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

Excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by the diameter of the lesion plus margins.

CMS RVU26DEffective Oct 1, 2026One payment locality44.9K Medicare services in 2024

In Washington, DC area, Medicare pays $284.01 for 11622 in the office and $159.28 when it’s performed in a hospital or facility.

$284.01Office (non-facility)
$159.28Hospital or facility
+13.7%vs the national office rate ($249.84)

Check a contract rate as a % of Medicare · 11622 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 11622 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11622 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 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.

How Washington, DC area compares for 11622

Across 109 of 109 payment localities, the office rate for 11622 runs from $222.69 in Arkansas to $326.34 in San Benito County, CA. Washington, DC area pays $284.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

11622 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$284.01
  2. Los Angeles, CA · California$279.91−$4.10
  3. Miami, FL · Florida$269.79−$14.22
  4. Chicago, IL · Illinois$262.45−$21.56
  5. Manhattan, NY · New York$286.30+$2.29
  6. Alaska · Alaska$295.76+$11.75
  7. Alabama · Alabama$225.74−$58.27

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11622 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$222.69$131.74
ArizonaArizona$243.55$140.95
Bakersfield, CACalifornia$263.55$147.50
Chico, CACalifornia$262.76$146.71
El Centro, CACalifornia$262.80$146.76
Fresno, CACalifornia$262.76$146.71
Hanford, CACalifornia$262.76$146.71
Madera, CACalifornia$262.76$146.71

11622 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.

$222.69

$295.76

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

View every state and territory as a table
11622 office rate range by state
State / territoryOffice rate rangeLocalities
AK$295.761
AL$225.741
AR$222.691
AZ$243.551
CA$262.76–$326.3429
CO$259.291
CT$265.761
DC$284.011
DE$247.401
FL$247.05–$269.793
GA$233.94–$254.422
GU$268.471
HI$268.471
IA$230.781
ID$232.251
IL$240.58–$262.454
IN$233.501
KS$229.921
KY$231.051
LA$230.77–$241.422
MA$257.95–$283.662
MD$251.86–$284.013
ME$233.54–$245.172
MI$236.81–$250.102
MN$248.441
MO$227.17–$242.053
MS$224.961
MT$249.821
NC$235.811
ND$244.681
NE$231.911
NH$255.421
NJ$268.79–$281.402
NM$238.081
NV$248.551
NY$239.13–$293.055
OH$235.761
OK$230.501
OR$246.61–$266.932
PA$236.02–$259.602
PR$251.501
RI$255.761
SC$236.171
SD$244.071
TN$231.021
TX$234.58–$258.448
UT$239.191
VA$244.52–$284.012
VI$251.501
VT$243.921
WA$257.40–$289.102
WI$237.001
WV$232.271
WY$247.581

See 11622 in every payment locality

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.

How the rate is built · 11622

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.35

2.35 RVUs× 1.000 GPCI

Practice expense4.87

4.87 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

7.4800

Conversion factor

$33.4009

Medicare rate

$249.84

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,349

Code
11622
Physician work
2.35
Practice expense
4.87
Malpractice
0.26

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11622 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.35× 1.0542.4769
Practice expense4.87× 1.1785.7369
Malpractice0.26× 1.1130.2894
Total RVUs8.5031
Conversion factor× 33.4009

Office rate, Washington, DC area$284.01

Office: (2.35 × 1.054 + 4.87 × 1.178 + 0.26 × 1.113) × $33.4009 = $284.01

Facility: (2.35 × 1.054 + 1.7 × 1.178 + 0.26 × 1.113) × $33.4009 = $159.28

Open 11622 in the RVU calculator

Payment rules and modifiers for 11622

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

CMS payment indicators · 11622

Skin lesion excision, designated sites, 1.1–2 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 · 11622

Skin lesion excision, designated sites, 1.1–2 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

11622 without 51 · national office

$249.84

Skin lesion excision, designated sites, 1.1–2 cm

11622-51 · Second procedure: 50%

$124.92

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 11622

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

Codes related to 11622
CodeHow it relatesOffice range, Washington, DC area
Same family
11621Skin lesion excision, scalp, neck, hands, feet, genitaliaSame sites, but for an excised diameter of 0.6–1.0 cm.$260.20
11623Skin excision, scalp, neck, hand, foot, genital skinSame sites, but for an excised diameter of 2.1–3.0 cm.$334.45
11624Skin excision, 3.1–4 cm excised diameterSame sites, but for an excised diameter of 3.1–4.0 cm.$384.10
11626Skin excision, scalp, neck, hands, feet, genitalia; over 4 cmSame sites, but for an excised diameter greater than 4.0 cm.$473.55
Used instead
11602Malignant lesion excision, trunk or extremity, 1.1–2 cmSame size level for malignant lesion excision on the trunk, arms, or legs.$273.64
11642Skin lesion excision, face, ears, eyelids, nose, lipsSame size level for malignant lesion excision on the face, ears, eyelids, nose, or lips.$303.16

How 11622 has changed in Washington, DC area

11622 · Office / nonfacility

$284.01

Effective 2026-10-01

The base rate is $2.10 higher than on 2025-10-01, moving from $281.91 to $284.01 (0.7%).

