11311 Shave skin lesion 0.6-1.0 cm
What 11311 is
CMS fee schedule short descriptor: Shave skin lesion 0.6-1.0 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 11311 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.07 | 2.78 | 0.11 | 3.96 | $132.27 |
| Facility (hospital, ASC) | 1.07 | 0.34 | 0.11 | 1.52 | $50.77 |
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).
Medically Unlikely Edit (MUE)
Medicare caps 11311 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 11311? These codes are bundled into it
11311 is a Column 1 code in 215 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0419T | Dstrj neurofibroma xtnsv | 1 - modifier may bypass | Check pair |
0420T | Dstrj neurofibroma xtnsv | 1 - modifier may bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
11102 | Tangntl bx skin single les | 1 - modifier may bypass | Check pair |
11104 | Punch bx skin single lesion | 1 - modifier may bypass | Check pair |
11900 | Inject skin lesions </w 7 | 1 - modifier may bypass | Check pair |
11901 | Inject skin lesions >7 | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
12036 | Intmd rpr s/a/t/ext 20.1-30 | 1 - modifier may bypass | Check pair |
12037 | Intmd rpr s/tr/ext >30.0 cm | 1 - modifier may bypass | Check pair |
12041 | Intmd rpr n-hf/genit 2.5cm/< | 1 - modifier may bypass | Check pair |
12042 | Intmd rpr n-hf/genit2.6-7.5 | 1 - modifier may bypass | Check pair |
12044 | Intmd rpr n-hf/genit7.6-12.5 | 1 - modifier may bypass | Check pair |
12045 | Intmd rpr n-hf/genit12.6-20 | 1 - modifier may bypass | Check pair |
12046 | Intmd rpr n-hf/genit20.1-30 | 1 - modifier may bypass | Check pair |
12047 | Intmd rpr n-hf/genit >30.0cm | 1 - modifier may bypass | Check pair |
12051 | Intmd rpr face/mm 2.5 cm/< | 1 - modifier may bypass | Check pair |
12052 | Intmd rpr face/mm 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12053 | Intmd rpr face/mm 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
Showing 30 of 215 column 2 codes. Use the pair checker for any specific combination.
11311 is bundled into these codes
11311 appears as a Column 2 code in 8 active edits. Reported with one of these Column 1 codes on the same date of service, 11311 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0881T | Cryotherapy oral cavity | 1 | Check pair |
11106 | Incal bx skn single les | 1 | Check pair |
11200 | Rmvl skin tags up to&inc 15 | 1 | Check pair |
17004 | Destroy premal lesions 15/> | 1 | Check pair |
17111 | Destruction b9 lesions 15/> | 1 | Check pair |
67810 | Incal bx eyelid skn lid mrgn | 1 | Check pair |
96573 | Pdt dstr prmlg les phys/qhp | 1 | Check pair |
96574 | Dbrdmt prmlg les w/pdt | 1 | Check 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.