$109.46–$128.03
Use 11310 for the same sites when the lesion measures 0.5 cm or smaller; 11311 is for 0.6–1.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11311 Shave removal Medicare reimbursement rates in Virginia
Reports tangential shave removal of a 0.6–1.0 cm skin lesion on the face, ear, eyelid, nose, lip, or mucosal surface. Compare 11311 office and facility rates across CMS payment localities in Virginia.
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 11311 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$129.61–$151.14
2 of 2 localities have a supported rate.
Facility setting
$49.50–$55.14
2 of 2 localities have a supported rate.
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 11311: Facial-area lesion shave, 0.6–1.0 cm
Reports tangential shave removal of a 0.6–1.0 cm skin lesion on the face, ear, eyelid, nose, lip, or mucosal surface.
CPT 11311 describes tangential removal of a superficial skin lesion measuring 0.6–1.0 cm on the face, ear, eyelid, nose, lip, or mucosal surface. A physician or other qualified clinician may perform the procedure in an office or facility, for example to remove a raised lesion from the cheek or nose. The shave removes the lesion at the skin surface rather than taking a full-thickness section of surrounding tissue.
Choose the code based on the lesion’s documented diameter and anatomic site. Record the site, size, number of lesions, and shave technique; use a different code family for other body areas. 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 the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11311
- 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 RVU1.07 · 27%
- Practice expense (office) RVU2.78 · 70%
- Malpractice RVU0.11 · 3%
81.6K
Medicare services in 2024 · #622 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.
11311 compared with similar codes
Office rates for Virginia, from the same CMS release.
$147.60–$171.91
Use 11312 for the same sites when the lesion measures 1.1–2.0 cm; 11311 covers 0.6–1.0 cm.
$169.82–$198.02
11441 is for full-thickness excision of a benign lesion at these sites in the 0.6–1.0 cm range; 11311 reports a superficial shave removal.
$93.71–$109.75
Use 11102 when a tangential sample is taken for biopsy rather than removing the lesion by shave.
Compare 11311 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$151.14
Facility
$55.14
Virginia →
Office / nonfacility
$129.61
Facility
$49.50
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11311 billing questions
Which lesions qualify for 11311?
Use it for a shaved lesion measuring 0.6–1.0 cm on the face, ear, eyelid, nose, lip, or mucosal surface. The site and size distinguish it from codes for other locations or size ranges.
How does 11311 differ from a tangential biopsy?
11311 represents shave removal of the lesion. A tangential biopsy code is used when the intent is to sample a lesion rather than remove it.
How should multiple lesions be reported?
Report each lesion according to its own site and size. When multiple procedures are performed in the same session, CMS applies the multiple-procedure rule: the highest-valued procedure is paid in full and the others at 50%.
Does the 0-day global period include same-day care?
Yes. Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.
Can an assistant or another surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
1,29911308,,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
1,3051134F,,Epsd bk pain for 6 wks/<,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