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CPT code 11623: Skin excision, scalp, neck, hand, foot, genital skin2026 Medicare rate & RVUs in West Virginia

Surgical removal of a malignant skin lesion on the scalp, neck, hand, foot, or genital skin, selected by the total excision diameter.

CMS RVU26DEffective Oct 1, 2026One payment locality20.9K Medicare services in 2024

In West Virginia, Medicare pays $276.98 for 11623 in the office and $174.81 when it’s performed in a hospital or facility.

$276.98Office (non-facility)
$174.81Hospital or facility
−6.2%vs the national office rate ($295.26)

Check a contract rate as a % of Medicare · 11623 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 11623 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in West Virginia
  2. What 11623 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 11623 covers

This code covers surgical removal of a malignant cutaneous lesion from the scalp, neck, hand, foot, or genital skin when the total excision diameter is 2.1–3 cm. Dermatologists and other clinicians who perform skin surgery commonly report it for an outpatient excision, with the specimen typically submitted for pathologic examination. The measured diameter includes the lesion and the margins taken around it, not only the visible lesion.

Choose the code by the anatomic group and the total diameter planned for excision, and document the site, lesion measurement, margins, and resulting excision size. Simple closure is included; an intermediate or complex repair may be separately reportable when performed and documented. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 West Virginia compares for 11623

Across 109 of 109 payment localities, the office rate for 11623 runs from $263.54 in Arkansas to $380.67 in San Benito County, CA. West Virginia pays $276.98. The RVUs are the same everywhere; the geographic indexes change the dollars.

11623 in West Virginia vs other payment areas
  1. West Virginia · this page$276.98
  2. Los Angeles, CA · California$328.34+$51.36
  3. Washington, DC area · District of Columbia$334.45+$57.47
  4. Miami, FL · Florida$322.11+$45.13
  5. Chicago, IL · Illinois$313.32+$36.34
  6. Manhattan, NY · New York$338.56+$61.58
  7. Alaska · Alaska$351.96+$74.98

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

Every other payment area

11623 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$267.08$164.21
ArkansasArkansas$263.54$162.54
ArizonaArizona$287.81$173.89
Bakersfield, CACalifornia$309.64$180.78
Chico, CACalifornia$308.51$179.65
El Centro, CACalifornia$308.57$179.71
Fresno, CACalifornia$308.51$179.65
Hanford, CACalifornia$308.51$179.65

11623 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.

$263.54

$351.96

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

View every state and territory as a table
11623 office rate range by state
State / territoryOffice rate rangeLocalities
AK$351.961
AL$267.081
AR$263.541
AZ$287.811
CA$308.51–$380.6729
CO$305.311
CT$313.921
DC$334.451
DE$292.311
FL$293.67–$322.113
GA$278.11–$301.022
GU$314.771
HI$314.771
IA$272.191
ID$274.071
IL$286.63–$313.324
IN$275.501
KS$271.561
KY$274.051
LA$273.87–$286.292
MA$303.92–$333.202
MD$297.41–$334.453
ME$275.96–$288.952
MI$281.12–$297.622
MN$291.591
MO$269.91–$286.583
MS$266.741
MT$295.241
NC$278.531
ND$287.721
NE$273.401
NH$301.111
NJ$317.23–$331.522
NM$282.761
NV$293.331
NY$282.43–$346.905
OH$279.591
OK$273.031
OR$290.77–$313.772
PA$279.69–$306.972
PR$297.071
RI$301.801
SC$279.581
SD$286.841
TN$272.881
TX$278.04–$304.548
UT$283.091
VA$288.45–$334.452
VI$297.071
VT$287.181
WA$303.16–$339.172
WI$278.861
WV$276.981
WY$291.961

See 11623 in every payment locality

How the 11623 rate is calculated

Each of 11623’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 · 11623

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.03

3.03 RVUs× 1.000 GPCI

Practice expense5.43

5.43 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

8.8400

Conversion factor

$33.4009

Medicare rate

$295.26

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

The exact West Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,350

Code
11623
Physician work
3.03
Practice expense
5.43
Malpractice
0.38

GPCI2026.csv

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for 11623 in West Virginia
ComponentRVULocality factorAdjusted
Physician work3.03× 1.0003.0300
Practice expense5.43× 0.8694.7187
Malpractice0.38× 1.4310.5438
Total RVUs8.2924
Conversion factor× 33.4009

Office rate, West Virginia$276.98

Office: (3.03 × 1 + 5.43 × 0.869 + 0.38 × 1.431) × $33.4009 = $276.98

Facility: (3.03 × 1 + 1.91 × 0.869 + 0.38 × 1.431) × $33.4009 = $174.81

Open 11623 in the RVU calculator

Payment rules and modifiers for 11623

11623 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11623

Skin excision, scalp, neck, hand, foot, genital skin

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 · 11623

Skin excision, scalp, neck, hand, foot, genital skin

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

11623 without 51 · national office

$295.26

Skin excision, scalp, neck, hand, foot, genital skin

11623-51 · Second procedure: 50%

$147.63

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 11623

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

Codes related to 11623
CodeHow it relatesOffice range, West Virginia
Same family
11622Skin lesion excision, designated sites, 1.1–2 cmSame anatomic group, for a smaller total excision diameter of 1.1–2 cm.$232.27
11624Skin excision, 3.1–4 cm excised diameterSame anatomic group, for a larger total excision diameter of 3.1–4 cm.$319.35
11621Skin lesion excision, scalp, neck, hands, feet, genitaliaSame anatomic group, for a total excision diameter of 0.6–1 cm.$211.92
11626Skin excision, scalp, neck, hands, feet, genitalia; over 4 cmSame anatomic group, for a total excision diameter greater than 4 cm.$398.18
Used instead
11603Lesion excision, trunk or limb, 2.1–3 cmMalignant lesion excision at the same size range on the trunk or extremities.$258.27
11643Malignant lesion excision, face, ears, eyelids, nose, lipsMalignant lesion excision at the same size range on the face, ears, eyelids, nose, or lips.$297.22

How 11623 has changed in West Virginia

11623 · Office / nonfacility

$276.98

Effective 2026-10-01

The base rate is $9.13 higher than on 2025-10-01, moving from $267.85 to $276.98 (3.4%).

