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CMS RVU26D · Effective 2026-10-01

11740 in El Centro

Office / nonfacility

$61.46

Base rate per service

Facility setting

$32.90

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.

Nail procedure

About 11740: Subungual hematoma evacuation

Report nail trephination to release trapped blood and pressure from a traumatic subungual hematoma without removing the nail plate.

This service relieves pressure from blood trapped beneath a fingernail or toenail, commonly after a crush injury or direct blow. The clinician makes a small opening through the nail plate and drains the hematoma; the nail plate is generally left in place. Physicians and podiatrists may perform the procedure in an office, urgent care clinic, or emergency department when the nail injury is appropriate for drainage.

Report 11740 when the documented service is evacuation of a subungual hematoma, not nail-plate removal, nail-bed repair, or routine nail care. The record should identify the injured nail, the traumatic hematoma, and the drainage performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is 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. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.

CMS billing rules for 11740

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.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.36 · 21%
  • Practice expense (office) RVU1.33 · 77%
  • Malpractice RVU0.03 · 2%

15.9K

Medicare services in 2024 · #1237 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.

11740 compared with similar codes

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

11730

Nail avulsion

Single nail plate

$118.09

11740 drains trapped blood through the nail plate; 11730 removes a nail plate.

11760

Nail bed repair

Traumatic laceration

$196.92

11760 repairs a nail-bed injury. Drainage of a hematoma alone supports 11740, not nail-bed repair.

11755

Nail biopsy

Diagnostic tissue sampling

$125.80

11755 is a nail-unit biopsy for diagnostic evaluation; 11740 treats a traumatic collection of blood beneath the nail.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 11740 is $61.55—$0.09 higher than the $61.46 rate in El Centro. Both use the same code, release and participation basis.

11740 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $61.46

  2. $0.09 higher than El Centro

  3. Chico

    $61.45

    $0.01 lower than El Centro

  4. Fresno

    $61.45

    $0.01 lower than El Centro

  5. $0.01 lower than El Centro

  6. $4.28 higher than El Centro

  7. Madera

    $61.45

    $0.01 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, 11740 ranges from $50.70 in Arkansas to $77.94 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 · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 11740

    Office

    $71.84

    Facility

    $37.50

    $10.38 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11740

    Office

    $65.49

    Facility

    $34.70

    $4.03 higher than El Centro for the office setting.

  • Redding

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11740

    Office

    $61.78

    Facility

    $33.23

    $0.32 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11740

    Office

    $64.66

    Facility

    $34.36

    $3.20 higher than El Centro for the office setting.

  • Salinas

    California · 11740

    Office

    $64.42

    Facility

    $34.23

    $2.96 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11740

    Office

    $66.06

    Facility

    $34.90

    $4.60 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11740

    Office

    $76.26

    Facility

    $39.53

    $14.80 higher than El Centro for the office setting.

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

    California · 11740

    Office

    $76.23

    Facility

    $39.49

    $14.77 higher than El Centro for the office setting.

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

    California · 11740

    Office

    $77.94

    Facility

    $40.37

    $16.48 higher than El Centro for the office setting.

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

    California · 11740

    Office

    $77.80

    Facility

    $40.24

    $16.34 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11740

    Office

    $63.36

    Facility

    $33.69

    $1.90 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 11740

    Office

    $66.79

    Facility

    $35.13

    $5.33 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 11740

    Office

    $64.70

    Facility

    $34.32

    $3.24 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 11740

    Office

    $67.47

    Facility

    $35.48

    $6.01 higher than El Centro for the office setting.

  • Stockton

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 11740

    Office

    $71.79

    Facility

    $37.45

    $10.33 higher than El Centro for the office setting.

  • Visalia

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 11740

    Office

    $61.45

    Facility

    $32.90

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11740

    Office

    $66.12

    Facility

    $35.43

    $4.66 higher than El Centro for the office setting.

  • Miami

    Florida · 11740

    Office

    $60.80

    Facility

    $33.68

    $0.66 lower than El Centro for the office setting.

  • Chicago

    Illinois · 11740

    Office

    $59.05

    Facility

    $32.87

    $2.41 lower than El Centro for the office setting.

  • Manhattan

    New York · 11740

    Office

    $66.00

    Facility

    $35.73

    $4.54 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 11740

    Office

    $65.90

    Facility

    $38.15

    $4.44 higher than El Centro for the office setting.

  • Alabama

    Alabama · 11740

    Office

    $51.46

    Facility

    $28.67

    $10.00 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 11740

    Office

    $50.70

    Facility

    $28.32

    $10.76 lower than El Centro for the office setting.

  • Arizona

    Arizona · 11740

    Office

    $55.93

    Facility

    $30.68

    $5.53 lower than El Centro for the office setting.

  • Colorado

    Colorado · 11740

    Office

    $60.22

    Facility

    $32.50

    $1.24 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 11740

    Office

    $61.32

    Facility

    $33.26

    $0.14 lower than El Centro for the office setting.

