FeeBase
Log inGet started
Menu

CPT code 11401: Benign lesion excision, trunk/extremities, 0.6–1 cm2026 Medicare rate & RVUs in Galveston, TX

Reports excision of a benign skin lesion on the trunk, arms, or legs when the lesion and narrowest margins measure 0.6 through 1.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality48.5K Medicare services in 2024

In Galveston, TX, Medicare pays $153.64 for 11401 in the office and $93.61 when it’s performed in a hospital or facility.

$153.64Office (non-facility)
$93.61Hospital or facility
−0.9%vs the national office rate ($154.98)

Check a contract rate as a % of Medicare · 11401 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11401 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Galveston, TX
  2. What 11401 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 11401 covers

A physician or other qualified practitioner excises a benign skin lesion from the trunk or an extremity, removing the lesion through the dermis with the margins needed for complete removal. Typical office cases include excision of a benign nevus or cyst from the back, arm, or leg. The code family is organized by both anatomic site and the diameter of the excised area, not by the lesion’s appearance alone.

Choose this level using the greatest diameter of the lesion plus the narrowest margins required for excision; document the site and measurement. Simple closure is included, while a separately performed intermediate or complex repair may be reported when its requirements are met and documented. Related postoperative visits during the 10-day global period are included. For multiple procedures in one session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Assistant-at-surgery services are not paid; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Galveston, TX compares for 11401

Across 109 of 109 payment localities, the office rate for 11401 runs from $137.18 in Arkansas to $204.78 in San Benito County, CA. Galveston, TX pays $153.64. The RVUs are the same everywhere; the geographic indexes change the dollars.

11401 in Galveston, TX vs other payment areas
  1. Galveston, TX · this page$153.64
  2. Austin, TX · Texas$160.71+$7.07
  3. Beaumont, TX · Texas$144.89−$8.75
  4. Brazoria, TX · Texas$153.17−$0.47
  5. Dallas, TX · Texas$154.17+$0.53
  6. Fort Worth, TX · Texas$153.16−$0.48
  7. Houston, TX · Texas$156.57+$2.93

Other areas in Texas first, then benchmark localities. Bars start at $0.

Every other payment area

11401 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$148.96$91.59
Los Angeles, CACalifornia$174.64$103.12
Washington, DC areaDistrict of Columbia$177.04$105.83
Miami, FLFlorida$167.57$104.64
Chicago, ILIllinois$162.73$101.97
Manhattan, NYNew York$178.26$108.01
AlaskaAlaska$180.47$116.08
AlabamaAlabama$139.18$86.28

11401 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$137.18

$184.18

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11401 office rate range by state
State / territoryOffice rate rangeLocalities
AK$180.471
AL$139.181
AR$137.181
AZ$150.871
CA$163.57–$204.7829
CO$161.221
CT$165.241
DC$177.041
DE$153.351
FL$152.92–$167.573
GA$144.35–$157.912
GU$167.511
HI$167.511
IA$142.591
ID$143.531
IL$148.60–$162.734
IN$144.361
KS$141.971
KY$142.551
LA$142.35–$149.342
MA$160.28–$177.032
MD$156.25–$177.043
ME$144.33–$152.042
MI$146.28–$154.872
MN$154.351
MO$139.95–$149.813
MS$138.591
MT$154.971
NC$145.821
ND$151.811
NE$143.351
NH$158.741
NJ$167.09–$175.242
NM$147.101
NV$154.201
NY$148.00–$182.625
OH$145.641
OK$142.241
OR$152.96–$166.262
PA$145.84–$161.192
PR$156.091
RI$158.761
SC$145.981
SD$151.431
TN$142.691
TX$144.89–$160.718
UT$147.961
VA$151.57–$177.042
VI$156.091
VT$151.261
WA$159.96–$180.582
WI$146.751
WV$143.151
WY$153.591

See 11401 in every payment locality

How the 11401 rate is calculated

Each of 11401’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 11401

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.25

1.25 RVUs× 1.000 GPCI

Practice expense3.23

3.23 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

4.6400

Conversion factor

$33.4009

Medicare rate

$154.98

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Galveston, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,310

Code
11401
Physician work
1.25
Practice expense
3.23
Malpractice
0.16

GPCI2026.csv

101

Locality
Galveston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
0.828
Office calculation for 11401 in Galveston, TX
ComponentRVULocality factorAdjusted
Physician work1.25× 1.0081.2600
Practice expense3.23× 0.9933.2074
Malpractice0.16× 0.8280.1325
Total RVUs4.5999
Conversion factor× 33.4009

