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

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 Nevada, Medicare pays $141.44 for 11440 in the office and $97.31 when it’s performed in a hospital or facility.

$141.44Office (non-facility)
$97.31Hospital or facility
−0.4%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 Nevada
  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 Nevada 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. Nevada pays $141.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

11440 in Nevada vs other payment areas
  1. Nevada · this page$141.44
  2. Los Angeles, CA · California$161.19+$19.75
  3. Washington, DC area · District of Columbia$162.76+$21.32
  4. Miami, FL · Florida$151.84+$10.40
  5. Chicago, IL · Illinois$147.47+$6.03
  6. Manhattan, NY · New York$163.17+$21.73
  7. Alaska · Alaska$164.11+$22.67

Other areas in Nevada 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 Nevada 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

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 11440 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0001.0200
Practice expense3.12× 1.0013.1231
Malpractice0.11× 0.8330.0916
Total RVUs4.2348
Conversion factor× 33.4009

Office rate, Nevada$141.44

Office: (1.02 × 1 + 3.12 × 1.001 + 0.11 × 0.833) × $33.4009 = $141.44

Facility: (1.02 × 1 + 1.8 × 1.001 + 0.11 × 0.833) × $33.4009 = $97.31

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, Nevada
Same family
11441Benign lesion excision, face, 0.6 to 1 cmSame facial site group; selected when the excised diameter is larger.$172.74
11442Facial lesion excision, 1.1–2 cm excised diameterSame facial site group for a larger excised diameter.$192.96
Used instead
11420Benign lesion excision, scalp, neck, hands, feet, genitaliaSmall benign lesion excision for a different site group, including scalp, hands, feet, or genitalia.$124.39
11400Skin lesion excision, trunk, arm, or leg; 0.5 cm or lessSmall benign lesion excision for the trunk or extremities.$127.41
11640Lesion excision, face, 0.5 cm or lessFacial lesion excision when the lesion is malignant rather than benign.$201.44

How 11440 has changed in Nevada

11440 · Office / nonfacility

$141.44

Effective 2026-10-01

The base rate is $3.93 higher than on 2025-10-01, moving from $137.51 to $141.44 (2.9%).

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

    $137.51changed to$141.44

    • 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
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $143.56changed to$137.51

    • 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

    $141.22changed to$143.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $146.42changed to$141.22

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.15 changed to 3.17
    • Malpractice GPCI 1.098 changed to 0.844

  5. January 1, 2023

    RVU23A

    $149.63changed to$146.42

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.12 changed to 3.15
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $149.48changed to$149.63

    • 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

    $143.94changed to$149.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.81 changed to 3.08
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $142.23changed to$143.94

    • 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 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $140.61changed to$142.23

    • 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

    $139.84changed to$140.61

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.63 changed to 2.69
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $141.32changed to$139.84

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.005 changed to 1.004
    • Practice expense GPCI 1.051 changed to 1.034
    • Malpractice GPCI 0.982 changed to 0.946

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $141.48changed to$141.32

    • 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

    $140.77changed to$141.48

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $141.11changed to$140.77

    • 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
    • Work GPCI 1.001 changed to 1.005
    • Practice expense GPCI 1.055 changed to 1.051
    • Malpractice GPCI 1.107 changed to 0.982

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $146.10changed to$141.11

    • 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
    • Work GPCI 1.000 changed to 1.001
    • Practice expense GPCI 1.058 changed to 1.055
    • Malpractice GPCI 1.232 changed to 1.107

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$146.10

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$141.44$97.31RVU26D
2026-07-01$141.44$97.31RVU26C
2026-04-01$141.44$97.31RVU26B
2026-01-01$141.44$97.31RVU26A
2025-10-01$137.51$104.84RVU25D
2025-07-01$137.51$104.84RVU25C
2025-04-01$137.51$104.84RVU25B
2025-01-01$137.51$104.84RVU25A
2024-10-01$143.56$107.28RVU24D
2024-07-01$143.56$107.28RVU24C
2024-04-01$143.56$107.28RVU24B
2024-03-09$143.56$107.28RVU24AR
2024-01-01$141.22$105.53RVU24A
2023-10-01$146.42$107.79RVU23D
2023-07-01$146.42$107.79RVU23C
2023-04-01$146.42$107.79RVU23B
2023-01-01$146.42$107.79RVU23A
2022-10-01$149.63$108.45RVU22D
2022-07-01$149.63$108.45RVU22C
2022-04-01$149.63$108.45RVU22B
2022-01-01$149.63$108.45RVU22A
2021-10-01$149.48$107.26RVU21D
2021-07-01$149.48$107.26RVU21C
2021-04-01$149.48$107.26RVU21B
2021-01-01$149.48$107.26RVU21A
2020-10-01$143.94$106.77RVU20D
2020-07-01$143.94$106.77RVU20C
2020-04-01$143.94$106.77RVU20B
2020-01-01$143.94$106.77RVU20A
2019-10-01$142.23$107.42RVU19D
2019-07-01$142.23$107.42RVU19C
2019-04-01$142.23$107.42RVU19B
2019-01-01$142.23$107.42RVU19A
2018-10-01$140.61$107.30RVU18D
2018-07-01$140.61$107.30RVU18C
2018-04-01$140.61$107.30RVU18B
2018-01-01$140.61$107.30RVU18AR1
2017-10-01$139.84$107.56RVU17D
2017-07-01$139.84$107.56RVU17C
2017-04-01$139.84$107.56RVU17B
2017-01-01$139.84$107.56RVU17A
2016-10-01$141.32$108.58RVU16D
2016-07-01$141.32$108.58RVU16C
2016-04-01$141.32$108.58RVU16B
2016-01-01$141.32$108.58RVU16A
2015-10-01$141.48$108.62RVU15D
2015-07-01$141.48$108.62RVU15C
2015-04-01$140.77$108.08RVU15B
2015-01-01$140.77$108.08RVU15A
2014-10-01$141.11$108.98RVU14D
2014-07-01$141.11$108.98RVU14C
2014-04-01$141.11$108.98RVU14B
2014-01-01$141.11$108.98RVU14A
2013-10-01$146.10$111.54RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11440 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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 NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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