CPT 11300
Global 000 ActiveShave skin lesion 0.5 cm/<
CPT 11300 Billing & Documentation Guide
CPT code 11300 (Shave skin lesion 0.5 cm/<) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.59, a non-facility practice expense RVU of 2.24, and a malpractice RVU of 0.06, a total non-facility RVU of 2.89 and facility RVU of 0.83. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $99.91, though rates vary from $85.01 to $130.84 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11300, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 11300 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 5 units of 11300 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 11300
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.59 | 0.59 |
| Practice Expense RVU | 2.24 | 0.18 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 2.89 | 0.83 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11300
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $110.03 | $28.62 | $103.12 - $130.84 | 29 |
| Florida | $98.67 | $29.64 | $94.24 - $102.66 | 3 |
| Georgia | $93.51 | $27.87 | $88.83 - $98.19 | 2 |
| Illinois | $95.9 | $29.42 | $91.15 - $100.23 | 4 |
| Michigan | $92.78 | $28.18 | $90.28 - $95.28 | 2 |
| North Carolina | $90.79 | $26.6 | $90.79 - $90.79 | 1 |
| New York | $106.83 | $30.07 | $92.19 - $113.65 | 5 |
| Ohio | $90.04 | $27.22 | $90.04 - $90.04 | 1 |
| Pennsylvania | $95.31 | $27.92 | $90.28 - $100.34 | 2 |
| Texas | $95.34 | $27.6 | $89.65 - $100.68 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 11300
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11300 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 01995 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 11300
What does CPT code 11300 mean? +
CPT code 11300 represents: Shave skin lesion 0.5 cm/<. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11300? +
The 2026 Medicare national average non-facility payment for CPT 11300 is $99.91. Rates range from $85.01 to $130.84 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11300? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 11300? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team