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CPT code 11620: Skin excision, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Los Angeles, CA

Reports excision of a malignant skin lesion measuring no more than 0.5 cm with margins on the scalp, neck, hands, feet, or genitalia.

CMS RVU26DEffective Oct 1, 2026One payment locality1.1K Medicare services in 2024

In Los Angeles, CA, Medicare pays $223.87 for 11620 in the office and $117.98 when it’s performed in a hospital or facility.

$223.87Office (non-facility)
$117.98Hospital or facility
+12.6%vs the national office rate ($198.74)

Check a contract rate as a % of Medicare · 11620 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 11620 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Los Angeles, CA
  2. What 11620 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 11620 covers

This code covers surgical removal of a malignant skin lesion, including the surrounding margins, on the scalp, neck, hands, feet, or genitalia. Dermatologists, surgeons, and other qualified clinicians may perform the procedure in an office or facility. The code is selected by the excised diameter, which includes the lesion and the margins; it is not based on the lesion alone. For example, a small malignant lesion on the hand may qualify if the combined measurement is no more than 0.5 cm.

Document the site, malignant diagnosis, lesion and margin measurements, and resulting excised diameter. Simple closure is included; a separately performed intermediate or complex repair may be reported when supported. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay 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 Los Angeles, CA compares for 11620

Across 109 of 109 payment localities, the office rate for 11620 runs from $175.84 in Arkansas to $262.48 in San Benito County, CA. Los Angeles, CA pays $223.87. The RVUs are the same everywhere; the geographic indexes change the dollars.

11620 in Los Angeles, CA vs other payment areas
  1. Los Angeles, CA · this page$223.87
  2. Bakersfield, CA · California$210.28−$13.59
  3. Chico, CA · California$209.66−$14.21
  4. El Centro, CA · California$209.70−$14.17
  5. Fresno, CA · California$209.66−$14.21
  6. Hanford, CA · California$209.66−$14.21
  7. Madera, CA · California$209.66−$14.21

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

Every other payment area

11620 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$209.66$111.56
Modesto, CACalifornia$209.66$111.56
Napa, CACalifornia$242.62$124.64
Oxnard, CACalifornia$222.75$116.95
Redding, CACalifornia$209.66$111.56
Rest of CaliforniaCalifornia$209.66$111.56
Riverside, CACalifornia$211.94$113.83
Sacramento, CACalifornia$219.94$115.84

11620 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.

$175.84

$236.07

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

View every state and territory as a table
11620 office rate range by state
State / territoryOffice rate rangeLocalities
AK$231.291
AL$178.411
AR$175.841
AZ$193.441
CA$209.66–$262.4829
CO$206.691
CT$211.921
DC$227.031
DE$196.631
FL$196.18–$215.133
GA$185.15–$202.522
GU$214.731
HI$214.731
IA$182.751
ID$183.981
IL$190.65–$208.884
IN$185.041
KS$181.981
KY$182.791
LA$182.54–$191.532
MA$205.50–$226.982
MD$200.35–$227.033
ME$185.02–$194.902
MI$187.61–$198.712
MN$197.811
MO$179.47–$192.113
MS$177.681
MT$198.721
NC$186.941
ND$194.571
NE$183.721
NH$203.531
NJ$214.28–$224.702
NM$188.671
NV$197.701
NY$189.74–$234.305
OH$186.761
OK$182.381
OR$196.10–$213.142
PA$187.01–$206.722
PR$200.151
RI$203.561
SC$187.171
SD$194.081
TN$182.901
TX$185.79–$206.068
UT$189.721
VA$194.32–$227.032
VI$200.151
VT$193.891
WA$205.08–$231.512
WI$188.071
WV$183.641
WY$196.911

See 11620 in every payment locality

How the 11620 rate is calculated

Each of 11620’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 · 11620

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.60

1.60 RVUs× 1.000 GPCI

Practice expense4.14

4.14 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

5.9500

Conversion factor

$33.4009

Medicare rate

$198.74

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

The exact Los Angeles, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,347

Code
11620
Physician work
1.60
Practice expense
4.14
Malpractice
0.21

GPCI2026.csv

13

Locality
Los Angeles, CA
Physician work
1.041
Practice expense
1.183
Malpractice
0.664
Office calculation for 11620 in Los Angeles, CA
ComponentRVULocality factorAdjusted
Physician work1.60× 1.0411.6656
Practice expense4.14× 1.1834.8976
Malpractice0.21× 0.6640.1394
Total RVUs6.7027
Conversion factor× 33.4009

