CPT code 11622: Skin lesion excision, designated sites, 1.1–2 cm2026 Medicare rate & RVUs

Medicare pays $249.84 for 11622 nationally in the office and $143.96 in a hospital or facility. Local office rates run $222.69–$326.34.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11622 covers

This service removes a malignant skin lesion from the scalp, neck, hand, foot, or genital area, including the margins taken to achieve complete removal. Dermatologists, plastic surgeons, and other physicians who perform skin surgery commonly provide it in office procedure rooms or outpatient operating settings. Select this size level when the greatest diameter of the lesion plus the margins removed is 1.1 through 2.0 cm.

Documentation should identify the site, malignancy, lesion dimensions, and excised diameter including margins; pathology findings support the diagnosis. Simple closure is included, while a separately documented intermediate or complex repair may be reported under its own rules. Medicare assigns a 10-day global period, so related postoperative visits during that interval are included. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this descriptor. 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.

Where 11622 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

11622 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 11622 rate is calculated

Each of 11622’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.

Payment rules and modifiers for 11622

11622 has a 10-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

11622 compared with similar codes

How to choose

11621Skin lesion excisionScalp, neck, hands, feet, genitalia

Both codes cover the same anatomic sites. Choose 11621 when the lesion plus margins measures 0.6–1.0 cm; choose 11622 for 1.1–2.0 cm.

11623Skin excisionScalp, neck, hand, foot, genital skin

Both codes cover the same anatomic sites. Code 11623 applies when the lesion plus margins measures 2.1–3.0 cm, rather than 1.1–2.0 cm.

11602Malignant lesion excisionTrunk or extremity, 1.1–2 cm

The size range is the same, but 11602 is for the trunk, arms, or legs. Use 11622 for the scalp, neck, hands, feet, or genitalia.

11642Skin lesion excisionFace, ears, eyelids, nose, lips

This code covers malignant lesion excision on the face, ears, eyelids, nose, or lips at the same size level; 11622 covers its designated sites.

Codes related to 11622

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

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

Open CMS sourceHow we calculate rates