$130.82
Use 11302 for a trunk, arm, or leg lesion measuring 1.1–2.0 cm; this code is for lesions over 2 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11303 Shave removal Medicare reimbursement rates in Wyoming
Report this code when a clinician tangentially removes a skin lesion larger than 2 cm from the trunk, an arm, or a leg. Compare 11303 office and facility rates across CMS payment localities in Wyoming.
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 11303 in Wyoming?
Wyoming 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
$146.17
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$56.65
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 11303: Large trunk or limb shave removal
Report this code when a clinician tangentially removes a skin lesion larger than 2 cm from the trunk, an arm, or a leg.
This service removes a superficial epidermal or dermal lesion by shaving across its surface rather than cutting out a full-thickness section of skin. Dermatologists and other clinicians may perform it in an office or facility for a raised lesion on the trunk, arm, or leg that is symptomatic, repeatedly irritated, or needs diagnostic evaluation. A specimen may be sent for pathology when indicated.
Select the code by the lesion’s body region and measured diameter; this code is for a lesion over 2 cm on the trunk, arms, or legs. Document the site, size, removal method, and reason for treatment, and identify separately treated lesions. 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% reduction. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11303
- 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 RVU1.22 · 28%
- Practice expense (office) RVU3.06 · 69%
- Malpractice RVU0.13 · 3%
16K
Medicare services in 2024 · #1234 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.
11303 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$139.49
The size tier is the same, but 11308 is for the scalp, neck, hands, feet, or genitalia rather than the trunk, arms, or legs.
$175.21
The size tier is the same, but 11313 is for the face, ears, eyelids, nose, or lips.
$197.57
Use 11403 for full-thickness excision of a benign lesion on the trunk, arms, or legs measuring 2.1–3.0 cm; this code describes tangential shave removal.
Compare 11303 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
Wyoming** →
Office / nonfacility
$146.17
Facility
$56.65
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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 11303 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,295
- Code
- 11303
- Physician work
- 1.22
- Practice expense
- 3.06
- Malpractice
- 0.13
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.22 | × 1.000 | 1.2200 |
| Practice expense | 3.06 | × 1.000 | 3.0600 |
| Malpractice | 0.13 | × 0.740 | 0.0962 |
| Total RVUs | 4.3762 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$146.17
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.22 | 1 |
| Practice expense | 3.06 | 1 |
| Malpractice | 0.13 | 0.74 |
(1.22 × 1 + 3.06 × 1 + 0.13 × 0.74) × $33.4009 = $146.17
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.22 | 1 |
| Practice expense | 0.38 | 1 |
| Malpractice | 0.13 | 0.74 |
(1.22 × 1 + 0.38 × 1 + 0.13 × 0.74) × $33.4009 = $56.65
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.
11303 billing questions
How does this code differ from 11302?
Both apply to the trunk, arms, or legs, but 11302 is for a lesion measuring 1.1–2.0 cm. Use this code when the lesion is larger than 2 cm.
Does this code describe a shave or an excision?
It describes superficial tangential removal by shaving. A procedure that cuts out a full-thickness section of skin is an excision, not a shave removal.
What documentation supports reporting this code?
Record the lesion’s precise trunk, arm, or leg location, measured diameter, removal technique, and clinical reason for treatment. Document separately treated lesions individually.
Is same-day care included?
Yes. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included in the procedure.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Assistant-at-surgery payment requires documented 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 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.
1,29211300,,Shave skin lesion 0.5 cm/<,A,,0.59,2.24,,0.18,,0.06,2.89,0.83,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29311301,,Shave skin lesion 0.6-1.0 cm,A,,0.88,2.52,,0.29,,0.08,3.48,1.25,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29411302,,Shave skin lesion 1.1-2.0 cm,A,,1.02,2.83,,0.34,,0.09,3.94,1.45,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29511303,,Shave skin lesion >2.0 cm,A,,1.22,3.06,,0.38,,0.13,4.41,1.73,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29611305,,Shave skin lesion 0.5 cm/<,A,,0.78,2.18,,0.13,,0.07,3.03,0.98,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29711306,,Shave skin lesion 0.6-1.0 cm,A,,0.94,2.51,,0.20,,0.08,3.53,1.22,0,000,0.00,0.00,0.00,2,9,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,29811307,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,