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

In Vermont, Medicare pays $223.74 for 11443 in the office and $153.64 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $223.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11443 rates by state

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

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.

Payment rules and modifiers for 11443

11443 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 11443

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

How 11443 has changed in Vermont

Price 11443 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

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