Common office procedures

11730 - RVUs & Medicare payment (2026)

Nail plate avulsion, partial or complete, first.

Component	Non-facility	Facility
Work RVU	1.02	1.02
Practice expense RVU	2.24	0.36
Malpractice RVU	0.08	0.08
Total RVUs	3.34	1.46
National payment (CF $33.4009)	$111.56	$48.77
Qualifying APM payment (CF $33.5675)	$112.12	$49.01

How 11730 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 11730 ranges from $99.71 in Arkansas (AR) to $147.14 in San Jose-Sunnyvale-Santa Clara (CA); calculate 11730 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $147.14 San Jose-Sunnyvale-Santa Clara (CA) $146.76 San Francisco-Oakland-Berkeley (CA) $144.03 San Francisco-Oakland-Berkeley (CA) $143.93 Napa (CA) $136.18 Vallejo (CA) $136.05 Alaska (AK) $132.26 NYC Suburbs/Long Island (NY) $130.17 National average $111.56 … 97 more localities between … Rest Of Missouri (MO) $101.16 Alabama (AL) $101.05 Mississippi (MS) $100.46 Arkansas (AR) $99.71

Non-facility payment for 11730 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 000

Same-day global period: related visits on the day of the procedure are included in the payment.

Related codes - common office procedures

10060 · incision and drainage of abscess, simple
11102 · skin biopsy, tangential, first lesion
11104 · skin biopsy, punch, first lesion
11200 · removal of skin tags, up to 15
11042 · debridement, subcutaneous tissue, first 20 sq cm
12001 · simple wound repair, scalp/trunk/extremities, 2.5 cm or less
17000 · destruction of premalignant lesion, first
17003 · destruction of premalignant lesions, 2-14, each
17110 · destruction of benign lesions, up to 14
20610 · aspiration or injection of major joint (knee, shoulder, hip)
20552 · trigger point injection, 1-2 muscles
69210 · removal of impacted earwax, unilateral

Frequently asked questions

How much does Medicare pay for 11730 in 2026?

The national non-facility payment is $111.56 and the facility payment is $48.77, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 11730?

The 2026 work RVU for 11730 is 1.02. Total RVUs are 3.34 in the non-facility setting and 1.46 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.