$105.39–$110.77
11740 drains trapped blood through the nail plate; 11730 removes a nail plate.
On this page
CMS RVU26D · Effective 2026-10-01
11740 Nail drainage Medicare reimbursement rates in Michigan
Report nail trephination to release trapped blood and pressure from a traumatic subungual hematoma without removing the nail plate. Compare 11740 office and facility rates across CMS payment localities in Michigan.
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 11740 in Michigan?
Michigan 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
$53.71–$56.58
2 of 2 localities have a supported rate.
Facility setting
$29.93–$31.44
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 11740: Subungual hematoma evacuation
Report nail trephination to release trapped blood and pressure from a traumatic subungual hematoma without removing the nail plate.
This service relieves pressure from blood trapped beneath a fingernail or toenail, commonly after a crush injury or direct blow. The clinician makes a small opening through the nail plate and drains the hematoma; the nail plate is generally left in place. Physicians and podiatrists may perform the procedure in an office, urgent care clinic, or emergency department when the nail injury is appropriate for drainage.
Report 11740 when the documented service is evacuation of a subungual hematoma, not nail-plate removal, nail-bed repair, or routine nail care. The record should identify the injured nail, the traumatic hematoma, and the drainage performed. 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 11740
- 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.
- 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 RVU0.36 · 21%
- Practice expense (office) RVU1.33 · 77%
- Malpractice RVU0.03 · 2%
15.9K
Medicare services in 2024 · #1237 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.
11740 compared with similar codes
Office rates for Michigan, from the same CMS release.
$176.46–$186.61
11760 repairs a nail-bed injury. Drainage of a hematoma alone supports 11740, not nail-bed repair.
$113.51–$119.47
11755 is a nail-unit biopsy for diagnostic evaluation; 11740 treats a traumatic collection of blood beneath the nail.
Compare 11740 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
Detroit →
Office / nonfacility
$56.58
Facility
$31.44
Rest Of Michigan →
Office / nonfacility
$53.71
Facility
$29.93
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11740 billing questions
When should 11740 be used instead of 11730?
Use 11740 for draining blood beneath the nail while leaving the nail plate in place. Use 11730 when a simple nail-plate avulsion is performed.
Can nail-bed repair also be reported?
A separate nail-bed laceration repair may be reported when it is actually performed and documented; evacuation alone is not nail-bed repair.
Should modifier 50 be appended for matching nails?
No. CMS identifies bilateral adjustment as inapplicable to 11740, and modifier 50 is inappropriate.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care for the evacuation.
How does the multiple procedure rule affect 11740?
When procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple procedure reduction.
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.
1,36211721,,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
1,36511740,,Evacuation subungual hmtma,A,,0.36,1.33,,0.55,,0.03,1.72,0.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36611750,,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