CPT code 11603: Lesion excision, trunk or limb, 2.1–3 cm2026 Medicare rate & RVUs in Merced, CA

Excision of a malignant skin lesion on the trunk, arm, or leg, selected by the lesion’s diameter together with the margins removed.

CMS RVU26DEffective Oct 1, 2026One payment locality133.1K Medicare services in 2024

In Merced, CA, Medicare pays $289.31 for 11603 in the office and $165.58 when it’s performed in a hospital or facility.

$289.31Office (non-facility)
$165.58Hospital or facility
+4.7%vs the national office rate ($276.23)

Check a contract rate as a % of Medicare · 11603 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 11603 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Merced, CA
  2. What 11603 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 11603 covers

This service removes a malignant skin lesion from the trunk, an arm, or a leg, including the surrounding margins taken for complete excision. Dermatologists, surgeons, and other qualified practitioners commonly perform it in an office procedure room or an outpatient facility. The removed tissue is typically submitted for pathology. The code applies to an excised diameter of 2.1–3 cm; face, ear, eyelid, nose, lip, hand, foot, and genital sites belong to different anatomic code groups.

Select the size level using the lesion’s greatest clinical diameter plus the narrowest margins needed for excision, measured before removal. Document the site, lesion and margin measurements, malignant diagnosis or clinical basis for excision, and procedure performed. Simple closure is included; a separately documented intermediate or complex repair may be reportable. 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 others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Merced, CA compares for 11603

Across 109 of 109 payment localities, the office rate for 11603 runs from $246.44 in Arkansas to $357.84 in San Benito County, CA. Merced, CA pays $289.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

11603 in Merced, CA vs other payment areas
  1. Merced, CA · this page$289.31
  2. Bakersfield, CA · California$290.30+$0.99
  3. Chico, CA · California$289.31
  4. El Centro, CA · California$289.37+$0.06
  5. Fresno, CA · California$289.31
  6. Hanford, CA · California$289.31
  7. Los Angeles, CA · California$308.01+$18.70

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

Every other payment area

11603 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$289.31$165.58
Modesto, CACalifornia$289.31$165.58
Napa, CACalifornia$331.71$182.92
Oxnard, CACalifornia$306.19$172.75
Redding, CACalifornia$289.31$165.58
Rest of CaliforniaCalifornia$289.31$165.58
Riverside, CACalifornia$292.90$169.17
Sacramento, CACalifornia$302.67$171.38

11603 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.

$246.44

$328.47

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

View every state and territory as a table
11603 office rate range by state
State / territoryOffice rate rangeLocalities
AK$328.471
AL$249.771
AR$246.441
AZ$269.261
CA$289.31–$357.8429
CO$286.011
CT$293.731
DC$313.291
DE$273.491
FL$274.14–$300.193
GA$259.62–$281.492
GU$295.331
HI$295.331
IA$254.841
ID$256.551
IL$267.35–$292.014
IN$257.911
KS$254.121
KY$256.051
LA$255.83–$267.502
MA$284.65–$312.412
MD$278.32–$313.293
ME$258.19–$270.602
MI$262.57–$277.722
MN$273.491
MO$252.02–$267.933
MS$249.251
MT$276.201
NC$260.631
ND$269.681
NE$256.021
NH$281.961
NJ$296.92–$310.502
NM$264.051
NV$274.561
NY$264.28–$324.315
OH$261.231
OK$255.221
OR$272.26–$294.122
PA$261.40–$287.112
PR$277.971
RI$282.501
SC$261.401
SD$268.911
TN$255.351
TX$259.84–$285.218
UT$264.701
VA$270.04–$313.292
VI$277.971
VT$269.051
WA$283.97–$318.152
WI$261.321
WV$258.271
WY$273.361

See 11603 in every payment locality

How the 11603 rate is calculated

Each of 11603’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 · 11603

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.75

2.75 RVUs× 1.000 GPCI

Practice expense5.19

5.19 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

8.2700

Conversion factor

$33.4009

Medicare rate

$276.23

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

The exact Merced, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,343

Code
11603
Physician work
2.75
Practice expense
5.19
Malpractice
0.33

GPCI2026.csv

15

Locality
Merced, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 11603 in Merced, CA
ComponentRVULocality factorAdjusted
Physician work2.75× 1.0172.7967
Practice expense5.19× 1.0965.6882
Malpractice0.33× 0.5360.1769
Total RVUs8.6619
Conversion factor× 33.4009

