CPT code 11442: Facial lesion excision, 1.1–2 cm excised diameter2026 Medicare rate & RVUs in Montana

In Montana, Medicare pays $194.04 for 11442 in the office and $131.92 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11442 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11442 covers

Code 11442 reports surgical removal of a benign skin lesion from the face, ear, eyelid, nose, or lip when the excised diameter, including the lesion and necessary margins, is 1.1–2.0 cm. Common examples include removal of a benign nevus or epidermal inclusion cyst from the cheek or external ear. A physician or other qualified practitioner typically performs the procedure in an office procedure room or outpatient surgical setting. Simple wound closure is included; an intermediate or complex repair may be reported separately when performed and documented.

Select the code using the greatest diameter of the lesion plus the margins needed for complete removal, not the incision length. Document the site, benign diagnosis, measured excised diameter, and procedure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, 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 Montana compares for 11442

Across 109 of 109 payment localities, the office rate for 11442 runs from $172.32 in Arkansas to $253.99 in San Benito County, CA. Montana pays $194.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11442 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 11442 in every payment locality

How the 11442 rate is calculated

Each of 11442’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.

Payment rules and modifiers for 11442

11442 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 11442

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

How 11442 has changed in Montana

Price 11442 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

• Absarokee
• Acton
• Alberton
• Alder
• Alzada
• Amsterdam
• Anaconda-Deer Lodge County
• Antelope

Browse all communities in Montana

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

Open CMS sourceHow we calculate rates