$42.63–$45.89
The choice depends on the total number of nails debrided at the session. One to five is 11720; six or more is 11721. Report one code with one unit.
On this page
CMS RVU26D · Effective 2026-10-01
11720 Nail debridement Medicare reimbursement rates in Georgia
Debridement of one to five dystrophic or mycotic fingernails or toenails, by any method, reported once per session, most often by podiatrists for onychomycosis. Compare 11720 office and facility rates across CMS payment localities in Georgia.
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 11720 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$30.62–$33.31
2 of 2 localities have a supported rate.
Facility setting
$12.74–$12.95
2 of 2 localities have a supported rate.
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 procedure
About 11720: Debridement of one to five nails
Debridement of one to five dystrophic or mycotic fingernails or toenails, by any method, reported once per session, most often by podiatrists for onychomycosis.
This service reduces the thickness and bulk of diseased nails, often thick, discolored, crumbly nails affected by onychomycosis or other dystrophy. A clinician uses nippers, curettes, or a burr to remove thickened nail plate and subungual debris; debriding painful toenails may relieve pressure from footwear. Podiatrists commonly perform the service in offices, nursing facilities, and patients’ homes. Patients may have diabetes, peripheral vascular disease, or neuropathy that makes self-care difficult.
Count all fingernails and toenails debrided during the session. Report one unit of 11720 for one to five nails; use 11721 instead for six or more. Document each treated nail, its condition, and the reason debridement was needed. For Medicare coverage, document applicable findings, such as pain or secondary infection associated with mycotic nails, or qualifying systemic disease and class findings when required. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team surgery arrangements are not permitted.
CMS billing rules for 11720
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU0.31 · 32%
- Practice expense (office) RVU0.64 · 65%
- Malpractice RVU0.03 · 3%
1.8M
Medicare services in 2024 · #87 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.
11720 compared with similar codes
Office rates for Georgia, from the same CMS release.
G0127
No office rateTrim nail(s)
G0127 is for trimming dystrophic nails. 11720 requires documented reduction of the nail plate’s thickness or bulk.
11719
No office rateTrim nail(s) any number
11719 is for trimming nondystrophic nails, which is generally routine, noncovered care under Medicare. 11720 is for debriding diseased nails.
$103.99–$113.40
11730 removes all or part of a nail plate, such as when treating an ingrown or traumatized nail. 11720 reduces nail thickness while leaving the plate attached.
Compare 11720 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
$33.31
Facility
$12.95
Rest Of Georgia →
Office / nonfacility
$30.62
Facility
$12.74
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11720 billing questions
How are units reported when nails on both feet are debrided?
Add up all nails treated at the session, including any fingernails, and report one unit. Use 11720 for one to five nails or 11721 alone for six or more. Do not append modifier 50.
Can 11720 be billed with 11721 on the same date?
No. Choose the code by the total number of nails debrided during the session, and report one code with one unit.
What is the difference between nail debridement and nail trimming?
Debridement reduces the thickness and bulk of a diseased nail plate; trimming only shortens the nail. Use 11719 for trimming nondystrophic nails or G0127 for trimming dystrophic nails rather than reporting trimming alone as debridement.
Which modifiers might a Medicare claim for 11720 need?
When coverage relies on class findings under the routine foot care exception, report the applicable Q7, Q8, or Q9 modifier as supported by the record. Modifier 50 is inappropriate; append modifier 25 to a separately reported, significant E/M service, not to 11720.
Is a same-day office visit separately payable?
The routine evaluation associated with debridement is included in the 0-day global period. A significant, separately identifiable E/M service beyond that routine care may be reported with modifier 25, even if it concerns the same condition.
Can callus paring be billed at the same visit?
Paring corns or calluses under 11055 through 11057 may be separately reported when it is performed in addition to nail debridement. Document the treated sites and medical necessity for each service, subject to applicable coverage and coding requirements.
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.
1,35811646,,Exc f/e/e/n/l mal+mrg >4 cm,A,,6.10,8.38,,2.92,,0.95,15.43,9.97,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3591170F,,Fxnl status assessed,M,,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
1,36011719,,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