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

    $267.85changed to$276.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.11 changed to 3.03
    • Practice expense RVU 5.38 changed to 5.43
    • Malpractice RVU 0.40 changed to 0.38
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $276.22changed to$267.85

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.40 changed to 5.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $271.71changed to$276.22

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $279.05changed to$271.71

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.37 changed to 5.40
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $280.87changed to$279.05

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.29 changed to 5.37
    • Malpractice RVU 0.39 changed to 0.40
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $282.48changed to$280.87

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.28 changed to 5.29
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $285.05changed to$282.48

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.02 changed to 5.28
    • Malpractice RVU 0.39 changed to 0.38
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $287.69changed to$285.05

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.96 changed to 5.02
    • Malpractice RVU 0.48 changed to 0.39
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $288.77changed to$287.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.99 changed to 4.96
    • Malpractice RVU 0.49 changed to 0.48

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $284.75changed to$288.77

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.95 changed to 4.99
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $281.57changed to$284.75

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.92 changed to 4.95
    • Malpractice RVU 0.50 changed to 0.49
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $280.74changed to$281.57

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.46 changed to 0.50

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $279.35changed to$280.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $276.21changed to$279.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.82 changed to 4.92
    • Malpractice RVU 0.47 changed to 0.46
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $278.71changed to$276.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.41 changed to 4.82
    • Malpractice RVU 0.49 changed to 0.47
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $278.71

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$276.98$174.81RVU26D
2026-07-01$276.98$174.81RVU26C
2026-04-01$276.98$174.81RVU26B
2026-01-01$276.98$174.81RVU26A
2025-10-01$267.85$195.64RVU25D
2025-07-01$267.85$195.64RVU25C
2025-04-01$267.85$195.64RVU25B
2025-01-01$267.85$195.64RVU25A
2024-10-01$276.22$199.89RVU24D
2024-07-01$276.22$199.89RVU24C
2024-04-01$276.22$199.89RVU24B
2024-03-09$276.22$199.89RVU24AR
2024-01-01$271.71$196.63RVU24A
2023-10-01$279.05$201.53RVU23D
2023-07-01$279.05$201.53RVU23C
2023-04-01$279.05$201.53RVU23B
2023-01-01$279.05$201.53RVU23A
2022-10-01$280.87$201.29RVU22D
2022-07-01$280.87$201.29RVU22C
2022-04-01$280.87$201.29RVU22B
2022-01-01$280.87$201.29RVU22A
2021-10-01$282.48$201.94RVU21D
2021-07-01$282.48$201.94RVU21C
2021-04-01$282.48$201.94RVU21B
2021-01-01$282.48$201.94RVU21A
2020-10-01$285.05$208.04RVU20D
2020-07-01$285.05$208.04RVU20C
2020-04-01$285.05$208.04RVU20B
2020-01-01$285.05$208.04RVU20A
2019-10-01$287.69$212.02RVU19D
2019-07-01$287.69$212.02RVU19C
2019-04-01$287.69$212.02RVU19B
2019-01-01$287.69$212.02RVU19A
2018-10-01$288.77$212.57RVU18D
2018-07-01$288.77$212.57RVU18C
2018-04-01$288.77$212.57RVU18B
2018-01-01$288.77$212.57RVU18AR1
2017-10-01$284.75$210.88RVU17D
2017-07-01$284.75$210.88RVU17C
2017-04-01$284.75$210.88RVU17B
2017-01-01$284.75$210.88RVU17A
2016-10-01$281.57$209.13RVU16D
2016-07-01$281.57$209.13RVU16C
2016-04-01$281.57$209.13RVU16B
2016-01-01$281.57$209.13RVU16A
2015-10-01$280.74$208.35RVU15D
2015-07-01$280.74$208.35RVU15C
2015-04-01$279.35$207.31RVU15B
2015-01-01$279.35$207.31RVU15A
2014-10-01$276.21$205.58RVU14D
2014-07-01$276.21$205.58RVU14C
2014-04-01$276.21$205.58RVU14B
2014-01-01$276.21$205.58RVU14A
2013-10-01$278.71$202.93RVU13D
2013-07-01$278.71$202.93RVU13C
2013-04-01$278.71$202.93RVU13B
2013-01-01$278.71$202.93RVU13AR

Price 11623 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

11623 billing questions

How is the 2.1–3 cm size determined?

Use the total diameter of the lesion plus the margins required for excision, rather than the visible lesion alone. Document the lesion measurement, planned margins, site, and total excision size.

Is simple closure separately reportable?

No. Simple closure is included in the excision; an intermediate or complex repair may be separately reported when supported by the repair performed and its documentation.

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the excisions based on the individual lesions and applicable same-session multiple-procedure rules.

How does the 10-day global period affect follow-up?

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

What happens when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 11623PPRRVU2026_Oct_nonQPP.csv, line 1,350 (RVU26D)
Geographic factors for West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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