CPT code 11601: Malignant skin excision, trunk, arms, or legs; 0.6–1 cm2026 Medicare rate & RVUs in Metropolitan Boston, MA

In Metropolitan Boston, MA, Medicare pays $258.43 for 11601 in the office and $140.38 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11601 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 11601 covers

This service removes a malignant skin lesion from the trunk, an arm, or a leg, including the surrounding margins. A dermatologist, surgeon, or other qualified physician typically performs the excision in an office or outpatient setting. The selected size is the greatest diameter of the lesion plus the margins, not the lesion’s diameter alone. Routine simple closure is included; a separately documented intermediate or complex repair may be reported when its requirements are met.

Report this code for an excised diameter of 0.6–1 cm at one of these anatomic sites. Documentation should identify the site, lesion dimensions, margins taken, final excised diameter, and malignant diagnosis. The 10-day global period 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 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 Metropolitan Boston, MA compares for 11601

Across 109 of 109 payment localities, the office rate for 11601 runs from $201.86 in Arkansas to $297.85 in San Benito County, CA. Metropolitan Boston, MA pays $258.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11601 rates by state

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

See 11601 in every payment locality

How the 11601 rate is calculated

Each of 11601’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 11601

11601 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 11601

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

How 11601 has changed in Metropolitan Boston, MA

Price 11601 for an earlier date of service

Where the Metropolitan Boston, MA rate applies

Metropolitan Boston, MA is a Medicare payment area, not a city. Our Census mapping connects it to 60 cities and communities in Massachusetts. Some span more than one payment area; confirm with the service ZIP.

• Boston
• Arlington
• Ayer
• Bellingham
• Belmont
• Braintree Town
• Brookline
• Burlington

Browse all communities in Massachusetts

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