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See a sample rate comparisonCPT 11760 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.
Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 23 - Emergency Room 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service F2 - Left hand, third digit |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11760 |
| Medicaid Fee Schedule | View Medicaid rates for 11760 |
National average reimbursement for CPT 11760 by major payers:
$218.61
$248.61
$260.13
$300.57
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CPT 11760
5 of 25 sample ratesHigher to lower in this preview
Ball Outpatient Surgery Center, LLC, Ball Outpatient Surgery Center
Ball Outpatient Surgery Center LLC
$2,438.00Published rateMid Rivers Ambulatory Surgery Center Lp, Mid Rivers Surgery Center
Mid Rivers Ambulatory Surgery Center Lp
$633.00Published rateCenter For Digestive Health Ltd
The Center For Digestive Health Ltd
$239.75Published rateMattax Neu Prater Surgery Center, LLC
Mattax Neu Prater Surgery Center LLC
$100.00Published rateDoctors Surgery Center, PA
Doctors Surgery Center PA
$51.00Published rate
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See a sample payer proposalCPT 11760 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11760 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 11760 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 |
|---|---|---|
| 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 |
| 11755-CPT | Low | Biopsy Of Nail Unit Any Metho, Biopsy Of Nail Unit Any Method (Eg Plate Bed Matrixhyponychium Proximal And Lateral Nail Folds) (Separate Procedure) |
| 11760-CPT | Moderate | Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft. |
| 11762-CPT | Moderate | Nail Bed Repair, Reconstruction Or Repair Of The Nail Bed (Soft Tissue Under A Nail). The Procedure May Involve Use Of A Skin Graft. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11760 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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