Billing code 11730: Nail avulsionMedicare rate & RVUs in Oklahoma
Reports simple partial or complete removal of one nail plate, such as for a painful ingrown nail or a damaged, detached nail.
Medicare pays $102.96 for 11730 in the office in Oklahoma (Oklahoma). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 11730 covers
This service removes part or all of one nail plate by simple avulsion, without excising the nail matrix. Common situations include a painful ingrown nail, a detached or damaged nail, or removal needed to address local nail pathology. Podiatrists, dermatologists, and other clinicians who perform minor procedures commonly provide it in an office or outpatient setting.
Report one unit for the first nail treated; use 11732 for each additional nail plate avulsed in the same session. Document the affected digit, the reason for removal, and whether the removal was partial or complete. The 0-day global period includes same-day preoperative and postoperative care. 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% multiple procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
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.
11730 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | $102.96 | $46.88 |
How the 11730 rate is calculated
Each of 11730’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 · 11730
RVUs × geographic indexes × conversion factor
Work1.02
1.02 RVUs× 1.000 GPCI
Practice expense2.24
2.24 RVUs× 1.000 GPCI
Malpractice0.08
0.08 RVUs× 1.000 GPCI
Adjusted RVUs
3.3400
Conversion factor
$33.4009
Medicare rate
$111.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11730
The CMS indicators that decide how 11730 is paid alongside other services.
CMS payment indicators · 11730
Nail avulsion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11730 without 51 · national office
$111.56
Nail avulsion
11730-51 · Second procedure: 50%
$55.78
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%).
11730 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11732Nail avulsion
- 11730 reports the first nail plate avulsed; 11732 reports each additional nail plate treated in the same session.
- 11750Nail matrix excision
- Choose 11730 for simple nail plate removal. Choose 11750 when the nail and matrix are excised.
- 11720Nail debridement
- 11720 is for debridement of one to five nails; 11730 is for partial or complete avulsion of one nail plate.
11730 billing questions
When should 11730 be used instead of 11750?
Use 11730 for simple removal of part or all of the nail plate without excising the nail matrix. 11750 describes excision involving the nail and matrix.
How is a second nail treated in the same session reported?
Report 11730 for the first nail and 11732 for each additional nail plate avulsed.
Can modifier 50 be used when nails on both feet are treated?
No. Modifier 50 is inappropriate for 11730; report the additional nail using 11732 when applicable.
Is nail trimming or debridement included in 11730?
The code reports nail plate avulsion, not routine trimming or debridement. Those services describe different work and should not be substituted for removal of the plate.
What documentation supports reporting 11730?
Record the digit and side, the clinical reason for removal, and whether the nail plate was removed partially or completely. The record should support that an avulsion was performed.
How does the multiple procedure rule affect payment?
For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 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
Show the CMS file lines behind this rate
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