$135.77
Both codes cover shave removal in the same site group. Choose 11313 when the lesion is larger than 2.0 cm; 11312 covers 1.1 to 2.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11313 Shave removal Medicare reimbursement rates in Alabama
Reports shave removal of a single skin lesion larger than 2.0 cm on the face or specified adjacent sites, such as the ear, nose, or lip. Compare 11313 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 11313 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
$159.70
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$72.60
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 11313: Facial shave removal, large lesion
Reports shave removal of a single skin lesion larger than 2.0 cm on the face or specified adjacent sites, such as the ear, nose, or lip.
This code covers shave removal of one epidermal or dermal lesion larger than 2.0 cm on the face, ears, eyelids, nose, lips, or mucous membrane. A clinician uses a blade or similar instrument to remove the lesion superficially rather than excising it through the full skin thickness. Dermatologists and other clinicians who perform skin procedures commonly use it in office settings; the removed tissue may be submitted for pathologic examination.
Select the code by the lesion’s site and diameter, and document both, along with the shave technique and the lesion treated. The code has 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 multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11313
- 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 RVU1.64 · 31%
- Practice expense (office) RVU3.48 · 66%
- Malpractice RVU0.17 · 3%
5.6K
Medicare services in 2024 · #1801 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.
11313 compared with similar codes
Office rates for Alabama, from the same CMS release.
$132.64
The size tier is the same, but 11303 is for covered trunk, arm, or leg sites rather than the face and adjacent sites assigned to 11313.
$127.63
Both codes cover lesions larger than 2.0 cm, but 11308 applies to its scalp, neck, hand, foot, and genital site group.
$85.64
Use 11102 for a tangential biopsy of one lesion when the service is performed to obtain a diagnostic specimen; 11313 describes shave removal of a large lesion.
Compare 11313 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
$159.70
Facility
$72.60
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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 11313 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
1,304
- Code
- 11313
- Physician work
- 1.64
- Practice expense
- 3.48
- Malpractice
- 0.17
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.64 | × 1.000 | 1.6400 |
| Practice expense | 3.48 | × 0.875 | 3.0450 |
| Malpractice | 0.17 | × 0.566 | 0.0962 |
| Total RVUs | 4.7812 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$159.70
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.64 | 1 |
| Practice expense | 3.48 | 0.875 |
| Malpractice | 0.17 | 0.566 |
(1.64 × 1 + 3.48 × 0.875 + 0.17 × 0.566) × $33.4009 = $159.70
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.64 | 1 |
| Practice expense | 0.5 | 0.875 |
| Malpractice | 0.17 | 0.566 |
(1.64 × 1 + 0.5 × 0.875 + 0.17 × 0.566) × $33.4009 = $72.60
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.
11313 billing questions
When is 11313 selected instead of 11312?
Use 11313 for a qualifying lesion larger than 2.0 cm at the covered facial or adjacent sites. Code 11312 is for a lesion in the same site group measuring 1.1 to 2.0 cm.
Does this code include examination of the removed tissue?
The shave removal is the service reported by 11313. A laboratory or pathologist may report a separate pathology service when the specimen is examined.
How should multiple lesions be reported?
The code describes removal of a single lesion. Document each lesion’s site and diameter, and apply the standard multiple-procedure reduction when multiple procedures are performed in the same session.
What documentation supports 11313?
Record the specific facial or adjacent site, lesion diameter greater than 2.0 cm, and that the lesion was removed by a superficial shave technique.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure’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.
1,30111310,,Shave skin lesion 0.5 cm/<,A,,0.78,2.49,,0.24,,0.07,3.34,1.09,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30211311,,Shave skin lesion 0.6-1.0 cm,A,,1.07,2.78,,0.34,,0.11,3.96,1.52,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30311312,,Shave skin lesion 1.1-2.0 cm,A,,1.27,3.11,,0.41,,0.13,4.51,1.81,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30411313,,Shave skin lesion >2.0 cm,A,,1.64,3.48,,0.50,,0.17,5.29,2.31,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3051134F,,Epsd bk pain for 6 wks/<,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3061135F,,Epsd bk pain for >6 wks,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3071136F,,Epsd bk pain for 12 wks/<,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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