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CPT code 11441: Benign lesion excision, face, 0.6 to 1 cm2026 Medicare rate & RVUs in Puerto Rico

Reports removal of a benign skin lesion on the face, ear, eyelid, nose, or lip when the lesion and margins measure 0.6 to 1 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality20.9K Medicare services in 2024

In Puerto Rico, Medicare pays $174.88 for 11441 in the office and $120.85 when it’s performed in a hospital or facility.

$174.88Office (non-facility)
$120.85Hospital or facility
+0.7%vs the national office rate ($173.68)

Check a contract rate as a % of Medicare · 11441 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 11441 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 11441 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 11441 covers

This code describes surgical removal of a benign skin lesion from the face, ear, eyelid, nose, or lip. A dermatologist, plastic surgeon, or other qualified physician excises the lesion through the skin, including the necessary margins; simple closure is included. The service may be performed in an office or facility. A common clinical context is removal of a symptomatic or changing lesion that is believed to be benign and submitted for examination.

Select the code by anatomic site and the total excised diameter, measured across the lesion and the margins, not by lesion size alone. Document the site, lesion dimensions, margin width or excised dimensions, and technique. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this procedure; 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 Puerto Rico compares for 11441

Across 109 of 109 payment localities, the office rate for 11441 runs from $154.03 in Arkansas to $228.18 in San Benito County, CA. Puerto Rico pays $174.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

11441 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$174.88
  2. Los Angeles, CA · California$195.11+$20.23
  3. Washington, DC area · District of Columbia$198.02+$23.14
  4. Miami, FL · Florida$188.21+$13.33
  5. Chicago, IL · Illinois$182.84+$7.96
  6. Manhattan, NY · New York$199.64+$24.76
  7. Alaska · Alaska$203.36+$28.48

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

Every other payment area

11441 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$156.23$109.47
ArkansasArkansas$154.03$108.12
ArizonaArizona$169.13$117.34
Bakersfield, CACalifornia$183.44$124.86
Chico, CACalifornia$182.87$124.30
El Centro, CACalifornia$182.90$124.33
Fresno, CACalifornia$182.87$124.30
Hanford, CACalifornia$182.87$124.30

11441 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.

$154.03

$205.53

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

View every state and territory as a table
11441 office rate range by state
State / territoryOffice rate rangeLocalities
AK$203.361
AL$156.231
AR$154.031
AZ$169.131
CA$182.87–$228.1829
CO$180.421
CT$185.071
DC$198.021
DE$171.881
FL$171.70–$188.213
GA$162.21–$176.992
GU$187.121
HI$187.121
IA$159.861
ID$160.931
IL$167.03–$182.844
IN$161.841
KS$159.251
KY$160.091
LA$159.90–$167.612
MA$179.42–$197.842
MD$175.07–$198.023
ME$161.88–$170.282
MI$164.27–$173.922
MN$172.631
MO$157.29–$168.053
MS$155.691
MT$173.671
NC$163.521
ND$169.921
NE$160.681
NH$177.711
NJ$187.11–$196.062
NM$165.201
NV$172.741
NY$165.92–$204.535
OH$163.511
OK$159.691
OR$171.33–$185.912
PA$163.69–$180.632
PR$174.881
RI$177.821
SC$163.801
SD$169.471
TN$160.051
TX$162.65–$179.888
UT$165.981
VA$169.82–$198.022
VI$174.881
VT$169.371
WA$179.05–$201.702
WI$164.361
WV$161.021
WY$172.031

See 11441 in every payment locality

How the 11441 rate is calculated

Each of 11441’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 · 11441

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.49

1.49 RVUs× 1.000 GPCI

Practice expense3.52

3.52 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

5.2000

Conversion factor

$33.4009

Medicare rate

$173.68

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,322

Code
11441
Physician work
1.49
Practice expense
3.52
Malpractice
0.19

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 11441 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work1.49× 1.0001.4900
Practice expense3.52× 1.0113.5587
Malpractice0.19× 0.9850.1872
Total RVUs5.2359
Conversion factor× 33.4009

Office rate, Puerto Rico$174.88

Office: (1.49 × 1 + 3.52 × 1.011 + 0.19 × 0.985) × $33.4009 = $174.88

Facility: (1.49 × 1 + 1.92 × 1.011 + 0.19 × 0.985) × $33.4009 = $120.85

Open 11441 in the RVU calculator

Payment rules and modifiers for 11441

11441 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11441

Benign lesion excision, face, 0.6 to 1 cm

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 · 11441

Benign lesion excision, face, 0.6 to 1 cm

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

11441 without 51 · national office

$173.68

Benign lesion excision, face, 0.6 to 1 cm

11441-51 · Second procedure: 50%

$86.84

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 11441

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

Codes related to 11441
CodeHow it relatesOffice range, Puerto Rico
Same family
11440Lesion excision, face, 0.5 cm or lessSame facial-site family; selected when the total excised diameter is 0.5 cm or less.$143.05
11442Facial lesion excision, 1.1–2 cm excised diameterSame facial-site family; selected when the total excised diameter is 1.1 to 2 cm.$195.37
Used instead
11401Benign lesion excision, trunk/extremities, 0.6–1 cmFor a benign lesion of the trunk or extremities in the same size range.$156.09
11421Lesion excision, scalp, neck, hands, feet, genitaliaFor a benign lesion of the scalp, neck, hands, feet, or genitalia in the same size range.$160.40

How 11441 has changed in Puerto Rico

11441 · Office / nonfacility

$174.88

Effective 2026-10-01

The base rate is $5.99 higher than on 2025-10-01, moving from $168.89 to $174.88 (3.5%).

