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CPT code 11440: Lesion excision, face, 0.5 cm or less2026 Medicare rate & RVUs in Delaware

Reports excision of a benign lesion on the face, ears, eyelids, nose, or lips when its diameter, including margins, is 0.5 cm or less.

CMS RVU26DEffective Oct 1, 2026One payment locality20K Medicare services in 2024

In Delaware, Medicare pays $140.50 for 11440 in the office and $96.94 when it’s performed in a hospital or facility.

$140.50Office (non-facility)
$96.94Hospital or facility
−1.0%vs the national office rate ($141.95)

Check a contract rate as a % of Medicare · 11440 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 11440 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 11440 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 11440 covers

This service removes a benign skin lesion from the face, ears, eyelids, nose, or lips, including the tissue margins needed for complete removal. Dermatologists, plastic surgeons, and other clinicians who perform skin procedures commonly remove small lesions such as benign facial growths in office or facility settings. The excised tissue may be sent for pathology. Simple closure is part of the excision service.

Choose the code using the lesion’s greatest diameter plus the margins removed, not the lesion alone; document the site, dimensions, benign diagnosis, and excision margins. Report separate lesions individually using the appropriate size and site code. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, 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 Delaware compares for 11440

Across 109 of 109 payment localities, the office rate for 11440 runs from $125.48 in Arkansas to $190.06 in San Benito County, CA. Delaware pays $140.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

11440 in Delaware vs other payment areas
  1. Delaware · this page$140.50
  2. Los Angeles, CA · California$161.19+$20.69
  3. Washington, DC area · District of Columbia$162.76+$22.26
  4. Miami, FL · Florida$151.84+$11.34
  5. Chicago, IL · Illinois$147.47+$6.97
  6. Manhattan, NY · New York$163.17+$22.67
  7. Alaska · Alaska$164.11+$23.61

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

Every other payment area

11440 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$127.33$88.75
ArkansasArkansas$125.48$87.61
ArizonaArizona$138.19$95.47
Bakersfield, CACalifornia$151.17$102.85
Chico, CACalifornia$150.83$102.51
El Centro, CACalifornia$150.85$102.53
Fresno, CACalifornia$150.83$102.51
Hanford, CACalifornia$150.83$102.51

11440 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.

$125.48

$170.45

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

View every state and territory as a table
11440 office rate range by state
State / territoryOffice rate rangeLocalities
AK$164.111
AL$127.331
AR$125.481
AZ$138.191
CA$150.83–$190.0629
CO$148.231
CT$151.431
DC$162.761
DE$140.501
FL$139.22–$151.843
GA$131.40–$144.462
GU$154.681
HI$154.681
IA$130.881
ID$131.681
IL$134.96–$147.844
IN$132.461
KS$130.131
KY$130.071
LA$129.82–$136.312
MA$147.28–$163.162
MD$143.24–$162.763
ME$132.23–$139.662
MI$133.36–$140.832
MN$142.391
MO$127.48–$136.963
MS$126.511
MT$141.951
NC$133.651
ND$139.771
NE$131.641
NH$145.771
NJ$153.26–$161.022
NM$134.041
NV$141.441
NY$135.65–$166.985
OH$132.921
OK$129.981
OR$140.45–$153.132
PA$133.21–$147.552
PR$143.051
RI$145.641
SC$133.481
SD$139.511
TN$130.771
TX$132.31–$147.658
UT$135.331
VA$139.10–$162.762
VI$143.051
VT$139.101
WA$147.04–$166.642
WI$135.031
WV$129.891
WY$141.001

See 11440 in every payment locality

How the 11440 rate is calculated

Each of 11440’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 · 11440

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.02

1.02 RVUs× 1.000 GPCI

Practice expense3.12

3.12 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

4.2500

Conversion factor

$33.4009

Medicare rate

$141.95

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,321

Code
11440
Physician work
1.02
Practice expense
3.12
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 11440 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0051.0251
Practice expense3.12× 0.9883.0826
Malpractice0.11× 0.8990.0989
Total RVUs4.2066
Conversion factor× 33.4009

Office rate, Delaware$140.50

Office: (1.02 × 1.005 + 3.12 × 0.988 + 0.11 × 0.899) × $33.4009 = $140.50

Facility: (1.02 × 1.005 + 1.8 × 0.988 + 0.11 × 0.899) × $33.4009 = $96.94

Open 11440 in the RVU calculator

Payment rules and modifiers for 11440

11440 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11440

Lesion excision, face, 0.5 cm or less

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 · 11440

Lesion excision, face, 0.5 cm or less

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

11440 without 51 · national office

$141.95

Lesion excision, face, 0.5 cm or less

11440-51 · Second procedure: 50%

$70.98

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 11440

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

Codes related to 11440
CodeHow it relatesOffice range, Delaware
Same family
11441Benign lesion excision, face, 0.6 to 1 cmSame facial site group; selected when the excised diameter is larger.$171.88
11442Facial lesion excision, 1.1–2 cm excised diameterSame facial site group for a larger excised diameter.$192.06
Used instead
11420Benign lesion excision, scalp, neck, hands, feet, genitaliaSmall benign lesion excision for a different site group, including scalp, hands, feet, or genitalia.$123.66
11400Skin lesion excision, trunk, arm, or leg; 0.5 cm or lessSmall benign lesion excision for the trunk or extremities.$126.56
11640Lesion excision, face, 0.5 cm or lessFacial lesion excision when the lesion is malignant rather than benign.$200.31

