$185.93
11760 addresses repair of a nail-bed injury; 11762 is for reconstructing a damaged or deficient nail bed.
On this page
CMS RVU26D · Effective 2026-10-01
11762 Nail reconstruction Medicare reimbursement rates in Minnesota
Reconstructs a damaged or deficient nail bed, typically after tissue loss or injury when simple nail-bed repair is not sufficient. Compare 11762 office and facility rates across CMS payment localities in Minnesota.
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 11762 in Minnesota?
Minnesota 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
$291.69
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$168.99
1 of 1 localities have a supported rate.
Payment area: Minnesota
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.
Dermatology procedure
About 11762: Nail bed reconstruction
Reconstructs a damaged or deficient nail bed, typically after tissue loss or injury when simple nail-bed repair is not sufficient.
This procedure rebuilds the nail bed when tissue loss or a substantial defect cannot be addressed by simply closing a laceration. It may be performed after traumatic injury or to address a damaged nail bed that no longer provides an adequate surface for nail growth. A podiatrist, hand surgeon, or plastic surgeon may perform the work in an office procedure room or operating room; the technique depends on the defect and may involve graft tissue.
Select this code for reconstruction, rather than straightforward repair of a nail-bed laceration. Document the affected digit, cause and extent of the defect, reconstructive work performed, and any grafting. CMS assigns a 10-day global period, so related postoperative visits during that period are 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. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11762
- 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 RVU2.87 · 33%
- Practice expense (office) RVU5.60 · 64%
- Malpractice RVU0.34 · 4%
260
Medicare services in 2024 · #4105 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.
11762 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$111.85
11730 removes a nail plate. It does not describe rebuilding the underlying nail bed.
$119.17
11755 is used to biopsy the nail unit for diagnostic evaluation; 11762 describes reconstructive treatment.
$157.30
11750 removes the nail and matrix, commonly to prevent regrowth; 11762 rebuilds the nail bed rather than removing the growth unit.
Compare 11762 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
Minnesota →
Office / nonfacility
$291.69
Facility
$168.99
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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 11762 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
1,370
- Code
- 11762
- Physician work
- 2.87
- Practice expense
- 5.60
- Malpractice
- 0.34
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.87 | × 1.000 | 2.8700 |
| Practice expense | 5.60 | × 1.029 | 5.7624 |
| Malpractice | 0.34 | × 0.296 | 0.1006 |
| Total RVUs | 8.7330 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$291.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.87 | 1 |
| Practice expense | 5.6 | 1.029 |
| Malpractice | 0.34 | 0.296 |
(2.87 × 1 + 5.6 × 1.029 + 0.34 × 0.296) × $33.4009 = $291.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.87 | 1 |
| Practice expense | 2.03 | 1.029 |
| Malpractice | 0.34 | 0.296 |
(2.87 × 1 + 2.03 × 1.029 + 0.34 × 0.296) × $33.4009 = $168.99
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.
11762 billing questions
How is reconstruction different from nail-bed repair?
11762 is for rebuilding a deficient or substantially damaged nail bed. Use 11760 for repair of a nail-bed injury that can be addressed by repair rather than reconstruction.
Does removing the nail plate support reporting 11762?
No. Nail-plate removal alone does not establish that nail-bed reconstruction was performed; the record should describe the defect and the reconstructive work.
Can modifier 50 be used for both hands or feet?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
Are postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 11762. Co-surgeon and team-surgery billing 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.
1,36711755,,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
1,37311771,,Exc pilonidal cyst xtnsv,A,,5.94,13.36,,5.86,,1.43,20.73,13.23,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002