Billing code 11305: Shave removalMedicare rate & RVUs in Delaware
Report this service for shave removal of a lesion measuring 0.5 cm or less on the scalp, neck, hands, feet, or genitalia.
Medicare pays $100.23 for 11305 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 11305 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $100.23 | $32.57 |
How the 11305 rate is calculated
Each of 11305’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11305
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.78Practice expense 2.18Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11305
The CMS indicators that decide how 11305 is paid alongside other services.
CMS payment indicators · 11305
Shave removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11305 without 51 · national office
$101.20
Shave removal
11305-51 · Second procedure: 50%
$50.60
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
11305 compared with similar codes
Compare codes
11305 vs 11300 vs 11306 vs 11310 vs 11102: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11300Shave removal
- 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.
- 11306Shave removal
- 11306 uses the same anatomic group but applies when the lesion is larger than 0.5 cm through 1.0 cm.
- 11310Shave removal
- 11310 applies to the face, ears, eyelids, nose, or lips. Use this code for the smaller size tier at its specified sites.
- 11102Tangential skin biopsy
- 11102 describes tangential biopsy for diagnostic sampling. This code describes shave removal of the lesion.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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