How 11440 has changed in Delaware

11440 · Office / nonfacility

$140.50

Effective 2026-10-01

The base rate is $3.07 higher than on 2025-10-01, moving from $137.43 to $140.50 (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

    $137.43changed to$140.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.05 changed to 1.02
    • Practice expense RVU 3.10 changed to 3.12
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $143.42changed to$137.43

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.17 changed to 3.10
    • Malpractice RVU 0.11 changed to 0.12

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $141.08changed to$143.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $146.82changed to$141.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.15 changed to 3.17
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $150.39changed to$146.82

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.12 changed to 3.15
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $150.21changed to$150.39

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.08 changed to 3.12

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $145.72changed to$150.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.81 changed to 3.08
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $143.60changed to$145.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.73 changed to 2.81
    • Malpractice RVU 0.13 changed to 0.11
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $141.98changed to$143.60

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.69 changed to 2.73

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $139.94changed to$141.98

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.63 changed to 2.69
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $140.17changed to$139.94

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $140.29changed to$140.17

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.12 changed to 0.13

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $139.59changed to$140.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $138.72changed to$139.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.58 changed to 2.63
    • Malpractice RVU 0.15 changed to 0.12
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $142.11changed to$138.72

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.88 changed to 2.58
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $142.11

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$140.50$96.94RVU26D
2026-07-01$140.50$96.94RVU26C
2026-04-01$140.50$96.94RVU26B
2026-01-01$140.50$96.94RVU26A
2025-10-01$137.43$105.02RVU25D
2025-07-01$137.43$105.02RVU25C
2025-04-01$137.43$105.02RVU25B
2025-01-01$137.43$105.02RVU25A
2024-10-01$143.42$107.43RVU24D
2024-07-01$143.42$107.43RVU24C
2024-04-01$143.42$107.43RVU24B
2024-03-09$143.42$107.43RVU24AR
2024-01-01$141.08$105.67RVU24A
2023-10-01$146.82$107.92RVU23D
2023-07-01$146.82$107.92RVU23C
2023-04-01$146.82$107.92RVU23B
2023-01-01$146.82$107.92RVU23A
2022-10-01$150.39$108.31RVU22D
2022-07-01$150.39$108.31RVU22C
2022-04-01$150.39$108.31RVU22B
2022-01-01$150.39$108.31RVU22A
2021-10-01$150.21$107.06RVU21D
2021-07-01$150.21$107.06RVU21C
2021-04-01$150.21$107.06RVU21B
2021-01-01$150.21$107.06RVU21A
2020-10-01$145.72$107.77RVU20D
2020-07-01$145.72$107.77RVU20C
2020-04-01$145.72$107.77RVU20B
2020-01-01$145.72$107.77RVU20A
2019-10-01$143.60$108.72RVU19D
2019-07-01$143.60$108.72RVU19C
2019-04-01$143.60$108.72RVU19B
2019-01-01$143.60$108.72RVU19A
2018-10-01$141.98$108.60RVU18D
2018-07-01$141.98$108.60RVU18C
2018-04-01$141.98$108.60RVU18B
2018-01-01$141.98$108.60RVU18AR1
2017-10-01$139.94$107.94RVU17D
2017-07-01$139.94$107.94RVU17C
2017-04-01$139.94$107.94RVU17B
2017-01-01$139.94$107.94RVU17A
2016-10-01$140.17$108.06RVU16D
2016-07-01$140.17$108.06RVU16C
2016-04-01$140.17$108.06RVU16B
2016-01-01$140.17$108.06RVU16A
2015-10-01$140.29$108.06RVU15D
2015-07-01$140.29$108.06RVU15C
2015-04-01$139.59$107.52RVU15B
2015-01-01$139.59$107.52RVU15A
2014-10-01$138.72$107.11RVU14D
2014-07-01$138.72$107.11RVU14C
2014-04-01$138.72$107.11RVU14B
2014-01-01$138.72$107.11RVU14A
2013-10-01$142.11$108.01RVU13D
2013-07-01$142.11$108.01RVU13C
2013-04-01$142.11$108.01RVU13B
2013-01-01$142.11$108.01RVU13AR

Price 11440 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

11440 billing questions

How is the size level selected?

Use the greatest diameter of the lesion plus the margins removed. The combined measurement must be 0.5 cm or less for this code.

Can this code be used for a lesion on the trunk?

No. This code is for lesions on the face, ears, eyelids, nose, or lips. A benign lesion on the trunk or extremities falls in a different site group.

Is simple closure separately reported?

Simple closure is included in the excision service. A more involved repair may be separately reportable when supported by the work performed and applicable coding requirements.

Should modifier 50 be used for lesions on both sides of the face?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report each distinct lesion using the code that matches its site and excised diameter.

Are postoperative visits included?

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

Can an assistant or co-surgeon be billed?

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 11440PPRRVU2026_Oct_nonQPP.csv, line 1,321 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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