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CMS RVU26D · Effective 2026-10-01

11765 in Wyoming**

Office / nonfacility

$162.21

Base rate per service

Facility setting

$88.40

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 surgery

About 11765: Nail-fold wedge excision

Report this procedure when a clinician surgically removes a wedge of skin from a nail fold, commonly to treat an ingrown nail.

A clinician removes a wedge of skin from the nail fold, often to address an ingrown nail with painful or inflamed tissue along the nail edge. The service targets the surrounding skin fold; it is distinct from removing the nail plate or excising the nail matrix. It is commonly performed by a physician or other qualified practitioner in an office or outpatient procedure setting.

Select the code when the operative note supports excision of nail-fold skin, rather than nail trimming, nail avulsion alone, or nail-matrix removal. Document the affected nail, the fold tissue excised, and the reason for the procedure. Medicare assigns a 10-day global period, so related postoperative visits during that period are 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.

CMS billing rules for 11765

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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 RVU1.19 · 24%
  • Practice expense (office) RVU3.60 · 74%
  • Malpractice RVU0.09 · 2%

45.2K

Medicare services in 2024 · #819 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.

11765 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

11730

Nail avulsion

Single nail plate

$110.86

11730 removes a nail plate. Choose 11765 when the documented procedure excises skin from the nail fold instead.

11750

Nail matrix excision

Permanent partial or complete removal

$156.44

11750 involves excision of the nail and matrix. This code is for wedge excision of nail-fold skin, without that broader target.

11755

Nail biopsy

Diagnostic tissue sampling

$118.62

11755 is for diagnostic sampling of the nail unit. Use 11765 for therapeutic removal of nail-fold skin, not a biopsy.

The same code, a different location

How does Wyoming** compare?

11765 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $162.21

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

    $185.62

    $23.41 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $186.89

    $24.68 higher than Wyoming**

  4. Miami

    $172.52

    $10.31 higher than Wyoming**

  5. Chicago

    $167.77

    $5.56 higher than Wyoming**

  6. Manhattan

    $186.78

    $24.57 higher than Wyoming**

  7. Alaska*

    $189.34

    $27.13 higher than Wyoming**

Other payment areas listed in Wyoming 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, 11765 ranges from $144.58 in Arkansas to $219.12 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

Compare all 108 other payment areas

  • Alabama

    Alabama · 11765

    Office

    $146.66

    Facility

    $82.07

    $15.55 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 11765

    Office

    $144.58

    Facility

    $81.18

    $17.63 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 11765

    Office

    $158.84

    Facility

    $87.31

    $3.37 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 11765

    Office

    $174.12

    Facility

    $93.22

    $11.91 higher than Wyoming** for the office setting.

  • Chico

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • El Centro

    California · 11765

    Office

    $173.84

    Facility

    $92.93

    $11.63 higher than Wyoming** for the office setting.

  • Fresno

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Madera

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Merced

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Modesto

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Napa

    California · 11765

    Office

    $202.26

    Facility

    $104.97

    $40.05 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11765

    Office

    $184.86

    Facility

    $97.61

    $22.65 higher than Wyoming** for the office setting.

  • Redding

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11765

    Office

    $174.81

    Facility

    $93.91

    $12.60 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11765

    Office

    $182.63

    Facility

    $96.78

    $20.42 higher than Wyoming** for the office setting.

  • Salinas

    California · 11765

    Office

    $181.95

    Facility

    $96.40

    $19.74 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11765

    Office

    $186.38

    Facility

    $98.10

    $24.17 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11765

    Office

    $214.45

    Facility

    $110.37

    $52.24 higher than Wyoming** for the office setting.

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

    California · 11765

    Office

    $214.34

    Facility

    $110.26

    $52.13 higher than Wyoming** for the office setting.

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

    California · 11765

    Office

    $219.12

    Facility

    $112.68

    $56.91 higher than Wyoming** for the office setting.

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

    California · 11765

    Office

    $218.70

    Facility

    $112.26

    $56.49 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11765

    Office

    $178.99

    Facility

    $94.91

    $16.78 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 11765

    Office

    $188.29

    Facility

    $98.60

    $26.08 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 11765

    Office

    $182.67

    Facility

    $96.61

    $20.46 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 11765

    Office

    $190.21

    Facility

    $99.56

    $28.00 higher than Wyoming** for the office setting.

  • Stockton

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Vallejo

    California · 11765

    Office

    $202.11

    Facility

    $104.82

    $39.90 higher than Wyoming** for the office setting.

