$274.77
11760 is for repairing injured nail-bed tissue; 11762 is for reconstruction of the nail bed.
On this page
CMS RVU26D · Effective 2026-10-01
11760 Nail bed repair Medicare reimbursement rates in Indiana
Repair of damaged nail-bed tissue, typically after a fingertip or toe injury that leaves a laceration requiring tissue approximation. Compare 11760 office and facility rates across CMS payment localities in Indiana.
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 11760 in Indiana?
Indiana 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
$174.16
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$97.37
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Nail surgery
About 11760: Nail bed laceration repair
Repair of damaged nail-bed tissue, typically after a fingertip or toe injury that leaves a laceration requiring tissue approximation.
This service repairs a laceration in the tissue beneath a fingernail or toenail, commonly after a crush injury or other trauma. The clinician may need to lift or remove the nail plate to reach the wound, then approximate the nail-bed tissue. Emergency clinicians and hand surgeons commonly perform the repair in an emergency department or procedure setting; podiatrists may treat comparable injuries involving toes.
Report the code when the nail-bed wound itself is repaired, rather than for nail-plate removal or drainage of blood beneath the nail alone. The record should identify the injured nail, describe the nail-bed laceration and repair performed, and support why the repair was needed. The 10-day global period includes related postoperative visits during that period. 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. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 11760
- Global period
- Minor procedure with a 10-day global period: related postoperative visits for 10 days are 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.
- 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 RVU1.59 · 28%
- Practice expense (office) RVU3.81 · 68%
- Malpractice RVU0.19 · 3%
9.6K
Medicare services in 2024 · #1491 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.
11760 compared with similar codes
Office rates for Indiana, from the same CMS release.
$104.72
11730 describes simple avulsion of one nail plate. Choose 11760 when the service includes repair of a nail-bed laceration.
$53.69
11740 is for evacuating blood beneath the nail. It does not represent repair of a nail-bed laceration.
Compare 11760 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
Indiana →
Office / nonfacility
$174.16
Facility
$97.37
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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 11760 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
1,369
- Code
- 11760
- Physician work
- 1.59
- Practice expense
- 3.81
- Malpractice
- 0.19
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.000 | 1.5900 |
| Practice expense | 3.81 | × 0.927 | 3.5319 |
| Malpractice | 0.19 | × 0.486 | 0.0923 |
| Total RVUs | 5.2142 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$174.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 3.81 | 0.927 |
| Malpractice | 0.19 | 0.486 |
(1.59 × 1 + 3.81 × 0.927 + 0.19 × 0.486) × $33.4009 = $174.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.59 | 1 |
| Practice expense | 1.33 | 0.927 |
| Malpractice | 0.19 | 0.486 |
(1.59 × 1 + 1.33 × 0.927 + 0.19 × 0.486) × $33.4009 = $97.37
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.
11760 billing questions
How is this different from nail reconstruction?
Use this code for repair of an injured nail bed. Nail-bed reconstruction is a distinct service represented by 11762.
Can nail-plate removal be reported separately?
This code represents repair of the nail bed, not nail-plate avulsion alone. If plate removal is performed as part of access to the same repair, document its role; do not treat the access step as a separate avulsion service.
When is 11740 more appropriate?
11740 describes evacuation of a subungual hematoma. It is the relevant choice when the service is drainage of blood beneath the nail rather than repair of a nail-bed laceration.
Does the 10-day global period include follow-up visits?
Related postoperative visits for 10 days are included in the global period.
Can modifier 50 be used for injuries to both hands or feet?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other same-session procedures paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting are not permitted.
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.
1,36611750,,Excision nail&nail matrix,A,,1.54,3.04,,1.14,,0.14,4.72,2.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36711755,,Biopsy nail unit,A,,1.22,2.25,,0.30,,0.11,3.58,1.63,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3681175F,,Function stat assessed rvwd,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
1,36911760,,Repair of nail bed,A,,1.59,3.81,,1.33,,0.19,5.59,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37011762,,Reconstruction of nail bed,A,,2.87,5.60,,2.03,,0.34,8.81,5.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37111765,,Wedge excision skn nail fold,A,,1.19,3.60,,1.39,,0.09,4.88,2.67,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37211770,,Exc pilonidal cyst simple,A,,2.59,8.48,,2.22,,0.61,11.68,5.42,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915