$90.72
Use 11300 for a lesion in the same trunk, arm, or leg site group that falls in the smaller size tier; use 11301 when the documented diameter is 0.6–1.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11301 Shave lesion Medicare reimbursement rates in New Mexico
Tangential shave removal of a 0.6–1.0 cm skin lesion on the trunk, arm, or leg, selected by anatomic site and lesion size. Compare 11301 office and facility rates across CMS payment localities in New Mexico.
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 11301 in New Mexico?
New Mexico 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
$109.79
1 of 1 localities have a supported rate.
Payment area: New Mexico
One mapped payment locality.
Facility setting
$41.48
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 11301: Shave removal of trunk or limb lesion
Tangential shave removal of a 0.6–1.0 cm skin lesion on the trunk, arm, or leg, selected by anatomic site and lesion size.
This service removes a skin lesion by shaving across its surface rather than excising it through the full thickness of the skin. Dermatologists commonly perform it in an office for a raised lesion on the trunk, arm, or leg when shave removal is the intended treatment or diagnostic approach. The code’s site group excludes lesions on the scalp, neck, hands, feet, genitalia, face, ears, eyelids, nose, and lips, which have separate code families.
Select the code using the lesion’s documented diameter and anatomic site. The record should identify the site, size, and reason for removal, and support that a shave technique was performed. This is a minor procedure with 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. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11301
- 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.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.88 · 25%
- Practice expense (office) RVU2.52 · 72%
- Malpractice RVU0.08 · 2%
199.2K
Medicare services in 2024 · #389 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.
11301 compared with similar codes
Office rates for New Mexico, from the same CMS release.
$124.36
Use 11302 for a lesion in the same site group that falls in the next larger size tier. The technique and site group are the same as 11301; size distinguishes the code.
$89.94
Use 11102 when the service is a tangential biopsy to obtain a diagnostic sample. Code 11301 represents shave removal of a lesion, not simply collection of a biopsy sample.
$147.10
Use 11401 when a benign lesion in this site group is removed by full-thickness excision. Code 11301 describes shave removal.
Compare 11301 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
New Mexico →
Office / nonfacility
$109.79
Facility
$41.48
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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 11301 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
1,293
- Code
- 11301
- Physician work
- 0.88
- Practice expense
- 2.52
- Malpractice
- 0.08
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.88 | × 1.000 | 0.8800 |
| Practice expense | 2.52 | × 0.917 | 2.3108 |
| Malpractice | 0.08 | × 1.201 | 0.0961 |
| Total RVUs | 3.2869 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, New Mexico$109.79
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.88 | 1 |
| Practice expense | 2.52 | 0.917 |
| Malpractice | 0.08 | 1.201 |
(0.88 × 1 + 2.52 × 0.917 + 0.08 × 1.201) × $33.4009 = $109.79
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.88 | 1 |
| Practice expense | 0.29 | 0.917 |
| Malpractice | 0.08 | 1.201 |
(0.88 × 1 + 0.29 × 0.917 + 0.08 × 1.201) × $33.4009 = $41.48
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.
11301 billing questions
How does 11301 differ from 11300 or 11302?
All three are shave-removal codes for the trunk, arms, or legs. Choose among them by the lesion’s documented diameter: 11300 is the smaller size tier, 11301 is 0.6–1.0 cm, and 11302 is the next larger tier.
Does the code depend on the lesion’s location as well as its size?
Yes. Code 11301 is for the trunk, arms, or legs; lesions in other designated site groups use their corresponding shave-code family, even at the same diameter.
Is pathology included in the shave removal?
The code reports the removal, not the histopathologic examination. A pathology service may be reported separately when a specimen is submitted and the examination is performed.
What documentation supports reporting 11301?
Document the lesion’s anatomic site and diameter, the reason for removal, and the shave technique. The record should support a lesion size of 0.6–1.0 cm and a site in this code’s group.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. The 0-day global period includes same-day preoperative and postoperative care.
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.
1,2901127F,,New episode for condition,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
1,2911128F,,Subs episode for condition,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
1,29211300,,Shave skin lesion 0.5 cm/<,A,,0.59,2.24,,0.18,,0.06,2.89,0.83,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29311301,,Shave skin lesion 0.6-1.0 cm,A,,0.88,2.52,,0.29,,0.08,3.48,1.25,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29411302,,Shave skin lesion 1.1-2.0 cm,A,,1.02,2.83,,0.34,,0.09,3.94,1.45,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29511303,,Shave skin lesion >2.0 cm,A,,1.22,3.06,,0.38,,0.13,4.41,1.73,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29611305,,Shave skin lesion 0.5 cm/<,A,,0.78,2.18,,0.13,,0.07,3.03,0.98,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210