  • Visalia

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Yuba City

    California · 11765

    Office

    $173.82

    Facility

    $92.92

    $11.61 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 11765

    Office

    $170.51

    Facility

    $91.97

    $8.30 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 11765

    Office

    $173.68

    Facility

    $94.18

    $11.47 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 11765

    Office

    $161.45

    Facility

    $88.52

    $0.76 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 11765

    Office

    $166.99

    Facility

    $92.21

    $4.78 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 11765

    Office

    $159.22

    Facility

    $88.65

    $2.99 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 11765

    Office

    $165.64

    Facility

    $90.65

    $3.43 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 11765

    Office

    $150.59

    Facility

    $84.74

    $11.62 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 11765

    Office

    $178.20

    Facility

    $94.28

    $15.99 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 11765

    Office

    $150.96

    Facility

    $83.42

    $11.25 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 11765

    Office

    $151.79

    Facility

    $83.88

    $10.42 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 11765

    Office

    $156.43

    Facility

    $88.51

    $5.78 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 11765

    Office

    $154.23

    Facility

    $86.83

    $7.98 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 11765

    Office

    $168.84

    Facility

    $93.03

    $6.63 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 11765

    Office

    $152.67

    Facility

    $84.25

    $9.54 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 11765

    Office

    $149.96

    Facility

    $83.23

    $12.25 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 11765

    Office

    $149.39

    Facility

    $83.77

    $12.82 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 11765

    Office

    $156.31

    Facility

    $86.85

    $5.90 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 11765

    Office

    $149.04

    Facility

    $83.72

    $13.17 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 11765

    Office

    $187.62

    Facility

    $99.49

    $25.41 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11765

    Office

    $169.40

    Facility

    $91.67

    $7.19 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11765

    Office

    $173.12

    Facility

    $93.92

    $10.91 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 11765

    Office

    $164.59

    Facility

    $89.89

    $2.38 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 11765

    Office

    $152.24

    Facility

    $84.33

    $9.97 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 11765

    Office

    $160.80

    Facility

    $87.65

    $1.41 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 11765

    Office

    $160.85

    Facility

    $89.62

    $1.36 lower than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 11765

    Office

    $152.92

    Facility

    $85.53

    $9.29 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 11765

    Office

    $164.37

    Facility

    $88.41

    $2.16 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 11765

    Office

    $155.59

    Facility

    $86.28

    $6.62 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 11765

    Office

    $157.23

    Facility

    $86.96

    $4.98 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 11765

    Office

    $146.32

    Facility

    $82.70

    $15.89 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 11765

    Office

    $145.50

    Facility

    $81.94

    $16.71 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 11765

    Office

    $162.99

    Facility

    $89.17

    $0.78 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 11765

    Office

    $153.85

    Facility

    $84.98

    $8.36 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 11765

    Office

    $161.21

    Facility

    $87.39

    $1.00 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 11765

    Office

    $151.87

    Facility

    $83.74

    $10.34 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 11765

    Office

    $167.55

    Facility

    $90.71

    $5.34 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 11765

    Office

    $184.94

    Facility

    $99.32

    $22.73 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 11765

    Office

    $175.94

    Facility

    $95.33

    $13.73 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 11765

    Office

    $153.62

    Facility

    $85.93

    $8.59 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 11765

    Office

    $162.61

    Facility

    $88.72

    $0.40 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11765

    Office

    $190.84

    Facility

    $103.08

    $28.63 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11765

    Office

    $176.84

    Facility

    $96.01

    $14.63 higher than Wyoming** for the office setting.

  • Queens

    New York · 11765

    Office

    $188.75

    Facility

    $101.50

    $26.54 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 11765

    Office

    $156.09

    Facility

    $85.97

    $6.12 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 11765

    Office

    $152.56

    Facility

    $85.17

    $9.65 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 11765

    Office

    $149.46

    Facility

    $83.54

    $12.75 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 11765

    Office

    $176.21

    Facility

    $94.20

    $14.00 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 11765

    Office

    $161.62

    Facility

    $88.10

    $0.59 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11765

    Office

    $169.22

    Facility

    $92.38

    $7.01 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11765

    Office

    $152.97

    Facility

    $85.21

    $9.24 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 11765

    Office

    $164.27

    Facility

    $89.65

    $2.06 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 11765

    Office

    $167.39

    Facility

    $91.14

    $5.18 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 11765

    Office

    $153.41

    Facility

    $85.20

    $8.80 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 11765

    Office

    $161.00

    Facility

    $87.18

    $1.21 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 11765

    Office

    $150.66

    Facility

    $83.56

    $11.55 lower than Wyoming** for the office setting.

