Billing code 11307: Shave removalMedicare rate & RVUs in Virginia
Reports shave removal of a single 1.1-2.0 cm skin lesion on the scalp, neck, hands, feet, or genitalia using a tangential technique.
Medicare pays $129.67–$150.73 for 11307 in the office in Virginia, from Virginia to Dc + Md/Va Suburbs. 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 11307 covers
This code represents tangential removal of one epidermal or dermal lesion measuring 1.1-2.0 cm on the scalp, neck, hands, feet, or genitalia. A physician or other qualified practitioner typically uses a blade or similar instrument to shave the lesion without excising it through the full thickness of the skin. The service is performed in office or facility settings, often for a raised or superficial lesion selected for removal.
Choose the code by the lesion’s measured size and anatomic site, not by the amount of tissue submitted or the instrument used. Document the site, lesion dimensions, and the shave-removal procedure; report separately for distinct lesions when supported. 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. Assistant-at-surgery payment requires documented medical necessity; 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.
Where 11307 pays more and less in Virginia
| Payment locality | Office | Facility |
|---|---|---|
| Dc + Md/Va Suburbs | $150.73 | $55.51 |
| Virginia | $129.67 | $50.21 |
How the 11307 rate is calculated
Each of 11307’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 · 11307
RVUs × geographic indexes × conversion factor
Work1.17
1.17 RVUs× 1.000 GPCI
Practice expense2.68
2.68 RVUs× 1.000 GPCI
Malpractice0.11
0.11 RVUs× 1.000 GPCI
Adjusted RVUs
3.9600
Conversion factor
$33.4009
Medicare rate
$132.27
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 11307
The CMS indicators that decide how 11307 is paid alongside other services.
CMS payment indicators · 11307
Shave removal
| 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) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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
11307 without 51 · national office
$132.27
Shave removal
11307-51 · Second procedure: 50%
$66.14
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%).
11307 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 11306Shave removal
- Use 11306 for a 0.6-1.0 cm lesion at the same sites; use 11307 when the lesion measures 1.1-2.0 cm.
- 11308Shave removal
- Use 11308 for a lesion larger than 2.0 cm at the same sites. The distinction is lesion size.
- 11302Shave removal
- The size range is the same, but 11302 is for the trunk, arms, or legs; 11307 is for the scalp, neck, hands, feet, or genitalia.
- 11102Tangential skin biopsy
- Use 11102 for tangential biopsy when the purpose is diagnostic tissue sampling. Use 11307 for shave removal of a lesion in the specified size and site group.
11307 billing questions
Which anatomic sites fit this code?
Use it for a single 1.1-2.0 cm lesion on the scalp, neck, hands, feet, or genitalia. The same size on the trunk, arms, or legs falls in a different site series.
How is lesion size used to select the code?
Measure the lesion and select the size range within the series for its anatomic site. Document the dimensions and site in the procedure note.
How does this differ from a tangential biopsy?
This code describes shave removal of a lesion. A tangential biopsy code is used when the service is diagnostic sampling rather than removal of the lesion.
Is same-day evaluation or follow-up separately included?
The 0-day global period includes same-day preoperative and postoperative care. This rule does not extend the global period to later dates.
What happens when other 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. An assistant-at-surgery claim requires documentation of medical necessity.
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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