CPT code 11600: Malignant lesion excision, trunk or extremity, 0.5 cm or less2026 Medicare rate & RVUs in Colorado
Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and required margins have an excised diameter of 0.5 cm or less.
In Colorado, Medicare pays $206.35 for 11600 in the office and $110.75 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 11600 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 11600 covers
This code describes removal of a malignant skin lesion from the trunk, an arm, or a leg, with margins included in the measured excision. Dermatologists, surgeons, and other qualified clinicians may perform it in an office procedure room or a facility. The size category is based on the lesion’s greatest clinical diameter plus the margins taken, not just the visible lesion. Typical cases include excision of a small malignant lesion on the back, torso, or extremity.
Report the code when the excised diameter is 0.5 cm or less and the site falls within this anatomic group. Documentation should identify the site, lesion dimensions, margins or excised diameter, and clinical or pathology support for malignancy. Simple closure is included; a separately documented intermediate or complex repair may be reported under its repair code. The procedure has a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing 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 Colorado compares for 11600
Across 109 of 109 payment localities, the office rate for 11600 runs from $175.50 in Arkansas to $262.11 in San Benito County, CA. Colorado pays $206.35. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Colorado · this page$206.35
- Los Angeles, CA · California$223.53+$17.18
- Washington, DC area · District of Columbia$226.68+$20.33
- Miami, FL · Florida$214.80+$8.45
- Chicago, IL · Illinois$208.55+$2.20
- Manhattan, NY · New York$228.31+$21.96
- Alaska · Alaska$230.79+$24.44
Other areas in Colorado first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $178.07 | $99.45 |
| ArkansasArkansas | $175.50 | $98.32 |
| ArizonaArizona | $193.10 | $106.04 |
| Bakersfield, CACalifornia | $209.94 | $111.47 |
| Chico, CACalifornia | $209.32 | $110.85 |
| El Centro, CACalifornia | $209.36 | $110.89 |
| Fresno, CACalifornia | $209.32 | $110.85 |
| Hanford, CACalifornia | $209.32 | $110.85 |
| Madera, CACalifornia | $209.32 | $110.85 |
| Merced, CACalifornia | $209.32 | $110.85 |
| Modesto, CACalifornia | $209.32 | $110.85 |
| Napa, CACalifornia | $242.27 | $123.85 |
| Oxnard, CACalifornia | $222.41 | $116.21 |
| Redding, CACalifornia | $209.32 | $110.85 |
| Rest of CaliforniaCalifornia | $209.32 | $110.85 |
| Riverside, CACalifornia | $211.60 | $113.13 |
| Sacramento, CACalifornia | $219.60 | $115.10 |
| Salinas, CACalifornia | $218.78 | $114.65 |
| San Diego, CACalifornia | $223.88 | $116.43 |
| Marin County, CACalifornia | $256.35 | $129.66 |
| San Francisco, CACalifornia | $256.11 | $129.42 |
| San Benito County, CACalifornia | $262.11 | $132.55 |
| Santa Clara County, CACalifornia | $261.13 | $131.57 |
| San Luis Obispo, CACalifornia | $215.27 | $112.93 |
| Santa Cruz, CACalifornia | $225.99 | $116.83 |
| Santa Maria, CACalifornia | $219.59 | $114.82 |
| Santa Rosa, CACalifornia | $228.27 | $117.93 |
| Stockton, CACalifornia | $209.32 | $110.85 |
| Vallejo, CACalifornia | $241.93 | $123.51 |
| Visalia, CACalifornia | $209.32 | $110.85 |
| Yuba City, CACalifornia | $209.32 | $110.85 |