  • Delaware

    Delaware · 11740

    Office

    $56.88

    Facility

    $31.14

    $4.58 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 11740

    Office

    $58.84

    Facility

    $32.45

    $2.62 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 11740

    Office

    $56.00

    Facility

    $31.09

    $5.46 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 11740

    Office

    $58.40

    Facility

    $31.93

    $3.06 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 11740

    Office

    $52.84

    Facility

    $29.61

    $8.62 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 11740

    Office

    $63.11

    Facility

    $33.49

    $1.65 higher than El Centro for the office setting.

  • Iowa

    Iowa · 11740

    Office

    $53.07

    Facility

    $29.23

    $8.39 lower than El Centro for the office setting.

  • Idaho

    Idaho · 11740

    Office

    $53.37

    Facility

    $29.40

    $8.09 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 11740

    Office

    $54.91

    Facility

    $30.94

    $6.55 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 11740

    Office

    $54.15

    Facility

    $30.36

    $7.31 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 11740

    Office

    $59.51

    Facility

    $32.75

    $1.95 lower than El Centro for the office setting.

  • Indiana

    Indiana · 11740

    Office

    $53.69

    Facility

    $29.54

    $7.77 lower than El Centro for the office setting.

  • Kansas

    Kansas · 11740

    Office

    $52.69

    Facility

    $29.14

    $8.77 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 11740

    Office

    $52.43

    Facility

    $29.27

    $9.03 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 11740

    Office

    $54.96

    Facility

    $30.45

    $6.50 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 11740

    Office

    $52.30

    Facility

    $29.24

    $9.16 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 11740

    Office

    $66.45

    Facility

    $35.34

    $4.99 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11740

    Office

    $59.79

    Facility

    $32.36

    $1.67 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11740

    Office

    $61.12

    Facility

    $33.17

    $0.34 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 11740

    Office

    $58.02

    Facility

    $31.66

    $3.44 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 11740

    Office

    $53.52

    Facility

    $29.55

    $7.94 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 11740

    Office

    $56.68

    Facility

    $30.86

    $4.78 lower than El Centro for the office setting.

  • Detroit

    Michigan · 11740

    Office

    $56.58

    Facility

    $31.44

    $4.88 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 11740

    Office

    $53.71

    Facility

    $29.93

    $7.75 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 11740

    Office

    $58.03

    Facility

    $31.22

    $3.43 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 11740

    Office

    $54.72

    Facility

    $30.25

    $6.74 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 11740

    Office

    $55.32

    Facility

    $30.52

    $6.14 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 11740

    Office

    $51.29

    Facility

    $28.84

    $10.17 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 11740

    Office

    $51.01

    Facility

    $28.58

    $10.45 lower than El Centro for the office setting.

  • Montana**

    Montana · 11740

    Office

    $57.45

    Facility

    $31.39

    $4.01 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 11740

    Office

    $54.11

    Facility

    $29.80

    $7.35 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 11740

    Office

    $56.85

    Facility

    $30.80

    $4.61 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 11740

    Office

    $53.41

    Facility

    $29.36

    $8.05 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 11740

    Office

    $59.15

    Facility

    $32.02

    $2.31 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 11740

    Office

    $65.38

    Facility

    $35.16

    $3.92 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 11740

    Office

    $62.11

    Facility

    $33.67

    $0.65 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 11740

    Office

    $53.96

    Facility

    $30.07

    $7.50 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 11740

    Office

    $57.33

    Facility

    $31.25

    $4.13 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11740

    Office

    $67.47

    Facility

    $36.50

    $6.01 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11740

    Office

    $62.42

    Facility

    $33.89

    $0.96 higher than El Centro for the office setting.

  • Queens

    New York · 11740

    Office

    $66.75

    Facility

    $35.95

    $5.29 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 11740

    Office

    $54.93

    Facility

    $30.18

    $6.53 lower than El Centro for the office setting.

  • Ohio

    Ohio · 11740

    Office

    $53.59

    Facility

    $29.81

    $7.87 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 11740

    Office

    $52.47

    Facility

    $29.21

    $8.99 lower than El Centro for the office setting.

  • Portland

    Oregon · 11740

    Office

    $62.32

    Facility

    $33.37

    $0.86 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 11740

    Office

    $56.97

    Facility

    $31.03

    $4.49 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11740

    Office

    $59.68

    Facility

    $32.56

    $1.78 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11740

    Office

    $53.75

    Facility

    $29.84

    $7.71 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 11740

    Office

    $57.92

    Facility

    $31.58

    $3.54 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 11740

    Office

    $59.04

    Facility

    $32.12

    $2.42 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 11740

    Office

    $53.92

    Facility

    $29.85

    $7.54 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 11740

    Office

    $56.78

    Facility

    $30.73

    $4.68 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 11740

    Office

    $52.94

    Facility

    $29.26

    $8.52 lower than El Centro for the office setting.

  • Austin

    Texas · 11740

    Office

    $59.94

    Facility

    $32.37

    $1.52 lower than El Centro for the office setting.

  • Beaumont

    Texas · 11740

    Office

    $53.38

    Facility

    $29.67

    $8.08 lower than El Centro for the office setting.

