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

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 Virginia, Medicare pays $194.32 for 11620 in the office and $106.33 when it’s performed in a hospital or facility.

$194.32Office (non-facility)
$106.33Hospital or facility
−2.2%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 Virginia
  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 Virginia 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. Virginia pays $194.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

11620 in Virginia vs other payment areas
  1. Virginia · this page$194.32
  2. Los Angeles, CA · California$223.87+$29.55
  3. Washington, DC area · District of Columbia$227.03+$32.71
  4. Miami, FL · Florida$215.13+$20.81
  5. Chicago, IL · Illinois$208.88+$14.56
  6. Manhattan, NY · New York$228.67+$34.35
  7. Alaska · Alaska$231.29+$36.97

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

Every other payment area

11620 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$178.41$100.08
ArkansasArkansas$175.84$98.94
ArizonaArizona$193.44$106.70
Bakersfield, CACalifornia$210.28$112.18
Chico, CACalifornia$209.66$111.56
El Centro, CACalifornia$209.70$111.59
Fresno, CACalifornia$209.66$111.56
Hanford, CACalifornia$209.66$111.56

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 11620 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.60× 1.0001.6000
Practice expense4.14× 0.9834.0696
Malpractice0.21× 0.7060.1483
Total RVUs5.8179
Conversion factor× 33.4009

Office rate, Virginia$194.32

Office: (1.6 × 1 + 4.14 × 0.983 + 0.21 × 0.706) × $33.4009 = $194.32

Facility: (1.6 × 1 + 1.46 × 0.983 + 0.21 × 0.706) × $33.4009 = $106.33

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, Virginia
Same family
11600Malignant lesion excision, trunk or extremity, 0.5 cm or lessSame size threshold for malignant lesions on the trunk and extremities.$193.99
11621Skin lesion excision, scalp, neck, hands, feet, genitaliaNext excised-diameter level for the same anatomic group.$223.51
11622Skin lesion excision, designated sites, 1.1–2 cmLarger excised-diameter level for the same anatomic group.$244.52
11640Lesion excision, face, 0.5 cm or lessSame size threshold for malignant lesions on the face, ears, eyelids, nose, or lips.$198.04
Often billed with
12031Wound repair, scalp, trunk, or extremityMay report a separately performed qualifying intermediate repair; selection depends on site and repair length.$254.42

How 11620 has changed in Virginia

11620 · Office / nonfacility

$194.32

Effective 2026-10-01

The base rate is $6.25 higher than on 2025-10-01, moving from $188.07 to $194.32 (3.3%).

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

    $188.07changed to$194.32

    • 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 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $195.10changed to$188.07

    • 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

    $191.92changed to$195.10

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $199.62changed to$191.92

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.22 changed to 0.23
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $203.76changed to$199.62

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $205.80changed to$203.76

    • 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

    $201.55changed to$205.80

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $198.05changed to$201.55

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $197.48changed to$198.05

    • 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

    $194.60changed to$197.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.62 changed to 3.67
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $193.15changed to$194.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.61 changed to 3.62
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $193.55changed to$193.15

    • 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

    $192.59changed to$193.55

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $190.34changed to$192.59

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $194.56changed to$190.34

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $194.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$194.32$106.33RVU26D
2026-07-01$194.32$106.33RVU26C
2026-04-01$194.32$106.33RVU26B
2026-01-01$194.32$106.33RVU26A
2025-10-01$188.07$117.73RVU25D
2025-07-01$188.07$117.73RVU25C
2025-04-01$188.07$117.73RVU25B
2025-01-01$188.07$117.73RVU25A
2024-10-01$195.10$120.75RVU24D
2024-07-01$195.10$120.75RVU24C
2024-04-01$195.10$120.75RVU24B
2024-03-09$195.10$120.75RVU24AR
2024-01-01$191.92$118.78RVU24A
2023-10-01$199.62$122.12RVU23D
2023-07-01$199.62$122.12RVU23C
2023-04-01$199.62$122.12RVU23B
2023-01-01$199.62$122.12RVU23A
2022-10-01$203.76$123.53RVU22D
2022-07-01$203.76$123.53RVU22C
2022-04-01$203.76$123.53RVU22B
2022-01-01$203.76$123.53RVU22A
2021-10-01$205.80$123.86RVU21D
2021-07-01$205.80$123.86RVU21C
2021-04-01$205.80$123.86RVU21B
2021-01-01$205.80$123.86RVU21A
2020-10-01$201.55$125.01RVU20D
2020-07-01$201.55$125.01RVU20C
2020-04-01$201.55$125.01RVU20B
2020-01-01$201.55$125.01RVU20A
2019-10-01$198.05$124.14RVU19D
2019-07-01$198.05$124.14RVU19C
2019-04-01$198.05$124.14RVU19B
2019-01-01$198.05$124.14RVU19A
2018-10-01$197.48$123.65RVU18D
2018-07-01$197.48$123.65RVU18C
2018-04-01$197.48$123.65RVU18B
2018-01-01$197.48$123.65RVU18AR1
2017-10-01$194.60$122.48RVU17D
2017-07-01$194.60$122.48RVU17C
2017-04-01$194.60$122.48RVU17B
2017-01-01$194.60$122.48RVU17A
2016-10-01$193.15$121.35RVU16D
2016-07-01$193.15$121.35RVU16C
2016-04-01$193.15$121.35RVU16B
2016-01-01$193.15$121.35RVU16A
2015-10-01$193.55$121.85RVU15D
2015-07-01$193.55$121.85RVU15C
2015-04-01$192.59$121.24RVU15B
2015-01-01$192.59$121.24RVU15A
2014-10-01$190.34$120.48RVU14D
2014-07-01$190.34$120.48RVU14C
2014-04-01$190.34$120.48RVU14B
2014-01-01$190.34$120.48RVU14A
2013-10-01$194.56$119.77RVU13D
2013-07-01$194.56$119.77RVU13C
2013-04-01$194.56$119.77RVU13B
2013-01-01$194.56$119.77RVU13AR

Price 11620 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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