher than Delaware

  3. $17.57 higher than Delaware

  4. Miami

    $118.54

    $8.08 higher than Delaware

  5. Chicago

    $115.19

    $4.73 higher than Delaware

  6. Manhattan

    $128.07

    $17.61 higher than Delaware

  7. Alaska*

    $128.94

    $18.48 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11310 ranges from $98.70 in Arkansas to $150.10 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Alabama

    Alabama · 11310

    Office

    $100.15

    Facility

    $34.39

    $10.31 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 11310

    Office

    $98.70

    Facility

    $34.14

    $11.76 lower than Delaware for the office setting.

  • Arizona

    Arizona · 11310

    Office

    $108.64

    Facility

    $35.82

    $1.82 lower than Delaware for the office setting.

  • Bakersfield

    California · 11310

    Office

    $119.12

    Facility

    $36.76

    $8.66 higher than Delaware for the office setting.

  • Chico

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • El Centro

    California · 11310

    Office

    $118.91

    Facility

    $36.55

    $8.45 higher than Delaware for the office setting.

  • Fresno

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Madera

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Merced

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Modesto

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Napa

    California · 11310

    Office

    $138.50

    Facility

    $39.45

    $28.04 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11310

    Office

    $126.54

    Facility

    $37.71

    $16.08 higher than Delaware for the office setting.

  • Redding

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Rest Of California

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11310

    Office

    $119.67

    Facility

    $37.30

    $9.21 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11310

    Office

    $124.97

    Facility

    $37.57

    $14.51 higher than Delaware for the office setting.

  • Salinas

    California · 11310

    Office

    $124.51

    Facility

    $37.40

    $14.05 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11310

    Office

    $127.57

    Facility

    $37.69

    $17.11 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11310

    Office

    $146.87

    Facility

    $40.90

    $36.41 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 11310

    Office

    $146.79

    Facility

    $40.82

    $36.33 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 11310

    Office

    $150.10

    Facility

    $41.73

    $39.64 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 11310

    Office

    $149.78

    Facility

    $41.41

    $39.32 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11310

    Office

    $122.48

    Facility

    $36.88

    $12.02 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 11310

    Office

    $128.90

    Facility

    $37.59

    $18.44 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 11310

    Office

    $125.01

    Facility

    $37.38

    $14.55 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 11310

    Office

    $130.22

    Facility

    $37.93

    $19.76 higher than Delaware for the office setting.

  • Stockton

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Vallejo

    California · 11310

    Office

    $138.38

    Facility

    $39.33

    $27.92 higher than Delaware for the office setting.

  • Visalia

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Yuba City

    California · 11310

    Office

    $118.90

    Facility

    $36.53

    $8.44 higher than Delaware for the office setting.

  • Colorado

    Colorado · 11310

    Office

    $116.68

    Facility

    $36.72

    $6.22 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 11310

    Office

    $118.98

    Facility

    $38.04

    $8.52 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 11310

    Office

    $114.53

    Facility

    $38.40

    $4.07 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 11310

    Office

    $109.08

    Facility

    $37.23

    $1.38 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 11310

    Office

    $113.44

    Facility

    $37.08

    $2.98 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 11310

    Office

    $103.03

    Facility

    $35.99

    $7.43 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 11310

    Office

    $121.97

    Facility

    $36.52

    $11.51 higher than Delaware for the office setting.

  • Iowa

    Iowa · 11310

    Office

    $103.08

    Facility

    $34.32

    $7.38 lower than Delaware for the office setting.

  • Idaho

    Idaho · 11310

    Office

    $103.67

    Facility

    $34.53

    $6.79 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 11310

    Office

    $107.28

    Facility

    $38.14

    $3.18 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 11310

    Office

    $105.64

    Facility

    $37.03

    $4.82 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 11310

    Office

    $115.79

    Facility

    $38.61

    $5.33 higher than Delaware for the office setting.

  • Indiana

    Indiana · 11310

    Office

    $104.29

    Facility

    $34.62

    $6.17 lower than Delaware for the office setting.

  • Kansas

    Kansas · 11310

    Office

    $102.42

    Facility

    $34.48

    $8.04 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 11310

    Office

    $102.13

    Facility

    $35.32

    $8.33 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 11310

    Office

    $106.97

    Facility

    $36.25

    $3.49 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 11310

    Office

    $101.90

    Facility

    $35.39

    $8.56 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 11310

    Office

    $128.50

    Facility

    $38.77

    $18.04 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11310

    Office

    $115.91

    Facility

    $36.77

    $5.45 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11310

    Office

    $118.60

    Facility

    $37.96

    $8.14 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 11310

    Office

    $112.63

    Facility

    $36.57

    $2.17 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 11310

    Office

    $104.02

    Facility

    $34.88

    $6.44 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 11310

    Office

    $109.95

    Facility

    $35.47

    $0.51 lower than Delaware for the office setting.

