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

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 Vermont, Medicare pays $169.37 for 11441 in the office and $116.47 when it’s performed in a hospital or facility.

$169.37Office (non-facility)
$116.47Hospital or facility
−2.5%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 Vermont
  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 Vermont 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. Vermont pays $169.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

11441 in Vermont vs other payment areas
  1. Vermont · this page$169.37
  2. Los Angeles, CA · California$195.11+$25.74
  3. Washington, DC area · District of Columbia$198.02+$28.65
  4. Miami, FL · Florida$188.21+$18.84
  5. Chicago, IL · Illinois$182.84+$13.47
  6. Manhattan, NY · New York$199.64+$30.27
  7. Alaska · Alaska$203.36+$33.99

Other areas in Vermont 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.

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 Vermont 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

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office calculation for 11441 in Vermont
ComponentRVULocality factorAdjusted
Physician work1.49× 1.0001.4900
Practice expense3.52× 0.9903.4848
Malpractice0.19× 0.5060.0961
Total RVUs5.0709
Conversion factor× 33.4009

Office rate, Vermont$169.37

Office: (1.49 × 1 + 3.52 × 0.99 + 0.19 × 0.506) × $33.4009 = $169.37

Facility: (1.49 × 1 + 1.92 × 0.99 + 0.19 × 0.506) × $33.4009 = $116.47

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

How 11441 has changed in Vermont

11441 · Office / nonfacility

$169.37

Effective 2026-10-01

The base rate is $4.76 higher than on 2025-10-01, moving from $164.61 to $169.37 (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

    $164.61changed to$169.37

    • 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 0.993 changed to 0.990
    • Malpractice GPCI 0.518 changed to 0.506

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $171.06changed to$164.61

    • 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

    $168.27changed to$171.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $173.93changed to$168.27

    • 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 0.997 changed to 0.993
    • Malpractice GPCI 0.543 changed to 0.518
  5. January 1, 2023

    RVU23A

    $177.09changed to$173.93

    • 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 1.001 changed to 0.997
    • Malpractice GPCI 0.569 changed to 0.543

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $176.61changed to$177.09

    • 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.

  7. January 1, 2021

    RVU21A

    $174.16changed to$176.61

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.16 changed to 3.42
    • Practice expense GPCI 1.008 changed to 1.001
    • Malpractice GPCI 0.582 changed to 0.569

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $172.52changed to$174.16

    • 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 1.015 changed to 1.008
    • Malpractice GPCI 0.595 changed to 0.582

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $171.24changed to$172.52

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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $169.06changed to$171.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.01 changed to 3.05
    • Practice expense GPCI 1.010 changed to 1.015
    • Malpractice GPCI 0.639 changed to 0.595

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $167.88changed to$169.06

    • 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 1.004 changed to 1.010
    • Malpractice GPCI 0.682 changed to 0.639

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $168.96changed to$167.88

    • 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.

  13. July 1, 2015

    RVU15C

    $168.12changed to$168.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $165.85changed to$168.12

    • 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 1.006 changed to 1.004
    • Malpractice GPCI 0.618 changed to 0.682

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    No ratechanged to$165.85

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$169.37$116.47RVU26D
2026-07-01$169.37$116.47RVU26C
2026-04-01$169.37$116.47RVU26B
2026-01-01$169.37$116.47RVU26A
2025-10-01$164.61$127.35RVU25D
2025-07-01$164.61$127.35RVU25C
2025-04-01$164.61$127.35RVU25B
2025-01-01$164.61$127.35RVU25A
2024-10-01$171.06$130.40RVU24D
2024-07-01$171.06$130.40RVU24C
2024-04-01$171.06$130.40RVU24B
2024-03-09$171.06$130.40RVU24AR
2024-01-01$168.27$128.28RVU24A
2023-10-01$173.93$131.36RVU23D
2023-07-01$173.93$131.36RVU23C
2023-04-01$173.93$131.36RVU23B
2023-01-01$173.93$131.36RVU23A
2022-10-01$177.09$131.71RVU22D
2022-07-01$177.09$131.71RVU22C
2022-04-01$177.09$131.71RVU22B
2022-01-01$177.09$131.71RVU22A
2021-10-01$176.61$130.51RVU21D
2021-07-01$176.61$130.51RVU21C
2021-04-01$176.61$130.51RVU21B
2021-01-01$176.61$130.51RVU21A
2020-10-01$174.16$132.33RVU20D
2020-07-01$174.16$132.33RVU20C
2020-04-01$174.16$132.33RVU20B
2020-01-01$174.16$132.33RVU20A
2019-10-01$172.52$133.38RVU19D
2019-07-01$172.52$133.38RVU19C
2019-04-01$172.52$133.38RVU19B
2019-01-01$172.52$133.38RVU19A
2018-10-01$171.24$133.60RVU18D
2018-07-01$171.24$133.60RVU18C
2018-04-01$171.24$133.60RVU18B
2018-01-01$171.24$133.60RVU18AR1
2017-10-01$169.06$132.45RVU17D
2017-07-01$169.06$132.45RVU17C
2017-04-01$169.06$132.45RVU17B
2017-01-01$169.06$132.45RVU17A
2016-10-01$167.88$132.29RVU16D
2016-07-01$167.88$132.29RVU16C
2016-04-01$167.88$132.29RVU16B
2016-01-01$167.88$132.29RVU16A
2015-10-01$168.96$132.88RVU15D
2015-07-01$168.96$132.88RVU15C
2015-04-01$168.12$132.22RVU15B
2015-01-01$168.12$132.22RVU15A
2014-10-01$165.85$130.53RVU14D
2014-07-01$165.85$130.53RVU14C
2014-04-01$165.85$130.53RVU14B
2014-01-01$165.85$130.53RVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11441 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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 VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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