CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 11313 RVU and Medicare Payment (2026)
Shave skin lesion >2.0 cm — 1.64 work RVU, about $176.69 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 1.64
- PE RVU (non-facility)
- 3.48
- PE RVU (facility)
- 0.5
- MP RVU
- 0.17
- Office payment
- $176.69
- Facility payment
- $77.16
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 11313 in a non-facility setting with national GPCI: (1.64 + 3.48 + 0.17) × $33.4009 ≈ $176.69. The same code in a facility setting pays about $77.16 because facility PE RVU (0.5) replaces office PE RVU.
What changes by locality
GPCI moves 11313 non-facility payment from $157.55 to $231.46 across CMS localities — from Arkansas to San Jose-sunnyvale-santa Clara (san Benito Cnty). Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 11313?
1.64. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 11313 in 2026?
About $176.69 non-facility ($77.16 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (1.64) and malpractice RVU stay fixed; only practice expense changes (3.48 office vs 0.5 facility). That is the entire office-vs-facility payment gap.