$34.32
11730 reports the first nail plate avulsed; 11732 reports each additional nail plate treated in the same session.
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CMS RVU26D · Effective 2026-10-01
11730 Nail avulsion Medicare reimbursement rates in Connecticut
Reports simple partial or complete removal of one nail plate, such as for a painful ingrown nail or a damaged, detached nail. Compare 11730 office and facility rates across CMS payment localities in Connecticut.
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 11730 in Connecticut?
Connecticut 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
$118.56
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$50.93
1 of 1 localities have a supported rate.
Payment area: Connecticut
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.
Nail procedures
About 11730: Simple single nail plate avulsion
Reports simple partial or complete removal of one nail plate, such as for a painful ingrown nail or a damaged, detached nail.
This service removes part or all of one nail plate by simple avulsion, without excising the nail matrix. Common situations include a painful ingrown nail, a detached or damaged nail, or removal needed to address local nail pathology. Podiatrists, dermatologists, and other clinicians who perform minor procedures commonly provide it in an office or outpatient setting.
Report one unit for the first nail treated; use 11732 for each additional nail plate avulsed in the same session. Document the affected digit, the reason for removal, and whether the removal was partial or complete. The 0-day global period includes same-day preoperative and postoperative care. 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 50% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 11730
- 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 RVU1.02 · 31%
- Practice expense (office) RVU2.24 · 67%
- Malpractice RVU0.08 · 2%
209.1K
Medicare services in 2024 · #378 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.
11730 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$167.48
Choose 11730 for simple nail plate removal. Choose 11750 when the nail and matrix are excised.
$34.80
11720 is for debridement of one to five nails; 11730 is for partial or complete avulsion of one nail plate.
Compare 11730 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
Connecticut →
Office / nonfacility
$118.56
Facility
$50.93
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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 11730 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
1,363
- Code
- 11730
- Physician work
- 1.02
- Practice expense
- 2.24
- Malpractice
- 0.08
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.02 | × 1.020 | 1.0404 |
| Practice expense | 2.24 | × 1.077 | 2.4125 |
| Malpractice | 0.08 | × 1.210 | 0.0968 |
| Total RVUs | 3.5497 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$118.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.02 | 1.02 |
| Practice expense | 2.24 | 1.077 |
| Malpractice | 0.08 | 1.21 |
(1.02 × 1.02 + 2.24 × 1.077 + 0.08 × 1.21) × $33.4009 = $118.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.02 | 1.02 |
| Practice expense | 0.36 | 1.077 |
| Malpractice | 0.08 | 1.21 |
(1.02 × 1.02 + 0.36 × 1.077 + 0.08 × 1.21) × $33.4009 = $50.93
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.
11730 billing questions
When should 11730 be used instead of 11750?
Use 11730 for simple removal of part or all of the nail plate without excising the nail matrix. 11750 describes excision involving the nail and matrix.
How is a second nail treated in the same session reported?
Report 11730 for the first nail and 11732 for each additional nail plate avulsed.
Can modifier 50 be used when nails on both feet are treated?
No. Modifier 50 is inappropriate for 11730; report the additional nail using 11732 when applicable.
Is nail trimming or debridement included in 11730?
The code reports nail plate avulsion, not routine trimming or debridement. Those services describe different work and should not be substituted for removal of the plate.
What documentation supports reporting 11730?
Record the digit and side, the clinical reason for removal, and whether the nail plate was removed partially or completely. The record should support that an avulsion was performed.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The 0-day global period includes same-day preoperative and postoperative care.
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.
1,36011719,,Trim nail(s) any number,R,,0.17,0.25,,0.02,,0.01,0.43,0.20,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36111720,,Debride nail 1-5,A,,0.31,0.64,,0.04,,0.03,0.98,0.38,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36211721,,Debride nail 6 or more,A,,0.53,0.77,,0.06,,0.05,1.35,0.64,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36311730,,Avulsion nail plate simple 1,A,,1.02,2.24,,0.36,,0.08,3.34,1.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36411732,,Avlsn nail plate simple each,A,,0.37,0.57,,0.05,,0.03,0.97,0.45,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36511740,,Evacuation subungual hmtma,A,,0.36,1.33,,0.55,,0.03,1.72,0.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36611750,,Excision nail&nail matrix,A,,1.54,3.04,,1.14,,0.14,4.72,2.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808