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CPT code 11624: Skin excision, 3.1–4 cm excised diameter2026 Medicare rate & RVUs in Idaho

Reports excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia when the lesion and margins span 3.1–4 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality7.4K Medicare services in 2024

In Idaho, Medicare pays $314.47 for 11624 in the office and $189.10 when it’s performed in a hospital or facility.

$314.47Office (non-facility)
$189.10Hospital or facility
−7.3%vs the national office rate ($339.35)

Check a contract rate as a % of Medicare · 11624 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 11624 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 11624 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 11624 covers

A dermatologist or surgeon uses this code to remove a malignant skin lesion from the scalp, neck, hands, feet, or genitalia. Common examples include excision of basal cell carcinoma, squamous cell carcinoma, or melanoma. The size category is based on the excised diameter: the lesion together with the margins removed around it, not the lesion’s size alone. The service may be performed in an office, ambulatory surgery center, or hospital setting.

Document the exact site, lesion dimensions, margins taken, and resulting excised diameter; pathology records can support the malignant diagnosis. Simple closure is included, while a separately reportable intermediate or complex repair may be coded when performed and documented. Medicare includes related postoperative visits for 10 days in the global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. 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 Idaho compares for 11624

Across 109 of 109 payment localities, the office rate for 11624 runs from $302.61 in Arkansas to $435.68 in San Benito County, CA. Idaho pays $314.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

11624 in Idaho vs other payment areas
  1. Idaho · this page$314.47
  2. Los Angeles, CA · California$376.39+$61.92
  3. Washington, DC area · District of Columbia$384.10+$69.63
  4. Miami, FL · Florida$372.29+$57.82
  5. Chicago, IL · Illinois$361.97+$47.50
  6. Manhattan, NY · New York$389.57+$75.10
  7. Alaska · Alaska$404.46+$89.99

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

Every other payment area

11624 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$306.72$187.48
ArkansasArkansas$302.61$185.55
ArizonaArizona$330.68$198.63
Bakersfield, CACalifornia$355.04$205.69
Chico, CACalifornia$353.64$204.28
El Centro, CACalifornia$353.72$204.36
Fresno, CACalifornia$353.64$204.28
Hanford, CACalifornia$353.64$204.28

11624 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.

$302.61

$404.46

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

View every state and territory as a table
11624 office rate range by state
State / territoryOffice rate rangeLocalities
AK$404.461
AL$306.721
AR$302.611
AZ$330.681
CA$353.64–$435.6829
CO$350.401
CT$360.901
DC$384.101
DE$335.861
FL$338.38–$372.293
GA$320.25–$346.222
GU$360.751
HI$360.751
IA$312.231
ID$314.471
IL$330.51–$361.974
IN$316.121
KS$311.681
KY$315.191
LA$315.06–$329.412
MA$348.87–$382.272
MD$341.68–$384.103
ME$316.86–$331.592
MI$323.55–$343.162
MN$334.021
MO$310.59–$329.533
MS$306.621
MT$339.321
NC$319.801
ND$329.831
NE$313.561
NH$345.771
NJ$364.52–$380.742
NM$325.531
NV$336.881
NY$324.32–$399.465
OH$321.611
OK$313.801
OR$333.77–$359.942
PA$321.63–$352.992
PR$341.371
RI$346.641
SC$321.341
SD$328.711
TN$313.241
TX$319.73–$349.688
UT$325.391
VA$331.15–$384.102
VI$341.371
VT$329.381
WA$347.94–$388.942
WI$319.631
WV$319.351
WY$335.181

See 11624 in every payment locality

How the 11624 rate is calculated

Each of 11624’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 · 11624

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.53

3.53 RVUs× 1.000 GPCI

Practice expense6.15

6.15 RVUs× 1.000 GPCI

Malpractice0.48

0.48 RVUs× 1.000 GPCI

Adjusted RVUs

10.1600

Conversion factor

$33.4009

Medicare rate

$339.35

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

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,351

Code
11624
Physician work
3.53
Practice expense
6.15
Malpractice
0.48

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Office calculation for 11624 in Idaho
ComponentRVULocality factorAdjusted
Physician work3.53× 1.0003.5300
Practice expense6.15× 0.9205.6580
Malpractice0.48× 0.4730.2270
Total RVUs9.4150
Conversion factor× 33.4009

