$130.96
Both codes cover the same facial site group and shave technique. Choose 11312 for a lesion measuring 1.1-2.0 cm and 11311 for one measuring 0.6-1.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11312 Shave removal Medicare reimbursement rates in Delaware
Reports tangential removal of a 1.1-2.0 cm lesion on the face or related sites when the service removes epidermal or dermal tissue. Compare 11312 office and facility rates across CMS payment localities in Delaware.
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 11312 in Delaware?
Delaware 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
$149.17
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$60.06
1 of 1 localities have a supported rate.
Payment area: Delaware
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 11312: Facial lesion shave removal, 1.1-2.0 cm
Reports tangential removal of a 1.1-2.0 cm lesion on the face or related sites when the service removes epidermal or dermal tissue.
CPT 11312 represents tangential removal of an epidermal or dermal lesion on the face, ear, eyelid, nose, or lip, without removing the lesion through the full thickness of the skin. Dermatologists and other clinicians who perform skin procedures may use it for a raised lesion requiring removal for treatment or evaluation. Local anesthesia is part of the shave service; a specimen may also be submitted for separate pathology examination.
Select this code by the lesion’s site and measured diameter, and document the location, size, technique, and clinical reason for removal. Report each separate lesion according to its own site and size. The 0-day global period includes same-day preoperative and postoperative care. 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 documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11312
- 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 RVU1.27 · 28%
- Practice expense (office) RVU3.11 · 69%
- Malpractice RVU0.13 · 3%
36.3K
Medicare services in 2024 · #907 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.
11312 compared with similar codes
Office rates for Delaware, from the same CMS release.
$131.02
This code covers the 1.1-2.0 cm range for scalp, neck, hand, foot, or external genitalia lesions. Use 11312 when the lesion is on the face, ear, eyelid, nose, or lip.
$192.06
Code 11442 describes full-thickness excision of a benign facial lesion in this size range. Code 11312 is for tangential shave removal of epidermal or dermal tissue.
$94.57
Use 11102 for tangential biopsy when the purpose is to sample a lesion for diagnosis. Use 11312 when the service removes the lesion by shaving.
Compare 11312 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
Delaware →
Office / nonfacility
$149.17
Facility
$60.06
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 11312 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,303
- Code
- 11312
- Physician work
- 1.27
- Practice expense
- 3.11
- Malpractice
- 0.13
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.27 | × 1.005 | 1.2763 |
| Practice expense | 3.11 | × 0.988 | 3.0727 |
| Malpractice | 0.13 | × 0.899 | 0.1169 |
| Total RVUs | 4.4659 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$149.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1.005 |
| Practice expense | 3.11 | 0.988 |
| Malpractice | 0.13 | 0.899 |
(1.27 × 1.005 + 3.11 × 0.988 + 0.13 × 0.899) × $33.4009 = $149.17
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.27 | 1.005 |
| Practice expense | 0.41 | 0.988 |
| Malpractice | 0.13 | 0.899 |
(1.27 × 1.005 + 0.41 × 0.988 + 0.13 × 0.899) × $33.4009 = $60.06
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.
11312 billing questions
How is 11312 distinguished from 11311?
Both apply to the facial site group, but 11312 is for a lesion measuring 1.1-2.0 cm; 11311 is for one measuring 0.6-1.0 cm.
Which body sites belong to this code?
Use 11312 for the face, ears, eyelids, nose, or lips. A lesion on the scalp, neck, hand, foot, or external genitalia belongs to a different site group.
Can pathology be billed separately?
A pathology service may be reported separately when a specimen is examined. The shave removal itself includes local anesthesia.
How are multiple lesions reported in one session?
Report each lesion using the code that matches its site and size, with documentation identifying each lesion. CMS applies the standard multiple procedure reduction when procedures are performed in the same session.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code under the CMS rules provided.
Can a same-day E/M service be billed separately?
A significant, separately identifiable E/M service may be reported with modifier 25 when supported by the record; routine same-day preoperative and postoperative care is included in the 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.
1,3001130F,,Bk pain & fxn assessed,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
1,30111310,,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
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
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503