| ConnecticutConnecticut | $211.58 | $114.82 |
| DelawareDelaware | $196.30 | $107.53 |
| Fort Lauderdale, FLFlorida | $205.87 | $114.85 |
| Rest of FloridaFlorida | $195.85 | $109.95 |
| Atlanta, GAGeorgia | $202.18 | $110.90 |
| Rest of GeorgiaGeorgia | $184.81 | $104.67 |
| Hawaii, Guam, HIHawaii | $214.39 | $112.24 |
| IowaIowa | $182.42 | $100.21 |
| IdahoIdaho | $183.64 | $100.98 |
| East St. Louis, ILIllinois | $194.45 | $111.79 |
| Rest of IllinoisIllinois | $190.32 | $108.29 |
| Suburban Chicago, ILIllinois | $207.92 | $115.65 |
| IndianaIndiana | $184.70 | $101.41 |
| KansasKansas | $181.65 | $100.42 |
| KentuckyKentucky | $182.46 | $102.58 |
| New Orleans, LALouisiana | $191.20 | $106.65 |
| Rest of LouisianaLouisiana | $182.20 | $102.69 |
| Metropolitan Boston, MAMassachusetts | $226.63 | $119.35 |
| Rest of MassachusettsMassachusetts | $205.16 | $110.55 |
| Baltimore area, MDMaryland | $211.01 | $114.60 |
| Rest of MarylandMaryland | $200.02 | $109.09 |
| Rest of MaineMaine | $184.69 | $102.03 |
| Southern Maine, MEMaine | $194.57 | $105.53 |
| Detroit, MIMichigan | $198.37 | $111.67 |
| Rest of MichiganMichigan | $187.28 | $105.24 |
| MinnesotaMinnesota | $197.47 | $105.02 |
| Metropolitan Kansas City, MOMissouri | $189.80 | $105.44 |
| Metropolitan St. Louis, MOMissouri | $191.78 | $106.24 |
| Rest of MissouriMissouri | $179.14 | $101.69 |
| MississippiMississippi | $177.35 | $99.99 |
| MontanaMontana | $198.39 | $108.54 |
| North CarolinaNorth Carolina | $186.60 | $102.78 |
| North DakotaNorth Dakota | $194.23 | $104.39 |
| NebraskaNebraska | $183.39 | $100.46 |
| New HampshireNew Hampshire | $203.19 | $109.66 |
| Northern New JerseyNew Jersey | $224.35 | $120.12 |
| Rest of New JerseyNew Jersey | $213.93 | $115.81 |
| New MexicoNew Mexico | $188.33 | $105.94 |
| NevadaNevada | $197.37 | $107.43 |
| NYC suburbs and Long Island, NYNew York | $233.95 | $127.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $215.40 | $117.02 |
| Queens, NYNew York | $230.07 | $123.87 |
| Rest of New YorkNew York | $189.40 | $104.05 |
| OhioOhio | $186.43 | $104.40 |
| OklahomaOklahoma | $182.04 | $101.81 |
| Portland, OROregon | $212.80 | $112.98 |
| Rest of OregonOregon | $195.77 | $106.28 |
| Metropolitan Philadelphia, PAPennsylvania | $206.38 | $112.85 |
| Rest of PennsylvaniaPennsylvania | $186.68 | $104.20 |
| Puerto RicoPuerto Rico | $199.82 | $108.98 |
| Rhode IslandRhode Island | $203.22 | $110.40 |
| South CarolinaSouth Carolina | $186.84 | $103.82 |
| South DakotaSouth Dakota | $193.74 | $103.90 |
| TennesseeTennessee | $182.57 | $100.90 |
| Austin, TXTexas | $205.73 | $110.67 |
| Beaumont, TXTexas | $185.46 | $103.70 |
| Brazoria, TXTexas | $196.04 | $107.00 |
| Dallas, TXTexas | $197.33 | $107.84 |
| Fort Worth, TXTexas | $196.04 | $107.45 |
| Galveston, TXTexas | $196.65 | $107.43 |
| Houston, TXTexas | $200.50 | $111.28 |
| Rest of TexasTexas | $190.67 | $105.40 |
| UtahUtah | $189.39 | $104.93 |
| VirginiaVirginia | $193.99 | $105.67 |
| Virgin Islands, VIUnited States Virgin Islands | $199.82 | $108.98 |
| VermontVermont | $193.55 | $104.60 |
| Rest of WashingtonWashington | $204.74 | $110.13 |
| King County, WAWashington | $231.16 | $120.92 |
| WisconsinWisconsin | $187.74 | $101.66 |
| West VirginiaWest Virginia | $183.31 | $105.23 |
| WyomingWyoming | $196.58 | $106.73 |
11600 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.
