CPT procedure code

11721

Medicare payment

$45.09

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

11721

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

—

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 11721

CLV Intelligence is tracking 8 policy changes that cite CPT 11721 between 2026-06-05 and 2026-10-01, drawn from 7 LCD/NCD coverage updates and 1 proposed LCD. The changes span Dermatology, Orthopedics and Outpatient. 1 is flagged critical or high priority.

LCD/NCD coverage updates
7
proposed LCD
1

Counts reflect the source documents CLV has matched to CPT 11721 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 11721

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

Proposed LCD DL40462: Surgical Treatment of Nails — Noridian

Dermatology · LCD-DL40462

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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LCD L33636: Routine Foot Care and Debridement of Nails — Wellpoint Federal

Outpatient · LCD-L33636

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L34246: Routine Foot Care and Debridement of Nails — CGS

Orthopedics · LCD-L34246

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L33833: Surgical Treatment of Nails — First Coast

Dermatology · LCD-L33833

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

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LCD L39258: Surgical Treatment of Nails — Palmetto GBA

Dermatology · LCD-L39258

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

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LCD L35013: Debridement of Mycotic Nails — Novitas

Outpatient · LCD-L35013

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

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LCD L37643: Routine Foot Care — Palmetto GBA

Outpatient · LCD-L37643

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

View alert

LCD L33922: Nail Debridement — First Coast

Outpatient · LCD-L33922

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

View alert

Audit documentation

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