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

    $168.89changed to$174.88

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.53 changed to 1.49
    • Practice expense RVU 3.49 changed to 3.52
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $175.79changed to$168.89

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.53 changed to 3.49
    • Malpractice RVU 0.20 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $172.93changed to$175.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $178.08changed to$172.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 3.51 changed to 3.53
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $177.23changed to$178.08

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $180.82changed to$177.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 3.47 changed to 3.51
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $180.21changed to$180.82

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 3.42 changed to 3.47
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $176.95changed to$180.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.16 changed to 3.42
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $174.77changed to$176.95

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.08 changed to 3.16
    • Malpractice RVU 0.22 changed to 0.19
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $173.49changed to$174.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.05 changed to 3.08

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $152.45changed to$173.49

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.01 changed to 3.05
    • Practice expense GPCI 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $132.67changed to$152.45

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.99 changed to 3.01
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $133.55changed to$132.67

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.01 changed to 2.99
    • Malpractice RVU 0.22 changed to 0.23

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $132.88changed to$133.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $129.92changed to$132.88

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.94 changed to 3.01
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $129.98changed to$129.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.29 changed to 2.94
    • Malpractice RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $129.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$174.88$120.85RVU26D
2026-07-01$174.88$120.85RVU26C
2026-04-01$174.88$120.85RVU26B
2026-01-01$174.88$120.85RVU26A
2025-10-01$168.89$131.10RVU25D
2025-07-01$168.89$131.10RVU25C
2025-04-01$168.89$131.10RVU25B
2025-01-01$168.89$131.10RVU25A
2024-10-01$175.79$134.56RVU24D
2024-07-01$175.79$134.56RVU24C
2024-04-01$175.79$134.56RVU24B
2024-03-09$175.79$134.56RVU24AR
2024-01-01$172.93$132.37RVU24A
2023-10-01$178.08$135.04RVU23D
2023-07-01$177.23$134.53RVU23C
2023-04-01$177.23$134.53RVU23B
2023-01-01$177.23$134.53RVU23A
2022-10-01$180.82$135.12RVU22D
2022-07-01$180.82$135.12RVU22C
2022-04-01$180.82$135.12RVU22B
2022-01-01$180.82$135.12RVU22A
2021-10-01$180.21$133.79RVU21D
2021-07-01$180.21$133.79RVU21C
2021-04-01$180.21$133.79RVU21B
2021-01-01$180.21$133.79RVU21A
2020-10-01$176.95$135.11RVU20D
2020-07-01$176.95$135.11RVU20C
2020-04-01$176.95$135.11RVU20B
2020-01-01$176.95$135.11RVU20A
2019-10-01$174.77$135.93RVU19D
2019-07-01$174.77$135.93RVU19C
2019-04-01$174.77$135.93RVU19B
2019-01-01$174.77$135.93RVU19A
2018-10-01$173.49$136.15RVU18D
2018-07-01$173.49$136.15RVU18C
2018-04-01$173.49$136.15RVU18B
2018-01-01$173.49$136.15RVU18AR1
2017-10-01$152.45$121.42RVU17D
2017-07-01$152.45$121.42RVU17C
2017-04-01$152.45$121.42RVU17B
2017-01-01$152.45$121.42RVU17A
2016-10-01$132.67$107.68RVU16D
2016-07-01$132.67$107.68RVU16C
2016-04-01$132.67$107.68RVU16B
2016-01-01$132.67$107.68RVU16A
2015-10-01$133.55$108.21RVU15D
2015-07-01$133.55$108.21RVU15C
2015-04-01$132.88$107.68RVU15B
2015-01-01$132.88$107.68RVU15A
2014-10-01$129.92$105.63RVU14D
2014-07-01$129.92$105.63RVU14C
2014-04-01$129.92$105.63RVU14B
2014-01-01$129.92$105.63RVU14A
2013-10-01$129.98$104.38RVU13D
2013-07-01$129.98$104.38RVU13C
2013-04-01$129.98$104.38RVU13B
2013-01-01$129.98$104.38RVU13AR

Price 11441 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

11441 billing questions

How is the 0.6-to-1-cm size selected?

Use the total excised diameter, including the lesion and margins. Do not select the size based only on the visible lesion.

When should 11440 be used instead?

Use 11440 for the same facial, ear, eyelid, nose, or lip sites when the total excised diameter is 0.5 cm or less.

Does this code include closure?

Simple closure is included in the excision service. Do not separately report a simple repair for closing the excision wound.

Are related postoperative visits separately reported?

Related postoperative visits for 10 days after the procedure are included in its global period.

Can modifier 50 be used for lesions on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

How does Medicare handle multiple procedures in the same session?

The highest-valued procedure is paid in full; other procedures performed in that session are subject to a 50% reduction. Medicare also does not pay an assistant at surgery, and co-surgeons or 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 11441PPRRVU2026_Oct_nonQPP.csv, line 1,322 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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