Office rate, Idaho$314.47

Office: (3.53 × 1 + 6.15 × 0.92 + 0.48 × 0.473) × $33.4009 = $314.47

Facility: (3.53 × 1 + 2.07 × 0.92 + 0.48 × 0.473) × $33.4009 = $189.10

Open 11624 in the RVU calculator

Payment rules and modifiers for 11624

11624 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11624

Skin excision, 3.1–4 cm excised diameter

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 · 11624

Skin excision, 3.1–4 cm excised diameter

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

11624 without 51 · national office

$339.35

Skin excision, 3.1–4 cm excised diameter

11624-51 · Second procedure: 50%

$169.68

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 11624

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

Codes related to 11624
CodeHow it relatesOffice range, Idaho
Same family
11623Skin excision, scalp, neck, hand, foot, genital skinSame site group, for an excised diameter of 2.1–3 cm.$274.07
11626Skin excision, scalp, neck, hands, feet, genitalia; over 4 cmSame site group, for an excised diameter greater than 4 cm.$386.30
Used instead
11604Malignant excision, trunk or extremity, 3.1–4 cmFor a 3.1–4 cm malignant lesion on the trunk, arms, or legs.$288.37
11644Malignant lesion excision, face and related sites, 3.1-4 cmFor a 3.1–4 cm malignant lesion on the face, ears, eyelids, nose, or lips.$363.87

How 11624 has changed in Idaho

11624 · Office / nonfacility

$314.47

Effective 2026-10-01

The base rate is $13.84 higher than on 2025-10-01, moving from $300.63 to $314.47 (4.6%).

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

    $300.63changed to$314.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.62 changed to 3.53
    • Practice expense RVU 5.99 changed to 6.15
    • Malpractice RVU 0.51 changed to 0.48
    • Practice expense GPCI 0.908 changed to 0.920
    • Malpractice GPCI 0.461 changed to 0.473

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $310.13changed to$300.63

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.01 changed to 5.99
    • Malpractice RVU 0.52 changed to 0.51

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $305.07changed to$310.13

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $311.22changed to$305.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.98 changed to 6.01
    • Malpractice RVU 0.51 changed to 0.52
    • Practice expense GPCI 0.893 changed to 0.908
    • Malpractice GPCI 0.439 changed to 0.461

  5. January 1, 2023

    RVU23A

    $311.23changed to$311.22

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.89 changed to 5.98
    • Malpractice RVU 0.50 changed to 0.51
    • Practice expense GPCI 0.877 changed to 0.893
    • Malpractice GPCI 0.416 changed to 0.439

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $312.60changed to$311.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.86 changed to 5.89
    • Malpractice RVU 0.48 changed to 0.50

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $316.79changed to$312.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.54 changed to 5.86
    • Malpractice RVU 0.49 changed to 0.48
    • Practice expense GPCI 0.890 changed to 0.877
    • Malpractice GPCI 0.464 changed to 0.416

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $318.84changed to$316.79

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.46 changed to 5.54
    • Malpractice RVU 0.59 changed to 0.49
    • Practice expense GPCI 0.902 changed to 0.890
    • Malpractice GPCI 0.512 changed to 0.464

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $318.81changed to$318.84

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.47 changed to 5.46

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $316.29changed to$318.81

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.43 changed to 5.47
    • Malpractice RVU 0.60 changed to 0.59
    • Practice expense GPCI 0.900 changed to 0.902
    • Malpractice GPCI 0.510 changed to 0.512

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $314.15changed to$316.29

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.40 changed to 5.43
    • Practice expense GPCI 0.898 changed to 0.900
    • Malpractice GPCI 0.508 changed to 0.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $314.23changed to$314.15

