11730 represents the primary avulsion for the first nail; 11732 reports each additional nail avulsed in that session.
On this page
CMS RVU26D · Effective 2026-10-01
11732 in Merced
Office / nonfacility
$33.97
Base rate per service
Facility setting
$14.94
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 procedures
About 11732: Additional simple nail plate avulsion
Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail.
This add-on code covers simple avulsion of an additional finger or toenail plate, either partially or completely, during the same treatment session as the primary avulsion. A podiatrist, dermatologist, or other qualified clinician may perform it in an office or facility for problems such as an ingrown or traumatically loosened nail. It describes removal of the plate, not excision of the nail matrix for permanent removal.
Report 11732 for each additional nail treated after the first nail, with 11730 as the primary procedure. The record should identify the indication, the digits and sides treated, the number of additional nails, and the work performed. CMS classifies 11732 as an add-on code: it is reported only with a primary procedure, and payment falls within that procedure’s global period.
CMS billing rules for 11732
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.37 · 38%
- Practice expense (office) RVU0.57 · 59%
- Malpractice RVU0.03 · 3%
20.6K
Medicare services in 2024 · #1136 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.
11732 compared with similar codes
Office rates for Merced, from the same CMS release.
Choose 11750 when the procedure excises the nail and matrix for permanent removal. 11732 is for simple plate avulsion of an additional nail.
11720 covers debridement of one to five nails, not avulsion of the plate. Use 11732 when an additional nail plate is removed.
11740 describes evacuation of blood beneath a nail, such as for a subungual hematoma; 11732 describes avulsion of an additional nail plate.
The same code, a different location
How does Merced compare?
In Bakersfield, the office rate for 11732 is $34.07—$0.10 higher than the $33.97 rate in Merced. Both use the same code, release and participation basis.
11732 across payment areas
Same release and payment basis · bars start at $0
Merced · This locality
$33.97
$34.07
$0.10 higher than Merced
$33.97
The same base rate than Merced
$33.98
$0.01 higher than Merced
$33.97
The same base rate than Merced
$33.97
The same base rate than Merced
$2.08 higher than Merced
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, 11732 ranges from $29.23 in Arkansas to $41.71 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
Madera
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Modesto
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Napa
California · 11732
Office
$38.74
Facility
$15.85
$4.77 higher than Merced for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 11732
Office
$35.83
Facility
$15.30
$1.86 higher than Merced for the office setting.
Redding
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Rest Of California
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Riverside-San Bernardino-Ontario
California · 11732
Office
$34.30
Facility
$15.27
$0.33 higher than Merced for the office setting.
Sacramento-Roseville-Folsom
California · 11732
Office
$35.48
Facility
$15.28
$1.51 higher than Merced for the office setting.
Salinas
California · 11732
Office
$35.34
Facility
$15.21
$1.37 higher than Merced for the office setting.
San Diego-Chula Vista-Carlsbad
California · 11732
Office
$36.04
Facility
$15.27
$2.07 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 11732
Office
$40.84
Facility
$16.35
$6.87 higher than Merced for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 11732
Office
$40.80
Facility
$16.31
$6.83 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 11732
Office
$41.71
Facility
$16.66
$7.74 higher than Merced for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 11732
Office
$41.57
Facility
$16.52
$7.60 higher than Merced for the office setting.
San Luis Obispo-Paso Robles
California · 11732
Office
$34.79
Facility
$15.01
$0.82 higher than Merced for the office setting.
Santa Cruz-Watsonville
California · 11732
Office
$36.29
Facility
$15.18
$2.32 higher than Merced for the office setting.
Santa Maria-Santa Barbara
California · 11732
Office
$35.44
Facility
$15.19
$1.47 higher than Merced for the office setting.
Santa Rosa-Petaluma
California · 11732
Office
$36.65
Facility
$15.32
$2.68 higher than Merced for the office setting.
Stockton
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Vallejo
California · 11732
Office
$38.69
Facility
$15.80
$4.72 higher than Merced for the office setting.
Visalia
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Yuba City
California · 11732
Office
$33.97
Facility
$14.94
The same base rate than Merced for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 11732
Office
$36.57
Facility
$16.11
$2.60 higher than Merced for the office setting.
Miami
Florida · 11732
Office
$34.71
Facility
$16.63
$0.74 higher than Merced for the office setting.
Chicago
Illinois · 11732
Office
$33.88
Facility
$16.42
$0.09 lower than Merced for the office setting.
Manhattan
New York · 11732
Office
$36.86
Facility
$16.68
$2.89 higher than Merced for the office setting.
Alaska*
Alaska · 11732
Office
$39.37
Facility
$20.87
$5.40 higher than Merced for the office setting.
