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See a sample rate comparisonCPT 11740 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.
Evacuation Subungal Hematoma
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 20 - Urgent Care Facility 23 - Emergency Room 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service TA - Left foot, great toe |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11740 |
| Medicaid Fee Schedule | View Medicaid rates for 11740 |
National average reimbursement for CPT 11740 by major payers:
$62.08
$63.87
$69.36
$86.54
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CPT 11740
5 of 25 sample ratesHigher to lower in this preview
Gastro-Surgi Center Of New Jersey
Gastro-Surgi Center Of Nj
$1,886.00Published rateEndoscopy Center Of Grand Junction LLC
$566.00Published rateLegent Outpatient Surgery Westover Hills, LLC
$318.00Published rateInland Ear Nose And Throat A Medical Group Inc, Foothill Ambulatory Surgery Center
M.M. Kanok, M.D., A Medical Corpora
$160.00Published rateWoodhams Laser & Lens Implant Center LLC
Woodhams Laser Lens Implant Center LLC
$63.00Published rate
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See a sample payer proposalCPT 11740 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11740 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 11740 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 |
| 11740-CPT | Low | Evacuation Subungal Hematoma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11740 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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