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11305 Shave skin lesion 0.5 cm/<

What 11305 is

CMS fee schedule short descriptor: Shave skin lesion 0.5 cm/<.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 11305 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.782.180.073.03$101.20
Facility (hospital, ASC)0.780.130.070.98$32.73

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).

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Medically Unlikely Edit (MUE)

Medicare caps 11305 at 4 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 11305? These codes are bundled into it

11305 is a Column 1 code in 214 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
11102Tangntl bx skin single les1 - modifier may bypassCheck pair
11200Rmvl skin tags up to&inc 151 - modifier may bypassCheck pair
11719Trim nail(s) any number1 - modifier may bypassCheck pair
11900Inject skin lesions </w 71 - modifier may bypassCheck pair
11901Inject skin lesions >71 - modifier may bypassCheck pair
12020Tx supfc wnd dehsn smpl clsr1 - modifier may bypassCheck pair
12021Tx supfc wnd dehsn w/packing1 - modifier may bypassCheck pair
12031Intmd rpr s/a/t/ext 2.5 cm/<1 - modifier may bypassCheck pair
12032Intmd rpr s/a/t/ext 2.6-7.51 - modifier may bypassCheck pair
12034Intmd rpr s/tr/ext 7.6-12.51 - modifier may bypassCheck pair
12035Intmd rpr s/a/t/ext 12.6-201 - modifier may bypassCheck pair
12036Intmd rpr s/a/t/ext 20.1-301 - modifier may bypassCheck pair
12037Intmd rpr s/tr/ext >30.0 cm1 - modifier may bypassCheck pair
12041Intmd rpr n-hf/genit 2.5cm/<1 - modifier may bypassCheck pair
12042Intmd rpr n-hf/genit2.6-7.51 - modifier may bypassCheck pair
12044Intmd rpr n-hf/genit7.6-12.51 - modifier may bypassCheck pair
12045Intmd rpr n-hf/genit12.6-201 - modifier may bypassCheck pair
12046Intmd rpr n-hf/genit20.1-301 - modifier may bypassCheck pair
12047Intmd rpr n-hf/genit >30.0cm1 - modifier may bypassCheck pair
12051Intmd rpr face/mm 2.5 cm/<1 - modifier may bypassCheck pair
12052Intmd rpr face/mm 2.6-5.0 cm1 - modifier may bypassCheck pair
12053Intmd rpr face/mm 5.1-7.5 cm1 - modifier may bypassCheck pair
12054Intmd rpr face/mm 7.6-12.5cm1 - modifier may bypassCheck pair

Showing 30 of 214 column 2 codes. Use the pair checker for any specific combination.

11305 is bundled into these codes

11305 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, 11305 is the code that denies.

Column 1 codeShort descriptionModifier indicator
11056Parng/cutg b9 hyprkr les 2-41Check pair
11057Parng/cutg b9 hyprkr les >41Check pair
11104Punch bx skin single lesion1Check pair
11106Incal bx skn single les1Check pair
17004Destroy premal lesions 15/>1Check pair
17110Destruction b9 les up to 141Check pair
17111Destruction b9 lesions 15/>1Check pair
96573Pdt dstr prmlg les phys/qhp1Check pair
96574Dbrdmt prmlg les w/pdt1Check pair
G0245Initial foot exam pt lops0Check pair
G0246Followup eval of foot pt lop0Check pair
G0247Routine footcare pt w lops0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.