Alabama
Alabama · 11732
Office
$29.58
Facility
$14.39
$4.39 lower than Merced for the office setting.
Arkansas
Arkansas · 11732
Office
$29.23
Facility
$14.31
$4.74 lower than Merced for the office setting.
Arizona
Arizona · 11732
Office
$31.66
Facility
$14.83
$2.31 lower than Merced for the office setting.
Colorado
Colorado · 11732
Office
$33.55
Facility
$15.07
$0.42 lower than Merced for the office setting.
Connecticut
Connecticut · 11732
Office
$34.32
Facility
$15.62
$0.35 higher than Merced for the office setting.
Delaware
Delaware · 11732
Office
$32.13
Facility
$14.97
$1.84 lower than Merced for the office setting.
Fort Lauderdale
Florida · 11732
Office
$33.46
Facility
$15.86
$0.51 lower than Merced for the office setting.
Rest Of Florida
Florida · 11732
Office
$32.07
Facility
$15.46
$1.90 lower than Merced for the office setting.
Atlanta
Georgia · 11732
Office
$32.94
Facility
$15.30
$1.03 lower than Merced for the office setting.
Rest Of Georgia
Georgia · 11732
Office
$30.54
Facility
$15.04
$3.43 lower than Merced for the office setting.
Hawaii, Guam
Hawaii · 11732
Office
$34.59
Facility
$14.84
$0.62 higher than Merced for the office setting.
Iowa
Iowa · 11732
Office
$30.18
Facility
$14.28
$3.79 lower than Merced for the office setting.
Idaho
Idaho · 11732
Office
$30.35
Facility
$14.37
$3.62 lower than Merced for the office setting.
East St. Louis
Illinois · 11732
Office
$31.89
Facility
$15.91
$2.08 lower than Merced for the office setting.
Rest Of Illinois
Illinois · 11732
Office
$31.31
Facility
$15.45
$2.66 lower than Merced for the office setting.
Suburban Chicago
Illinois · 11732
Office
$33.77
Facility
$15.94
$0.20 lower than Merced for the office setting.
Indiana
Indiana · 11732
Office
$30.49
Facility
$14.39
$3.48 lower than Merced for the office setting.
Kansas
Kansas · 11732
Office
$30.07
Facility
$14.37
$3.90 lower than Merced for the office setting.
Kentucky
Kentucky · 11732
Office
$30.20
Facility
$14.76
$3.77 lower than Merced for the office setting.
New Orleans
Louisiana · 11732
Office
$31.41
Facility
$15.07
$2.56 lower than Merced for the office setting.
Rest Of Louisiana
Louisiana · 11732
Office
$30.17
Facility
$14.80
$3.80 lower than Merced for the office setting.
Metropolitan Boston
Massachusetts · 11732
Office
$36.49
Facility
$15.75
$2.52 higher than Merced for the office setting.
Rest Of Massachusetts
Massachusetts · 11732
Office
$33.40
Facility
$15.11
$0.57 lower than Merced for the office setting.
Baltimore/Surr. Cntys
Maryland · 11732
Office
$34.22
Facility
$15.59
$0.25 higher than Merced for the office setting.
Rest Of Maryland
Maryland · 11732
Office
$32.67
Facility
$15.09
$1.30 lower than Merced for the office setting.
Rest Of Maine
Maine · 11732
Office
$30.50
Facility
$14.52
$3.47 lower than Merced for the office setting.
Southern Maine
Maine · 11732
Office
$31.86
Facility
$14.65
$2.11 lower than Merced for the office setting.
Detroit
Michigan · 11732
Office
$32.42
Facility
$15.66
$1.55 lower than Merced for the office setting.
Rest Of Michigan
Michigan · 11732
Office
$30.87
Facility
$15.01
$3.10 lower than Merced for the office setting.
Minnesota
Minnesota · 11732
Office
$32.25
Facility
$14.37
$1.72 lower than Merced for the office setting.
Metropolitan Kansas City
Missouri · 11732
Office
$31.21
Facility
$14.91
$2.76 lower than Merced for the office setting.
Metropolitan St. Louis
Missouri · 11732
Office
$31.49
Facility
$14.95
$2.48 lower than Merced for the office setting.
Rest Of Missouri
Missouri · 11732
Office
$29.75
Facility
$14.77
$4.22 lower than Merced for the office setting.
Mississippi
Mississippi · 11732
Office
$29.49
Facility
$14.54
$4.48 lower than Merced for the office setting.
Montana**
Montana · 11732
Office
$32.40
Facility
$15.03
$1.57 lower than Merced for the office setting.
North Carolina
North Carolina · 11732
Office
$30.76
Facility
$14.56
$3.21 lower than Merced for the office setting.
