Billing code 11056Medicare rate & RVUs in Nevada

Compare 11056 physician payment amounts across CMS localities, including office and facility settings.

CMS RVU26DEffective Oct 1, 20261 payment locality1.8M Medicare services in 2024

CMS doesn’t publish an office rate for 11056 in Nevada.

—Office (non-facility)
—Hospital 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 11056 for the payment locality that covers the ZIP.

On this page 5 sections
  1. Rate in Nevada
  2. By payment locality
  3. How it’s calculated
  4. Payment rules
  5. Sources

11056 in Nevada**

11056 office and facility rates by payment locality
Payment localityOfficeFacility
Nevada**UnavailableUnavailable

How the 11056 rate is calculated

Each of 11056’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 · 11056

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.49Practice expense 1.90Malpractice 0.04

2.4300 adjusted RVUs×$33.4009 conversion factor=$81.16

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

Payment rules and modifiers for 11056

The CMS indicators that decide how 11056 is paid alongside other services.

CMS payment indicators · 11056

Code 11056

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
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

11056 without 51 · national facility

$0.00

11056-51 · Second procedure: 50%

$0.00

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

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

Open CMS sourceHow we calculate rates

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