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CPT code 11621: Skin lesion excision, scalp, neck, hands, feet, genitalia2026 Medicare rate & RVUs in Hawaii, Guam, HI

Excision of a malignant skin lesion with margins from the scalp, neck, hands, feet, or genitalia when the excised diameter is 0.6–1 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality5.7K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $246.00 for 11621 in the office and $133.21 when it’s performed in a hospital or facility.

$246.00Office (non-facility)
$133.21Hospital or facility
+7.7%vs the national office rate ($228.46)

Check a contract rate as a % of Medicare · 11621 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 11621 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 11621 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 11621 covers

This service removes a malignant skin lesion with margins from the scalp, neck, a hand, a foot, or genital skin. Dermatologists, plastic surgeons, and other qualified physicians commonly perform it in an office procedure room or operating setting, with tissue sent for histopathology. Select 11621 when the excised diameter, including the lesion and margins, is 0.6 through 1.0 cm.

Document the anatomic site, malignant diagnosis, lesion dimensions, margin width, and resulting excised diameter. Routine wound closure is included; a separately performed intermediate or complex repair may be reported with the appropriate repair code. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and the others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 Hawaii, Guam, HI compares for 11621

Across 109 of 109 payment localities, the office rate for 11621 runs from $203.05 in Arkansas to $299.67 in San Benito County, CA. Hawaii, Guam, HI pays $246.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

11621 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$246.00
  2. Los Angeles, CA · California$256.48+$10.48
  3. Washington, DC area · District of Columbia$260.20+$14.20
  4. Miami, FL · Florida$246.98+$0.98
  5. Chicago, IL · Illinois$240.08−$5.92
  6. Manhattan, NY · New York$262.23+$16.23
  7. Alaska · Alaska$268.69+$22.69

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

Every other payment area

11621 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$205.90$119.10
ArkansasArkansas$203.05$117.84
ArizonaArizona$222.58$126.45
Bakersfield, CACalifornia$241.27$132.55
Chico, CACalifornia$240.55$131.83
El Centro, CACalifornia$240.59$131.87
Fresno, CACalifornia$240.55$131.83
Hanford, CACalifornia$240.55$131.83

11621 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.

$203.05

$270.11

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

View every state and territory as a table
11621 office rate range by state
State / territoryOffice rate rangeLocalities
AK$268.691
AL$205.901
AR$203.051
AZ$222.581
CA$240.55–$299.6729
CO$237.291
CT$243.261
DC$260.201
DE$226.161
FL$225.78–$246.983
GA$213.52–$232.722
GU$246.001
HI$246.001
IA$210.651
ID$212.031
IL$219.70–$240.084
IN$213.201
KS$209.831
KY$210.841
LA$210.57–$220.552
MA$236.01–$259.972
MD$230.31–$260.203
ME$213.22–$224.132
MI$216.22–$228.622
MN$227.251
MO$207.19–$221.153
MS$205.151
MT$228.451
NC$215.341
ND$223.701
NE$211.721
NH$233.721
NJ$245.99–$257.702
NM$217.401
NV$227.281
NY$218.45–$268.525
OH$215.251
OK$210.341
OR$225.47–$244.442
PA$215.50–$237.492
PR$230.021
RI$233.921
SC$215.661
SD$223.141
TN$210.861
TX$214.16–$236.548
UT$218.491
VA$223.51–$260.202
VI$230.021
VT$222.981
WA$235.52–$265.042
WI$216.501
WV$211.921
WY$226.381

See 11621 in every payment locality

How the 11621 rate is calculated

Each of 11621’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 · 11621

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.03

2.03 RVUs× 1.000 GPCI

Practice expense4.57

4.57 RVUs× 1.000 GPCI

Malpractice0.24

0.24 RVUs× 1.000 GPCI

Adjusted RVUs

6.8400

Conversion factor

$33.4009

Medicare rate

$228.46

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,348

Code
11621
Physician work
2.03
Practice expense
4.57
Malpractice
0.24

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 11621 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work2.03× 1.0002.0300
Practice expense4.57× 1.1375.1961
Malpractice0.24× 0.5790.1390
Total RVUs7.3651
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$246.00

Office: (2.03 × 1 + 4.57 × 1.137 + 0.24 × 0.579) × $33.4009 = $246.00

Facility: (2.03 × 1 + 1.6 × 1.137 + 0.24 × 0.579) × $33.4009 = $133.21

Open 11621 in the RVU calculator

Payment rules and modifiers for 11621

11621 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11621

Skin lesion 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 · 11621

Skin lesion 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

11621 without 51 · national office

$228.46

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

11621-51 · Second procedure: 50%

$114.23

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 11621

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

Codes related to 11621
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
11620Skin excision, scalp, neck, hands, feet, genitaliaSame anatomic group; applies when the excised diameter is 0.5 cm or less.$214.73
11622Skin lesion excision, designated sites, 1.1–2 cmSame anatomic group; applies to an excised diameter of 1.1–2 cm.$268.47
11623Skin excision, scalp, neck, hand, foot, genital skinSame anatomic group; applies to an excised diameter of 2.1–3 cm.$314.77
11624Skin excision, 3.1–4 cm excised diameterSame anatomic group; applies to an excised diameter of 3.1–4 cm.$360.75
Used instead
11601Malignant skin excision, trunk, arms, or legs; 0.6–1 cmSame size range for malignant lesion excision on the trunk or extremities.$244.53
11641Malignant lesion excision, face, 0.6–1.0 cmSame size range for malignant lesion excision on the face, ears, eyelids, nose, or lips.$255.09

How 11621 has changed in Hawaii, Guam, HI

11621 · Office / nonfacility

$246.00

Effective 2026-10-01

The base rate is $5.09 higher than on 2025-10-01, moving from $240.91 to $246.00 (2.1%).