Office rate, Los Angeles, CA$223.87

Office: (1.6 × 1.041 + 4.14 × 1.183 + 0.21 × 0.664) × $33.4009 = $223.87

Facility: (1.6 × 1.041 + 1.46 × 1.183 + 0.21 × 0.664) × $33.4009 = $117.98

Open 11620 in the RVU calculator

Payment rules and modifiers for 11620

11620 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11620

Skin excision, scalp, neck, hands, feet, genitalia

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 · 11620

Skin excision, scalp, neck, hands, feet, genitalia

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

11620 without 51 · national office

$198.74

Skin excision, scalp, neck, hands, feet, genitalia

11620-51 · Second procedure: 50%

$99.37

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 11620

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

Codes related to 11620
CodeHow it relatesOffice range, Los Angeles, CA
Same family
11600Malignant lesion excision, trunk or extremity, 0.5 cm or lessSame size threshold for malignant lesions on the trunk and extremities.$223.53
11621Skin lesion excision, scalp, neck, hands, feet, genitaliaNext excised-diameter level for the same anatomic group.$256.48
11622Skin lesion excision, designated sites, 1.1–2 cmLarger excised-diameter level for the same anatomic group.$279.91
11640Lesion excision, face, 0.5 cm or lessSame size threshold for malignant lesions on the face, ears, eyelids, nose, or lips.$228.25
Often billed with
12031Wound repair, scalp, trunk, or extremityMay report a separately performed qualifying intermediate repair; selection depends on site and repair length.$294.18

How 11620 has changed in Los Angeles, CA

11620 · Office / nonfacility

$223.87

Effective 2026-10-01

The base rate is $6.49 higher than on 2025-10-01, moving from $217.38 to $223.87 (3.0%).

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

    $217.38changed to$223.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.64 changed to 1.60
    • Practice expense RVU 4.07 changed to 4.14
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.042 changed to 1.041
    • Practice expense GPCI 1.194 changed to 1.183
    • Malpractice GPCI 0.690 changed to 0.664

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $225.52changed to$217.38

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.11 changed to 4.07
    • Malpractice RVU 0.23 changed to 0.22

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $221.84changed to$225.52

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $228.52changed to$221.84

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.045 changed to 1.042
    • Practice expense GPCI 1.185 changed to 1.194
    • Malpractice GPCI 0.724 changed to 0.690

  5. January 1, 2023

    RVU23A

    $230.88changed to$228.52

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.08 changed to 4.11
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.048 changed to 1.045
    • Practice expense GPCI 1.175 changed to 1.185
    • Malpractice GPCI 0.757 changed to 0.724

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $233.21changed to$230.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.09 changed to 4.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $228.15changed to$233.21

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.78 changed to 4.09
    • Malpractice RVU 0.22 changed to 0.21
    • Work GPCI 1.047 changed to 1.048
    • Practice expense GPCI 1.176 changed to 1.175
    • Malpractice GPCI 0.725 changed to 0.757

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $224.17changed to$228.15

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.68 changed to 3.78
    • Malpractice RVU 0.25 changed to 0.22
    • Work GPCI 1.046 changed to 1.047
    • Practice expense GPCI 1.177 changed to 1.176
    • Malpractice GPCI 0.694 changed to 0.725

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $223.50changed to$224.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.67 changed to 3.68

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $220.68changed to$223.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.62 changed to 3.67
    • Work GPCI 1.047 changed to 1.046
    • Practice expense GPCI 1.169 changed to 1.177
    • Malpractice GPCI 0.801 changed to 0.694

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $219.67changed to$220.68

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.61 changed to 3.62
    • Practice expense GPCI 1.161 changed to 1.169
    • Malpractice GPCI 0.908 changed to 0.801

