CPT code 11422: Skin lesion excision, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in South Dakota
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.
In South Dakota, Medicare pays $175.04 for 11422 in the office and $119.59 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 South Dakota 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. South Dakota pays $175.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$175.04
- Los Angeles, CA · California$201.16+$26.12
- Washington, DC area · District of Columbia$204.43+$29.39
- Miami, FL · Florida$195.26+$20.22
- Chicago, IL · Illinois$189.75+$14.71
- Manhattan, NY · New York$206.41+$31.37
- Alaska · Alaska$211.60+$36.56
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $188.69 | $127.92 |
| Merced, CACalifornia | $188.69 | $127.92 |
| Modesto, CACalifornia | $188.69 | $127.92 |
| Napa, CACalifornia | $217.19 | $144.11 |
| Oxnard, CACalifornia | $200.05 | $134.51 |
| Redding, CACalifornia | $188.69 | $127.92 |
| Rest of CaliforniaCalifornia | $188.69 | $127.92 |
| Riverside, CACalifornia | $190.97 | $130.20 |
| Sacramento, CACalifornia | $197.63 | $133.15 |
| Salinas, CACalifornia | $196.89 | $132.63 |
| San Diego, CACalifornia | $201.24 | $134.92 |
| Marin County, CACalifornia | $229.45 | $151.27 |
| San Francisco, CACalifornia | $229.21 | $151.03 |
| San Benito County, CACalifornia | $234.58 | $154.63 |
| Santa Clara County, CACalifornia | $233.61 | $153.65 |
| San Luis Obispo, CACalifornia | $193.76 | $130.61 |
| Santa Cruz, CACalifornia | $202.94 | $135.58 |
| Santa Maria, CACalifornia | $197.55 | $132.90 |
| Santa Rosa, CACalifornia | $204.97 | $136.88 |
| Stockton, CACalifornia | $188.69 | $127.92 |
| Vallejo, CACalifornia | $216.85 | $143.77 |
| Visalia, CACalifornia | $188.69 | $127.92 |
| Yuba City, CACalifornia | $188.69 | $127.92 |
| ColoradoColorado | $186.36 | $127.37 |
| ConnecticutConnecticut | $191.34 | $131.63 |
| DelawareDelaware | $177.85 | $123.07 |
| Fort Lauderdale, FLFlorida | $186.90 | $130.73 |
| Rest of FloridaFlorida | $178.04 | $125.03 |
| Atlanta, GAGeorgia | $183.16 | $126.82 |
| Rest of GeorgiaGeorgia | $168.31 | $118.85 |
| Hawaii, Guam, HIHawaii | $192.90 | $129.86 |
| IowaIowa | $165.45 | $114.71 |
| IdahoIdaho | $166.57 | $115.56 |
| East St. Louis, ILIllinois | $177.38 | $126.37 |
| Rest of IllinoisIllinois | $173.39 | $122.77 |
| Suburban Chicago, ILIllinois | $188.68 | $131.74 |
| IndianaIndiana | $167.48 | $116.09 |
| KansasKansas | $164.90 | $114.78 |
| KentuckyKentucky | $166.01 | $116.72 |
| New Orleans, LALouisiana | $173.69 | $121.52 |
| Rest of LouisianaLouisiana | $165.84 | $116.77 |
| Metropolitan Boston, MAMassachusetts | $204.04 | $137.84 |
| Rest of MassachusettsMassachusetts | $185.40 | $127.01 |
| Baltimore area, MDMaryland | $190.84 | $131.35 |
| Rest of MarylandMaryland | $181.08 | $124.97 |
| Rest of MaineMaine | $167.61 | $116.60 |
| Southern Maine, MEMaine | $176.05 | $121.10 |
| Detroit, MIMichigan | $180.38 | $126.88 |
| Rest of MichiganMichigan | $170.34 | $119.72 |
| MinnesotaMinnesota | $178.18 | $121.12 |
| Metropolitan Kansas City, MOMissouri | $172.34 | $120.28 |
| Metropolitan St. Louis, MOMissouri | $174.05 | $121.27 |
| Rest of MissouriMissouri | $163.24 | $115.45 |
| MississippiMississippi | $161.48 | $113.74 |
| MontanaMontana | $179.68 | $124.24 |
| North CarolinaNorth Carolina | $169.27 | $117.53 |
| North DakotaNorth Dakota | $175.53 | $120.08 |
| NebraskaNebraska | $166.26 | $115.08 |
| New HampshireNew Hampshire | $183.65 | $125.94 |
| Northern New JerseyNew Jersey | $202.49 | $138.17 |
| Rest of New JerseyNew Jersey | $193.42 | $132.87 |
| New MexicoNew Mexico | $171.32 | $120.48 |
| NevadaNevada | $178.64 | $123.14 |
| NYC suburbs and Long Island, NYNew York | $211.50 | $145.57 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $194.84 | $134.12 |
| Queens, NYNew York | $207.76 | $142.23 |
| Rest of New YorkNew York | $171.72 | $119.05 |
| OhioOhio | $169.50 | $118.87 |
| OklahomaOklahoma | $165.52 | $116.00 |
| Portland, OROregon | $191.87 | $130.27 |
| Rest of OregonOregon | $177.14 | $121.92 |
| Metropolitan Philadelphia, PAPennsylvania | $186.87 | $129.15 |
