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CMS RVU26D · Effective 2026-10-01

11313 in El Centro

Office / nonfacility

$186.17

Base rate per service

Facility setting

$77.08

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 11313: Facial shave removal, large lesion

Reports shave removal of a single skin lesion larger than 2.0 cm on the face or specified adjacent sites, such as the ear, nose, or lip.

This code covers shave removal of one epidermal or dermal lesion larger than 2.0 cm on the face, ears, eyelids, nose, lips, or mucous membrane. A clinician uses a blade or similar instrument to remove the lesion superficially rather than excising it through the full skin thickness. Dermatologists and other clinicians who perform skin procedures commonly use it in office settings; the removed tissue may be submitted for pathologic examination.

Select the code by the lesion’s site and diameter, and document both, along with the shave technique and the lesion treated. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 11313

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 RVU1.64 · 31%
  • Practice expense (office) RVU3.48 · 66%
  • Malpractice RVU0.17 · 3%

5.6K

Medicare services in 2024 · #1801 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.

11313 compared with similar codes

Office rates for El Centro, from the same CMS release.

11312

Shave removal

Face, 1.1-2.0 cm

$159.34

Both codes cover shave removal in the same site group. Choose 11313 when the lesion is larger than 2.0 cm; 11312 covers 1.1 to 2.0 cm.

11303

Shave removal

Trunk, arms, or legs over 2 cm

$155.81

The size tier is the same, but 11303 is for covered trunk, arm, or leg sites rather than the face and adjacent sites assigned to 11313.

11308

Shave removal

Scalp, neck, hands, feet, genitalia

$147.96

Both codes cover lesions larger than 2.0 cm, but 11308 applies to its scalp, neck, hand, foot, and genital site group.

11102

Tangential skin biopsy

First or only lesion

$101.90

Use 11102 for a tangential biopsy of one lesion when the service is performed to obtain a diagnostic specimen; 11313 describes shave removal of a large lesion.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 11313 is $186.67—$0.50 higher than the $186.17 rate in El Centro. Both use the same code, release and participation basis.

11313 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $186.17

  2. Bakersfield

    $186.67

    $0.50 higher than El Centro

  3. Chico

    $186.15

    $0.02 lower than El Centro

  4. Fresno

    $186.15

    $0.02 lower than El Centro

  5. Hanford-Corcoran

    $186.15

    $0.02 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $198.30

    $12.13 higher than El Centro

  7. Madera

    $186.15

    $0.02 lower than El Centro

Other payment areas listed in California 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, 11313 ranges from $157.55 in Arkansas to $231.46 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

  • Merced

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Modesto

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Napa

    California · 11313

    Office

    $214.31

    Facility

    $83.12

    $28.14 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11313

    Office

    $197.24

    Facility

    $79.59

    $11.07 higher than El Centro for the office setting.

  • Redding

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Rest Of California

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11313

    Office

    $188.00

    Facility

    $78.91

    $1.83 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11313

    Office

    $194.97

    Facility

    $79.22

    $8.80 higher than El Centro for the office setting.

  • Salinas

    California · 11313

    Office

    $194.24

    Facility

    $78.87

    $8.07 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11313

    Office

    $198.52

    Facility

    $79.47

    $12.35 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11313

    Office

    $226.48

    Facility

    $86.14

    $40.31 higher than El Centro for the office setting.

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

    California · 11313

    Office

    $226.29

    Facility

    $85.94

    $40.12 higher than El Centro for the office setting.

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

    California · 11313

    Office

    $231.46

    Facility

    $87.93

    $45.29 higher than El Centro for the office setting.

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

    California · 11313

    Office

    $230.67

    Facility

    $87.14

    $44.50 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11313

    Office

    $191.14

    Facility

    $77.77

    $4.97 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 11313

    Office

    $200.20

    Facility

    $79.26

    $14.03 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 11313

    Office

    $194.88

    Facility

    $78.83

    $8.71 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 11313

    Office

    $202.20

    Facility

    $79.97

    $16.03 higher than El Centro for the office setting.