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

    $281.91changed to$284.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.41 changed to 2.35
    • Practice expense RVU 4.90 changed to 4.87
    • Malpractice RVU 0.28 changed to 0.26
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $291.69changed to$281.91

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.93 changed to 4.90
    • Malpractice RVU 0.29 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $286.93changed to$291.69

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $299.09changed to$286.93

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.90 changed to 4.93
    • Malpractice RVU 0.27 changed to 0.29
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $306.16changed to$299.09

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.82 changed to 4.90
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $308.68changed to$306.16

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.83 changed to 4.82
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $305.06changed to$308.68

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.57 changed to 4.83
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $303.87changed to$305.06

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.52 changed to 4.57
    • Malpractice RVU 0.37 changed to 0.27
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $304.38changed to$303.87

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.55 changed to 4.52
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $302.56changed to$304.38

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.51 changed to 4.55
    • Malpractice RVU 0.37 changed to 0.36
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $300.93changed to$302.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.48 changed to 4.51
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $300.64changed to$300.93

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.34 changed to 0.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $299.14changed to$300.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $294.36changed to$299.14

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.38 changed to 4.48
    • Malpractice RVU 0.35 changed to 0.34
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $301.18changed to$294.36

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.93 changed to 4.38
    • Malpractice RVU 0.37 changed to 0.35
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $301.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$284.01$159.28RVU26D
2026-07-01$284.01$159.28RVU26C
2026-04-01$284.01$159.28RVU26B
2026-01-01$284.01$159.28RVU26A
2025-10-01$281.91$185.90RVU25D
2025-07-01$281.91$185.90RVU25C
2025-04-01$281.91$185.90RVU25B
2025-01-01$281.91$185.90RVU25A
2024-10-01$291.69$190.11RVU24D
2024-07-01$291.69$190.11RVU24C
2024-04-01$291.69$190.11RVU24B
2024-03-09$291.69$190.11RVU24AR
2024-01-01$286.93$187.01RVU24A
2023-10-01$299.09$193.77RVU23D
2023-07-01$299.09$193.77RVU23C
2023-04-01$299.09$193.77RVU23B
2023-01-01$299.09$193.77RVU23A
2022-10-01$306.16$196.24RVU22D
2022-07-01$306.16$196.24RVU22C
2022-04-01$306.16$196.24RVU22B
2022-01-01$306.16$196.24RVU22A
2021-10-01$308.68$196.12RVU21D
2021-07-01$308.68$196.12RVU21C
2021-04-01$308.68$196.12RVU21B
2021-01-01$308.68$196.12RVU21A
2020-10-01$305.06$199.30RVU20D
2020-07-01$305.06$199.30RVU20C
2020-04-01$305.06$199.30RVU20B
2020-01-01$305.06$199.30RVU20A
2019-10-01$303.87$200.95RVU19D
2019-07-01$303.87$200.95RVU19C
2019-04-01$303.87$200.95RVU19B
2019-01-01$303.87$200.95RVU19A
2018-10-01$304.38$200.71RVU18D
2018-07-01$304.38$200.71RVU18C
2018-04-01$304.38$200.71RVU18B
2018-01-01$304.38$200.71RVU18AR1
2017-10-01$302.56$201.36RVU17D
2017-07-01$302.56$201.36RVU17C
2017-04-01$302.56$201.36RVU17B
2017-01-01$302.56$201.36RVU17A
2016-10-01$300.93$200.41RVU16D
2016-07-01$300.93$200.41RVU16C
2016-04-01$300.93$200.41RVU16B
2016-01-01$300.93$200.41RVU16A
2015-10-01$300.64$200.18RVU15D
2015-07-01$300.64$200.18RVU15C
2015-04-01$299.14$199.19RVU15B
2015-01-01$299.14$199.19RVU15A
2014-10-01$294.36$196.18RVU14D
2014-07-01$294.36$196.18RVU14C
2014-04-01$294.36$196.18RVU14B
2014-01-01$294.36$196.18RVU14A
2013-10-01$301.18$195.62RVU13D
2013-07-01$301.18$195.62RVU13C
2013-04-01$301.18$195.62RVU13B
2013-01-01$301.18$195.62RVU13AR

Price 11622 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11622 billing questions

How is the 1.1–2 cm size level determined?

Use the greatest diameter of the lesion together with the margins removed, not the length of the closure. The combined excised diameter must fall in the 1.1–2.0 cm range.

When should I use 11622 instead of 11602?

Use 11622 for the scalp, neck, hands, feet, or genitalia. Code 11602 is for malignant lesion excision on the trunk, arms, or legs at the corresponding size level.

Is closure included in 11622?

Simple closure is included in the excision service. A separately documented intermediate or complex repair may be reported when it meets the requirements for that repair service.

Can I append modifier 50 for lesions on both sides?

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

How does Medicare handle other procedures in the same session?

Medicare pays the highest-valued procedure in full and reduces the other procedures under the standard multiple procedure rule. Related postoperative visits during the 10-day global period are included.

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 11622PPRRVU2026_Oct_nonQPP.csv, line 1,349 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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