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See a sample rate comparisonCPT 11719 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.
Trimming Of Nondysrophic Nails, Any Number
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 99 - Other POS |
| Common Modifiers | None Q8 - Two Class B Findings 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11719 |
| Medicaid Fee Schedule | View Medicaid rates for 11719 |
National average reimbursement for CPT 11719 by major payers:
$17.32
$20.31
$20.10
$24.06
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CPT 11719
5 of 25 sample ratesHigher to lower in this preview
Paramus Endoscopy LLC, Endoscopy Center Of Bergen County
Paramus Endoscopy LLC
$1,674.00Published rateSurgicare Surgical Associates Of Oradell, LLC
Surgicare Surgical Associates Of Oradell LLC
$849.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$531.00Published rateOmega Surgery Center LLC
$236.00Published rateSurgical Center Of Ponte Vedra Beach, LLC
Surgical Center Of Ponte Vedra B
$50.00Published rate
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See a sample payer proposalCPT 11719 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11719 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 11719 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 |
|---|---|---|
| 11719-CPT | Low | Trimming Of Nondysrophic Nails, Any Number |
| 11720-CPT | Low | Debridement Of Nail(S) By Any, Debridement Of Nail(S) By Any Method(S) One To Fivedebridement Of Nail(S) By Any Method(S) One To Five |
| 11721-CPT | Low | Debridement Of Nail(S) By Any, Debridement Of Nail(S) By Any Method(S) Six Or Moredebridement Of Nail(S) By Any Method(S) Six Or More |
| 11730-CPT | Low | Avul Nail Plate Part/Comp Single |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11719. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11719 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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