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CPT code 11422: Skin lesion excision, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Connecticut

Reports removal of a benign skin lesion from the scalp, neck, hands, feet, or genitalia when its excised diameter, including margins, is 1.1–2.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality34.4K Medicare services in 2024

In Connecticut, Medicare pays $191.34 for 11422 in the office and $131.63 when it’s performed in a hospital or facility.

$191.34Office (non-facility)
$131.63Hospital or facility
+6.5%vs the national office rate ($179.70)

Check a contract rate as a % of Medicare · 11422 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 11422 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 11422 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 11422 covers

A clinician removes a benign skin lesion from the scalp, neck, hand, foot, or genital area, taking the lesion and the required surrounding margin. Dermatologists, surgeons, and other qualified clinicians commonly perform this procedure in an office or outpatient setting for lesions such as benign nevi or cysts. The code is selected by the excised diameter, measured across the lesion and its margins, not by the length of the final incision or closure. Simple closure is included; a separately reportable intermediate or complex repair may be coded when performed and documented.

Report this level when the measured excision is 1.1–2.0 cm. Document the lesion’s site, benign indication, dimensions with margins, and the procedure performed. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service; 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 Connecticut compares for 11422

Across 109 of 109 payment localities, the office rate for 11422 runs from $159.67 in Arkansas to $234.58 in San Benito County, CA. Connecticut pays $191.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

11422 in Connecticut vs other payment areas
  1. Connecticut · this page$191.34
  2. Los Angeles, CA · California$201.16+$9.82
  3. Washington, DC area · District of Columbia$204.43+$13.09
  4. Miami, FL · Florida$195.26+$3.92
  5. Chicago, IL · Illinois$189.75−$1.59
  6. Manhattan, NY · New York$206.41+$15.07
  7. Alaska · Alaska$211.60+$20.26

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

Every other payment area

11422 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$161.91$113.40
ArkansasArkansas$159.67$112.04
ArizonaArizona$175.03$121.31
Bakersfield, CACalifornia$189.31$128.55
Chico, CACalifornia$188.69$127.92
El Centro, CACalifornia$188.73$127.96
Fresno, CACalifornia$188.69$127.92
Hanford, CACalifornia$188.69$127.92

11422 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.

$159.67

$211.64

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

View every state and territory as a table
11422 office rate range by state
State / territoryOffice rate rangeLocalities
AK$211.601
AL$161.911
AR$159.671
AZ$175.031
CA$188.69–$234.5829
CO$186.361
CT$191.341
DC$204.431
DE$177.851
FL$178.04–$195.263
GA$168.31–$183.162
GU$192.901
HI$192.901
IA$165.451
ID$166.571
IL$173.39–$189.754
IN$167.481
KS$164.901
KY$166.011
LA$165.84–$173.692
MA$185.40–$204.042
MD$181.08–$204.433
ME$167.61–$176.052
MI$170.34–$180.382
MN$178.181
MO$163.24–$174.053
MS$161.481
MT$179.681
NC$169.271
ND$175.531
NE$166.261
NH$183.651
NJ$193.42–$202.492
NM$171.321
NV$178.641
NY$171.72–$211.505
OH$169.501
OK$165.521
OR$177.14–$191.872
PA$169.64–$186.872
PR$180.891
RI$183.871
SC$169.681
SD$175.041
TN$165.721
TX$168.59–$185.858
UT$171.911
VA$175.63–$204.432
VI$180.891
VT$175.051
WA$184.98–$207.922
WI$169.891
WV$167.271
WY$177.871

See 11422 in every payment locality

How the 11422 rate is calculated

Each of 11422’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 · 11422

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.64

1.64 RVUs× 1.000 GPCI

Practice expense3.53

3.53 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

5.3800

Conversion factor

$33.4009

Medicare rate

$179.70

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,317

Code
11422
Physician work
1.64
Practice expense
3.53
Malpractice
0.21

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 11422 in Connecticut
ComponentRVULocality factorAdjusted
Physician work1.64× 1.0201.6728
Practice expense3.53× 1.0773.8018
Malpractice0.21× 1.2100.2541
Total RVUs5.7287
Conversion factor× 33.4009

Office rate, Connecticut$191.34

Office: (1.64 × 1.02 + 3.53 × 1.077 + 0.21 × 1.21) × $33.4009 = $191.34

Facility: (1.64 × 1.02 + 1.87 × 1.077 + 0.21 × 1.21) × $33.4009 = $131.63

Open 11422 in the RVU calculator

Payment rules and modifiers for 11422

11422 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11422

Skin 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 · 11422

Skin 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

11422 without 51 · national office

$179.70

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

11422-51 · Second procedure: 50%

$89.85

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 11422

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

Codes related to 11422
CodeHow it relatesOffice range, Connecticut
Same family
11421Lesion excision, scalp, neck, hands, feet, genitaliaSame anatomic group; selected for an excised diameter of 0.6–1.0 cm.$169.62
11423Skin excision, scalp, neck, hands, feet, or genitaliaSame anatomic group; selected for an excised diameter of 2.1–3.0 cm.$222.20
Used instead
11402Skin lesion excision, trunk or extremity, 1.1–2 cmBenign lesion excision at trunk, arms, or legs for the same 1.1–2.0 cm size level.$182.30
11442Facial lesion excision, 1.1–2 cm excised diameterBenign lesion excision at the face for the same 1.1–2.0 cm size level.$206.69
11622Skin lesion excision, designated sites, 1.1–2 cmExcision at the same site and size level when the lesion is malignant.$265.76

How 11422 has changed in Connecticut

11422 · Office / nonfacility

$191.34

Effective 2026-10-01

The base rate is $4.09 higher than on 2025-10-01, moving from $187.25 to $191.34 (2.2%).

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

    $187.25changed to$191.34

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.68 changed to 1.64
    • Practice expense RVU 3.50 changed to 3.53
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $193.43changed to$187.25

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.52 changed to 3.50

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $190.27changed to$193.43

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $196.94changed to$190.27

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.49 changed to 3.52
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $200.46changed to$196.94

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.46 changed to 3.49
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $201.35changed to$200.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.44 changed to 3.46

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $200.01changed to$201.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.20 changed to 3.44
    • Malpractice RVU 0.23 changed to 0.21
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.56changed to$200.01

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.13 changed to 3.20
    • Malpractice RVU 0.25 changed to 0.23
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $197.59changed to$198.56

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.10 changed to 3.13
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $195.11changed to$197.59

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.05 changed to 3.10
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $194.24changed to$195.11

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.03 changed to 3.05
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $194.90changed to$194.24

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.04 changed to 3.03
    • Malpractice RVU 0.24 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $193.93changed to$194.90

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $191.41changed to$193.93

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.97 changed to 3.04
    • Malpractice RVU 0.25 changed to 0.24
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $195.21changed to$191.41

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.33 changed to 2.97
    • Malpractice RVU 0.26 changed to 0.25
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $195.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$191.34$131.63RVU26D
2026-07-01$191.34$131.63RVU26C
2026-04-01$191.34$131.63RVU26B
2026-01-01$191.34$131.63RVU26A
2025-10-01$187.25$143.49RVU25D
2025-07-01$187.25$143.49RVU25C
2025-04-01$187.25$143.49RVU25B
2025-01-01$187.25$143.49RVU25A
2024-10-01$193.43$145.85RVU24D
2024-07-01$193.43$145.85RVU24C
2024-04-01$193.43$145.85RVU24B
2024-03-09$193.43$145.85RVU24AR
2024-01-01$190.27$143.47RVU24A
2023-10-01$196.94$146.90RVU23D
2023-07-01$196.94$146.90RVU23C
2023-04-01$196.94$146.90RVU23B
2023-01-01$196.94$146.90RVU23A
2022-10-01$200.46$147.26RVU22D
2022-07-01$200.46$147.26RVU22C
2022-04-01$200.46$147.26RVU22B
2022-01-01$200.46$147.26RVU22A
2021-10-01$201.35$146.93RVU21D
2021-07-01$201.35$146.93RVU21C
2021-04-01$201.35$146.93RVU21B
2021-01-01$201.35$146.93RVU21A
2020-10-01$200.01$150.60RVU20D
2020-07-01$200.01$150.60RVU20C
2020-04-01$200.01$150.60RVU20B
2020-01-01$200.01$150.60RVU20A
2019-10-01$198.56$152.07RVU19D
2019-07-01$198.56$152.07RVU19C
2019-04-01$198.56$152.07RVU19B
2019-01-01$198.56$152.07RVU19A
2018-10-01$197.59$152.76RVU18D
2018-07-01$197.59$152.76RVU18C
2018-04-01$197.59$152.76RVU18B
2018-01-01$197.59$152.76RVU18AR1
2017-10-01$195.11$151.41RVU17D
2017-07-01$195.11$151.41RVU17C
2017-04-01$195.11$151.41RVU17B
2017-01-01$195.11$151.41RVU17A
2016-10-01$194.24$150.49RVU16D
2016-07-01$194.24$150.49RVU16C
2016-04-01$194.24$150.49RVU16B
2016-01-01$194.24$150.49RVU16A
2015-10-01$194.90$150.99RVU15D
2015-07-01$194.90$150.99RVU15C
2015-04-01$193.93$150.24RVU15B
2015-01-01$193.93$150.24RVU15A
2014-10-01$191.41$148.64RVU14D
2014-07-01$191.41$148.64RVU14C
2014-04-01$191.41$148.64RVU14B
2014-01-01$191.41$148.64RVU14A
2013-10-01$195.21$149.90RVU13D
2013-07-01$195.21$149.90RVU13C
2013-04-01$195.21$149.90RVU13B
2013-01-01$195.21$149.90RVU13AR

Price 11422 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

11422 billing questions

How is the 1.1–2.0 cm size determined?

Measure the excised diameter across the lesion and its margins. Do not use the incision or repair length as the excised diameter.

When should 11421 or 11423 be reported instead?

Use 11421 for the same anatomic group when the excised diameter is 0.6–1.0 cm, and 11423 when it is 2.1–3.0 cm.

Can the repair be billed separately?

Simple closure is included in the excision. A separately reportable intermediate or complex repair may be coded when the documented closure meets that repair service’s requirements.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code; the CMS bilateral adjustment does not apply to its descriptor or anatomy.

What postoperative care is included?

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

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

The highest-valued procedure is paid in full, and other procedures subject to the multiple-procedure rule are paid 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 11422PPRRVU2026_Oct_nonQPP.csv, line 1,317 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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