Billing code 11302: Shave removalMedicare rate & RVUs in Washington
Reports shave removal of a 1.1–2.0 cm skin lesion on the trunk, arm, or leg when the lesion is removed at or near the skin surface.
Medicare pays $136.33–$154.21 for 11302 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). 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 11302 covers
This service removes a skin lesion by shaving at or near the skin surface, without excising a full-thickness section of surrounding skin. It applies to a single lesion on the trunk, an arm, or a leg when its documented diameter falls in the 1.1–2.0 cm size group. Dermatologists and other clinicians who perform skin procedures commonly provide it in an office setting; the removed tissue may be submitted for pathology.
Select the code by the lesion’s location and diameter, and document the site, size, removal method, and clinical reason. Report each lesion separately rather than combining measurements. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. 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.
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 11302 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $136.33 | $48.76 |
| Seattle (King Cnty) | $154.21 | $52.16 |
How the 11302 rate is calculated
Each of 11302’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 · 11302
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.02Practice expense 2.83Malpractice 0.09
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11302
The CMS indicators that decide how 11302 is paid alongside other services.
CMS payment indicators · 11302
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
11302 without 51 · national office
$131.60
Shave removal
11302-51 · Second procedure: 50%
$65.80
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%).
11302 compared with similar codes
Compare codes
11302 vs 11301 vs 11303 vs 11307 vs 11102: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11301Shave lesion
- Both cover shave removal on the trunk, arms, or legs; choose 11301 for a lesion measuring 0.6–1.0 cm rather than 1.1–2.0 cm.
- 11303Shave removal
- This is the larger-lesion code for the same trunk, arm, or leg site group; use it when the diameter exceeds 2.0 cm.
- 11307Shave removal
- It covers the same diameter group as 11302, but for the scalp, neck, hands, feet, or genitalia rather than the trunk, arms, or legs.
- 11102Tangential skin biopsy
- 11102 is for tangential sampling of a lesion for diagnosis. Use 11302 when the service is shave removal of the lesion in the specified site and size group.
11302 billing questions
Which lesion sites qualify for 11302?
Use it for a lesion on the trunk, arm, or leg measuring 1.1–2.0 cm. The shave codes for other anatomic site groups use different code families.
How does 11302 differ from a tangential biopsy?
11302 describes shave removal of the lesion. When the clinician takes only a sample for diagnosis rather than removing the lesion, consider the tangential biopsy code family, such as 11102.
How should multiple lesions be reported?
Report each lesion separately using its own site and diameter. When procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
Is same-day care included in the procedure?
The 0-day global period includes same-day preoperative and postoperative care. A separate service requires its own support and must not represent that included care.
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 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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