$110.86
11730 represents the primary avulsion for the first nail; 11732 reports each additional nail avulsed in that session.
On this page
CMS RVU26D · Effective 2026-10-01
11732 Nail avulsion Medicare reimbursement rates in Wyoming
Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail. Compare 11732 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 11732 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
$32.14
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$14.77
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.
Nail procedures
About 11732: Additional simple nail plate avulsion
Reports simple removal of each additional finger or toenail plate after the primary nail avulsion, such as for a painful or damaged nail.
This add-on code covers simple avulsion of an additional finger or toenail plate, either partially or completely, during the same treatment session as the primary avulsion. A podiatrist, dermatologist, or other qualified clinician may perform it in an office or facility for problems such as an ingrown or traumatically loosened nail. It describes removal of the plate, not excision of the nail matrix for permanent removal.
Report 11732 for each additional nail treated after the first nail, with 11730 as the primary procedure. The record should identify the indication, the digits and sides treated, the number of additional nails, and the work performed. CMS classifies 11732 as an add-on code: it is reported only with a primary procedure, and payment falls within that procedure’s global period.
CMS billing rules for 11732
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU0.37 · 38%
- Practice expense (office) RVU0.57 · 59%
- Malpractice RVU0.03 · 3%
20.6K
Medicare services in 2024 · #1136 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.
11732 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$156.44
Choose 11750 when the procedure excises the nail and matrix for permanent removal. 11732 is for simple plate avulsion of an additional nail.
$32.47
11720 covers debridement of one to five nails, not avulsion of the plate. Use 11732 when an additional nail plate is removed.
$57.19
11740 describes evacuation of blood beneath a nail, such as for a subungual hematoma; 11732 describes avulsion of an additional nail plate.
Compare 11732 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
$32.14
Facility
$14.77
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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 11732 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,364
- Code
- 11732
- Physician work
- 0.37
- Practice expense
- 0.57
- Malpractice
- 0.03
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.37 | × 1.000 | 0.3700 |
| Practice expense | 0.57 | × 1.000 | 0.5700 |
| Malpractice | 0.03 | × 0.740 | 0.0222 |
| Total RVUs | 0.9622 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$32.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 0.57 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.37 × 1 + 0.57 × 1 + 0.03 × 0.74) × $33.4009 = $32.14
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.37 | 1 |
| Practice expense | 0.05 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.37 × 1 + 0.05 × 1 + 0.03 × 0.74) × $33.4009 = $14.77
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.
11732 billing questions
Can 11732 be reported by itself?
No. Report it only with the primary nail avulsion, generally 11730, for additional nails treated in the same session.
How many units of 11732 should be reported?
Report one unit for each nail beyond the first nail avulsed. The first nail is represented by the primary procedure.
Does 11732 include permanent removal of the nail?
No. It represents simple plate avulsion; excision of the nail and matrix for permanent removal is a different service, such as 11750.
What should the procedure note identify?
Document the reason for avulsion, each treated digit and side, the number of additional nails, and whether the plate was partially or completely removed.
How does 11732 differ from 11720?
11732 represents removal of an additional nail plate. 11720 is for debridement of one to five nails, such as reducing diseased or thickened nail material.
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.
1,36111720,,Debride nail 1-5,A,,0.31,0.64,,0.04,,0.03,0.98,0.38,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36211721,,Debride nail 6 or more,A,,0.53,0.77,,0.06,,0.05,1.35,0.64,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36311730,,Avulsion nail plate simple 1,A,,1.02,2.24,,0.36,,0.08,3.34,1.46,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36411732,,Avlsn nail plate simple each,A,,0.37,0.57,,0.05,,0.03,0.97,0.45,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36511740,,Evacuation subungual hmtma,A,,0.36,1.33,,0.55,,0.03,1.72,0.94,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36611750,,Excision nail&nail matrix,A,,1.54,3.04,,1.14,,0.14,4.72,2.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,36711755,,Biopsy nail unit,A,,1.22,2.25,,0.30,,0.11,3.58,1.63,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,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.,,,,,,