CPT 11306
Global 000 ActiveShave skin lesion 0.6-1.0 cm
CPT 11306 Billing & Documentation Guide
CPT code 11306 (Shave skin lesion 0.6-1.0 cm) is classified under Anesthesia with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.94, a non-facility practice expense RVU of 2.51, and a malpractice RVU of 0.08, a total non-facility RVU of 3.53 and facility RVU of 1.22. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $121.82, though rates vary from $104.79 to $157.17 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 11306, 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 11306 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 4 units of 11306 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 11306
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.94 | 0.94 |
| Practice Expense RVU | 2.51 | 0.2 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 3.53 | 1.22 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 11306
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 | $133.17 | $41.87 | $125.25 - $157.17 | 29 |
| Florida | $120.71 | $43.3 | $115.56 - $125.43 | 3 |
| Georgia | $114.62 | $41.02 | $109.36 - $119.88 | 2 |
| Illinois | $117.62 | $43.07 | $112.12 - $122.45 | 4 |
| Michigan | $113.88 | $41.43 | $110.96 - $116.8 | 2 |
| North Carolina | $111.32 | $39.34 | $111.32 - $111.32 | 1 |
| New York | $130.04 | $43.97 | $112.92 - $138.05 | 5 |
| Ohio | $110.63 | $40.19 | $110.63 - $110.63 | 1 |
| Pennsylvania | $116.65 | $41.08 | $110.88 - $122.42 | 2 |
| Texas | $116.59 | $40.63 | $110.17 - $122.53 | 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 11306
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 11306 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 |
| 0419T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0420T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 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 |
Frequently Asked Questions, CPT 11306
What does CPT code 11306 mean? +
CPT code 11306 represents: Shave skin lesion 0.6-1.0 cm. It's in the Anesthesia category with a global period of 000.
What is the Medicare reimbursement for CPT 11306? +
The 2026 Medicare national average non-facility payment for CPT 11306 is $121.82. Rates range from $104.79 to $157.17 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 11306? +
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 11306? +
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 May 31, 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