Billing code 11303: Shave removalMedicare rate & RVUs in Florida

Report this code when a clinician tangentially removes a skin lesion larger than 2 cm from the trunk, an arm, or a leg.

CMS RVU26DEffective Oct 1, 20263 payment localities16K Medicare services in 2024

Medicare pays $144.98–$158.13 for 11303 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$144.98–$158.13Office (non-facility)
$59.41–$64.94Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11303 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 11303 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 11303 covers

This service removes a superficial epidermal or dermal lesion by shaving across its surface rather than cutting out a full-thickness section of skin. Dermatologists and other clinicians may perform it in an office or facility for a raised lesion on the trunk, arm, or leg that is symptomatic, repeatedly irritated, or needs diagnostic evaluation. A specimen may be sent for pathology when indicated.

Select the code by the lesion’s body region and measured diameter; this code is for a lesion over 2 cm on the trunk, arms, or legs. Document the site, size, removal method, and reason for treatment, and identify separately treated lesions. 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 50% reduction. Assistant-at-surgery payment requires documentation of 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.

Where 11303 pays more and less in Florida

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

3 payment localities

$144.98 to $158.13

$144.98$151.56$158.13
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
11303 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$152.14$61.46
Miami$158.13$64.94
Rest Of Florida$144.98$59.41

How the 11303 rate is calculated

Each of 11303’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 · 11303

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 1.22Practice expense 3.06Malpractice 0.13

4.4100 adjusted RVUs×$33.4009 conversion factor=$147.30

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 11303

The CMS indicators that decide how 11303 is paid alongside other services.

CMS payment indicators · 11303

Shave removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11303 without 51 · national office

$147.30

Shave removal

11303-51 · Second procedure: 50%

$73.65

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%).

When to use modifier 51

11303 compared with similar codes

Compare codes

11303 vs 11302 vs 11308 vs 11313 vs 11403: national Medicare rates

Swap in your local Medicare rate.

  • 11303
    Shave removal · 1.22 wRVU
    $147.30
  • 11302
    Shave removal · 1.02 wRVU
    $131.60−$15.70
  • 11308
    Shave removal · 1.42 wRVU
    $140.62−$6.68
  • 11313
    Shave removal · 1.64 wRVU
    $176.69+$29.39
  • 11403
    Benign lesion excision · 1.79 wRVU
    $199.74+$52.44

How to choose

11302Shave removal
Use 11302 for a trunk, arm, or leg lesion measuring 1.1–2.0 cm; this code is for lesions over 2 cm.
11308Shave removal
The size tier is the same, but 11308 is for the scalp, neck, hands, feet, or genitalia rather than the trunk, arms, or legs.
11313Shave removal
The size tier is the same, but 11313 is for the face, ears, eyelids, nose, or lips.
11403Benign lesion excision
Use 11403 for full-thickness excision of a benign lesion on the trunk, arms, or legs measuring 2.1–3.0 cm; this code describes tangential shave removal.

11303 billing questions

How does this code differ from 11302?

Both apply to the trunk, arms, or legs, but 11302 is for a lesion measuring 1.1–2.0 cm. Use this code when the lesion is larger than 2 cm.

Does this code describe a shave or an excision?

It describes superficial tangential removal by shaving. A procedure that cuts out a full-thickness section of skin is an excision, not a shave removal.

What documentation supports reporting this code?

Record the lesion’s precise trunk, arm, or leg location, measured diameter, removal technique, and clinical reason for treatment. Document separately treated lesions individually.

Is same-day care included?

Yes. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included in the procedure.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery payment requires documented medical necessity.

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
RVUs for 11303PPRRVU2026_Oct_nonQPP.csv, line 1,295 (RVU26D)

Open CMS sourceHow we calculate rates

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