Office rate, Galveston, TX$153.64

Office: (1.25 × 1.008 + 3.23 × 0.993 + 0.16 × 0.828) × $33.4009 = $153.64

Facility: (1.25 × 1.008 + 1.42 × 0.993 + 0.16 × 0.828) × $33.4009 = $93.61

Open 11401 in the RVU calculator

Payment rules and modifiers for 11401

11401 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11401

Benign lesion excision, trunk/extremities, 0.6–1 cm

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 11401

Benign lesion excision, trunk/extremities, 0.6–1 cm

10-day global period ends

Oct 11, 2026

Covers Oct 1, 2026 through Oct 11, 2026 (11 days).

Visit on Oct 31, 2026

After the global period ends: visits and procedures are billed normally.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11401 without 51 · national office

$154.98

Benign lesion excision, trunk/extremities, 0.6–1 cm

11401-51 · Second procedure: 50%

$77.49

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 11401

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 11401
CodeHow it relatesOffice range, Galveston, TX
Same family
11400Skin lesion excision, trunk, arm, or leg; 0.5 cm or lessTrunk or extremity benign-lesion excision at the smaller size level.$126.86
11402Skin lesion excision, trunk or extremity, 1.1–2 cmTrunk or extremity benign-lesion excision at the next larger size level.$169.53
11421Lesion excision, scalp, neck, hands, feet, genitaliaSame size range for benign-lesion excision on the scalp, neck, hands, or feet.$157.99
11441Benign lesion excision, face, 0.6 to 1 cmSame size range for benign-lesion excision on the face and related sites.$172.17
Often billed with
12031Wound repair, scalp, trunk, or extremityMay be reported for a qualifying intermediate repair of a trunk or extremity wound.$257.75

How 11401 has changed in Galveston, TX

11401 · Office / nonfacility

$153.64

Effective 2026-10-01

The base rate is $2.75 higher than on 2025-10-01, moving from $150.89 to $153.64 (1.8%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $150.89changed to$153.64

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.28 changed to 1.25
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.000 changed to 0.993
    • Malpractice GPCI 0.855 changed to 0.828

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $156.61changed to$150.89

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.27 changed to 3.23

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $154.05changed to$156.61

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $159.88changed to$154.05

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.24 changed to 3.27
    • Malpractice RVU 0.18 changed to 0.16
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.013 changed to 1.000
    • Malpractice GPCI 0.703 changed to 0.855

  5. January 1, 2023

    RVU23A

    $163.28changed to$159.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.22 changed to 3.24
    • Malpractice RVU 0.17 changed to 0.18
    • Work GPCI 1.032 changed to 1.023
    • Practice expense GPCI 1.026 changed to 1.013
    • Malpractice GPCI 0.550 changed to 0.703

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $162.82changed to$163.28

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.18 changed to 3.22
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $158.54changed to$162.82

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.92 changed to 3.18
    • Work GPCI 1.026 changed to 1.032
    • Practice expense GPCI 1.019 changed to 1.026
    • Malpractice GPCI 0.695 changed to 0.550

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $155.91changed to$158.54

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.83 changed to 2.92
    • Malpractice RVU 0.19 changed to 0.15
    • Work GPCI 1.020 changed to 1.026
    • Practice expense GPCI 1.011 changed to 1.019
    • Malpractice GPCI 0.839 changed to 0.695

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $154.65changed to$155.91

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.80 changed to 2.83

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $153.21changed to$154.65

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.76 changed to 2.80
    • Practice expense GPCI 1.012 changed to 1.011
    • Malpractice GPCI 0.897 changed to 0.839

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $152.58changed to$153.21

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.74 changed to 2.76
    • Work GPCI 1.019 changed to 1.020
    • Practice expense GPCI 1.013 changed to 1.012
    • Malpractice GPCI 0.955 changed to 0.897

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $153.15changed to$152.58

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.75 changed to 2.74
    • Malpractice RVU 0.18 changed to 0.19

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $152.39changed to$153.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $149.22changed to$152.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.67 changed to 2.75
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.014 changed to 1.019
    • Practice expense GPCI 1.005 changed to 1.013
    • Malpractice GPCI 0.970 changed to 0.955

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $152.64changed to$149.22

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.01 changed to 2.67
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 0.996 changed to 1.005
    • Malpractice GPCI 0.985 changed to 0.970