  • Detroit

    Michigan · 11310

    Office

    $110.25

    Facility

    $37.73

    $0.21 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 11310

    Office

    $104.62

    Facility

    $36.01

    $5.84 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 11310

    Office

    $112.32

    Facility

    $34.99

    $1.86 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 11310

    Office

    $106.43

    Facility

    $35.86

    $4.03 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 11310

    Office

    $107.57

    Facility

    $36.03

    $2.89 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 11310

    Office

    $100.02

    Facility

    $35.24

    $10.44 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 11310

    Office

    $99.39

    Facility

    $34.68

    $11.07 lower than Delaware for the office setting.

  • Montana**

    Montana · 11310

    Office

    $111.55

    Facility

    $36.40

    $1.09 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 11310

    Office

    $105.14

    Facility

    $35.03

    $5.32 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 11310

    Office

    $110.17

    Facility

    $35.02

    $0.29 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 11310

    Office

    $103.70

    Facility

    $34.34

    $6.76 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 11310

    Office

    $114.68

    Facility

    $36.44

    $4.22 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 11310

    Office

    $126.67

    Facility

    $39.49

    $16.21 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 11310

    Office

    $120.48

    Facility

    $38.41

    $10.02 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 11310

    Office

    $105.13

    Facility

    $36.21

    $5.33 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 11310

    Office

    $111.25

    Facility

    $36.02

    $0.79 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11310

    Office

    $130.95

    Facility

    $41.59

    $20.49 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11310

    Office

    $121.12

    Facility

    $38.83

    $10.66 higher than Delaware for the office setting.

  • Queens

    New York · 11310

    Office

    $129.40

    Facility

    $40.57

    $18.94 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 11310

    Office

    $106.71

    Facility

    $35.31

    $3.75 lower than Delaware for the office setting.

  • Ohio

    Ohio · 11310

    Office

    $104.34

    Facility

    $35.73

    $6.12 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 11310

    Office

    $102.14

    Facility

    $35.03

    $8.32 lower than Delaware for the office setting.

  • Portland

    Oregon · 11310

    Office

    $120.61

    Facility

    $37.12

    $10.15 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 11310

    Office

    $110.53

    Facility

    $35.68

    $0.07 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11310

    Office

    $115.89

    Facility

    $37.66

    $5.43 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11310

    Office

    $104.61

    Facility

    $35.62

    $5.85 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 11310

    Office

    $112.44

    Facility

    $36.46

    $1.98 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 11310

    Office

    $114.55

    Facility

    $36.91

    $4.09 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 11310

    Office

    $104.89

    Facility

    $35.45

    $5.57 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 11310

    Office

    $110.01

    Facility

    $34.85

    $0.45 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 11310

    Office

    $102.91

    Facility

    $34.59

    $7.55 lower than Delaware for the office setting.

  • Austin

    Texas · 11310

    Office

    $116.17

    Facility

    $36.66

    $5.71 higher than Delaware for the office setting.

  • Beaumont

    Texas · 11310

    Office

    $103.91

    Facility

    $35.52

    $6.55 lower than Delaware for the office setting.

  • Brazoria

    Texas · 11310

    Office

    $110.50

    Facility

    $36.03

    $0.04 higher than Delaware for the office setting.

  • Dallas

    Texas · 11310

    Office

    $111.13

    Facility

    $36.28

    $0.67 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 11310

    Office

    $110.33

    Facility

    $36.23

    $0.13 lower than Delaware for the office setting.

  • Galveston

    Texas · 11310

    Office

    $110.78

    Facility

    $36.16

    $0.32 higher than Delaware for the office setting.

  • Houston

    Texas · 11310

    Office

    $112.06

    Facility

    $37.44

    $1.60 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 11310

    Office

    $107.09

    Facility

    $35.77

    $3.37 lower than Delaware for the office setting.

  • Utah

    Utah · 11310

    Office

    $106.33

    Facility

    $35.69

    $4.13 lower than Delaware for the office setting.

  • Virginia

    Virginia · 11310

    Office

    $109.46

    Facility

    $35.58

    $1.00 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11310

    Office

    $112.44

    Facility

    $36.46

    $1.98 higher than Delaware for the office setting.

  • Vermont

    Vermont · 11310

    Office

    $109.57

    Facility

    $35.17

    $0.89 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 11310

    Office

    $115.75

    Facility

    $36.61

    $5.29 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 11310

    Office

    $131.31

    Facility

    $39.10

    $20.85 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 11310

    Office

    $106.45

    Facility

    $34.45

    $4.01 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 11310

    Office

    $101.67

    Facility

    $36.36

    $8.79 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 11310

    Office

    $110.95

    Facility

    $35.80

    $0.49 higher than Delaware for the office setting.

See how rates vary across the country

11310 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$98.70

$134.50

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$128.941
AL$100.151
AR$98.701
AZ$108.641
CA$118.90–$150.1029
CO$116.681
CT$118.981
DC$128.031
DE$110.461
FL$109.08–$118.543
GA$103.03–$113.442
GU$121.971
HI$121.971
IA$103.081
ID$103.671
IL$105.64–$115.794
IN$104.291
KS$102.421
KY$102.131
LA$101.90–$106.972
MA$115.91–$128.502
MD$112.63–$128.033
ME$104.02–$109.952
MI$104.62–$110.252
MN$112.321
MO$100.02–$107.573
MS$99.391
MT$111.551
NC$105.141
ND$110.171
NE$103.701
NH$114.681
NJ$120.48–$126.672
NM$105.131
NV$111.251
NY$106.71–$130.955
OH$104.341
OK$102.141
OR$110.53–$120.612
PA$104.61–$115.892
PR$112.441
RI$114.551
SC$104.891
SD$110.011
TN$102.911
TX$103.91–$116.178
UT$106.331
VA$109.46–$128.032
VI$112.441
VT$109.571
WA$115.75–$131.312
WI$106.451
WV$101.671
WY$110.951

Explore 11310 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 11310 in Delaware, the physician’s office rate is $110.46 and the facility-setting rate is $36.20: a difference of $74.26.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 11310 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$121.51

$110.46 × 110% = $121.51

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 11310 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,301

Code
11310
Physician work
0.78
Practice expense
2.49
Malpractice
0.07

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 11310 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.78× 1.0050.7839
Practice expense2.49× 0.9882.4601
Malpractice0.07× 0.8990.0629
Total RVUs3.3070
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$110.46

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 11310 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.781.005
Practice expense2.490.988
Malpractice0.070.899

(0.78 × 1.005 + 2.49 × 0.988 + 0.07 × 0.899) × $33.4009 = $110.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.781.005
Practice expense0.240.988
Malpractice0.070.899

(0.78 × 1.005 + 0.24 × 0.988 + 0.07 × 0.899) × $33.4009 = $36.20

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

11310 · Office / nonfacility

$110.46

Effective 2026-10-01

The base rate is $0.71 higher than on 2025-10-01, moving from $109.75 to $110.46 (0.6%).

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

    $109.75changed to$110.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.80 changed to 0.78
    • Practice expense RVU 2.53 changed to 2.49
    • Malpractice RVU 0.08 changed to 0.07
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $109.75

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$110.46$36.20RVU26D
2026-07-01$110.46$36.20RVU26C
2026-04-01$110.46$36.20RVU26B
2026-01-01$110.46$36.20RVU26A
2025-10-01$109.75$43.65RVU25D
2025-07-01$109.75$43.65RVU25C
2025-04-01$109.75$43.65RVU25B
2025-01-01$109.75$43.65RVU25A

11310 billing questions

How does this differ from 11300 or 11305?

Those codes cover the same small size range at different anatomic sites. Use 11310 for the face, ears, eyelids, nose, lips, or mucous membrane.

When should 11311 be used instead?

Use 11311 for a shave-removed lesion at the same specified sites when it measures 0.6 to 1.0 cm. The size documented for the lesion determines the size level.

Is a shave removal the same as a tangential skin biopsy?

No. 11310 reports removal of a small lesion; 11102 is the tangential biopsy code when the service is a biopsy of a single lesion.

How should multiple lesions removed in one session be reported?

Document each lesion’s site and size and report the services separately as appropriate. The CMS multiple-procedure reduction applies when procedures are performed in the same session.

Does the 0-day global period include a later pathology visit?

The 0-day global period includes same-day preoperative and postoperative care. It does not define a later pathology-related service as part of the same-day care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 11310PPRRVU2026_Oct_nonQPP.csv, line 1,301 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)