$175.50
$235.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $230.79 | 1 |
| AL | $178.07 | 1 |
| AR | $175.50 | 1 |
| AZ | $193.10 | 1 |
| CA | $209.32–$262.11 | 29 |
| CO | $206.35 | 1 |
| CT | $211.58 | 1 |
| DC | $226.68 | 1 |
| DE | $196.30 | 1 |
| FL | $195.85–$214.80 | 3 |
| GA | $184.81–$202.18 | 2 |
| GU | $214.39 | 1 |
| HI | $214.39 | 1 |
| IA | $182.42 | 1 |
| ID | $183.64 | 1 |
| IL | $190.32–$208.55 | 4 |
| IN | $184.70 | 1 |
| KS | $181.65 | 1 |
| KY | $182.46 | 1 |
| LA | $182.20–$191.20 | 2 |
| MA | $205.16–$226.63 | 2 |
| MD | $200.02–$226.68 | 3 |
| ME | $184.69–$194.57 | 2 |
| MI | $187.28–$198.37 | 2 |
| MN | $197.47 | 1 |
| MO | $179.14–$191.78 | 3 |
| MS | $177.35 | 1 |
| MT | $198.39 | 1 |
| NC | $186.60 | 1 |
| ND | $194.23 | 1 |
| NE | $183.39 | 1 |
| NH | $203.19 | 1 |
| NJ | $213.93–$224.35 | 2 |
| NM | $188.33 | 1 |
| NV | $197.37 | 1 |
| NY | $189.40–$233.95 | 5 |
| OH | $186.43 | 1 |
| OK | $182.04 | 1 |
| OR | $195.77–$212.80 | 2 |
| PA | $186.68–$206.38 | 2 |
| PR | $199.82 | 1 |
| RI | $203.22 | 1 |
| SC | $186.84 | 1 |
| SD | $193.74 | 1 |
| TN | $182.57 | 1 |
| TX | $185.46–$205.73 | 8 |
| UT | $189.39 | 1 |
| VA | $193.99–$226.68 | 2 |
| VI | $199.82 | 1 |
| VT | $193.55 | 1 |
| WA | $204.74–$231.16 | 2 |
| WI | $187.74 | 1 |
| WV | $183.31 | 1 |
| WY | $196.58 | 1 |
How the 11600 rate is calculated
Each of 11600’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 · 11600
RVUs × geographic indexes × conversion factor
Work1.59
1.59 RVUs× 1.000 GPCI
Practice expense4.14
4.14 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
5.9400
Conversion factor
$33.4009
Medicare rate
$198.40
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Colorado inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
1,340
- Code
- 11600
- Physician work
- 1.59
- Practice expense
- 4.14
- Malpractice
- 0.21
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.59 | × 1.012 | 1.6091 |
| Practice expense | 4.14 | × 1.064 | 4.4050 |
| Malpractice | 0.21 | × 0.781 | 0.1640 |
| Total RVUs | 6.1780 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Colorado$206.35
Office: (1.59 × 1.012 + 4.14 × 1.064 + 0.21 × 0.781) × $33.4009 = $206.35
Facility: (1.59 × 1.012 + 1.45 × 1.064 + 0.21 × 0.781) × $33.4009 = $110.75
Payment rules and modifiers for 11600
11600 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11600
Malignant lesion excision, trunk or extremity, 0.5 cm or less
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 11600
Malignant lesion excision, trunk or extremity, 0.5 cm or less
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.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11600 without 51 · national office
$198.40
Malignant lesion excision, trunk or extremity, 0.5 cm or less
11600-51 · Second procedure: 50%
$99.20
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%).
