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CPT code 11406: Skin lesion excision, trunk or extremity, over 4 cm2026 Medicare rate & RVUs in Washington, DC area

Reports excision of a benign skin lesion on the trunk, arm, or leg when the lesion plus margins measures more than 4.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality15.3K Medicare services in 2024

In Washington, DC area, Medicare pays $377.47 for 11406 in the office and $252.75 when it’s performed in a hospital or facility.

$377.47Office (non-facility)
$252.75Hospital or facility
+13.1%vs the national office rate ($333.67)

Check a contract rate as a % of Medicare · 11406 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 11406 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11406 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 11406 covers

This service removes a benign skin lesion from the trunk, arm, or leg, with a margin of surrounding tissue. The code is selected when the excised diameter—the lesion’s greatest diameter plus the margins—is greater than 4.0 cm. Dermatologists, surgeons, and other clinicians who perform skin procedures may report it in an office or facility setting. It is not the site-specific code for lesions on the scalp, neck, hands, feet, or face.

Document the lesion’s location, benign diagnosis, size, margins, and total excised diameter. Simple wound closure is included; a separately reportable repair may be appropriate when a more complex closure is performed. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, 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 11406

Across 109 of 109 payment localities, the office rate for 11406 runs from $295.43 in Arkansas to $423.76 in San Benito County, CA. Washington, DC area pays $377.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

11406 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$377.47
  2. Los Angeles, CA · California$367.37−$10.10
  3. Miami, FL · Florida$374.47−$3.00
  4. Chicago, IL · Illinois$363.15−$14.32
  5. Manhattan, NY · New York$385.57+$8.10
  6. Alaska · Alaska$394.21+$16.74
  7. Alabama · Alabama$299.68−$77.79

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

Every other payment area

11406 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$295.43$204.48
ArizonaArizona$324.47$221.87
Bakersfield, CACalifornia$346.48$230.43
Chico, CACalifornia$344.69$228.64
El Centro, CACalifornia$344.79$228.75
Fresno, CACalifornia$344.69$228.64
Hanford, CACalifornia$344.69$228.64
Madera, CACalifornia$344.69$228.64

11406 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.

$295.43

$394.21

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

View every state and territory as a table
11406 office rate range by state
State / territoryOffice rate rangeLocalities
AK$394.211
AL$299.681
AR$295.431
AZ$324.471
CA$344.69–$423.7629
CO$343.021
CT$355.681
DC$377.471
DE$329.721
FL$335.73–$374.473
GA$316.42–$341.482
GU$351.761
HI$351.761
IA$303.981
ID$306.591
IL$328.51–$363.154
IN$308.251
KS$304.091
KY$309.911
LA$310.04–$324.922
MA$341.65–$374.382
MD$335.44–$377.473
ME$309.78–$324.012
MI$319.23–$341.422
MN$324.361
MO$305.83–$324.233
MS$300.611
MT$333.631
NC$312.711
ND$320.981
NE$305.151
NH$339.111
NJ$358.52–$373.982
NM$321.561
NV$330.301
NY$317.44–$396.705
OH$316.641
OK$307.751
OR$326.54–$351.982
PA$316.29–$347.972
PR$335.531
RI$340.071
SC$315.441
SD$319.481
TN$305.781
TX$314.36–$342.948
UT$319.631
VA$324.03–$377.472
VI$335.531
VT$321.141
WA$340.54–$380.382
WI$310.581
WV$316.991
WY$328.121

See 11406 in every payment locality

How the 11406 rate is calculated

Each of 11406’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 · 11406

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.43

3.43 RVUs× 1.000 GPCI

Practice expense5.92

5.92 RVUs× 1.000 GPCI

Malpractice0.64

0.64 RVUs× 1.000 GPCI

Adjusted RVUs

9.9900

Conversion factor

$33.4009

Medicare rate

$333.67

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

1,314

Code
11406
Physician work
3.43
Practice expense
5.92
Malpractice
0.64

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11406 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.43× 1.0543.6152
Practice expense5.92× 1.1786.9738
Malpractice0.64× 1.1130.7123
Total RVUs11.3013
Conversion factor× 33.4009

Office rate, Washington, DC area$377.47

Office: (3.43 × 1.054 + 5.92 × 1.178 + 0.64 × 1.113) × $33.4009 = $377.47

Facility: (3.43 × 1.054 + 2.75 × 1.178 + 0.64 × 1.113) × $33.4009 = $252.75

Open 11406 in the RVU calculator

Payment rules and modifiers for 11406

11406 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11406

Skin lesion excision, trunk or extremity, over 4 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 · 11406

Skin lesion excision, trunk or extremity, over 4 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

11406 without 51 · national office

$333.67

Skin lesion excision, trunk or extremity, over 4 cm

11406-51 · Second procedure: 50%

$166.84

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 11406

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

Codes related to 11406
CodeHow it relatesOffice range, Washington, DC area
Same family
11404Skin excision, trunk or extremity, 3.1–4 cmSame trunk, arm, or leg site series; applies when excised diameter is 3.1–4.0 cm.$262.96
11403Benign lesion excision, trunk or limb, 2.1–3 cmSame site series; applies when excised diameter is 2.1–3.0 cm.$227.33
11426Benign lesion excision, scalp, neck, hands, feet, genitaliaBenign lesion excision over 4.0 cm in the scalp, neck, hands, or feet site series.$382.63
11446Skin lesion excision, face, over 4 cmBenign lesion excision over 4.0 cm in the face site series.$448.54

How 11406 has changed in Washington, DC area

11406 · Office / nonfacility

$377.47

Effective 2026-10-01

The base rate is $21.65 higher than on 2025-10-01, moving from $355.82 to $377.47 (6.1%).

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

    $355.82changed to$377.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.52 changed to 3.43
    • Practice expense RVU 5.48 changed to 5.92
    • 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

    $365.76changed to$355.82

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.45 changed to 5.48
    • Malpractice RVU 0.66 changed to 0.64

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $359.79changed to$365.76

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $374.41changed to$359.79

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.38 changed to 5.45
    • Malpractice RVU 0.65 changed to 0.66
    • 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

    $385.91changed to$374.41

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.34 changed to 5.38
    • 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

    $386.09changed to$385.91

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.27 changed to 5.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $379.12changed to$386.09

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.91 changed to 5.27
    • Malpractice RVU 0.64 changed to 0.65
    • 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

    $372.83changed to$379.12

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.80 changed to 4.91
    • Malpractice RVU 0.70 changed to 0.64
    • 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

    $371.12changed to$372.83

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.77 changed to 4.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $367.58changed to$371.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.70 changed to 4.77
    • 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

    $366.48changed to$367.58

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.67 changed to 4.70
    • Malpractice RVU 0.71 changed to 0.70
    • 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

    $366.91changed to$366.48

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.66 changed to 4.67
    • Malpractice RVU 0.70 changed to 0.71

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $365.08changed to$366.91

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $358.10changed to$365.08

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.60 changed to 4.66
    • Malpractice RVU 0.64 changed to 0.70
    • 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

    $360.89changed to$358.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.14 changed to 4.60
    • Malpractice RVU 0.67 changed to 0.64
    • 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: $360.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$377.47$252.75RVU26D
2026-07-01$377.47$252.75RVU26C
2026-04-01$377.47$252.75RVU26B
2026-01-01$377.47$252.75RVU26A
2025-10-01$355.82$275.24RVU25D
2025-07-01$355.82$275.24RVU25C
2025-04-01$355.82$275.24RVU25B
2025-01-01$355.82$275.24RVU25A
2024-10-01$365.76$280.85RVU24D
2024-07-01$365.76$280.85RVU24C
2024-04-01$365.76$280.85RVU24B
2024-03-09$365.76$280.85RVU24AR
2024-01-01$359.79$276.26RVU24A
2023-10-01$374.41$285.55RVU23D
2023-07-01$374.41$285.55RVU23C
2023-04-01$374.41$285.55RVU23B
2023-01-01$374.41$285.55RVU23A
2022-10-01$385.91$291.81RVU22D
2022-07-01$385.91$291.81RVU22C
2022-04-01$385.91$291.81RVU22B
2022-01-01$385.91$291.81RVU22A
2021-10-01$386.09$291.21RVU21D
2021-07-01$386.09$291.21RVU21C
2021-04-01$386.09$291.21RVU21B
2021-01-01$386.09$291.21RVU21A
2020-10-01$379.12$291.87RVU20D
2020-07-01$379.12$291.87RVU20C
2020-04-01$379.12$291.87RVU20B
2020-01-01$379.12$291.87RVU20A
2019-10-01$372.83$289.88RVU19D
2019-07-01$372.83$289.88RVU19C
2019-04-01$372.83$289.88RVU19B
2019-01-01$372.83$289.88RVU19A
2018-10-01$371.12$289.56RVU18D
2018-07-01$371.12$289.56RVU18C
2018-04-01$371.12$289.56RVU18B
2018-01-01$371.12$289.56RVU18AR1
2017-10-01$367.58$288.44RVU17D
2017-07-01$367.58$288.44RVU17C
2017-04-01$367.58$288.44RVU17B
2017-01-01$367.58$288.44RVU17A
2016-10-01$366.48$287.96RVU16D
2016-07-01$366.48$287.96RVU16C
2016-04-01$366.48$287.96RVU16B
2016-01-01$366.48$287.96RVU16A
2015-10-01$366.91$288.54RVU15D
2015-07-01$366.91$288.54RVU15C
2015-04-01$365.08$287.10RVU15B
2015-01-01$365.08$287.10RVU15A
2014-10-01$358.10$281.02RVU14D
2014-07-01$358.10$281.02RVU14C
2014-04-01$358.10$281.02RVU14B
2014-01-01$358.10$281.02RVU14A
2013-10-01$360.89$278.15RVU13D
2013-07-01$360.89$278.15RVU13C
2013-04-01$360.89$278.15RVU13B
2013-01-01$360.89$278.15RVU13AR

Price 11406 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

11406 billing questions

How is the size threshold determined?

Use the lesion’s greatest diameter plus the margins removed. Report this level when that total excised diameter is greater than 4.0 cm.

Which site codes should I compare?

Use this code for the trunk, arms, or legs. Lesions on the scalp, neck, hands, or feet follow a separate site series, as do lesions on the face.

Can I separately bill the closure?

Simple closure is included in the excision. A more complex repair may be separately reportable when supported by the procedure performed and documented.

Can I append modifier 50 for two sides?

No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.

Are assistant or co-surgeon services payable?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 11406PPRRVU2026_Oct_nonQPP.csv, line 1,314 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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