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

Reports excision of a benign skin lesion measuring 0.5 cm or less, including margins, on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 2026One payment locality13.2K Medicare services in 2024

In Virginia, Medicare pays $122.35 for 11420 in the office and $74.41 when it’s performed in a hospital or facility.

$122.35Office (non-facility)
$74.41Hospital or facility
−2.1%vs the national office rate ($124.92)

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.

We’ll open 11420 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 11420 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 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 Virginia 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. Virginia pays $122.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

11420 in Virginia vs other payment areas
  1. Virginia · this page$122.35
  2. Los Angeles, CA · California$141.13+$18.78
  3. Washington, DC area · District of Columbia$142.77+$20.42
  4. Miami, FL · Florida$134.14+$11.79
  5. Chicago, IL · Illinois$130.35+$8.00
  6. Manhattan, NY · New York$143.44+$21.09
  7. Alaska · Alaska$145.68+$23.33

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

Every other payment area

11420 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$112.34$69.67
ArkansasArkansas$110.75$68.86
ArizonaArizona$121.67$74.41
Bakersfield, CACalifornia$132.55$79.10
Chico, CACalifornia$132.22$78.77
El Centro, CACalifornia$132.23$78.79
Fresno, CACalifornia$132.22$78.77
Hanford, CACalifornia$132.22$78.77

11420 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.

$110.75

$148.97

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

View every state and territory as a table
11420 office rate range by state
State / territoryOffice rate rangeLocalities
AK$145.681
AL$112.341
AR$110.751
AZ$121.671
CA$132.22–$165.7229
CO$130.141
CT$133.121
DC$142.771
DE$123.661
FL$122.90–$134.143
GA$116.14–$127.162
GU$135.411
HI$135.411
IA$115.241
ID$115.961
IL$119.35–$130.364
IN$116.621
KS$114.661
KY$114.861
LA$114.66–$120.242
MA$129.36–$142.932
MD$126.01–$142.773
ME$116.50–$122.772
MI$117.75–$124.372
MN$124.881
MO$112.70–$120.713
MS$111.751
MT$124.911
NC$117.711
ND$122.741
NE$115.871
NH$128.061
NJ$134.69–$141.332
NM$118.371
NV$124.391
NY$119.44–$146.815
OH$117.311
OK$114.701
OR$123.48–$134.262
PA$117.51–$129.832
PR$125.831
RI$128.061
SC$117.691
SD$122.481
TN$115.221
TX$116.75–$129.668
UT$119.271
VA$122.35–$142.772
VI$125.831
VT$122.231
WA$129.13–$145.862
WI$118.691
WV$115.001
WY$123.961

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.

How the rate is built · 11420

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.00

1.00 RVUs× 1.000 GPCI

Practice expense2.63

2.63 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

3.7400

Conversion factor

$33.4009

Medicare rate

$124.92

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

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,315

Code
11420
Physician work
1.00
Practice expense
2.63
Malpractice
0.11

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 11420 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.00× 1.0001.0000
Practice expense2.63× 0.9832.5853
Malpractice0.11× 0.7060.0777
Total RVUs3.6629
Conversion factor× 33.4009

Office rate, Virginia$122.35

Office: (1 × 1 + 2.63 × 0.983 + 0.11 × 0.706) × $33.4009 = $122.35

Facility: (1 × 1 + 1.17 × 0.983 + 0.11 × 0.706) × $33.4009 = $74.41

Open 11420 in the RVU calculator

Payment rules and modifiers for 11420

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

CMS payment indicators · 11420

Benign lesion excision, scalp, neck, hands, feet, genitalia

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 · 11420

Benign lesion excision, scalp, neck, hands, feet, genitalia

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

11420 without 51 · national office

$124.92

Benign lesion excision, scalp, neck, hands, feet, genitalia

11420-51 · Second procedure: 50%

$62.46

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 11420

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

Codes related to 11420
CodeHow it relatesOffice range, Virginia
Same family
11421Lesion excision, scalp, neck, hands, feet, genitaliaSame site group; used when the excised diameter is 0.6 to 1.0 cm.$155.85
11422Skin lesion excision, scalp, neck, hands, feet, genitaliaSame site group; used when the excised diameter is 1.1 to 2.0 cm.$175.63
Used instead
11400Skin lesion excision, trunk, arm, or leg; 0.5 cm or lessBenign lesion excision for trunk or extremity sites rather than this code's site group.$125.23
11440Lesion excision, face, 0.5 cm or lessBenign lesion excision for face, ears, eyelids, nose, or lips.$139.10
11200Skin tag removal, up to 15 lesionsRemoval of skin tags, rather than excision of a benign lesion under this code.$90.33

How 11420 has changed in Virginia

11420 · Office / nonfacility

$122.35

Effective 2026-10-01

The base rate is $1.69 higher than on 2025-10-01, moving from $120.66 to $122.35 (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

    $120.66changed to$122.35

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.03 changed to 1.00
    • Practice expense RVU 2.65 changed to 2.63
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $124.98changed to$120.66

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.69 changed to 2.65
    • Malpractice RVU 0.10 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $122.94changed to$124.98

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $128.23changed to$122.94

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.11 changed to 0.10
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $131.03changed to$128.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.68 changed to 2.69
    • Malpractice RVU 0.10 changed to 0.11
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $131.73changed to$131.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.66 changed to 2.68
    • Malpractice RVU 0.11 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $128.74changed to$131.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.46 changed to 2.66
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $125.65changed to$128.74

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.39 changed to 2.46
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $124.42changed to$125.65

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.35 changed to 2.39
    • Malpractice RVU 0.12 changed to 0.11

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $122.71changed to$124.42

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.32 changed to 2.35
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $121.72changed to$122.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.31 changed to 2.32
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $122.22changed to$121.72

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.32 changed to 2.31
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $121.61changed to$122.22

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $119.65changed to$121.61

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.27 changed to 2.32
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $122.79changed to$119.65

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.55 changed to 2.27
    • Malpractice RVU 0.12 changed to 0.11
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $122.79

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$122.35$74.41RVU26D
2026-07-01$122.35$74.41RVU26C
2026-04-01$122.35$74.41RVU26B
2026-01-01$122.35$74.41RVU26A
2025-10-01$120.66$79.60RVU25D
2025-07-01$120.66$79.60RVU25C
2025-04-01$120.66$79.60RVU25B
2025-01-01$120.66$79.60RVU25A
2024-10-01$124.98$81.09RVU24D
2024-07-01$124.98$81.09RVU24C
2024-04-01$124.98$81.09RVU24B
2024-03-09$124.98$81.09RVU24AR
2024-01-01$122.94$79.76RVU24A
2023-10-01$128.23$81.93RVU23D
2023-07-01$128.23$81.93RVU23C
2023-04-01$128.23$81.93RVU23B
2023-01-01$128.23$81.93RVU23A
2022-10-01$131.03$82.82RVU22D
2022-07-01$131.03$82.82RVU22C
2022-04-01$131.03$82.82RVU22B
2022-01-01$131.03$82.82RVU22A
2021-10-01$131.73$82.78RVU21D
2021-07-01$131.73$82.78RVU21C
2021-04-01$131.73$82.78RVU21B
2021-01-01$131.73$82.78RVU21A
2020-10-01$128.74$83.67RVU20D
2020-07-01$128.74$83.67RVU20C
2020-04-01$128.74$83.67RVU20B
2020-01-01$128.74$83.67RVU20A
2019-10-01$125.65$83.01RVU19D
2019-07-01$125.65$83.01RVU19C
2019-04-01$125.65$83.01RVU19B
2019-01-01$125.65$83.01RVU19A
2018-10-01$124.42$82.89RVU18D
2018-07-01$124.42$82.89RVU18C
2018-04-01$124.42$82.89RVU18B
2018-01-01$124.42$82.89RVU18AR1
2017-10-01$122.71$82.76RVU17D
2017-07-01$122.71$82.76RVU17C
2017-04-01$122.71$82.76RVU17B
2017-01-01$122.71$82.76RVU17A
2016-10-01$121.72$81.95RVU16D
2016-07-01$121.72$81.95RVU16C
2016-04-01$121.72$81.95RVU16B
2016-01-01$121.72$81.95RVU16A
2015-10-01$122.22$81.95RVU15D
2015-07-01$122.22$81.95RVU15C
2015-04-01$121.61$81.54RVU15B
2015-01-01$121.61$81.54RVU15A
2014-10-01$119.65$81.04RVU14D
2014-07-01$119.65$81.04RVU14C
2014-04-01$119.65$81.04RVU14B
2014-01-01$119.65$81.04RVU14A
2013-10-01$122.79$80.91RVU13D
2013-07-01$122.79$80.91RVU13C
2013-04-01$122.79$80.91RVU13B
2013-01-01$122.79$80.91RVU13AR

Price 11420 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

11420 billing questions

How is the lesion size determined?

Use the excised diameter, which includes the lesion and the margins removed. The documentation should support a diameter of 0.5 cm or less.

When should I choose 11421 instead?

Choose 11421 for a lesion at one of the same sites when the excised diameter is 0.6 to 1.0 cm. Code 11420 is limited to 0.5 cm or less.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code. It describes an individual lesion excision, not a bilateral procedure.

Are postoperative visits separately reported during the global period?

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

How are multiple procedures in the same session paid?

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

Can an assistant or co-surgeon be reported?

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 11420PPRRVU2026_Oct_nonQPP.csv, line 1,315 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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