North Dakota**
North Dakota · 11732
Office
$31.80
Facility
$14.44
$2.17 lower than Merced for the office setting.
Nebraska
Nebraska · 11732
Office
$30.31
Facility
$14.28
$3.66 lower than Merced for the office setting.
New Hampshire
New Hampshire · 11732
Office
$33.05
Facility
$14.97
$0.92 lower than Merced for the office setting.
Northern Nj
New Jersey · 11732
Office
$36.29
Facility
$16.14
$2.32 higher than Merced for the office setting.
Rest Of New Jersey
New Jersey · 11732
Office
$34.74
Facility
$15.78
$0.77 higher than Merced for the office setting.
New Mexico
New Mexico · 11732
Office
$31.02
Facility
$15.09
$2.95 lower than Merced for the office setting.
Nevada**
Nevada · 11732
Office
$32.25
Facility
$14.86
$1.72 lower than Merced for the office setting.
Nyc Suburbs/Long Island
New York · 11732
Office
$37.65
Facility
$17.00
$3.68 higher than Merced for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 11732
Office
$34.97
Facility
$15.96
$1.00 higher than Merced for the office setting.
Queens
New York · 11732
Office
$37.10
Facility
$16.57
$3.13 higher than Merced for the office setting.
Rest Of New York
New York · 11732
Office
$31.15
Facility
$14.65
$2.82 lower than Merced for the office setting.
Ohio
Ohio · 11732
Office
$30.75
Facility
$14.89
$3.22 lower than Merced for the office setting.
Oklahoma
Oklahoma · 11732
Office
$30.14
Facility
$14.63
$3.83 lower than Merced for the office setting.
Portland
Oregon · 11732
Office
$34.45
Facility
$15.16
$0.48 higher than Merced for the office setting.
Rest Of Oregon
Oregon · 11732
Office
$32.03
Facility
$14.73
$1.94 lower than Merced for the office setting.
Metropolitan Philadelphia
Pennsylvania · 11732
Office
$33.60
Facility
$15.51
$0.37 lower than Merced for the office setting.
Rest Of Pennsylvania
Pennsylvania · 11732
Office
$30.78
Facility
$14.84
$3.19 lower than Merced for the office setting.
Puerto Rico
Puerto Rico · 11732
Office
$32.59
Facility
$15.03
$1.38 lower than Merced for the office setting.
Rhode Island
Rhode Island · 11732
Office
$33.15
Facility
$15.21
$0.82 lower than Merced for the office setting.
South Carolina
South Carolina · 11732
Office
$30.80
Facility
$14.75
$3.17 lower than Merced for the office setting.
South Dakota**
South Dakota · 11732
Office
$31.73
Facility
$14.37
$2.24 lower than Merced for the office setting.
Tennessee
Tennessee · 11732
Office
$30.20
Facility
$14.41
$3.77 lower than Merced for the office setting.
Austin
Texas · 11732
Office
$33.41
Facility
$15.04
$0.56 lower than Merced for the office setting.
Beaumont
Texas · 11732
Office
$30.61
Facility
$14.81
$3.36 lower than Merced for the office setting.
Brazoria
Texas · 11732
Office
$32.11
Facility
$14.89
$1.86 lower than Merced for the office setting.
Dallas
Texas · 11732
Office
$32.29
Facility
$14.99
$1.68 lower than Merced for the office setting.
Fort Worth
Texas · 11732
Office
$32.11
Facility
$14.99
$1.86 lower than Merced for the office setting.
Galveston
Texas · 11732
Office
$32.19
Facility
$14.95
$1.78 lower than Merced for the office setting.
Houston
Texas · 11732
Office
$32.74
Facility
$15.49
$1.23 lower than Merced for the office setting.
Rest Of Texas
Texas · 11732
Office
$31.33
Facility
$14.85
$2.64 lower than Merced for the office setting.
Utah
Utah · 11732
Office
$31.15
Facility
$14.83
$2.82 lower than Merced for the office setting.
Virginia
Virginia · 11732
Office
$31.78
Facility
$14.71
$2.19 lower than Merced for the office setting.
Virgin Islands
United States Virgin Islands · 11732
Office
$32.59
Facility
$15.03
$1.38 lower than Merced for the office setting.
Vermont
Vermont · 11732
Office
$31.71
Facility
$14.52
$2.26 lower than Merced for the office setting.
Rest Of Washington
Washington · 11732
Office
$33.33
Facility
$15.04
$0.64 lower than Merced for the office setting.
Seattle (King Cnty)
Washington · 11732
Office
$37.16
Facility
$15.84
$3.19 higher than Merced for the office setting.
Wisconsin
Wisconsin · 11732
Office
$30.91
Facility
$14.27
$3.06 lower than Merced for the office setting.
