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See a sample rate comparisonCPT 11313 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Shave Skin Lesion 2 0 Cm, Shaving Of Epidermal Or Dermal Lesion Single Lesion Face Ears Eyelids Nose Lips Mucous Membrane Lesion Diameter Over 2 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None XS - Separate Structure 79 - Unrelated procedure - postop period |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11313 |
| Medicaid Fee Schedule | View Medicaid rates for 11313 |
National average reimbursement for CPT 11313 by major payers:
$191.76
$221.37
$217.28
$167.35
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CPT 11313
5 of 25 sample ratesHigher to lower in this preview
Forest Ambulatory Surgical Associates LLC, Forest Surgery Center
Forest Ambulatory Surgical Associates, Lp
$1,814.00Published ratePrecision Surgicenter LLC
Precision Surgicenter, LLC
$600.00Published rateMao Leawood Surgery Center LLC
$250.00Published rateVance Thompson Vision Surgery Center Billings, LLC
$125.00Published rateWilmington Surgery Center
$69.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 11313 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11313 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11313 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11310-CPT | Low | Shave Skin Lesion 0 5 Cm, Shaving Of Epidermal Or Dermal Lesion Single Lesion Face Ears Eyelids Nose Lips Mucous Membrane Lesion Diameter 0 5 Cm Or Less |
| 11311-CPT | Low | Shave Skin Lesion 0 6 1 0 Cm, Shaving Of Epidermal Or Dermal Lesion Single Lesion Face Ears Eyelids Nose Lips Mucous Membrane Lesion Diameter 0 6 To 1 0 Cm |
| 11312-CPT | Low | Shave Skin Lesion 1 1 2 0 Cm, Shaving Of Epidermal Or Dermal Lesion Single Lesion Face Ears Eyelids Nose Lips Mucous Membrane Lesion Diameter 1 1 To 2 0 Cm |
| 11313-CPT | Low | Shave Skin Lesion 2 0 Cm, Shaving Of Epidermal Or Dermal Lesion Single Lesion Face Ears Eyelids Nose Lips Mucous Membrane Lesion Diameter Over 2 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11313. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11313 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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