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

    $240.91changed to$246.00

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.08 changed to 2.03
    • Practice expense RVU 4.54 changed to 4.57
    • Malpractice RVU 0.27 changed to 0.24
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $248.88changed to$240.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.57 changed to 4.54
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $244.82changed to$248.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $253.23changed to$244.82

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.56 changed to 4.57
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $256.54changed to$253.23

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.50 changed to 4.56
    • Malpractice RVU 0.25 changed to 0.26
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $258.66changed to$256.54

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $255.38changed to$258.66

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.21 changed to 4.50
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $253.52changed to$255.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.15 changed to 4.21
    • Malpractice RVU 0.32 changed to 0.26
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $253.84changed to$253.52

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.17 changed to 4.15
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $253.33changed to$253.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.14 changed to 4.17
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $252.77changed to$253.33

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.11 changed to 4.14
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $253.24changed to$252.77

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.30 changed to 0.32

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $251.98changed to$253.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $248.50changed to$251.98

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.02 changed to 4.11
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $256.01changed to$248.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.53 changed to 4.02
    • Malpractice RVU 0.31 changed to 0.30
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$256.01

  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$246.00$133.21RVU26D
2026-07-01$246.00$133.21RVU26C
2026-04-01$246.00$133.21RVU26B
2026-01-01$246.00$133.21RVU26A
2025-10-01$240.91$152.83RVU25D
2025-07-01$240.91$152.83RVU25C
2025-04-01$240.91$152.83RVU25B
2025-01-01$240.91$152.83RVU25A
2024-10-01$248.88$155.56RVU24D
2024-07-01$248.88$155.56RVU24C
2024-04-01$248.88$155.56RVU24B
2024-03-09$248.88$155.56RVU24AR
2024-01-01$244.82$153.02RVU24A
2023-10-01$253.23$157.69RVU23D
2023-07-01$253.23$157.69RVU23C
2023-04-01$253.23$157.69RVU23B
2023-01-01$253.23$157.69RVU23A
2022-10-01$256.54$158.84RVU22D
2022-07-01$256.54$158.84RVU22C
2022-04-01$256.54$158.84RVU22B
2022-01-01$256.54$158.84RVU22A
2021-10-01$258.66$158.56RVU21D
2021-07-01$258.66$158.56RVU21C
2021-04-01$258.66$158.56RVU21B
2021-01-01$258.66$158.56RVU21A
2020-10-01$255.38$161.24RVU20D
2020-07-01$255.38$161.24RVU20C
2020-04-01$255.38$161.24RVU20B
2020-01-01$255.38$161.24RVU20A
2019-10-01$253.52$161.41RVU19D
2019-07-01$253.52$161.41RVU19C
2019-04-01$253.52$161.41RVU19B
2019-01-01$253.52$161.41RVU19A
2018-10-01$253.84$161.02RVU18D
2018-07-01$253.84$161.02RVU18C
2018-04-01$253.84$161.02RVU18B
2018-01-01$253.84$161.02RVU18AR1
2017-10-01$253.33$161.39RVU17D
2017-07-01$253.33$161.39RVU17C
2017-04-01$253.33$161.39RVU17B
2017-01-01$253.33$161.39RVU17A
2016-10-01$252.77$161.24RVU16D
2016-07-01$252.77$161.24RVU16C
2016-04-01$252.77$161.24RVU16B
2016-01-01$252.77$161.24RVU16A
2015-10-01$253.24$161.80RVU15D
2015-07-01$253.24$161.80RVU15C
2015-04-01$251.98$160.99RVU15B
2015-01-01$251.98$160.99RVU15A
2014-10-01$248.50$158.90RVU14D
2014-07-01$248.50$158.90RVU14C
2014-04-01$248.50$158.90RVU14B
2014-01-01$248.50$158.90RVU14A
2013-10-01$256.01$159.82RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11621 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

11621 billing questions

How is the 0.6–1 cm size determined?

Use the excised diameter, including the lesion and the margins taken for removal—not just the visible lesion measurement. The documented diameter must fall from 0.6 through 1.0 cm.

When should 11620 or 11622 be used instead?

Those codes are in the same anatomic group for smaller or larger excised diameters. Use 11620 for up to 0.5 cm and 11622 for 1.1–2 cm.

Can the repair be billed separately?

Routine closure is included in the excision. A separately performed intermediate or complex repair may be reported with the appropriate repair code.

Should modifier 50 be appended for paired sites?

No. CMS identifies bilateral adjustment as inappropriate for this code; report the documented excisions according to the applicable coding rules.

Are postoperative visits separately billable during the global period?

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

Can an assistant surgeon or co-surgeon be paid?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 11621PPRRVU2026_Oct_nonQPP.csv, line 1,348 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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