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

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 Fort Worth, TX, Medicare pays $227.51 for 11443 in the office and $157.69 when it’s performed in a hospital or facility.

$227.51Office (non-facility)
$157.69Hospital or facility
−1.1%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $227.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

11443 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$227.51
  2. Austin, TX · Texas$237.49+$9.98
  3. Beaumont, TX · Texas$216.46−$11.05
  4. Brazoria, TX · Texas$227.24−$0.27
  5. Dallas, TX · Texas$228.82+$1.31
  6. Galveston, TX · Texas$228.01+$0.50
  7. Houston, TX · Texas$233.50+$5.99

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

Every other payment area

11443 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$221.82$154.62
Los Angeles, CACalifornia$256.23$172.46
Washington, DC areaDistrict of Columbia$261.00$177.59
Miami, FLFlorida$251.36$177.64
Chicago, ILIllinois$244.36$173.20
Manhattan, NYNew York$264.20$181.92
AlaskaAlaska$273.07$197.65
AlabamaAlabama$207.79$145.83

11443 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.

$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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 11443 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work2.28× 1.0092.3005
Practice expense4.31× 0.9864.2497
Malpractice0.30× 0.8710.2613
Total RVUs6.8115
Conversion factor× 33.4009

Office rate, Fort Worth, TX$227.51

Office: (2.28 × 1.009 + 4.31 × 0.986 + 0.3 × 0.871) × $33.4009 = $227.51

Facility: (2.28 × 1.009 + 2.19 × 0.986 + 0.3 × 0.871) × $33.4009 = $157.69

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

Codes related to 11443

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

Codes related to 11443
CodeHow it relatesOffice range, Fort Worth, TX
Same family
11442Facial lesion excision, 1.1–2 cm excised diameterSame facial sites and benign-lesion method, for an excised diameter of 1.1 to 2 cm.$191.83
11444Skin excision, face, 3.1–4 cmSame facial sites and benign-lesion method, for an excised diameter of 3.1 to 4 cm.$284.95
Used instead
11423Skin excision, scalp, neck, hands, feet, or genitaliaBenign-lesion excision at scalp, neck, hands, feet, or genitalia for the same size range.$206.34
11643Malignant lesion excision, face, ears, eyelids, nose, lipsFacial lesion excision for a lesion treated as malignant in the same size range.$312.46
Often billed with
12052Wound repair, face, 2.6–5 cmMay be reported for a separately qualifying intermediate repair of the face, ears, eyelids, nose, or lips.$308.44

How 11443 has changed in Fort Worth, TX

11443 · Office / nonfacility

$227.51

Effective 2026-10-01

The base rate is $5.45 higher than on 2025-10-01, moving from $222.06 to $227.51 (2.5%).

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

    $222.06changed to$227.51

    • 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
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $228.55changed to$222.06

    • 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

    $224.82changed to$228.55

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $229.66changed to$224.82

    • 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
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $230.45changed to$229.66

    • 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
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $230.97changed to$230.45

    • 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

    $228.35changed to$230.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.79 changed to 4.09
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $226.72changed to$228.35

    • 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
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $225.13changed to$226.72

    • 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

    $224.39changed to$225.13

    • 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
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $224.02changed to$224.39

    • 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
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $224.28changed to$224.02

    • 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

    $223.16changed to$224.28

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $220.52changed to$223.16

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.57 changed to 3.63
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $223.19changed to$220.52

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $223.19

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$227.51$157.69RVU26D
2026-07-01$227.51$157.69RVU26C
2026-04-01$227.51$157.69RVU26B
2026-01-01$227.51$157.69RVU26A
2025-10-01$222.06$175.90RVU25D
2025-07-01$222.06$175.90RVU25C
2025-04-01$222.06$175.90RVU25B
2025-01-01$222.06$175.90RVU25A
2024-10-01$228.55$179.38RVU24D
2024-07-01$228.55$179.38RVU24C
2024-04-01$228.55$179.38RVU24B
2024-03-09$228.55$179.38RVU24AR
2024-01-01$224.82$176.46RVU24A
2023-10-01$229.66$178.36RVU23D
2023-07-01$229.66$178.36RVU23C
2023-04-01$229.66$178.36RVU23B
2023-01-01$229.66$178.36RVU23A
2022-10-01$230.45$177.08RVU22D
2022-07-01$230.45$177.08RVU22C
2022-04-01$230.45$177.08RVU22B
2022-01-01$230.45$177.08RVU22A
2021-10-01$230.97$176.47RVU21D
2021-07-01$230.97$176.47RVU21C
2021-04-01$230.97$176.47RVU21B
2021-01-01$230.97$176.47RVU21A
2020-10-01$228.35$179.36RVU20D
2020-07-01$228.35$179.36RVU20C
2020-04-01$228.35$179.36RVU20B
2020-01-01$228.35$179.36RVU20A
2019-10-01$226.72$180.17RVU19D
2019-07-01$226.72$180.17RVU19C
2019-04-01$226.72$180.17RVU19B
2019-01-01$226.72$180.17RVU19A
2018-10-01$225.13$179.70RVU18D
2018-07-01$225.13$179.70RVU18C
2018-04-01$225.13$179.70RVU18B
2018-01-01$225.13$179.70RVU18AR1
2017-10-01$224.39$179.93RVU17D
2017-07-01$224.39$179.93RVU17C
2017-04-01$224.39$179.93RVU17B
2017-01-01$224.39$179.93RVU17A
2016-10-01$224.02$179.85RVU16D
2016-07-01$224.02$179.85RVU16C
2016-04-01$224.02$179.85RVU16B
2016-01-01$224.02$179.85RVU16A
2015-10-01$224.28$180.30RVU15D
2015-07-01$224.28$180.30RVU15C
2015-04-01$223.16$179.40RVU15B
2015-01-01$223.16$179.40RVU15A
2014-10-01$220.52$177.39RVU14D
2014-07-01$220.52$177.39RVU14C
2014-04-01$220.52$177.39RVU14B
2014-01-01$220.52$177.39RVU14A
2013-10-01$223.19$177.23RVU13D
2013-07-01$223.19$177.23RVU13C
2013-04-01$223.19$177.23RVU13B
2013-01-01$223.19$177.23RVU13AR

Price 11443 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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