# CPT 11721

> Medicare paid $44.73 for CPT 11721 in the office (non-facility) setting and $23.72 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 0.6%.

## What it is

Cutting back and thinning nails that have grown thick, deformed, or brittle, usually from fungal infection or long-standing pressure. This code covers a session in which six or more nails are treated; a companion code covers sessions of five nails or fewer. The work is done with clippers, a burr, or a rotary file rather than surgically removing the nail.

## Selected release

- Release: Q4 2023 (2023 D)
- Effective: October 1 – December 31, 2023
- Status indicator: A
- Office (non-facility) national allowed amount: $44.73
- Facility national allowed amount: $23.72
- Sequestration: not applied

## RVUs and formula

- Work RVU: 0.54
- Office (non-facility) practice expense RVU: 0.74
- Facility practice expense RVU: 0.12
- Malpractice RVU: 0.04
- Conversion factor: 33.8872
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q4 2023)
- CMS file: https://www.cms.gov/files/zip/rvu23d.zip
- Parsed file: PPRRVU23_OCT.csv, row 6,580
- Canonical page: https://localishealth.com/cpt/11721/2023/A
- Release-specific citation URL: https://localishealth.com/cpt/11721/2023/D
- Last significant update: 2026-08-04T03:13:13+00:00