11740 drains trapped blood through the nail plate; 11730 removes a nail plate.
On this page
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.
11760 repairs a nail-bed injury. Drainage of a hematoma alone supports 11740, not nail-bed repair.
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
El Centro · This locality
$61.46
$61.55
$0.09 higher than El Centro
$61.45
$0.01 lower than El Centro
$61.45
$0.01 lower than El Centro
$61.45
$0.01 lower than El Centro
$4.28 higher than El Centro
$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 / territory | Rate range | Localities |
|---|---|---|
| AK | $65.90 | 1 |
| AL | $51.46 | 1 |
| AR | $50.70 | 1 |
| AZ | $55.93 | 1 |
| CA | $61.45–$77.94 | 29 |
| CO | $60.22 | 1 |
| CT | $61.32 | 1 |
| DC | $66.12 | 1 |
| DE | $56.88 | 1 |
| FL | $56.00–$60.80 | 3 |
| GA | $52.84–$58.40 | 2 |
| GU | $63.11 | 1 |
| HI | $63.11 | 1 |
| IA | $53.07 | 1 |
| ID | $53.37 | 1 |
| IL | $54.15–$59.51 | 4 |
| IN | $53.69 | 1 |
| KS | $52.69 | 1 |
| KY | $52.43 | 1 |
| LA | $52.30–$54.96 | 2 |
| MA | $59.79–$66.45 | 2 |
| MD | $58.02–$66.12 | 3 |
| ME | $53.52–$56.68 | 2 |
| MI | $53.71–$56.58 | 2 |
| MN | $58.03 | 1 |
| MO | $51.29–$55.32 | 3 |
| MS | $51.01 | 1 |
| MT | $57.45 | 1 |
| NC | $54.11 | 1 |
| ND | $56.85 | 1 |
| NE | $53.41 | 1 |
| NH | $59.15 | 1 |
| NJ | $62.11–$65.38 | 2 |
| NM | $53.96 | 1 |
| NV | $57.33 | 1 |
| NY | $54.93–$67.47 | 5 |
| OH | $53.59 | 1 |
| OK | $52.47 | 1 |
| OR | $56.97–$62.32 | 2 |
| PA | $53.75–$59.68 | 2 |
| PR | $57.92 | 1 |
| RI | $59.04 | 1 |
| SC | $53.92 | 1 |
| SD | $56.78 | 1 |
| TN | $52.94 | 1 |
| TX | $53.38–$59.94 | 8 |
| UT | $54.68 | 1 |
| VA | $56.40–$66.12 | 2 |
| VI | $57.92 | 1 |
| VT | $56.51 | 1 |
| WA | $59.72–$67.95 | 2 |
| WI | $54.89 | 1 |
| WV | $52.06 | 1 |
| WY | $57.19 | 1 |
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.
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.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.36 | × 1.017 | 0.3661 |
| Practice expense | 1.33 | × 1.096 | 1.4577 |
| Malpractice | 0.03 | × 0.541 | 0.0162 |
| Total RVUs | 1.8400 | ||
| 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
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.36 | 1.017 |
| Practice expense | 1.33 | 1.096 |
| Malpractice | 0.03 | 0.541 |
(0.36 × 1.017 + 1.33 × 1.096 + 0.03 × 0.541) × $33.4009 = $61.46
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.36 | 1.017 |
| Practice expense | 0.55 | 1.096 |
| Malpractice | 0.03 | 0.541 |
(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.
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
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.
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
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.