| Rest of PennsylvaniaPennsylvania | $169.64 | $118.74 |
| Puerto RicoPuerto Rico | $180.89 | $124.83 |
| Rhode IslandRhode Island | $183.87 | $126.60 |
| South CarolinaSouth Carolina | $169.68 | $118.45 |
| TennesseeTennessee | $165.72 | $115.32 |
| Austin, TXTexas | $185.85 | $127.18 |
| Beaumont, TXTexas | $168.59 | $118.13 |
| Brazoria, TXTexas | $177.53 | $122.58 |
| Dallas, TXTexas | $178.72 | $123.50 |
| Fort Worth, TXTexas | $177.63 | $122.97 |
| Galveston, TXTexas | $178.10 | $123.05 |
| Houston, TXTexas | $181.95 | $126.89 |
| Rest of TexasTexas | $173.00 | $120.39 |
| UtahUtah | $171.91 | $119.79 |
| VirginiaVirginia | $175.63 | $121.13 |
| Virgin Islands, VIUnited States Virgin Islands | $180.89 | $124.83 |
| VermontVermont | $175.05 | $120.16 |
| Rest of WashingtonWashington | $184.98 | $126.60 |
| King County, WAWashington | $207.92 | $139.88 |
| WisconsinWisconsin | $169.89 | $116.77 |
| West VirginiaWest Virginia | $167.27 | $119.09 |
| WyomingWyoming | $177.87 | $122.43 |
11422 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $211.60 | 1 |
| AL | $161.91 | 1 |
| AR | $159.67 | 1 |
| AZ | $175.03 | 1 |
| CA | $188.69–$234.58 | 29 |
| CO | $186.36 | 1 |
| CT | $191.34 | 1 |
| DC | $204.43 | 1 |
| DE | $177.85 | 1 |
| FL | $178.04–$195.26 | 3 |
| GA | $168.31–$183.16 | 2 |
| GU | $192.90 | 1 |
| HI | $192.90 | 1 |
| IA | $165.45 | 1 |
| ID | $166.57 | 1 |
| IL | $173.39–$189.75 | 4 |
| IN | $167.48 | 1 |
| KS | $164.90 | 1 |
| KY | $166.01 | 1 |
| LA | $165.84–$173.69 | 2 |
| MA | $185.40–$204.04 | 2 |
| MD | $181.08–$204.43 | 3 |
| ME | $167.61–$176.05 | 2 |
| MI | $170.34–$180.38 | 2 |
| MN | $178.18 | 1 |
| MO | $163.24–$174.05 | 3 |
| MS | $161.48 | 1 |
| MT | $179.68 | 1 |
| NC | $169.27 | 1 |
| ND | $175.53 | 1 |
| NE | $166.26 | 1 |
| NH | $183.65 | 1 |
| NJ | $193.42–$202.49 | 2 |
| NM | $171.32 | 1 |
| NV | $178.64 | 1 |
| NY | $171.72–$211.50 | 5 |
| OH | $169.50 | 1 |
| OK | $165.52 | 1 |
| OR | $177.14–$191.87 | 2 |
| PA | $169.64–$186.87 | 2 |
| PR | $180.89 | 1 |
| RI | $183.87 | 1 |
| SC | $169.68 | 1 |
| SD | $175.04 | 1 |
| TN | $165.72 | 1 |
| TX | $168.59–$185.85 | 8 |
| UT | $171.91 | 1 |
| VA | $175.63–$204.43 | 2 |
| VI | $180.89 | 1 |
| VT | $175.05 | 1 |
| WA | $184.98–$207.92 | 2 |
| WI | $169.89 | 1 |
| WV | $167.27 | 1 |
| WY | $177.87 | 1 |
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
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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.64 | × 1.000 | 1.6400 |
| Practice expense | 3.53 | × 1.000 | 3.5300 |
| Malpractice | 0.21 | × 0.336 | 0.0706 |
| Total RVUs | 5.2406 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$175.04
Office: (1.64 × 1 + 3.53 × 1 + 0.21 × 0.336) × $33.4009 = $175.04
Facility: (1.64 × 1 + 1.87 × 1 + 0.21 × 0.336) × $33.4009 = $119.59
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
How 11422 has changed in South Dakota
11422 · Office / nonfacility
$175.04
Effective 2026-10-01
The base rate is $4.89 higher than on 2025-10-01, moving from $170.15 to $175.04 (2.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$170.15changed to$175.04
- 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
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$175.77changed to$170.15
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.52 changed to 3.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$172.90changed to$175.77
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$177.91changed to$172.90
- 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
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$180.40changed to$177.91
- 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
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$181.20changed to$180.40
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.44 changed to 3.46
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$179.17changed to$181.20
- 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
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$176.85changed to$179.17
- 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
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$175.72changed to$176.85
- 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.