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.39 changed to 5.40
    • Malpractice RVU 0.56 changed to 0.60

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $312.66changed to$314.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $310.83changed to$312.66

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.29 changed to 5.39
    • Malpractice RVU 0.57 changed to 0.56
    • Practice expense GPCI 0.896 changed to 0.898
    • Malpractice GPCI 0.556 changed to 0.508

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $315.23changed to$310.83

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.91 changed to 5.29
    • Malpractice RVU 0.60 changed to 0.57
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.603 changed to 0.556

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $315.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$314.47$189.10RVU26D
2026-07-01$314.47$189.10RVU26C
2026-04-01$314.47$189.10RVU26B
2026-01-01$314.47$189.10RVU26A
2025-10-01$300.63$213.40RVU25D
2025-07-01$300.63$213.40RVU25C
2025-04-01$300.63$213.40RVU25B
2025-01-01$300.63$213.40RVU25A
2024-10-01$310.13$218.25RVU24D
2024-07-01$310.13$218.25RVU24C
2024-04-01$310.13$218.25RVU24B
2024-03-09$310.13$218.25RVU24AR
2024-01-01$305.07$214.69RVU24A
2023-10-01$311.22$218.92RVU23D
2023-07-01$311.22$218.92RVU23C
2023-04-01$311.22$218.92RVU23B
2023-01-01$311.22$218.92RVU23A
2022-10-01$311.23$218.67RVU22D
2022-07-01$311.23$218.67RVU22C
2022-04-01$311.23$218.67RVU22B
2022-01-01$311.23$218.67RVU22A
2021-10-01$312.60$218.96RVU21D
2021-07-01$312.60$218.96RVU21C
2021-04-01$312.60$218.96RVU21B
2021-01-01$312.60$218.96RVU21A
2020-10-01$316.79$226.86RVU20D
2020-07-01$316.79$226.86RVU20C
2020-04-01$316.79$226.86RVU20B
2020-01-01$316.79$226.86RVU20A
2019-10-01$318.84$229.44RVU19D
2019-07-01$318.84$229.44RVU19C
2019-04-01$318.84$229.44RVU19B
2019-01-01$318.84$229.44RVU19A
2018-10-01$318.81$229.52RVU18D
2018-07-01$318.81$229.52RVU18C
2018-04-01$318.81$229.52RVU18B
2018-01-01$318.81$229.52RVU18AR1
2017-10-01$316.29$228.75RVU17D
2017-07-01$316.29$228.75RVU17C
2017-04-01$316.29$228.75RVU17B
2017-01-01$316.29$228.75RVU17A
2016-10-01$314.15$227.34RVU16D
2016-07-01$314.15$227.34RVU16C
2016-04-01$314.15$227.34RVU16B
2016-01-01$314.15$227.34RVU16A
2015-10-01$314.23$227.43RVU15D
2015-07-01$314.23$227.43RVU15C
2015-04-01$312.66$226.29RVU15B
2015-01-01$312.66$226.29RVU15A
2014-10-01$310.83$226.09RVU14D
2014-07-01$310.83$226.09RVU14C
2014-04-01$310.83$226.09RVU14B
2014-01-01$310.83$226.09RVU14A
2013-10-01$315.23$224.29RVU13D
2013-07-01$315.23$224.29RVU13C
2013-04-01$315.23$224.29RVU13B
2013-01-01$315.23$224.29RVU13AR

Price 11624 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

11624 billing questions

How is the 3.1–4 cm size determined?

Use the excised diameter, which includes the lesion and the margins removed around it. Document the lesion, margins, and total excised measurement.

Which body sites belong to this code?

It applies to malignant lesions on the scalp, neck, hands, feet, or genitalia. Similar-sized lesions on the trunk, arms, or legs use a different code family.

Is closure separately billable?

Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when performed.

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.

What postoperative care is included?

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

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Medicare also does not pay an assistant at surgery or permit co-surgeon or team-surgery billing for this code.

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 11624PPRRVU2026_Oct_nonQPP.csv, line 1,351 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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