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CPT code 11602: Malignant lesion excision, trunk or extremity, 1.1–2 cm2026 Medicare rate & RVUs in Utah

Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and margins produce an excised diameter of 1.1–2 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality243.3K Medicare services in 2024

In Utah, Medicare pays $230.16 for 11602 in the office and $132.52 when it’s performed in a hospital or facility.

$230.16Office (non-facility)
$132.52Hospital or facility
−4.3%vs the national office rate ($240.49)

Check a contract rate as a % of Medicare · 11602 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 11602 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 11602 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 11602 covers

This service removes a malignant skin lesion from the trunk or an extremity, including the margins taken to achieve excision. Dermatologists and surgeons commonly perform it in an office or outpatient facility for cancers such as basal cell or squamous cell carcinoma. The code’s size range is based on the lesion’s greatest diameter together with the narrowest margins removed, not the length of the final closure.

Select the code using the anatomic site and documented excised diameter. The record should identify the lesion site, malignancy, lesion dimensions, margins, and resulting excised diameter. Simple closure is included; a separately documented intermediate or complex repair may be reported when its criteria are met. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur 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. Medicare does not pay for an assistant at surgery, 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 Utah compares for 11602

Across 109 of 109 payment localities, the office rate for 11602 runs from $214.34 in Arkansas to $315.31 in San Benito County, CA. Utah pays $230.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

11602 in Utah vs other payment areas
  1. Utah · this page$230.16
  2. Los Angeles, CA · California$270.03+$39.87
  3. Washington, DC area · District of Columbia$273.64+$43.48
  4. Miami, FL · Florida$258.75+$28.59
  5. Chicago, IL · Illinois$251.75+$21.59
  6. Manhattan, NY · New York$275.47+$45.31
  7. Alaska · Alaska$284.28+$54.12

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

Every other payment area

11602 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$217.28$126.39
ArkansasArkansas$214.34$125.11
ArizonaArizona$234.45$133.79
Bakersfield, CACalifornia$254.15$140.30
Chico, CACalifornia$253.44$139.59
El Centro, CACalifornia$253.48$139.63
Fresno, CACalifornia$253.44$139.59
Hanford, CACalifornia$253.44$139.59

11602 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.

$214.34

$284.38

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
11602 office rate range by state
State / territoryOffice rate rangeLocalities
AK$284.281
AL$217.281
AR$214.341
AZ$234.451
CA$253.44–$315.3129
CO$249.871
CT$255.821
DC$273.641
DE$238.171
FL$237.36–$258.753
GA$224.79–$244.802
GU$259.031
HI$259.031
IA$222.341
ID$223.721
IL$230.98–$251.754
IN$224.931
KS$221.411
KY$222.191
LA$221.88–$232.152
MA$248.53–$273.512
MD$242.50–$273.643
ME$224.86–$236.222
MI$227.65–$240.192
MN$239.691
MO$218.35–$232.873
MS$216.381
MT$240.471
NC$227.061
ND$235.921
NE$223.471
NH$246.041
NJ$258.81–$271.102
NM$228.831
NV$239.361
NY$230.26–$281.845
OH$226.721
OK$221.761
OR$237.57–$257.352
PA$227.03–$249.822
PR$242.121
RI$246.311
SC$227.251
SD$235.391
TN$222.461
TX$225.63–$248.988
UT$230.161
VA$235.53–$273.642
VI$242.121
VT$235.101
WA$248.04–$278.862
WI$228.491
WV$222.971
WY$238.491

See 11602 in every payment locality

How the 11602 rate is calculated

Each of 11602’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 · 11602

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.21

2.21 RVUs× 1.000 GPCI

Practice expense4.76

4.76 RVUs× 1.000 GPCI

Malpractice0.23

0.23 RVUs× 1.000 GPCI

Adjusted RVUs

7.2000

Conversion factor

$33.4009

Medicare rate

$240.49

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Utah inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,342

Code
11602
Physician work
2.21
Practice expense
4.76
Malpractice
0.23

GPCI2026.csv

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Office calculation for 11602 in Utah
ComponentRVULocality factorAdjusted
Physician work2.21× 1.0002.2100
Practice expense4.76× 0.9404.4744
Malpractice0.23× 0.8980.2065
Total RVUs6.8909
Conversion factor× 33.4009

Office rate, Utah$230.16

Office: (2.21 × 1 + 4.76 × 0.94 + 0.23 × 0.898) × $33.4009 = $230.16

Facility: (2.21 × 1 + 1.65 × 0.94 + 0.23 × 0.898) × $33.4009 = $132.52

Open 11602 in the RVU calculator

Payment rules and modifiers for 11602

11602 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11602

Malignant lesion excision, trunk or extremity, 1.1–2 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 · 11602

Malignant lesion excision, trunk or extremity, 1.1–2 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

11602 without 51 · national office

$240.49

Malignant lesion excision, trunk or extremity, 1.1–2 cm

11602-51 · Second procedure: 50%

$120.25

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 11602

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

Codes related to 11602
CodeHow it relatesOffice range, Utah
Same family
11601Malignant skin excision, trunk, arms, or legs; 0.6–1 cmSame anatomic group; covers the smaller excised-diameter range.$217.21
11603Lesion excision, trunk or limb, 2.1–3 cmSame anatomic group; covers the next larger excised-diameter range.$264.70
Used instead
11622Skin lesion excision, designated sites, 1.1–2 cmMalignant-lesion excision at the same size level for a different anatomic group.$239.19
11642Skin lesion excision, face, ears, eyelids, nose, lipsSame size level for malignant lesions on the face and related sites.$255.55
11402Skin lesion excision, trunk or extremity, 1.1–2 cmBenign-lesion excision for the same general body sites and size range.$163.33
Often billed with
12031Wound repair, scalp, trunk, or extremityMay be reported for a qualifying intermediate repair on the trunk or extremity.$247.85

How 11602 has changed in Utah

11602 · Office / nonfacility

$230.16

Effective 2026-10-01

The base rate is $3.45 higher than on 2025-10-01, moving from $226.71 to $230.16 (1.5%).

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

    $226.71changed to$230.16

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.27 changed to 2.21
    • Practice expense RVU 4.83 changed to 4.76
    • Malpractice RVU 0.25 changed to 0.23
    • Practice expense GPCI 0.933 changed to 0.940
    • Malpractice GPCI 0.930 changed to 0.898

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $233.93changed to$226.71

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.85 changed to 4.83

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $230.11changed to$233.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $235.50changed to$230.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.82 changed to 4.85
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.865 changed to 0.930

  5. January 1, 2023

    RVU23A

    $236.22changed to$235.50

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.74 changed to 4.82
    • Practice expense GPCI 0.919 changed to 0.926
    • Malpractice GPCI 0.799 changed to 0.865

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $238.49changed to$236.22

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.75 changed to 4.74

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $240.68changed to$238.49

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.50 changed to 4.75
    • Practice expense GPCI 0.923 changed to 0.919
    • Malpractice GPCI 0.982 changed to 0.799

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $244.75changed to$240.68

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.45 changed to 4.50
    • Malpractice RVU 0.34 changed to 0.25
    • Practice expense GPCI 0.927 changed to 0.923
    • Malpractice GPCI 1.165 changed to 0.982

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $245.06changed to$244.75

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.48 changed to 4.45
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $243.10changed to$245.06

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.44 changed to 4.48
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.925 changed to 0.927
    • Malpractice GPCI 1.167 changed to 1.165

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $241.09changed to$243.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.41 changed to 4.44
    • Practice expense GPCI 0.922 changed to 0.925
    • Malpractice GPCI 1.169 changed to 1.167

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $240.37changed to$241.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.40 changed to 4.41
    • Malpractice RVU 0.31 changed to 0.34

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $239.17changed to$240.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $236.31changed to$239.17

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.30 changed to 4.40
    • Malpractice RVU 0.33 changed to 0.31
    • Practice expense GPCI 0.919 changed to 0.922
    • Malpractice GPCI 1.136 changed to 1.169