Office rate, Merced, CA$289.31

Office: (2.75 × 1.017 + 5.19 × 1.096 + 0.33 × 0.536) × $33.4009 = $289.31

Facility: (2.75 × 1.017 + 1.81 × 1.096 + 0.33 × 0.536) × $33.4009 = $165.58

Open 11603 in the RVU calculator

Payment rules and modifiers for 11603

11603 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11603

Lesion excision, trunk or limb, 2.1–3 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 · 11603

Lesion excision, trunk or limb, 2.1–3 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

11603 without 51 · national office

$276.23

Lesion excision, trunk or limb, 2.1–3 cm

11603-51 · Second procedure: 50%

$138.12

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

How 11603 has changed in Merced, CA

11603 · Office / nonfacility

$289.31

Effective 2026-10-01

The base rate is $6.11 higher than on 2025-10-01, moving from $283.20 to $289.31 (2.2%).

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

    $283.20changed to$289.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.82 changed to 2.75
    • Practice expense RVU 5.22 changed to 5.19
    • Malpractice RVU 0.34 changed to 0.33
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $291.81changed to$283.20

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.23 changed to 5.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $287.04changed to$291.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $294.57changed to$287.04

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.20 changed to 5.23
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $295.37changed to$294.57

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.11 changed to 5.20
    • Malpractice RVU 0.33 changed to 0.35
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $297.99changed to$295.37

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.12 changed to 5.11
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $298.59changed to$297.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.86 changed to 5.12
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $298.93changed to$298.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.82 changed to 4.86
    • Malpractice RVU 0.43 changed to 0.32
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $299.97changed to$298.93

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.85 changed to 4.82
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $299.14changed to$299.97

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.80 changed to 4.85
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$299.14

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$289.31$165.58RVU26D
2026-07-01$289.31$165.58RVU26C
2026-04-01$289.31$165.58RVU26B
2026-01-01$289.31$165.58RVU26A
2025-10-01$283.20$192.70RVU25D
2025-07-01$283.20$192.70RVU25C
2025-04-01$283.20$192.70RVU25B
2025-01-01$283.20$192.70RVU25A
2024-10-01$291.81$196.48RVU24D
2024-07-01$291.81$196.48RVU24C
2024-04-01$291.81$196.48RVU24B
2024-03-09$291.81$196.48RVU24AR
2024-01-01$287.04$193.28RVU24A
2023-10-01$294.57$198.41RVU23D
2023-07-01$294.57$198.41RVU23C
2023-04-01$294.57$198.41RVU23B
2023-01-01$294.57$198.41RVU23A
2022-10-01$295.37$198.44RVU22D
2022-07-01$295.37$198.44RVU22C
2022-04-01$295.37$198.44RVU22B
2022-01-01$295.37$198.44RVU22A
2021-10-01$297.99$198.77RVU21D
2021-07-01$297.99$198.77RVU21C
2021-04-01$297.99$198.77RVU21B
2021-01-01$297.99$198.77RVU21A
2020-10-01$298.59$203.59RVU20D
2020-07-01$298.59$203.59RVU20C
2020-04-01$298.59$203.59RVU20B
2020-01-01$298.59$203.59RVU20A
2019-10-01$298.93$204.49RVU19D
2019-07-01$298.93$204.49RVU19C
2019-04-01$298.93$204.49RVU19B
2019-01-01$298.93$204.49RVU19A
2018-10-01$299.97$204.86RVU18D
2018-07-01$299.97$204.86RVU18C
2018-04-01$299.97$204.86RVU18B
2018-01-01$299.97$204.86RVU18AR1
2017-10-01$299.14$205.82RVU17D
2017-07-01$299.14$205.82RVU17C
2017-04-01$299.14$205.82RVU17B
2017-01-01$299.14$205.82RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11603 for an earlier date of service

Where the Merced, CA rate applies

Merced, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Merced
  • Atwater
  • Ballico
  • Bear Creek
  • Cressey
  • Delhi
  • Dos Palos
  • Dos Palos Y

Browse all communities in California

11603 billing questions

How is the 2.1–3 cm size determined?

Use the greatest clinical diameter of the lesion plus the narrowest margins needed for excision, measured before removal. Do not select the size from the closure length.

When should a different site code be used?

This code is for the trunk, arms, and legs. Lesions on sites such as the face, ear, eyelid, nose, lip, hand, foot, or genitalia use their own anatomic code group.

Is closure separately reported?

Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when its requirements are met.

Can modifier 50 be used for lesions on both sides?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

What postoperative care is included?

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

How are multiple procedures in one session paid?

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 11603PPRRVU2026_Oct_nonQPP.csv, line 1,343 (RVU26D)
Geographic factors for Merced, CAGPCI2026.csv, line 15 (RVU26D)

Open CMS sourceHow we calculate rates

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