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See a sample rate comparisonCPT 11750 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.
Excision Of Nail And Nail Matr, Excision Of Nail And Nail Matrix Partial Or Complete (Eg Ingrown Or Deformed Nail) For Permanent Removal Excision Of Nail And Nail Matrix Partial Or Complete (Eg
| 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 T5 - Right foot, great toe TA - Left foot, great toe |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 11750 |
| Medicaid Fee Schedule | View Medicaid rates for 11750 |
National average reimbursement for CPT 11750 by major payers:
$190.96
$221.46
$228.49
$199.93
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CPT 11750
5 of 25 sample ratesHigher to lower in this preview
Baycare Aurora Kaukauna Surgery Center LLC, Kaukauna Surgery Center
Baycare Aurora Kaukauna Surgery Center LLC
$1,511.00Published rateMetropolitan Medical Partners LLC, Surgery Center Of Chevy Chase
Metropolitan Medical Partners Ll
$566.00Published rateIntegris Ddsi Endoscopy Centers LLC
$425.00Published rateChristiana Spine Ambulatory Surgical Center, LLC
Christiana Spine Ambulatory Surgical Center LLC
$155.00Published rateRevision Advanced Surgery Center Inc
$123.00Published rate
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See a sample payer proposalCPT 11750 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11750 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 11750 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 |
| 11750-CPT | Low | Excision Of Nail And Nail Matr, Excision Of Nail And Nail Matrix Partial Or Complete (Eg Ingrown Or Deformed Nail) For Permanent Removal Excision Of Nail And Nail Matrix Partial Or Complete (Eg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11750 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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