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $220.14changed to$219.67

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.24 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $219.04changed to$220.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $215.42changed to$219.04

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.55 changed to 3.61
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.042 changed to 1.047
    • Practice expense GPCI 1.158 changed to 1.161
    • Malpractice GPCI 0.775 changed to 0.908

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $219.75changed to$215.42

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.98 changed to 3.55
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.036 changed to 1.042
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.642 changed to 0.775

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$219.75

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$223.87$117.98RVU26D
2026-07-01$223.87$117.98RVU26C
2026-04-01$223.87$117.98RVU26B
2026-01-01$223.87$117.98RVU26A
2025-10-01$217.38$132.02RVU25D
2025-07-01$217.38$132.02RVU25C
2025-04-01$217.38$132.02RVU25B
2025-01-01$217.38$132.02RVU25A
2024-10-01$225.52$135.30RVU24D
2024-07-01$225.52$135.30RVU24C
2024-04-01$225.52$135.30RVU24B
2024-03-09$225.52$135.30RVU24AR
2024-01-01$221.84$133.09RVU24A
2023-10-01$228.52$135.75RVU23D
2023-07-01$228.52$135.75RVU23C
2023-04-01$228.52$135.75RVU23B
2023-01-01$228.52$135.75RVU23A
2022-10-01$230.88$136.14RVU22D
2022-07-01$230.88$136.14RVU22C
2022-04-01$230.88$136.14RVU22B
2022-01-01$230.88$136.14RVU22A
2021-10-01$233.21$136.45RVU21D
2021-07-01$233.21$136.45RVU21C
2021-04-01$233.21$136.45RVU21B
2021-01-01$233.21$136.45RVU21A
2020-10-01$228.15$137.33RVU20D
2020-07-01$228.15$137.33RVU20C
2020-04-01$228.15$137.33RVU20B
2020-01-01$228.15$137.33RVU20A
2019-10-01$224.17$135.94RVU19D
2019-07-01$224.17$135.94RVU19C
2019-04-01$224.17$135.94RVU19B
2019-01-01$224.17$135.94RVU19A
2018-10-01$223.50$135.37RVU18D
2018-07-01$223.50$135.37RVU18C
2018-04-01$223.50$135.37RVU18B
2018-01-01$223.50$135.37RVU18AR1
2017-10-01$220.68$135.10RVU17D
2017-07-01$220.68$135.10RVU17C
2017-04-01$220.68$135.10RVU17B
2017-01-01$220.68$135.10RVU17A
2016-10-01$219.67$134.87RVU16D
2016-07-01$219.67$134.87RVU16C
2016-04-01$219.67$134.87RVU16B
2016-01-01$219.67$134.87RVU16A
2015-10-01$220.14$135.45RVU15D
2015-07-01$220.14$135.45RVU15C
2015-04-01$219.04$134.77RVU15B
2015-01-01$219.04$134.77RVU15A
2014-10-01$215.42$132.87RVU14D
2014-07-01$215.42$132.87RVU14C
2014-04-01$215.42$132.87RVU14B
2014-01-01$215.42$132.87RVU14A
2013-10-01$219.75$131.41RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11620 for an earlier date of service

Where the Los Angeles, CA rate applies

Los Angeles, CA is a Medicare payment area, not a city. Our Census mapping connects it to 189 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Anaheim
  • Long Beach
  • Los Angeles
  • Orange
  • Acton
  • Agoura Hills
  • Agua Dulce
  • Alhambra

Browse all communities in California

11620 billing questions

How is the size for this code determined?

Use the greatest diameter of the lesion plus the margins removed, measured before excision. The combined excised diameter must be 0.5 cm or less.

When should 11621 be used instead?

Use 11621 for the same anatomic group when the excised diameter is 0.6 to 1.0 cm. The site and combined lesion-plus-margin measurement distinguish the codes.

Can the closure be billed separately?

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

Can modifier 50 be used for lesions on both hands?

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

Are postoperative visits included?

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

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 11620PPRRVU2026_Oct_nonQPP.csv, line 1,347 (RVU26D)
Geographic factors for Los Angeles, CAGPCI2026.csv, line 13 (RVU26D)

Open CMS sourceHow we calculate rates

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