CPT code 11446: Skin lesion excision, face, over 4 cm2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $384.98 for 11446 in the office and $269.08 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11446 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 11446 covers

A clinician surgically removes a benign skin lesion from the face, ear, eyelid, nose, lip, or mucous membrane. Dermatologists, plastic surgeons, and other surgeons may perform the procedure in an office or operating-room setting. The code represents a large excision in these facial locations, not a shave or destruction technique.

Choose the size level using the widest diameter of the lesion plus the margins removed; the combined excised diameter must be greater than 4 cm. Document the site, benign diagnosis, lesion size, and margins so the measured excision size is clear. Simple closure is included; a separately documented intermediate or complex repair may be reported when its criteria are met. Related postoperative visits during the 10-day global period are included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting 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 North Dakota compares for 11446

Across 109 of 109 payment localities, the office rate for 11446 runs from $356.52 in Arkansas to $502.12 in San Benito County, CA. North Dakota pays $384.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11446 rates by state

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

See 11446 in every payment locality

How the 11446 rate is calculated

Each of 11446’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 11446

11446 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 11446

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

How 11446 has changed in North Dakota

Price 11446 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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