$99.16
Both cover shave removal of a lesion 0.5 cm or less; 11300 is for the trunk, arms, or legs, while 11310 is for specified facial and adjacent sites.
On this page
CMS RVU26D · Effective 2026-10-01
11310 Shave removal Medicare reimbursement rates in Rhode Island
Reports tangential removal of a skin lesion measuring 0.5 cm or less on the face and specified adjacent sites, such as the nose or lips. Compare 11310 office and facility rates across CMS payment localities in Rhode Island.
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 11310 in Rhode Island?
Rhode Island 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
$114.55
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$36.91
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 11310: Small facial lesion shave removal
Reports tangential removal of a skin lesion measuring 0.5 cm or less on the face and specified adjacent sites, such as the nose or lips.
A clinician removes a small skin lesion by shaving it tangentially from the epidermal or dermal surface. This code is for lesions on the face, ears, eyelids, nose, lips, or mucous membrane, including a raised lesion such as a seborrheic keratosis or nevus. Dermatologists commonly perform the service in an office; other qualified clinicians may perform it in office or facility settings. Tissue may be sent for histopathology when indicated.
Select the code using the lesion’s documented size and anatomic site; this code is for a lesion measuring 0.5 cm or less at one of the specified sites. Record the exact site, lesion measurement, and removal technique. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11310
- 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 RVU0.78 · 23%
- Practice expense (office) RVU2.49 · 75%
- Malpractice RVU0.07 · 2%
56.5K
Medicare services in 2024 · #737 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.
11310 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$103.85
Both cover shave removal of a lesion 0.5 cm or less. 11305 applies to the scalp, neck, hands, feet, or genitalia rather than the sites assigned to 11310.
$135.61
11311 applies to lesions measuring 0.6 to 1.0 cm at the sites covered by 11310; 11310 is for lesions 0.5 cm or less.
$145.64
11440 reports excision of a small benign lesion at facial sites, whereas 11310 reports tangential shave removal. The removal method and depth distinguish the services.
Compare 11310 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
Rhode Island →
Office / nonfacility
$114.55
Facility
$36.91
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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 11310 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
1,301
- Code
- 11310
- Physician work
- 0.78
- Practice expense
- 2.49
- Malpractice
- 0.07
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.019 | 0.7948 |
| Practice expense | 2.49 | × 1.033 | 2.5722 |
| Malpractice | 0.07 | × 0.892 | 0.0624 |
| Total RVUs | 3.4294 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$114.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1.019 |
| Practice expense | 2.49 | 1.033 |
| Malpractice | 0.07 | 0.892 |
(0.78 × 1.019 + 2.49 × 1.033 + 0.07 × 0.892) × $33.4009 = $114.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1.019 |
| Practice expense | 0.24 | 1.033 |
| Malpractice | 0.07 | 0.892 |
(0.78 × 1.019 + 0.24 × 1.033 + 0.07 × 0.892) × $33.4009 = $36.91
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.
11310 billing questions
How does this differ from 11300 or 11305?
Those codes cover the same small size range at different anatomic sites. Use 11310 for the face, ears, eyelids, nose, lips, or mucous membrane.
When should 11311 be used instead?
Use 11311 for a shave-removed lesion at the same specified sites when it measures 0.6 to 1.0 cm. The size documented for the lesion determines the size level.
Is a shave removal the same as a tangential skin biopsy?
No. 11310 reports removal of a small lesion; 11102 is the tangential biopsy code when the service is a biopsy of a single lesion.
How should multiple lesions removed in one session be reported?
Document each lesion’s site and size and report the services separately as appropriate. The CMS multiple-procedure reduction applies when procedures are performed in the same session.
Does the 0-day global period include a later pathology visit?
The 0-day global period includes same-day preoperative and postoperative care. It does not define a later pathology-related service as part of the same-day care.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this code under the CMS facts provided.
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.
1,29811307,,Shave skin lesion 1.1-2.0 cm,A,,1.17,2.68,,0.26,,0.11,3.96,1.54,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29911308,,Shave skin lesion >2.0 cm,A,,1.42,2.66,,0.24,,0.13,4.21,1.79,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3001130F,,Bk pain & fxn assessed,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
1,30111310,,Shave skin lesion 0.5 cm/<,A,,0.78,2.49,,0.24,,0.07,3.34,1.09,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30211311,,Shave skin lesion 0.6-1.0 cm,A,,1.07,2.78,,0.34,,0.11,3.96,1.52,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30311312,,Shave skin lesion 1.1-2.0 cm,A,,1.27,3.11,,0.41,,0.13,4.51,1.81,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,30411313,,Shave skin lesion >2.0 cm,A,,1.64,3.48,,0.50,,0.17,5.29,2.31,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537