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $241.13changed to$236.31

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.85 changed to 4.30
    • Malpractice RVU 0.34 changed to 0.33
    • Practice expense GPCI 0.916 changed to 0.919
    • Malpractice GPCI 1.102 changed to 1.136

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $241.13

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$230.16$132.52RVU26D
2026-07-01$230.16$132.52RVU26C
2026-04-01$230.16$132.52RVU26B
2026-01-01$230.16$132.52RVU26A
2025-10-01$226.71$151.87RVU25D
2025-07-01$226.71$151.87RVU25C
2025-04-01$226.71$151.87RVU25B
2025-01-01$226.71$151.87RVU25A
2024-10-01$233.93$155.04RVU24D
2024-07-01$233.93$155.04RVU24C
2024-04-01$233.93$155.04RVU24B
2024-03-09$233.93$155.04RVU24AR
2024-01-01$230.11$152.51RVU24A
2023-10-01$235.50$155.48RVU23D
2023-07-01$235.50$155.48RVU23C
2023-04-01$235.50$155.48RVU23B
2023-01-01$235.50$155.48RVU23A
2022-10-01$236.22$155.12RVU22D
2022-07-01$236.22$155.12RVU22C
2022-04-01$236.22$155.12RVU22B
2022-01-01$236.22$155.12RVU22A
2021-10-01$238.49$155.44RVU21D
2021-07-01$238.49$155.44RVU21C
2021-04-01$238.49$155.44RVU21B
2021-01-01$238.49$155.44RVU21A
2020-10-01$240.68$161.07RVU20D
2020-07-01$240.68$161.07RVU20C
2020-04-01$240.68$161.07RVU20B
2020-01-01$240.68$161.07RVU20A
2019-10-01$244.75$165.91RVU19D
2019-07-01$244.75$165.91RVU19C
2019-04-01$244.75$165.91RVU19B
2019-01-01$244.75$165.91RVU19A
2018-10-01$245.06$165.97RVU18D
2018-07-01$245.06$165.97RVU18C
2018-04-01$245.06$165.97RVU18B
2018-01-01$245.06$165.97RVU18AR1
2017-10-01$243.10$165.42RVU17D
2017-07-01$243.10$165.42RVU17C
2017-04-01$243.10$165.42RVU17B
2017-01-01$243.10$165.42RVU17A
2016-10-01$241.09$164.17RVU16D
2016-07-01$241.09$164.17RVU16C
2016-04-01$241.09$164.17RVU16B
2016-01-01$241.09$164.17RVU16A
2015-10-01$240.37$163.83RVU15D
2015-07-01$240.37$163.83RVU15C
2015-04-01$239.17$163.02RVU15B
2015-01-01$239.17$163.02RVU15A
2014-10-01$236.31$161.58RVU14D
2014-07-01$236.31$161.58RVU14C
2014-04-01$236.31$161.58RVU14B
2014-01-01$236.31$161.58RVU14A
2013-10-01$241.13$160.72RVU13D
2013-07-01$241.13$160.72RVU13C
2013-04-01$241.13$160.72RVU13B
2013-01-01$241.13$160.72RVU13AR

Price 11602 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

  • Alpine
  • Alta
  • Altamont
  • Alton
  • Amalga
  • American Fork
  • Aneth
  • Annabella

Browse all communities in Utah

11602 billing questions

How do I choose between 11602 and 11601 or 11603?

Use 11602 when the lesion plus the margins removed measures 1.1–2 cm. The adjacent codes cover the smaller and larger size ranges, respectively.

Does the code depend on the closure length?

No. Select the excision code by the lesion and margins removed. Simple closure is included; a qualifying intermediate or complex repair may be separately reported based on the repair performed and its documented length.

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the services according to the applicable lesion and procedure coding.

What documentation supports the 1.1–2 cm level?

Document the malignant diagnosis, exact site, lesion dimensions, margins removed, and excised diameter. The excised diameter includes the lesion and the margins, rather than the closure length.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure.

How does Medicare handle multiple procedures in one session?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

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 11602PPRRVU2026_Oct_nonQPP.csv, line 1,342 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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