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $152.64

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$153.64$93.61RVU26D
2026-07-01$153.64$93.61RVU26C
2026-04-01$153.64$93.61RVU26B
2026-01-01$153.64$93.61RVU26A
2025-10-01$150.89$103.66RVU25D
2025-07-01$150.89$103.66RVU25C
2025-04-01$150.89$103.66RVU25B
2025-01-01$150.89$103.66RVU25A
2024-10-01$156.61$106.01RVU24D
2024-07-01$156.61$106.01RVU24C
2024-04-01$156.61$106.01RVU24B
2024-03-09$156.61$106.01RVU24AR
2024-01-01$154.05$104.28RVU24A
2023-10-01$159.88$107.36RVU23D
2023-07-01$159.88$107.36RVU23C
2023-04-01$159.88$107.36RVU23B
2023-01-01$159.88$107.36RVU23A
2022-10-01$163.28$107.53RVU22D
2022-07-01$163.28$107.53RVU22C
2022-04-01$163.28$107.53RVU22B
2022-01-01$163.28$107.53RVU22A
2021-10-01$162.82$106.97RVU21D
2021-07-01$162.82$106.97RVU21C
2021-04-01$162.82$106.97RVU21B
2021-01-01$162.82$106.97RVU21A
2020-10-01$158.54$107.42RVU20D
2020-07-01$158.54$107.42RVU20C
2020-04-01$158.54$107.42RVU20B
2020-01-01$158.54$107.42RVU20A
2019-10-01$155.91$108.18RVU19D
2019-07-01$155.91$108.18RVU19C
2019-04-01$155.91$108.18RVU19B
2019-01-01$155.91$108.18RVU19A
2018-10-01$154.65$107.70RVU18D
2018-07-01$154.65$107.70RVU18C
2018-04-01$154.65$107.70RVU18B
2018-01-01$154.65$107.70RVU18AR1
2017-10-01$153.21$107.82RVU17D
2017-07-01$153.21$107.82RVU17C
2017-04-01$153.21$107.82RVU17B
2017-01-01$153.21$107.82RVU17A
2016-10-01$152.58$107.24RVU16D
2016-07-01$152.58$107.24RVU16C
2016-04-01$152.58$107.24RVU16B
2016-01-01$152.58$107.24RVU16A
2015-10-01$153.15$107.65RVU15D
2015-07-01$153.15$107.65RVU15C
2015-04-01$152.39$107.11RVU15B
2015-01-01$152.39$107.11RVU15A
2014-10-01$149.22$105.66RVU14D
2014-07-01$149.22$105.66RVU14C
2014-04-01$149.22$105.66RVU14B
2014-01-01$149.22$105.66RVU14A
2013-10-01$152.64$105.88RVU13D
2013-07-01$152.64$105.88RVU13C
2013-04-01$152.64$105.88RVU13B
2013-01-01$152.64$105.88RVU13AR

Price 11401 for an earlier date of service

Where the Galveston, TX rate applies

Galveston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 16 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

  • Galveston
  • Bacliff
  • Bayou Vista
  • Bolivar Peninsula
  • Clear Lake Shores
  • Dickinson
  • 11401 in Friendswood · multiple payment areas
  • Hitchcock

Browse all communities in Texas

11401 billing questions

How is the 0.6–1 cm size determined?

Measure the lesion together with the narrowest margins removed, using the greatest diameter of the excised area. Document the measurement and the anatomic site.

When should I use 11401 instead of 11400 or 11402?

Use 11401 for a trunk or extremity excision measuring 0.6 through 1.0 cm. Code 11400 is for the smaller size level, and 11402 is for the next larger level.

Does the excision code include wound closure?

Simple closure is included. A separately performed intermediate or complex repair may be reported when the repair independently meets the applicable requirements and is documented.

Can I use 11401 for a lesion on the face or scalp?

No. This code is for the trunk, arms, and legs; select the excision family for the actual site, such as the separate face or scalp, neck, hands, and feet families.

Are postoperative visits separately payable during the global period?

Related postoperative visits during the 10-day global period are included in the procedure.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the session are subject to the standard multiple procedure reduction, with payment at 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 11401PPRRVU2026_Oct_nonQPP.csv, line 1,310 (RVU26D)
Geographic factors for Galveston, TXGPCI2026.csv, line 101 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11401 pays in Galveston, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11401 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist