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CPT code 11402: Skin lesion excision, trunk or extremity, 1.1–2 cm2026 Medicare rate & RVUs in Washington, DC area

Report this code for excision of a benign skin lesion on the trunk, arms, or legs when the lesion and required margins measure 1.1–2 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality110.3K Medicare services in 2024

In Washington, DC area, Medicare pays $195.22 for 11402 in the office and $114.56 when it’s performed in a hospital or facility.

$195.22Office (non-facility)
$114.56Hospital or facility
+14.2%vs the national office rate ($171.01)

Check a contract rate as a % of Medicare · 11402 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 11402 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11402 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 11402 covers

This service removes a benign skin lesion from the trunk, an arm, or a leg, including the margins taken around it. Typical examples include an epidermal inclusion cyst or benign nevus removed in a physician office or outpatient setting. The code is specific to these body regions; lesions on the head, neck, hands, feet, or genitalia fall into different anatomic code families.

Select the size by adding the lesion’s greatest clinical diameter to the narrowest margins required for complete removal; the resulting excised diameter must be 1.1–2 cm. Document the site, benign lesion, and dimensions supporting that measurement. Simple closure is part of the excision; a separately qualifying intermediate or complex repair may be reported. Related postoperative visits during the 10-day global period are included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and others at 50%. The bilateral adjustment is unavailable, assistant-at-surgery payment is restricted, and 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 Washington, DC area compares for 11402

Across 109 of 109 payment localities, the office rate for 11402 runs from $151.47 in Arkansas to $225.52 in San Benito County, CA. Washington, DC area pays $195.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

11402 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$195.22
  2. Los Angeles, CA · California$192.50−$2.72
  3. Miami, FL · Florida$185.04−$10.18
  4. Chicago, IL · Illinois$179.72−$15.50
  5. Manhattan, NY · New York$196.65+$1.43
  6. Alaska · Alaska$199.52+$4.30
  7. Alabama · Alabama$153.67−$41.55

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11402 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$151.47$92.65
ArizonaArizona$166.49$100.14
Bakersfield, CACalifornia$180.88$105.83
Chico, CACalifornia$180.34$105.30
El Centro, CACalifornia$180.37$105.33
Fresno, CACalifornia$180.34$105.30
Hanford, CACalifornia$180.34$105.30
Madera, CACalifornia$180.34$105.30

11402 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.

$151.47

$202.93

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

View every state and territory as a table
11402 office rate range by state
State / territoryOffice rate rangeLocalities
AK$199.521
AL$153.671
AR$151.471
AZ$166.491
CA$180.34–$225.5229
CO$177.811
CT$182.301
DC$195.221
DE$169.231
FL$168.85–$185.043
GA$159.43–$174.252
GU$184.631
HI$184.631
IA$157.371
ID$158.411
IL$164.14–$179.724
IN$159.321
KS$156.711
KY$157.411
LA$157.20–$164.872
MA$176.79–$195.162
MD$172.41–$195.223
ME$159.31–$167.732
MI$161.53–$171.012
MN$170.201
MO$154.59–$165.373
MS$153.051
MT$171.001
NC$160.941
ND$167.441
NE$158.191
NH$175.101
NJ$184.33–$193.252
NM$162.431
NV$170.131
NY$163.33–$201.465
OH$160.801
OK$157.061
OR$168.76–$183.312
PA$161.01–$177.852
PR$172.221
RI$175.151
SC$161.151
SD$167.021
TN$157.501
TX$159.97–$177.268
UT$163.331
VA$167.24–$195.222
VI$172.221
VT$166.861
WA$176.44–$199.032
WI$161.901
WV$158.161
WY$169.451

See 11402 in every payment locality

How the 11402 rate is calculated

Each of 11402’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 · 11402

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.41

1.41 RVUs× 1.000 GPCI

Practice expense3.53

3.53 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

5.1200

Conversion factor

$33.4009

Medicare rate

$171.01

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,311

Code
11402
Physician work
1.41
Practice expense
3.53
Malpractice
0.18

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11402 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.41× 1.0541.4861
Practice expense3.53× 1.1784.1583
Malpractice0.18× 1.1130.2003
Total RVUs5.8448
Conversion factor× 33.4009

Office rate, Washington, DC area$195.22

Office: (1.41 × 1.054 + 3.53 × 1.178 + 0.18 × 1.113) × $33.4009 = $195.22

Facility: (1.41 × 1.054 + 1.48 × 1.178 + 0.18 × 1.113) × $33.4009 = $114.56

Open 11402 in the RVU calculator

Payment rules and modifiers for 11402

11402 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11402

Skin lesion excision, trunk or extremity, 1.1–2 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 · 11402

Skin lesion excision, trunk or extremity, 1.1–2 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

11402 without 51 · national office

$171.01

Skin lesion excision, trunk or extremity, 1.1–2 cm

11402-51 · Second procedure: 50%

$85.51

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 11402

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

Codes related to 11402
CodeHow it relatesOffice range, Washington, DC area
Same family
11401Benign lesion excision, trunk/extremities, 0.6–1 cmSame body regions; selected when the lesion plus margins measures 0.6–1 cm.$177.04
11403Benign lesion excision, trunk or limb, 2.1–3 cmSame body regions; selected when the lesion plus margins measures 2.1–3 cm.$227.33
11422Skin lesion excision, scalp, neck, hands, feet, genitaliaSame size range, but for lesions in the head, neck, hands, feet, or genitalia.$204.43
11442Facial lesion excision, 1.1–2 cm excised diameterSame size range, but for benign lesions on the face, ears, eyelids, nose, lips, or mucous membrane.$220.96
Used instead
11602Malignant lesion excision, trunk or extremity, 1.1–2 cmUsed for malignant lesions in the same body regions and size range.$273.64
Often billed with
12031Wound repair, scalp, trunk, or extremityMay be reported for a separately qualifying intermediate repair of a trunk or extremity wound.$297.54

How 11402 has changed in Washington, DC area

11402 · Office / nonfacility

$195.22

Effective 2026-10-01

The base rate is $2.74 higher than on 2025-10-01, moving from $192.48 to $195.22 (1.4%).

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

    $192.48changed to$195.22

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.45 changed to 1.41
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $199.26changed to$192.48

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.55 changed to 3.53
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $196.01changed to$199.26

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $204.62changed to$196.01

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.52 changed to 3.55
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $211.12changed to$204.62

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.49 changed to 3.52
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $210.70changed to$211.12

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.45 changed to 3.49
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $204.22changed to$210.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.19 changed to 3.45
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $199.68changed to$204.22

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.10 changed to 3.19
    • Malpractice RVU 0.23 changed to 0.19
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $198.60changed to$199.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.08 changed to 3.10

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $196.06changed to$198.60

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.03 changed to 3.08
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $194.54changed to$196.06

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.00 changed to 3.03
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $195.21changed to$194.54

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.01 changed to 3.00
    • Malpractice RVU 0.22 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $194.24changed to$195.21

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $190.63changed to$194.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.93 changed to 3.01
    • Malpractice RVU 0.23 changed to 0.22
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $195.48changed to$190.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.30 changed to 2.93
    • Malpractice RVU 0.24 changed to 0.23
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $195.48

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$195.22$114.56RVU26D
2026-07-01$195.22$114.56RVU26C
2026-04-01$195.22$114.56RVU26B
2026-01-01$195.22$114.56RVU26A
2025-10-01$192.48$128.86RVU25D
2025-07-01$192.48$128.86RVU25C
2025-04-01$192.48$128.86RVU25B
2025-01-01$192.48$128.86RVU25A
2024-10-01$199.26$131.81RVU24D
2024-07-01$199.26$131.81RVU24C
2024-04-01$199.26$131.81RVU24B
2024-03-09$199.26$131.81RVU24AR
2024-01-01$196.01$129.66RVU24A
2023-10-01$204.62$134.28RVU23D
2023-07-01$204.62$134.28RVU23C
2023-04-01$204.62$134.28RVU23B
2023-01-01$204.62$134.28RVU23A
2022-10-01$211.12$136.70RVU22D
2022-07-01$211.12$136.70RVU22C
2022-04-01$211.12$136.70RVU22B
2022-01-01$211.12$136.70RVU22A
2021-10-01$210.70$136.09RVU21D
2021-07-01$210.70$136.09RVU21C
2021-04-01$210.70$136.09RVU21B
2021-01-01$210.70$136.09RVU21A
2020-10-01$204.22$135.48RVU20D
2020-07-01$204.22$135.48RVU20C
2020-04-01$204.22$135.48RVU20B
2020-01-01$204.22$135.48RVU20A
2019-10-01$199.68$134.98RVU19D
2019-07-01$199.68$134.98RVU19C
2019-04-01$199.68$134.98RVU19B
2019-01-01$199.68$134.98RVU19A
2018-10-01$198.60$134.83RVU18D
2018-07-01$198.60$134.83RVU18C
2018-04-01$198.60$134.83RVU18B
2018-01-01$198.60$134.83RVU18AR1
2017-10-01$196.06$133.79RVU17D
2017-07-01$196.06$133.79RVU17C
2017-04-01$196.06$133.79RVU17B
2017-01-01$196.06$133.79RVU17A
2016-10-01$194.54$133.27RVU16D
2016-07-01$194.54$133.27RVU16C
2016-04-01$194.54$133.27RVU16B
2016-01-01$194.54$133.27RVU16A
2015-10-01$195.21$133.73RVU15D
2015-07-01$195.21$133.73RVU15C
2015-04-01$194.24$133.06RVU15B
2015-01-01$194.24$133.06RVU15A
2014-10-01$190.63$131.21RVU14D
2014-07-01$190.63$131.21RVU14C
2014-04-01$190.63$131.21RVU14B
2014-01-01$190.63$131.21RVU14A
2013-10-01$195.48$131.08RVU13D
2013-07-01$195.48$131.08RVU13C
2013-04-01$195.48$131.08RVU13B
2013-01-01$195.48$131.08RVU13AR

Price 11402 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11402 billing questions

How is the 1.1–2 cm size determined?

Use the lesion’s greatest clinical diameter plus the narrowest margins needed for complete removal. The combined measurement must be 1.1–2 cm.

Which body sites qualify for this code?

The code is for lesions on the trunk, arms, or legs. Head, neck, hands, feet, and genital lesions belong to different anatomic code families.

Can the closure be billed separately?

Simple closure is included in the excision. A separately qualifying intermediate or complex repair may be reported when the work and documentation support it.

Are postoperative visits separately billable during the global period?

Related postoperative visits for 10 days are included in this code’s global period.

Can modifier 50 be used for lesions removed on both sides?

No. The bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

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 11402PPRRVU2026_Oct_nonQPP.csv, line 1,311 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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