How 11600 has changed in Colorado
11600 · Office / nonfacility
$206.35
Effective 2026-10-01
The base rate is $8.96 higher than on 2025-10-01, moving from $197.39 to $206.35 (4.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$197.39changed to$206.35
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.63 changed to 1.59
- Practice expense RVU 4.07 changed to 4.14
- Work GPCI 1.008 changed to 1.012
- Practice expense GPCI 1.053 changed to 1.064
- Malpractice GPCI 0.827 changed to 0.781
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$204.46changed to$197.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 4.10 changed to 4.07
- Malpractice RVU 0.22 changed to 0.21
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$201.12changed to$204.46
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$206.98changed to$201.12
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 4.09 changed to 4.10
- Work GPCI 1.005 changed to 1.008
- Practice expense GPCI 1.050 changed to 1.053
- Malpractice GPCI 0.797 changed to 0.827
January 1, 2023
RVU23A
$209.51changed to$206.98
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 4.07 changed to 4.09
- Malpractice RVU 0.21 changed to 0.22
- Work GPCI 1.001 changed to 1.005
- Practice expense GPCI 1.047 changed to 1.050
- Malpractice GPCI 0.767 changed to 0.797
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$211.61changed to$209.51
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 4.08 changed to 4.07
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$206.23changed to$211.61
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.77 changed to 4.08
- Work GPCI 1.000 changed to 1.001
- Practice expense GPCI 1.033 changed to 1.047
- Malpractice GPCI 0.905 changed to 0.767
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$202.03changed to$206.23
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 3.66 changed to 3.77
- Malpractice RVU 0.24 changed to 0.21
- Practice expense GPCI 1.018 changed to 1.033
- Malpractice GPCI 1.042 changed to 0.905
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$201.45changed to$202.03
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 3.65 changed to 3.66
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$198.44changed to$201.45
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.60 changed to 3.65
- Malpractice RVU 0.23 changed to 0.24
- Practice expense GPCI 1.015 changed to 1.018
- Malpractice GPCI 1.066 changed to 1.042
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$196.93changed to$198.44
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.58 changed to 3.60
- Practice expense GPCI 1.011 changed to 1.015
- Malpractice GPCI 1.090 changed to 1.066
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$197.27changed to$196.93
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.57 changed to 3.58
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$196.29changed to$197.27
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$193.56changed to$196.29
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.50 changed to 3.57
- Malpractice RVU 0.25 changed to 0.23
- Practice expense GPCI 1.008 changed to 1.011
- Malpractice GPCI 0.981 changed to 1.090
Held through RVU15B.
January 1, 2014
RVU14A
$196.73changed to$193.56
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 3.91 changed to 3.50
- Malpractice RVU 0.26 changed to 0.25
- Practice expense GPCI 1.004 changed to 1.008
- Malpractice GPCI 0.872 changed to 0.981
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $196.73
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $206.35 | $110.75 | RVU26D |
| 2026-07-01 | $206.35 | $110.75 | RVU26C |