  • Brazoria

    Texas · 11740

    Office

    $56.93

    Facility

    $31.11

    $4.53 lower than El Centro for the office setting.

  • Dallas

    Texas · 11740

    Office

    $57.24

    Facility

    $31.29

    $4.22 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 11740

    Office

    $56.81

    Facility

    $31.12

    $4.65 lower than El Centro for the office setting.

  • Galveston

    Texas · 11740

    Office

    $57.06

    Facility

    $31.19

    $4.40 lower than El Centro for the office setting.

  • Houston

    Texas · 11740

    Office

    $57.61

    Facility

    $31.74

    $3.85 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 11740

    Office

    $55.09

    Facility

    $30.36

    $6.37 lower than El Centro for the office setting.

  • Utah

    Utah · 11740

    Office

    $54.68

    Facility

    $30.19

    $6.78 lower than El Centro for the office setting.

  • Virginia

    Virginia · 11740

    Office

    $56.40

    Facility

    $30.79

    $5.06 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11740

    Office

    $57.92

    Facility

    $31.58

    $3.54 lower than El Centro for the office setting.

  • Vermont

    Vermont · 11740

    Office

    $56.51

    Facility

    $30.72

    $4.95 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 11740

    Office

    $59.72

    Facility

    $32.29

    $1.74 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 11740

    Office

    $67.95

    Facility

    $35.98

    $6.49 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 11740

    Office

    $54.89

    Facility

    $29.93

    $6.57 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 11740

    Office

    $52.06

    Facility

    $29.42

    $9.40 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 11740

    Office

    $57.19

    Facility

    $31.14

    $4.27 lower than El Centro for the office setting.

See how rates vary across the country

11740 · 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.

$50.70

$69.70

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$65.901
AL$51.461
AR$50.701
AZ$55.931
CA$61.45–$77.9429
CO$60.221
CT$61.321
DC$66.121
DE$56.881
FL$56.00–$60.803
GA$52.84–$58.402
GU$63.111
HI$63.111
IA$53.071
ID$53.371
IL$54.15–$59.514
IN$53.691
KS$52.691
KY$52.431
LA$52.30–$54.962
MA$59.79–$66.452
MD$58.02–$66.123
ME$53.52–$56.682
MI$53.71–$56.582
MN$58.031
MO$51.29–$55.323
MS$51.011
MT$57.451
NC$54.111
ND$56.851
NE$53.411
NH$59.151
NJ$62.11–$65.382
NM$53.961
NV$57.331
NY$54.93–$67.475
OH$53.591
OK$52.471
OR$56.97–$62.322
PA$53.75–$59.682
PR$57.921
RI$59.041
SC$53.921
SD$56.781
TN$52.941
TX$53.38–$59.948
UT$54.681
VA$56.40–$66.122
VI$57.921
VT$56.511
WA$59.72–$67.952
WI$54.891
WV$52.061
WY$57.191

Explore 11740 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.

Why are the office and facility amounts different?

For 11740 in El Centro, the physician’s office rate is $61.46 and the facility-setting rate is $32.90: a difference of $28.56.

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 11740 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$67.61

$61.46 × 110% = $67.61

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 11740 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,365

Code
11740
Physician work
0.36
Practice expense
1.33
Malpractice
0.03

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 11740 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.36× 1.0170.3661
Practice expense1.33× 1.0961.4577
Malpractice0.03× 0.5410.0162
Total RVUs1.8400
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$61.46

Open 11740 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.361.017
Practice expense1.331.096
Malpractice0.030.541

(0.36 × 1.017 + 1.33 × 1.096 + 0.03 × 0.541) × $33.4009 = $61.46

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.361.017
Practice expense0.551.096
Malpractice0.030.541

(0.36 × 1.017 + 0.55 × 1.096 + 0.03 × 0.541) × $33.4009 = $32.90

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

11740 · Office / nonfacility

$61.46

Effective 2026-10-01

The base rate is $1.75 higher than on 2025-10-01, moving from $59.71 to $61.46 (2.9%).

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

    $59.71changed to$61.46

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.37 changed to 0.36
    • 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: $59.71

    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$61.46$32.90RVU26D
2026-07-01$61.46$32.90RVU26C
2026-04-01$61.46$32.90RVU26B
2026-01-01$61.46$32.90RVU26A
2025-10-01$59.71$33.55RVU25D
2025-07-01$59.71$33.55RVU25C
2025-04-01$59.71$33.55RVU25B
2025-01-01$59.71$33.55RVU25A

11740 billing questions

When should 11740 be used instead of 11730?

Use 11740 for draining blood beneath the nail while leaving the nail plate in place. Use 11730 when a simple nail-plate avulsion is performed.

Can nail-bed repair also be reported?

A separate nail-bed laceration repair may be reported when it is actually performed and documented; evacuation alone is not nail-bed repair.

Should modifier 50 be appended for matching nails?

No. CMS identifies bilateral adjustment as inapplicable to 11740, and modifier 50 is inappropriate.

What same-day care is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care for the evacuation.

How does the multiple procedure rule affect 11740?

When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction.

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 11740PPRRVU2026_Oct_nonQPP.csv, line 1,365 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)