January 1, 2018
RVU18AR1
$173.30changed to$175.72
- 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
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$172.22changed to$173.30
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.03 changed to 3.05
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$173.06changed to$172.22
- 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.
July 1, 2015
RVU15C
$172.19changed to$173.06
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$170.30changed to$172.19
- 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
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$174.28changed to$170.30
- 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
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $174.28
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $175.04 | $119.59 | RVU26D |
| 2026-07-01 | $175.04 | $119.59 | RVU26C |
| 2026-04-01 | $175.04 | $119.59 | RVU26B |
| 2026-01-01 | $175.04 | $119.59 | RVU26A |
| 2025-10-01 | $170.15 | $130.04 | RVU25D |
| 2025-07-01 | $170.15 | $130.04 | RVU25C |
| 2025-04-01 | $170.15 | $130.04 | RVU25B |
| 2025-01-01 | $170.15 | $130.04 | RVU25A |
| 2024-10-01 | $175.77 | $132.16 | RVU24D |
| 2024-07-01 | $175.77 | $132.16 | RVU24C |
| 2024-04-01 | $175.77 | $132.16 | RVU24B |
| 2024-03-09 | $175.77 | $132.16 | RVU24AR |
| 2024-01-01 | $172.90 | $130.00 | RVU24A |
| 2023-10-01 | $177.91 | $132.50 | RVU23D |
| 2023-07-01 | $177.91 | $132.50 | RVU23C |
| 2023-04-01 | $177.91 | $132.50 | RVU23B |
| 2023-01-01 | $177.91 | $132.50 | RVU23A |
| 2022-10-01 | $180.40 | $132.64 | RVU22D |
| 2022-07-01 | $180.40 | $132.64 | RVU22C |
| 2022-04-01 | $180.40 | $132.64 | RVU22B |
| 2022-01-01 | $180.40 | $132.64 | RVU22A |
| 2021-10-01 | $181.20 | $132.34 | RVU21D |
| 2021-07-01 | $181.20 | $132.34 | RVU21C |
| 2021-04-01 | $181.20 | $132.34 | RVU21B |
| 2021-01-01 | $181.20 | $132.34 | RVU21A |
| 2020-10-01 | $179.17 | $134.78 | RVU20D |
| 2020-07-01 | $179.17 | $134.78 | RVU20C |
| 2020-04-01 | $179.17 | $134.78 | RVU20B |
| 2020-01-01 | $179.17 | $134.78 | RVU20A |
| 2019-10-01 | $176.85 | $135.05 | RVU19D |
| 2019-07-01 | $176.85 | $135.05 | RVU19C |
| 2019-04-01 | $176.85 | $135.05 | RVU19B |
| 2019-01-01 | $176.85 | $135.05 | RVU19A |
| 2018-10-01 | $175.72 | $135.40 | RVU18D |
| 2018-07-01 | $175.72 | $135.40 | RVU18C |
| 2018-04-01 | $175.72 | $135.40 | RVU18B |
| 2018-01-01 | $175.72 | $135.40 | RVU18AR1 |
| 2017-10-01 | $173.30 | $134.18 | RVU17D |
| 2017-07-01 | $173.30 | $134.18 | RVU17C |
| 2017-04-01 | $173.30 | $134.18 | RVU17B |
| 2017-01-01 | $173.30 | $134.18 | RVU17A |
| 2016-10-01 | $172.22 | $133.19 | RVU16D |
| 2016-07-01 | $172.22 | $133.19 | RVU16C |
| 2016-04-01 | $172.22 | $133.19 | RVU16B |
| 2016-01-01 | $172.22 | $133.19 | RVU16A |
| 2015-10-01 | $173.06 | $133.89 | RVU15D |
| 2015-07-01 | $173.06 | $133.89 | RVU15C |
| 2015-04-01 | $172.19 | $133.22 | RVU15B |
| 2015-01-01 | $172.19 | $133.22 | RVU15A |
| 2014-10-01 | $170.30 | $131.97 | RVU14D |
| 2014-07-01 | $170.30 | $131.97 | RVU14C |
| 2014-04-01 | $170.30 | $131.97 | RVU14B |
| 2014-01-01 | $170.30 | $131.97 | RVU14A |
| 2013-10-01 | $174.28 | $133.45 | RVU13D |
| 2013-07-01 | $174.28 | $133.45 | RVU13C |
| 2013-04-01 | $174.28 | $133.45 | RVU13B |
| 2013-01-01 | $174.28 | $133.45 | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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
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