| 2026-04-01 | $206.35 | $110.75 | RVU26B |
| 2026-01-01 | $206.35 | $110.75 | RVU26A |
| 2025-10-01 | $197.39 | $121.78 | RVU25D |
| 2025-07-01 | $197.39 | $121.78 | RVU25C |
| 2025-04-01 | $197.39 | $121.78 | RVU25B |
| 2025-01-01 | $197.39 | $121.78 | RVU25A |
| 2024-10-01 | $204.46 | $124.89 | RVU24D |
| 2024-07-01 | $204.46 | $124.89 | RVU24C |
| 2024-04-01 | $204.46 | $124.89 | RVU24B |
| 2024-03-09 | $204.46 | $124.89 | RVU24AR |
| 2024-01-01 | $201.12 | $122.86 | RVU24A |
| 2023-10-01 | $206.98 | $125.15 | RVU23D |
| 2023-07-01 | $206.98 | $125.15 | RVU23C |
| 2023-04-01 | $206.98 | $125.15 | RVU23B |
| 2023-01-01 | $206.98 | $125.15 | RVU23A |
| 2022-10-01 | $209.51 | $125.08 | RVU22D |
| 2022-07-01 | $209.51 | $125.08 | RVU22C |
| 2022-04-01 | $209.51 | $125.08 | RVU22B |
| 2022-01-01 | $209.51 | $125.08 | RVU22A |
| 2021-10-01 | $211.61 | $125.39 | RVU21D |
| 2021-07-01 | $211.61 | $125.39 | RVU21C |
| 2021-04-01 | $211.61 | $125.39 | RVU21B |
| 2021-01-01 | $211.61 | $125.39 | RVU21A |
| 2020-10-01 | $206.23 | $126.08 | RVU20D |
| 2020-07-01 | $206.23 | $126.08 | RVU20C |
| 2020-04-01 | $206.23 | $126.08 | RVU20B |
| 2020-01-01 | $206.23 | $126.08 | RVU20A |
| 2019-10-01 | $202.03 | $125.72 | RVU19D |
| 2019-07-01 | $202.03 | $125.72 | RVU19C |
| 2019-04-01 | $202.03 | $125.72 | RVU19B |
| 2019-01-01 | $202.03 | $125.72 | RVU19A |
| 2018-10-01 | $201.45 | $125.22 | RVU18D |
| 2018-07-01 | $201.45 | $125.22 | RVU18C |
| 2018-04-01 | $201.45 | $125.22 | RVU18B |
| 2018-01-01 | $201.45 | $125.22 | RVU18AR1 |
| 2017-10-01 | $198.44 | $124.49 | RVU17D |
| 2017-07-01 | $198.44 | $124.49 | RVU17C |
| 2017-04-01 | $198.44 | $124.49 | RVU17B |
| 2017-01-01 | $198.44 | $124.49 | RVU17A |
| 2016-10-01 | $196.93 | $123.44 | RVU16D |
| 2016-07-01 | $196.93 | $123.44 | RVU16C |
| 2016-04-01 | $196.93 | $123.44 | RVU16B |
| 2016-01-01 | $196.93 | $123.44 | RVU16A |
| 2015-10-01 | $197.27 | $124.25 | RVU15D |
| 2015-07-01 | $197.27 | $124.25 | RVU15C |
| 2015-04-01 | $196.29 | $123.63 | RVU15B |
| 2015-01-01 | $196.29 | $123.63 | RVU15A |
| 2014-10-01 | $193.56 | $122.06 | RVU14D |
| 2014-07-01 | $193.56 | $122.06 | RVU14C |
| 2014-04-01 | $193.56 | $122.06 | RVU14B |
| 2014-01-01 | $193.56 | $122.06 | RVU14A |
| 2013-10-01 | $196.73 | $120.56 | RVU13D |
| 2013-07-01 | $196.73 | $120.56 | RVU13C |
| 2013-04-01 | $196.73 | $120.56 | RVU13B |
| 2013-01-01 | $196.73 | $120.56 | RVU13AR |
Where the Colorado rate applies
Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.
- Acres Green
- Aetna Estates
- Aguilar
- Air Force Academy
- Akron
- Alamosa
- Alamosa East
- Allenspark
11600 billing questions
How do I distinguish this code from 11601?
Use 11600 when the lesion plus required margins measures 0.5 cm or less. Code 11601 begins at an excised diameter of 0.6 cm.
Does the measurement include the margins?
Yes. Select the size category using the lesion’s greatest clinical diameter plus the margins removed, rather than the lesion alone.
Can I bill separately for closing the excision?
Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when the repair service meets its code requirements.
Can modifier 50 be used for lesions on both sides?
No. Modifier 50 is inappropriate for this code. The CMS bilateral adjustment does not apply.
Are assistant or co-surgeon services payable?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
Are related postoperative visits included?
Yes. The 10-day global period includes related postoperative visits during those 10 days.
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
Fee sheets
Put 11600 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet