CPT code 11443: Skin excision, face, 2.1 to 3 cm2026 Medicare rate & RVUs in Ohio

Reports complete excision of a clinically benign lesion on the face, ears, eyelids, nose, or lips when the excised diameter is 2.1 to 3 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality6.5K Medicare services in 2024

In Ohio, Medicare pays $217.69 for 11443 in the office and $153.04 when it’s performed in a hospital or facility.

$217.69Office (non-facility)
$153.04Hospital or facility
−5.4%vs the national office rate ($230.13)

Check a contract rate as a % of Medicare · 11443 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 11443 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Ohio
  2. What 11443 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 11443 covers

This service removes a lesion believed to be benign from the face, ears, eyelids, nose, or lips, including a margin of surrounding skin. Dermatologists, plastic surgeons, and other qualified clinicians commonly perform it in an office procedure room or an outpatient facility. A specimen may be submitted for histopathology, which can confirm the diagnosis; the excision code is selected based on the lesion’s clinical classification and the excised diameter, not the eventual pathology result alone.

Measure the greatest diameter of the lesion plus the narrowest margins needed for removal, and document the site, lesion size, and margins so the reported size falls within 2.1 to 3 cm. Simple closure is included; a separately reportable intermediate or complex repair may be coded based on its own criteria. The procedure has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. 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 Ohio compares for 11443

Across 109 of 109 payment localities, the office rate for 11443 runs from $204.97 in Arkansas to $297.49 in San Benito County, CA. Ohio pays $217.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

11443 in Ohio vs other payment areas
  1. Ohio · this page$217.69
  2. Los Angeles, CA · California$256.23+$38.54
  3. Washington, DC area · District of Columbia$261.00+$43.31
  4. Miami, FL · Florida$251.36+$33.67
  5. Chicago, IL · Illinois$244.36+$26.67
  6. Manhattan, NY · New York$264.20+$46.51
  7. Alaska · Alaska$273.07+$55.38

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

Every other payment area

11443 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$207.79$145.83
ArkansasArkansas$204.97$144.15
ArizonaArizona$224.23$155.61
Bakersfield, CACalifornia$241.48$163.87
Chico, CACalifornia$240.60$162.99
El Centro, CACalifornia$240.65$163.04
Fresno, CACalifornia$240.60$162.99
Hanford, CACalifornia$240.60$162.99

11443 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.

$204.97

$273.07

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

View every state and territory as a table
11443 office rate range by state
State / territoryOffice rate rangeLocalities
AK$273.071
AL$207.791
AR$204.971
AZ$224.231
CA$240.60–$297.4929
CO$238.061
CT$244.841
DC$261.001
DE$227.771
FL$228.84–$251.363
GA$216.51–$234.682
GU$245.641
HI$245.641
IA$211.851
ID$213.331
IL$223.25–$244.364
IN$214.471
KS$211.341
KY$213.301
LA$213.16–$223.002
MA$236.95–$260.082
MD$231.80–$261.003
ME$214.83–$225.142
MI$218.90–$231.972
MN$227.251
MO$210.01–$223.243
MS$207.511
MT$230.111
NC$216.871
ND$224.181
NE$212.811
NH$234.781
NJ$247.39–$258.642
NM$220.201
NV$228.601
NY$219.96–$270.805
OH$217.691
OK$212.491
OR$226.58–$244.762
PA$217.78–$239.342
PR$231.571
RI$235.251
SC$217.691
SD$223.481
TN$212.391
TX$216.46–$237.498
UT$220.471
VA$224.74–$261.002
VI$231.571
VT$223.741
WA$236.36–$264.782
WI$217.151
WV$215.591
WY$227.531

See 11443 in every payment locality

How the 11443 rate is calculated

Each of 11443’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 · 11443

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.28

2.28 RVUs× 1.000 GPCI

Practice expense4.31

4.31 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

6.8900

Conversion factor

$33.4009

Medicare rate

$230.13

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

The exact Ohio inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,324

Code
11443
Physician work
2.28
Practice expense
4.31
Malpractice
0.30

GPCI2026.csv

85

Locality
Ohio
Physician work
1.000
Practice expense
0.913
Malpractice
1.008
Office calculation for 11443 in Ohio
ComponentRVULocality factorAdjusted
Physician work2.28× 1.0002.2800
Practice expense4.31× 0.9133.9350
Malpractice0.30× 1.0080.3024
Total RVUs6.5174
Conversion factor× 33.4009

Office rate, Ohio$217.69

Office: (2.28 × 1 + 4.31 × 0.913 + 0.3 × 1.008) × $33.4009 = $217.69

Facility: (2.28 × 1 + 2.19 × 0.913 + 0.3 × 1.008) × $33.4009 = $153.04

Open 11443 in the RVU calculator

Payment rules and modifiers for 11443

11443 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11443

Skin excision, face, 2.1 to 3 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 · 11443

Skin excision, face, 2.1 to 3 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

11443 without 51 · national office

$230.13

Skin excision, face, 2.1 to 3 cm

11443-51 · Second procedure: 50%

$115.07

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 11443 has changed in Ohio

11443 · Office / nonfacility

$217.69

Effective 2026-10-01

The base rate is $6.91 higher than on 2025-10-01, moving from $210.78 to $217.69 (3.3%).

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

    $210.78changed to$217.69

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.34 changed to 2.28
    • Practice expense RVU 4.21 changed to 4.31
    • Malpractice RVU 0.33 changed to 0.30
    • Practice expense GPCI 0.911 changed to 0.913
    • Malpractice GPCI 1.033 changed to 1.008

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $216.87changed to$210.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.22 changed to 4.21
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $213.33changed to$216.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $220.26changed to$213.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.20 changed to 4.22
    • Malpractice RVU 0.31 changed to 0.32
    • Practice expense GPCI 0.912 changed to 0.911
    • Malpractice GPCI 1.063 changed to 1.033
  5. January 1, 2023

    RVU23A

    $223.58changed to$220.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.13 changed to 4.20
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.913 changed to 0.912
    • Malpractice GPCI 1.094 changed to 1.063

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $224.16changed to$223.58

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.09 changed to 4.13

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $221.72changed to$224.16

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.79 changed to 4.09
    • Practice expense GPCI 0.915 changed to 0.913
    • Malpractice GPCI 1.049 changed to 1.094

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $220.34changed to$221.72

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.71 changed to 3.79
    • Malpractice RVU 0.37 changed to 0.32
    • Practice expense GPCI 0.917 changed to 0.915
    • Malpractice GPCI 1.005 changed to 1.049

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $218.75changed to$220.34

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.68 changed to 3.71
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $217.50changed to$218.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.65 changed to 3.68
    • Malpractice RVU 0.37 changed to 0.36
    • Practice expense GPCI 0.918 changed to 0.917
    • Malpractice GPCI 0.999 changed to 1.005

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $216.60changed to$217.50

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.63 changed to 3.65
    • Malpractice RVU 0.38 changed to 0.37
    • Malpractice GPCI 0.993 changed to 0.999

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $216.67changed to$216.60

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.36 changed to 0.38

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $215.59changed to$216.67

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $216.27changed to$215.59

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.57 changed to 3.63
    • Practice expense GPCI 0.923 changed to 0.918
    • Malpractice GPCI 1.117 changed to 0.993

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $221.49changed to$216.27

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.99 changed to 3.57
    • Malpractice RVU 0.38 changed to 0.36
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.240 changed to 1.117

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $221.49

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$217.69$153.04RVU26D
2026-07-01$217.69$153.04RVU26C
2026-04-01$217.69$153.04RVU26B
2026-01-01$217.69$153.04RVU26A
2025-10-01$210.78$168.64RVU25D
2025-07-01$210.78$168.64RVU25C
2025-04-01$210.78$168.64RVU25B
2025-01-01$210.78$168.64RVU25A
2024-10-01$216.87$171.99RVU24D
2024-07-01$216.87$171.99RVU24C
2024-04-01$216.87$171.99RVU24B
2024-03-09$216.87$171.99RVU24AR
2024-01-01$213.33$169.18RVU24A
2023-10-01$220.26$173.29RVU23D
2023-07-01$220.26$173.29RVU23C
2023-04-01$220.26$173.29RVU23B
2023-01-01$220.26$173.29RVU23A
2022-10-01$223.58$174.61RVU22D
2022-07-01$223.58$174.61RVU22C
2022-04-01$223.58$174.61RVU22B
2022-01-01$223.58$174.61RVU22A
2021-10-01$224.16$174.15RVU21D
2021-07-01$224.16$174.15RVU21C
2021-04-01$224.16$174.15RVU21B
2021-01-01$224.16$174.15RVU21A
2020-10-01$221.72$176.48RVU20D
2020-07-01$221.72$176.48RVU20C
2020-04-01$221.72$176.48RVU20B
2020-01-01$221.72$176.48RVU20A
2019-10-01$220.34$177.05RVU19D
2019-07-01$220.34$177.05RVU19C
2019-04-01$220.34$177.05RVU19B
2019-01-01$220.34$177.05RVU19A
2018-10-01$218.75$176.49RVU18D
2018-07-01$218.75$176.49RVU18C
2018-04-01$218.75$176.49RVU18B
2018-01-01$218.75$176.49RVU18AR1
2017-10-01$217.50$176.32RVU17D
2017-07-01$217.50$176.32RVU17C
2017-04-01$217.50$176.32RVU17B
2017-01-01$217.50$176.32RVU17A
2016-10-01$216.60$175.85RVU16D
2016-07-01$216.60$175.85RVU16C
2016-04-01$216.60$175.85RVU16B
2016-01-01$216.60$175.85RVU16A
2015-10-01$216.67$176.10RVU15D
2015-07-01$216.67$176.10RVU15C
2015-04-01$215.59$175.22RVU15B
2015-01-01$215.59$175.22RVU15A
2014-10-01$216.27$175.93RVU14D
2014-07-01$216.27$175.93RVU14C
2014-04-01$216.27$175.93RVU14B
2014-01-01$216.27$175.93RVU14A
2013-10-01$221.49$177.96RVU13D
2013-07-01$221.49$177.96RVU13C
2013-04-01$221.49$177.96RVU13B
2013-01-01$221.49$177.96RVU13AR

Price 11443 for an earlier date of service

Where the Ohio rate applies

Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Ada
  • Adamsville
  • Addyston
  • Adelphi
  • Adena
  • Ai
  • Akron

Browse all communities in Ohio

11443 billing questions

How is the size range determined?

Use the greatest diameter of the lesion together with the narrowest margins required for excision. The documented excised diameter must be 2.1 to 3 cm.

Can the closure be billed separately?

Simple closure is included in the excision. A qualifying intermediate or complex repair may be separately reported using the repair code that matches its complexity, site, and length.

Does a pathology result showing malignancy change this code?

The excision code is chosen based on the lesion’s clinical classification when removed. If the lesion is treated as malignant rather than benign, use the applicable malignant-lesion excision code instead.

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

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

What postoperative care is included?

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

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a reduction. Assistant-at-surgery payment is restricted, and 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 11443PPRRVU2026_Oct_nonQPP.csv, line 1,324 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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