$86.31
This code is for the scalp, neck, hands, feet, or genitalia; 11300 is for the trunk, arms, or legs. Both cover the same size tier.
On this page
CMS RVU26D · Effective 2026-10-01
11305 Shave removal Medicare reimbursement rates in Alabama
Report this service for shave removal of a lesion measuring 0.5 cm or less on the scalp, neck, hands, feet, or genitalia. Compare 11305 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 11305 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$91.09
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$31.18
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Dermatology procedure
About 11305: Small shave removal, scalp or extremity site
Report this service for shave removal of a lesion measuring 0.5 cm or less on the scalp, neck, hands, feet, or genitalia.
This service removes a small, superficial skin lesion by shaving through the epidermal or dermal layers rather than excising a full-thickness section of skin. Dermatologists and other clinicians who perform office skin procedures may use it for a raised lesion selected for removal, including a lesion on the hand or foot. The site must fall within this code’s anatomic group; facial lesions belong to a different group.
Choose the code by the lesion’s anatomic site and measured diameter, and document both, along with the removal technique and clinical reason. This code represents one lesion; distinct lesions are reported separately when supported by the record. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11305
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.78 · 26%
- Practice expense (office) RVU2.18 · 72%
- Malpractice RVU0.07 · 2%
82.2K
Medicare services in 2024 · #620 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.
11305 compared with similar codes
Office rates for Alabama, from the same CMS release.
$106.27
11306 uses the same anatomic group but applies when the lesion is larger than 0.5 cm through 1.0 cm.
$100.15
11310 applies to the face, ears, eyelids, nose, or lips. Use this code for the smaller size tier at its specified sites.
$85.64
11102 describes tangential biopsy for diagnostic sampling. This code describes shave removal of the lesion.
Compare 11305 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$91.09
Facility
$31.18
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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 11305 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
1,296
- Code
- 11305
- Physician work
- 0.78
- Practice expense
- 2.18
- Malpractice
- 0.07
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 2.18 | × 0.875 | 1.9075 |
| Malpractice | 0.07 | × 0.566 | 0.0396 |
| Total RVUs | 2.7271 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$91.09
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 2.18 | 0.875 |
| Malpractice | 0.07 | 0.566 |
(0.78 × 1 + 2.18 × 0.875 + 0.07 × 0.566) × $33.4009 = $91.09
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 0.13 | 0.875 |
| Malpractice | 0.07 | 0.566 |
(0.78 × 1 + 0.13 × 0.875 + 0.07 × 0.566) × $33.4009 = $31.18
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.
11305 billing questions
Which sites qualify for this code?
Use it for a lesion on the scalp, neck, hands, feet, or genitalia. Face, ear, eyelid, nose, and lip lesions use a different anatomic group.
How do I distinguish this code from 11306?
Both cover the same anatomic group, but 11306 is for a lesion larger than 0.5 cm through 1.0 cm. This code is for a lesion measuring 0.5 cm or less.
Can I report multiple units for separate lesions?
The code describes removal of one lesion. Report distinct lesions separately with the code matching each lesion’s site and size, subject to applicable claim edits.
Is a pathology examination included?
The shave-removal service does not itself describe the pathology examination. If a specimen is submitted, pathology services are considered and reported separately when supported.
How does this differ from a tangential biopsy?
Use this code when the service is removal of the lesion; use 11102 when the purpose is a tangential biopsy for diagnostic sampling rather than lesion removal.
What happens when other procedures are performed in the same session?
CMS pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures. Same-day preoperative and postoperative care is included in this code’s 0-day global period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
1,29311301,,Shave skin lesion 0.6-1.0 cm,A,,0.88,2.52,,0.29,,0.08,3.48,1.25,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29411302,,Shave skin lesion 1.1-2.0 cm,A,,1.02,2.83,,0.34,,0.09,3.94,1.45,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29511303,,Shave skin lesion >2.0 cm,A,,1.22,3.06,,0.38,,0.13,4.41,1.73,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29611305,,Shave skin lesion 0.5 cm/<,A,,0.78,2.18,,0.13,,0.07,3.03,0.98,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29711306,,Shave skin lesion 0.6-1.0 cm,A,,0.94,2.51,,0.20,,0.08,3.53,1.22,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29811307,,Shave skin lesion 1.1-2.0 cm,A,,1.17,2.68,,0.26,,0.11,3.96,1.54,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29911308,,Shave skin lesion >2.0 cm,A,,1.42,2.66,,0.24,,0.13,4.21,1.79,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515