  • Stockton

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Vallejo

    California · 11313

    Office

    $214.03

    Facility

    $82.85

    $27.86 higher than El Centro for the office setting.

  • Visalia

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Yuba City

    California · 11313

    Office

    $186.15

    Facility

    $77.06

    $0.02 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11313

    Office

    $200.98

    Facility

    $83.73

    $14.81 higher than El Centro for the office setting.

  • Miami

    Florida · 11313

    Office

    $190.14

    Facility

    $86.52

    $3.97 higher than El Centro for the office setting.

  • Chicago

    Illinois · 11313

    Office

    $185.01

    Facility

    $84.98

    $1.16 lower than El Centro for the office setting.

  • Manhattan

    New York · 11313

    Office

    $202.35

    Facility

    $86.69

    $16.18 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 11313

    Office

    $209.09

    Facility

    $103.08

    $22.92 higher than El Centro for the office setting.

  • Alabama

    Alabama · 11313

    Office

    $159.70

    Facility

    $72.60

    $26.47 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 11313

    Office

    $157.55

    Facility

    $72.05

    $28.62 lower than El Centro for the office setting.

  • Arizona

    Arizona · 11313

    Office

    $172.27

    Facility

    $75.82

    $13.90 lower than El Centro for the office setting.

  • Colorado

    Colorado · 11313

    Office

    $183.54

    Facility

    $77.64

    $2.63 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 11313

    Office

    $187.93

    Facility

    $80.73

    $1.76 higher than El Centro for the office setting.

  • Delaware

    Delaware · 11313

    Office

    $175.00

    Facility

    $76.66

    $11.17 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 11313

    Office

    $182.79

    Facility

    $81.96

    $3.38 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 11313

    Office

    $174.43

    Facility

    $79.28

    $11.74 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 11313

    Office

    $179.86

    Facility

    $78.73

    $6.31 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 11313

    Office

    $165.23

    Facility

    $76.44

    $20.94 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 11313

    Office

    $190.22

    Facility

    $77.05

    $4.05 higher than El Centro for the office setting.

  • Iowa

    Iowa · 11313

    Office

    $163.39

    Facility

    $72.31

    $22.78 lower than El Centro for the office setting.

  • Idaho

    Idaho · 11313

    Office

    $164.40

    Facility

    $72.83

    $21.77 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 11313

    Office

    $173.15

    Facility

    $81.58

    $13.02 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 11313

    Office

    $169.78

    Facility

    $78.90

    $16.39 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 11313

    Office

    $184.60

    Facility

    $82.37

    $1.57 lower than El Centro for the office setting.

  • Indiana

    Indiana · 11313

    Office

    $165.29

    Facility

    $73.02

    $20.88 lower than El Centro for the office setting.

  • Kansas

    Kansas · 11313

    Office

    $162.72

    Facility

    $72.74

    $23.45 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 11313

    Office

    $163.31

    Facility

    $74.82

    $22.86 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 11313

    Office

    $170.61

    Facility

    $76.94

    $15.56 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 11313

    Office

    $163.09

    Facility

    $75.00

    $23.08 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 11313

    Office

    $200.86

    Facility

    $82.02

    $14.69 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11313

    Office

    $182.57

    Facility

    $77.76

    $3.60 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11313

    Office

    $187.40

    Facility

    $80.60

    $1.23 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 11313

    Office

    $178.17

    Facility

    $77.44

    $8.00 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 11313

    Office

    $165.25

    Facility

    $73.67

    $20.92 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 11313

    Office

    $173.55

    Facility

    $74.91

    $12.62 lower than El Centro for the office setting.

  • Detroit

    Michigan · 11313

    Office

    $176.52

    Facility

    $80.47

    $9.65 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 11313

    Office

    $167.31

    Facility

    $76.44

    $18.86 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 11313

    Office

    $176.06

    Facility

    $73.64

    $10.11 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 11313

    Office

    $169.47

    Facility

    $76.01

    $16.70 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 11313

    Office

    $171.12

    Facility

    $76.37

    $15.05 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 11313

    Office

    $160.50

    Facility

    $74.70

    $25.67 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 11313

    Office

    $159.05

    Facility

    $73.35

    $27.12 lower than El Centro for the office setting.

  • Montana**

    Montana · 11313

    Office

    $176.68

    Facility

    $77.14

    $9.49 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 11313

    Office

    $166.85

    Facility

    $73.99

    $19.32 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 11313

    Office

    $173.32

    Facility

    $73.78

    $12.85 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 11313

    Office

    $164.21

    Facility

    $72.34

    $21.96 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 11313

    Office

    $180.75

    Facility

    $77.13

    $5.42 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 11313

    Office

    $199.13

    Facility

    $83.67

    $12.96 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 11313

    Office

    $190.13

    Facility

    $81.43

    $3.96 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 11313

    Office

    $168.18

    Facility

    $76.91

    $17.99 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 11313

    Office

    $175.86

    Facility

    $76.22

    $10.31 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11313

    Office

    $207.03

    Facility

    $88.68

    $20.86 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11313

    Office

    $191.39

    Facility

    $82.40

    $5.22 higher than El Centro for the office setting.

  • Queens

    New York · 11313

    Office

    $203.86

    Facility

    $86.21

    $17.69 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 11313

    Office

    $169.19

    Facility

    $74.63

    $16.98 lower than El Centro for the office setting.

  • Ohio

    Ohio · 11313

    Office

    $166.62

    Facility

    $75.75

    $19.55 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 11313

    Office

    $162.99

    Facility

    $74.10

    $23.18 lower than El Centro for the office setting.

  • Portland

    Oregon · 11313

    Office

    $189.02

    Facility

    $78.43

    $2.85 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 11313

    Office

    $174.54

    Facility

    $75.40

    $11.63 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11313

    Office

    $183.54

    Facility

    $79.92

    $2.63 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11313

    Office

    $166.85

    Facility

    $75.47

    $19.32 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 11313

    Office

    $177.88

    Facility

    $77.25

    $8.29 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 11313

    Office

    $180.95

    Facility

    $78.13

    $5.22 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 11313

    Office

    $167.01

    Facility

    $75.04

    $19.16 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 11313

    Office

    $172.92

    Facility

    $73.39

    $13.25 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 11313

    Office

    $163.48

    Facility

    $73.01

    $22.69 lower than El Centro for the office setting.

  • Austin

    Texas · 11313

    Office

    $182.89

    Facility

    $77.59

    $3.28 lower than El Centro for the office setting.

  • Beaumont

    Texas · 11313

    Office

    $165.83

    Facility

    $75.25

    $20.34 lower than El Centro for the office setting.

  • Brazoria

    Texas · 11313

    Office

    $174.83

    Facility

    $76.19

    $11.34 lower than El Centro for the office setting.

  • Dallas

    Texas · 11313

    Office

    $175.91

    Facility

    $76.78

    $10.26 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 11313

    Office

    $174.82

    Facility

    $76.68

    $11.35 lower than El Centro for the office setting.

  • Galveston

    Texas · 11313

    Office

    $175.34

    Facility

    $76.50

    $10.83 lower than El Centro for the office setting.

  • Houston

    Texas · 11313

    Office

    $178.45

    Facility

    $79.61

    $7.72 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 11313

    Office

    $170.21

    Facility

    $75.75

    $15.96 lower than El Centro for the office setting.

  • Utah

    Utah · 11313

    Office

    $169.14

    Facility

    $75.57

    $17.03 lower than El Centro for the office setting.

  • Virginia

    Virginia · 11313

    Office

    $173.05

    Facility

    $75.20

    $13.12 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11313

    Office

    $177.88

    Facility

    $77.25

    $8.29 lower than El Centro for the office setting.

  • Vermont

    Vermont · 11313

    Office

    $172.72

    Facility

    $74.18

    $13.45 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 11313

    Office

    $182.21

    Facility

    $77.40

    $3.96 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 11313

    Office

    $204.78

    Facility

    $82.65

    $18.61 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 11313

    Office

    $167.88

    Facility

    $72.53

    $18.29 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 11313

    Office

    $163.91

    Facility

    $77.42

    $22.26 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 11313

    Office

    $175.21

    Facility

    $75.68

    $10.96 lower than El Centro for the office setting.

See how rates vary across the country

11313 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$157.55

$209.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$209.091
AL$159.701
AR$157.551
AZ$172.271
CA$186.15–$231.4629
CO$183.541
CT$187.931
DC$200.981
DE$175.001
FL$174.43–$190.143
GA$165.23–$179.862
GU$190.221
HI$190.221
IA$163.391
ID$164.401
IL$169.78–$185.014
IN$165.291
KS$162.721
KY$163.311
LA$163.09–$170.612
MA$182.57–$200.862
MD$178.17–$200.983
ME$165.25–$173.552
MI$167.31–$176.522
MN$176.061
MO$160.50–$171.123
MS$159.051
MT$176.681
NC$166.851
ND$173.321
NE$164.211
NH$180.751
NJ$190.13–$199.132
NM$168.181
NV$175.861
NY$169.19–$207.035
OH$166.621
OK$162.991
OR$174.54–$189.022
PA$166.85–$183.542
PR$177.881
RI$180.951
SC$167.011
SD$172.921
TN$163.481
TX$165.83–$182.898
UT$169.141
VA$173.05–$200.982
VI$177.881
VT$172.721
WA$182.21–$204.782
WI$167.881
WV$163.911
WY$175.211

Explore 11313 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 11313 in El Centro, the physician’s office rate is $186.17 and the facility-setting rate is $77.08: a difference of $109.09.

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 11313 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$204.79

$186.17 × 110% = $204.79

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.

Compare your contract offer →

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 11313 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,304

Code
11313
Physician work
1.64
Practice expense
3.48
Malpractice
0.17

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 11313 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.64× 1.0171.6679
Practice expense3.48× 1.0963.8141
Malpractice0.17× 0.5410.0920
Total RVUs5.5739
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$186.17

Open 11313 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.641.017
Practice expense3.481.096
Malpractice0.170.541

(1.64 × 1.017 + 3.48 × 1.096 + 0.17 × 0.541) × $33.4009 = $186.17

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.641.017
Practice expense0.51.096
Malpractice0.170.541

(1.64 × 1.017 + 0.5 × 1.096 + 0.17 × 0.541) × $33.4009 = $77.08

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

11313 · Office / nonfacility

$186.17

Effective 2026-10-01

The base rate is $2.95 higher than on 2025-10-01, moving from $183.22 to $186.17 (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

    $183.22changed to$186.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.68 changed to 1.64
    • Practice expense RVU 3.53 changed to 3.48
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $183.22

    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$186.17$77.08RVU26D
2026-07-01$186.17$77.08RVU26C
2026-04-01$186.17$77.08RVU26B
2026-01-01$186.17$77.08RVU26A
2025-10-01$183.22$93.78RVU25D
2025-07-01$183.22$93.78RVU25C
2025-04-01$183.22$93.78RVU25B
2025-01-01$183.22$93.78RVU25A

11313 billing questions

When is 11313 selected instead of 11312?

Use 11313 for a qualifying lesion larger than 2.0 cm at the covered facial or adjacent sites. Code 11312 is for a lesion in the same site group measuring 1.1 to 2.0 cm.

Does this code include examination of the removed tissue?

The shave removal is the service reported by 11313. A laboratory or pathologist may report a separate pathology service when the specimen is examined.

How should multiple lesions be reported?

The code describes removal of a single lesion. Document each lesion’s site and diameter, and apply the standard multiple-procedure reduction when multiple procedures are performed in the same session.

What documentation supports 11313?

Record the specific facial or adjacent site, lesion diameter greater than 2.0 cm, and that the lesion was removed by a superficial shave technique.

Can an assistant or another surgeon be reported?

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

Does the 0-day global period include same-day care?

Yes. Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.

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 11313PPRRVU2026_Oct_nonQPP.csv, line 1,304 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet