CPT code 11420: Benign lesion excision, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Merced, CA

In Merced, CA, Medicare pays $132.22 for 11420 in the office and $78.77 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11420 nationwide

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

What 11420 covers

This code covers surgical removal of a small benign skin lesion from the scalp, neck, a hand, a foot, or the genitalia. Dermatologists, primary care clinicians, and surgeons may perform the procedure in an office or facility. The coded size is the greatest diameter of the lesion plus the margins removed, not the lesion alone. A suspected nevus or cyst may be removed for treatment or diagnosis; the record should identify the site and document the excised diameter and benign clinical assessment.

Choose this code only when the site falls within this group and the excised diameter is 0.5 cm or less. Use the appropriate sibling code when the diameter is larger, or a different site-specific code for another body region. The 10-day global period includes related postoperative visits during that period. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Merced, CA compares for 11420

Across 109 of 109 payment localities, the office rate for 11420 runs from $110.75 in Arkansas to $165.72 in San Benito County, CA. Merced, CA pays $132.22. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11420 rates by state

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

See 11420 in every payment locality

How the 11420 rate is calculated

Each of 11420’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.

Payment rules and modifiers for 11420

11420 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 11420

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

How 11420 has changed in Merced, CA

Price 11420 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

• Merced
• Atwater
• Ballico
• Bear Creek
• Cressey
• Delhi
• Dos Palos
• Dos Palos Y

Browse all communities in California

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

Open CMS sourceHow we calculate rates