Billing code 11760: Nail bed repairMedicare rate & RVUs in Utah
Repair of damaged nail-bed tissue, typically after a fingertip or toe injury that leaves a laceration requiring tissue approximation.
Medicare pays $178.43 for 11760 in the office in Utah (Utah). 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 11760 covers
This service repairs a laceration in the tissue beneath a fingernail or toenail, commonly after a crush injury or other trauma. The clinician may need to lift or remove the nail plate to reach the wound, then approximate the nail-bed tissue. Emergency clinicians and hand surgeons commonly perform the repair in an emergency department or procedure setting; podiatrists may treat comparable injuries involving toes.
Report the code when the nail-bed wound itself is repaired, rather than for nail-plate removal or drainage of blood beneath the nail alone. The record should identify the injured nail, describe the nail-bed laceration and repair performed, and support why the repair was needed. The 10-day global period includes related postoperative visits during that period. 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; 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.
11760 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $178.43 | $100.56 |
How the 11760 rate is calculated
Each of 11760’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 · 11760
RVUs × geographic indexes × conversion factor
Work1.59
1.59 RVUs× 1.000 GPCI
Practice expense3.81
3.81 RVUs× 1.000 GPCI
Malpractice0.19
0.19 RVUs× 1.000 GPCI
Adjusted RVUs
5.5900
Conversion factor
$33.4009
Medicare rate
$186.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11760
11760 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11760
Nail bed repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 11760
Nail bed repair
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11760 without 51 · national office
$186.71
Nail bed repair
11760-51 · Second procedure: 50%
$93.36
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%).
11760 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 11762Nail reconstruction
- 11760 is for repairing injured nail-bed tissue; 11762 is for reconstruction of the nail bed.
- 11730Nail avulsion
- 11730 describes simple avulsion of one nail plate. Choose 11760 when the service includes repair of a nail-bed laceration.
- 11740Nail drainage
- 11740 is for evacuating blood beneath the nail. It does not represent repair of a nail-bed laceration.
11760 billing questions
How is this different from nail reconstruction?
Use this code for repair of an injured nail bed. Nail-bed reconstruction is a distinct service represented by 11762.
Can nail-plate removal be reported separately?
This code represents repair of the nail bed, not nail-plate avulsion alone. If plate removal is performed as part of access to the same repair, document its role; do not treat the access step as a separate avulsion service.
When is 11740 more appropriate?
11740 describes evacuation of a subungual hematoma. It is the relevant choice when the service is drainage of blood beneath the nail rather than repair of a nail-bed laceration.
Does the 10-day global period include follow-up visits?
Related postoperative visits for 10 days are included in the global period.
Can modifier 50 be used for injuries to both hands or feet?
No. Bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other same-session procedures paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple procedure reduction. Assistant-at-surgery payment is restricted, and co-surgeon and team-surgery reporting 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 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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