  • Austin

    Texas · 11765

    Office

    $169.71

    Facility

    $91.61

    $7.50 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 11765

    Office

    $151.96

    Facility

    $84.79

    $10.25 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 11765

    Office

    $161.57

    Facility

    $88.42

    $0.64 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 11765

    Office

    $162.45

    Facility

    $88.93

    $0.24 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 11765

    Office

    $161.28

    Facility

    $88.50

    $0.93 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 11765

    Office

    $161.96

    Facility

    $88.66

    $0.25 lower than Wyoming** for the office setting.

  • Houston

    Texas · 11765

    Office

    $163.60

    Facility

    $90.30

    $1.39 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 11765

    Office

    $156.57

    Facility

    $86.52

    $5.64 lower than Wyoming** for the office setting.

  • Utah

    Utah · 11765

    Office

    $155.48

    Facility

    $86.09

    $6.73 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 11765

    Office

    $160.07

    Facility

    $87.51

    $2.14 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11765

    Office

    $164.27

    Facility

    $89.65

    $2.06 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 11765

    Office

    $160.31

    Facility

    $87.23

    $1.90 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 11765

    Office

    $169.17

    Facility

    $91.44

    $6.96 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 11765

    Office

    $191.73

    Facility

    $101.16

    $29.52 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 11765

    Office

    $155.87

    Facility

    $85.15

    $6.34 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 11765

    Office

    $148.54

    Facility

    $84.39

    $13.67 lower than Wyoming** for the office setting.

See how rates vary across the country

11765 · 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.

$144.58

$196.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$189.341
AL$146.661
AR$144.581
AZ$158.841
CA$173.82–$219.1229
CO$170.511
CT$173.681
DC$186.891
DE$161.451
FL$159.22–$172.523
GA$150.59–$165.642
GU$178.201
HI$178.201
IA$150.961
ID$151.791
IL$154.23–$168.844
IN$152.671
KS$149.961
KY$149.391
LA$149.04–$156.312
MA$169.40–$187.622
MD$164.59–$186.893
ME$152.24–$160.802
MI$152.92–$160.852
MN$164.371
MO$146.32–$157.233
MS$145.501
MT$162.991
NC$153.851
ND$161.211
NE$151.871
NH$167.551
NJ$175.94–$184.942
NM$153.621
NV$162.611
NY$156.09–$190.845
OH$152.561
OK$149.461
OR$161.62–$176.212
PA$152.97–$169.222
PR$164.271
RI$167.391
SC$153.411
SD$161.001
TN$150.661
TX$151.96–$169.718
UT$155.481
VA$160.07–$186.892
VI$164.271
VT$160.311
WA$169.17–$191.732
WI$155.871
WV$148.541
WY$162.211

Explore 11765 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 11765 in Wyoming**, the physician’s office rate is $162.21 and the facility-setting rate is $88.40: a difference of $73.81.

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 11765 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$178.43

$162.21 × 110% = $178.43

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 11765 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

1,371

Code
11765
Physician work
1.19
Practice expense
3.60
Malpractice
0.09

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 11765 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work1.19× 1.0001.1900
Practice expense3.60× 1.0003.6000
Malpractice0.09× 0.7400.0666
Total RVUs4.8566
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$162.21

Open 11765 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.191
Practice expense3.61
Malpractice0.090.74

(1.19 × 1 + 3.6 × 1 + 0.09 × 0.74) × $33.4009 = $162.21

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.191
Practice expense1.391
Malpractice0.090.74

(1.19 × 1 + 1.39 × 1 + 0.09 × 0.74) × $33.4009 = $88.40

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

11765 · Office / nonfacility

$162.21

Effective 2026-10-01

The base rate is $3.26 higher than on 2025-10-01, moving from $158.95 to $162.21 (2.1%).

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

    $158.95changed to$162.21

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 3.62 changed to 3.60
    • Malpractice RVU 0.10 changed to 0.09
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $158.95

    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$162.21$88.40RVU26D
2026-07-01$162.21$88.40RVU26C
2026-04-01$162.21$88.40RVU26B
2026-01-01$162.21$88.40RVU26A
2025-10-01$158.95$90.37RVU25D
2025-07-01$158.95$90.37RVU25C
2025-04-01$158.95$90.37RVU25B
2025-01-01$158.95$90.37RVU25A

11765 billing questions

How is this different from a nail avulsion?

This code describes excision of skin from the nail fold. A nail avulsion removes the nail plate; report that service only when the plate is separately removed.

When would 11750 be more appropriate?

Use 11750 when the procedure excises the nail and nail matrix, rather than removing a wedge of skin from the fold. The operative documentation should identify the tissue removed.

Can modifier 50 be used for procedures on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

Are postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure payment.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.

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 11765PPRRVU2026_Oct_nonQPP.csv, line 1,371 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet