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

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 South Carolina, Medicare pays $261.40 for 11603 in the office and $157.08 when it’s performed in a hospital or facility.

$261.40Office (non-facility)
$157.08Hospital or facility
−5.4%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 South Carolina
  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 South Carolina 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. South Carolina pays $261.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

11603 in South Carolina vs other payment areas
  1. South Carolina · this page$261.40
  2. Los Angeles, CA · California$308.01+$46.61
  3. Washington, DC area · District of Columbia$313.29+$51.89
  4. Miami, FL · Florida$300.19+$38.79
  5. Chicago, IL · Illinois$292.01+$30.61
  6. Manhattan, NY · New York$316.65+$55.25
  7. Alaska · Alaska$328.47+$67.07

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

Every other payment area

11603 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$249.77$150.99
ArkansasArkansas$246.44$149.46
ArizonaArizona$269.26$159.87
Bakersfield, CACalifornia$290.30$166.57
Chico, CACalifornia$289.31$165.58
El Centro, CACalifornia$289.37$165.64
Fresno, CACalifornia$289.31$165.58
Hanford, CACalifornia$289.31$165.58

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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 11603 in South Carolina
ComponentRVULocality factorAdjusted
Physician work2.75× 1.0002.7500
Practice expense5.19× 0.9244.7956
Malpractice0.33× 0.8500.2805
Total RVUs7.8261
Conversion factor× 33.4009

Office rate, South Carolina$261.40

Office: (2.75 × 1 + 5.19 × 0.924 + 0.33 × 0.85) × $33.4009 = $261.40

Facility: (2.75 × 1 + 1.81 × 0.924 + 0.33 × 0.85) × $33.4009 = $157.08

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 South Carolina

11603 · Office / nonfacility

$261.40

Effective 2026-10-01

The base rate is $7.04 higher than on 2025-10-01, moving from $254.36 to $261.40 (2.8%).

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

    $254.36changed to$261.40

    • 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
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $262.06changed to$254.36

    • 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

    $257.79changed to$262.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $264.53changed to$257.79

    • 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
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817
  5. January 1, 2023

    RVU23A

    $265.21changed to$264.53

    • 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
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $267.48changed to$265.21

    • 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

    $268.06changed to$267.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.86 changed to 5.12
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $268.62changed to$268.06

    • 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
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $269.51changed to$268.62

    • 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

    $268.32changed to$269.51

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.80 changed to 4.85
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $267.99changed to$268.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.77 changed to 4.80
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $267.86changed to$267.99

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.76 changed to 4.77
    • Malpractice RVU 0.41 changed to 0.44

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $266.53changed to$267.86

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $261.63changed to$266.53

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.65 changed to 4.76
    • Malpractice RVU 0.40 changed to 0.41
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $265.12changed to$261.63

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.23 changed to 4.65
    • Malpractice RVU 0.42 changed to 0.40
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $265.12

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$261.40$157.08RVU26D
2026-07-01$261.40$157.08RVU26C
2026-04-01$261.40$157.08RVU26B
2026-01-01$261.40$157.08RVU26A
2025-10-01$254.36$178.76RVU25D
2025-07-01$254.36$178.76RVU25C
2025-04-01$254.36$178.76RVU25B
2025-01-01$254.36$178.76RVU25A
2024-10-01$262.06$182.44RVU24D
2024-07-01$262.06$182.44RVU24C
2024-04-01$262.06$182.44RVU24B
2024-03-09$262.06$182.44RVU24AR
2024-01-01$257.79$179.46RVU24A
2023-10-01$264.53$183.61RVU23D
2023-07-01$264.53$183.61RVU23C
2023-04-01$264.53$183.61RVU23B
2023-01-01$264.53$183.61RVU23A
2022-10-01$265.21$183.02RVU22D
2022-07-01$265.21$183.02RVU22C
2022-04-01$265.21$183.02RVU22B
2022-01-01$265.21$183.02RVU22A
2021-10-01$267.48$183.35RVU21D
2021-07-01$267.48$183.35RVU21C
2021-04-01$267.48$183.35RVU21B
2021-01-01$267.48$183.35RVU21A
2020-10-01$268.06$187.54RVU20D
2020-07-01$268.06$187.54RVU20C
2020-04-01$268.06$187.54RVU20B
2020-01-01$268.06$187.54RVU20A
2019-10-01$268.62$188.43RVU19D
2019-07-01$268.62$188.43RVU19C
2019-04-01$268.62$188.43RVU19B
2019-01-01$268.62$188.43RVU19A
2018-10-01$269.51$188.75RVU18D
2018-07-01$269.51$188.75RVU18C
2018-04-01$269.51$188.75RVU18B
2018-01-01$269.51$188.75RVU18AR1
2017-10-01$268.32$189.44RVU17D
2017-07-01$268.32$189.44RVU17C
2017-04-01$268.32$189.44RVU17B
2017-01-01$268.32$189.44RVU17A
2016-10-01$267.99$189.29RVU16D
2016-07-01$267.99$189.29RVU16C
2016-04-01$267.99$189.29RVU16B
2016-01-01$267.99$189.29RVU16A
2015-10-01$267.86$189.53RVU15D
2015-07-01$267.86$189.53RVU15C
2015-04-01$266.53$188.59RVU15B
2015-01-01$266.53$188.59RVU15A
2014-10-01$261.63$185.26RVU14D
2014-07-01$261.63$185.26RVU14C
2014-04-01$261.63$185.26RVU14B
2014-01-01$261.63$185.26RVU14A
2013-10-01$265.12$182.55RVU13D
2013-07-01$265.12$182.55RVU13C
2013-04-01$265.12$182.55RVU13B
2013-01-01$265.12$182.55RVU13AR

Price 11603 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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 South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11603 pays in South Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11603 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist