Billing code 11306: Shave removalMedicare rate & RVUs in Florida

Report this code for shave removal of one skin lesion measuring 0.6 to 1.0 cm on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 20263 payment localities98.9K Medicare services in 2024

Medicare pays $115.56–$125.43 for 11306 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.

$115.56–$125.43Office (non-facility)
$41.80–$45.11Hospital 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 11306 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Florida
  2. What 11306 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 11306 covers

This service removes a single superficial skin lesion by shaving through the epidermis and into the dermis, rather than excising it through the full thickness of the skin. It applies to lesions on the scalp, neck, hands, feet, or genitalia that measure 0.6 to 1.0 cm. Dermatologists commonly perform the procedure in an office; primary care clinicians and other qualified practitioners may also remove lesions in office or facility settings. A specimen may be sent for pathology when clinically indicated.

Choose the code by the lesion’s diameter and the treated anatomic area, and document the site, measurement, and removal technique. Report each distinct lesion according to its own size and location. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. 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% 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.

Where 11306 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

$115.56 to $125.43

$115.56$120.50$125.43
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
11306 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale$121.15$42.99
Miami$125.43$45.11
Rest Of Florida$115.56$41.80

How the 11306 rate is calculated

Each of 11306’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 · 11306

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.94Practice expense 2.51Malpractice 0.08

3.5300 adjusted RVUs×$33.4009 conversion factor=$117.91

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

Payment rules and modifiers for 11306

The CMS indicators that decide how 11306 is paid alongside other services.

CMS payment indicators · 11306

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

11306 without 51 · national office

$117.91

Shave removal

11306-51 · Second procedure: 50%

$58.96

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

11306 compared with similar codes

Compare codes

11306 vs 11305 vs 11301 vs 11311 vs 11102: national Medicare rates

Swap in your local Medicare rate.

  • 11306
    Shave removal · 0.94 wRVU
    $117.91
  • 11305
    Shave removal · 0.78 wRVU
    $101.20−$16.71
  • 11301
    Shave lesion · 0.88 wRVU
    $116.24−$1.67
  • 11311
    Shave removal · 1.07 wRVU
    $132.27+$14.36
  • 11102
    Tangential skin biopsy · 0.64 wRVU
    $95.53−$22.38

How to choose

11305Shave removal
Use 11305 for a lesion up to 0.5 cm in the same anatomic group; 11306 is for 0.6 to 1.0 cm.
11301Shave lesion
Both codes cover a 0.6 to 1.0 cm shave removal, but 11301 is for the trunk, arms, or legs; 11306 is for the scalp, neck, hands, feet, or genitalia.
11311Shave removal
Both codes cover a 0.6 to 1.0 cm shave removal. Use 11311 for the face, ears, eyelids, nose, or lips instead of the anatomic group for 11306.
11102Tangential skin biopsy
Use 11102 when the service is tangential sampling for diagnosis; use 11306 for shave removal of a lesion in the specified size and anatomic group.

11306 billing questions

How does this code differ from 11305 or 11307?

All three are for shave removal in the scalp, neck, hands, feet, or genitalia group. Select 11305 for a lesion up to 0.5 cm, 11306 for 0.6 to 1.0 cm, and 11307 for 1.1 to 2.0 cm.

When should 11311 be used instead?

Use 11311 for a 0.6 to 1.0 cm shave removal on the face, ears, eyelids, nose, or lips. The size is the same, but the anatomic group differs.

What documentation supports reporting 11306?

Document the lesion’s location, measured diameter, and shave-removal technique. If multiple lesions are treated, record each lesion separately so the size and site supporting each code are clear.

Does same-day care have a separate global-period payment?

CMS assigns this minor procedure a 0-day global period. Same-day preoperative and postoperative care is included.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment for this code.

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 11306PPRRVU2026_Oct_nonQPP.csv, line 1,297 (RVU26D)

Open CMS sourceHow we calculate rates

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