West Virginia
West Virginia · 11732
Office
$30.34
Facility
$15.24
$3.63 lower than Merced for the office setting.
Wyoming**
Wyoming · 11732
Office
$32.14
Facility
$14.77
$1.83 lower than Merced for the office setting.
See how rates vary across the country
11732 · 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.
$29.23
$39.37
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 | $39.37 | 1 |
| AL | $29.58 | 1 |
| AR | $29.23 | 1 |
| AZ | $31.66 | 1 |
| CA | $33.97–$41.71 | 29 |
| CO | $33.55 | 1 |
| CT | $34.32 | 1 |
| DC | $36.57 | 1 |
| DE | $32.13 | 1 |
| FL | $32.07–$34.71 | 3 |
| GA | $30.54–$32.94 | 2 |
| GU | $34.59 | 1 |
| HI | $34.59 | 1 |
| IA | $30.18 | 1 |
| ID | $30.35 | 1 |
| IL | $31.31–$33.88 | 4 |
| IN | $30.49 | 1 |
| KS | $30.07 | 1 |
| KY | $30.20 | 1 |
| LA | $30.17–$31.41 | 2 |
| MA | $33.40–$36.49 | 2 |
| MD | $32.67–$36.57 | 3 |
| ME | $30.50–$31.86 | 2 |
| MI | $30.87–$32.42 | 2 |
| MN | $32.25 | 1 |
| MO | $29.75–$31.49 | 3 |
| MS | $29.49 | 1 |
| MT | $32.40 | 1 |
| NC | $30.76 | 1 |
| ND | $31.80 | 1 |
| NE | $30.31 | 1 |
| NH | $33.05 | 1 |
| NJ | $34.74–$36.29 | 2 |
| NM | $31.02 | 1 |
| NV | $32.25 | 1 |
| NY | $31.15–$37.65 | 5 |
| OH | $30.75 | 1 |
| OK | $30.14 | 1 |
| OR | $32.03–$34.45 | 2 |
| PA | $30.78–$33.60 | 2 |
| PR | $32.59 | 1 |
| RI | $33.15 | 1 |
| SC | $30.80 | 1 |
| SD | $31.73 | 1 |
| TN | $30.20 | 1 |
| TX | $30.61–$33.41 | 8 |
| UT | $31.15 | 1 |
| VA | $31.78–$36.57 | 2 |
| VI | $32.59 | 1 |
| VT | $31.71 | 1 |
| WA | $33.33–$37.16 | 2 |
| WI | $30.91 | 1 |
| WV | $30.34 | 1 |
| WY | $32.14 | 1 |
Where does this rate apply?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 11732 in Merced, the physician’s office rate is $33.97 and the facility-setting rate is $14.94: a difference of $19.03.
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 11732 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$37.37
$33.97 × 110% = $37.37
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 11732 in Merced.
PPRRVU2026_Oct_nonQPP.csv
1,364
- Code
- 11732
- Physician work
- 0.37
- Practice expense
- 0.57
- Malpractice
- 0.03
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.017 | 0.3763 |
| Practice expense | 0.57 | × 1.096 | 0.6247 |
| Malpractice | 0.03 | × 0.536 | 0.0161 |
| Total RVUs | 1.0171 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Merced$33.97
Open 11732 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1.017 |
| Practice expense | 0.57 | 1.096 |
| Malpractice | 0.03 | 0.536 |
(0.37 × 1.017 + 0.57 × 1.096 + 0.03 × 0.536) × $33.4009 = $33.97
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1.017 |
| Practice expense | 0.05 | 1.096 |
| Malpractice | 0.03 | 0.536 |
(0.37 × 1.017 + 0.05 × 1.096 + 0.03 × 0.536) × $33.4009 = $14.94
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
11732 · Office / nonfacility
$33.97
Effective 2026-10-01
The base rate is $0.81 higher than on 2025-10-01, moving from $33.16 to $33.97 (2.4%).
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
$33.16changed to$33.97
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.38 changed to 0.37
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $33.16
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
11732 billing questions
Can 11732 be reported by itself?
No. Report it only with the primary nail avulsion, generally 11730, for additional nails treated in the same session.
How many units of 11732 should be reported?
Report one unit for each nail beyond the first nail avulsed. The first nail is represented by the primary procedure.
Does 11732 include permanent removal of the nail?
No. It represents simple plate avulsion; excision of the nail and matrix for permanent removal is a different service, such as 11750.
What should the procedure note identify?
Document the reason for avulsion, each treated digit and side, the number of additional nails, and whether the plate was partially or completely removed.
How does 11732 differ from 11720?
11732 represents removal of an additional nail plate. 11720 is for debridement of one to five nails, such as reducing diseased or thickened nail material.
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.
