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

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 Montana, Medicare pays $339.32 for 11624 in the office and $203.05 when it’s performed in a hospital or facility.

$339.32Office (non-facility)
$203.05Hospital or facility
−0.0%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 Montana
  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 Montana 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. Montana pays $339.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

11624 in Montana vs other payment areas
  1. Montana · this page$339.32
  2. Los Angeles, CA · California$376.39+$37.07
  3. Washington, DC area · District of Columbia$384.10+$44.78
  4. Miami, FL · Florida$372.29+$32.97
  5. Chicago, IL · Illinois$361.97+$22.65
  6. Manhattan, NY · New York$389.57+$50.25
  7. Alaska · Alaska$404.46+$65.14

Other areas in Montana 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.

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 Montana 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

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Office calculation for 11624 in Montana
ComponentRVULocality factorAdjusted
Physician work3.53× 1.0003.5300
Practice expense6.15× 1.0006.1500
Malpractice0.48× 0.9980.4790
Total RVUs10.1590
Conversion factor× 33.4009

Office rate, Montana$339.32

Office: (3.53 × 1 + 6.15 × 1 + 0.48 × 0.998) × $33.4009 = $339.32

Facility: (3.53 × 1 + 2.07 × 1 + 0.48 × 0.998) × $33.4009 = $203.05

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

How 11624 has changed in Montana

11624 · Office / nonfacility

$339.32

Effective 2026-10-01

The base rate is $12.34 higher than on 2025-10-01, moving from $326.98 to $339.32 (3.8%).

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

    $326.98changed to$339.32

    • 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
    • Malpractice GPCI 0.978 changed to 0.998

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $337.49changed to$326.98

    • 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

    $331.98changed to$337.49

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $342.22changed to$331.98

    • 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
  5. January 1, 2023

    RVU23A

    $346.01changed to$342.22

    • 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
    • Malpractice GPCI 0.977 changed to 0.978

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $347.15changed to$346.01

    • 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

    $353.64changed to$347.15

    • 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
    • Malpractice GPCI 1.304 changed to 0.977

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $361.92changed to$353.64

    • 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
    • Malpractice GPCI 1.631 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $361.88changed to$361.92

    • 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

    $355.56changed to$361.88

    • 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
    • Malpractice GPCI 1.429 changed to 1.631

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $349.29changed to$355.56

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.40 changed to 5.43
    • Malpractice GPCI 1.226 changed to 1.429

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $348.43changed to$349.29

    • 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

    $346.70changed to$348.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $342.97changed to$346.70

    • 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
    • Malpractice GPCI 1.165 changed to 1.226

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $346.76changed to$342.97

    • 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
    • Malpractice GPCI 1.103 changed to 1.165

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $346.76

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$339.32$203.05RVU26D
2026-07-01$339.32$203.05RVU26C
2026-04-01$339.32$203.05RVU26B
2026-01-01$339.32$203.05RVU26A
2025-10-01$326.98$230.91RVU25D
2025-07-01$326.98$230.91RVU25C
2025-04-01$326.98$230.91RVU25B
2025-01-01$326.98$230.91RVU25A
2024-10-01$337.49$236.29RVU24D
2024-07-01$337.49$236.29RVU24C
2024-04-01$337.49$236.29RVU24B
2024-03-09$337.49$236.29RVU24AR
2024-01-01$331.98$232.44RVU24A
2023-10-01$342.22$238.86RVU23D
2023-07-01$342.22$238.86RVU23C
2023-04-01$342.22$238.86RVU23B
2023-01-01$342.22$238.86RVU23A
2022-10-01$346.01$240.46RVU22D
2022-07-01$346.01$240.46RVU22C
2022-04-01$346.01$240.46RVU22B
2022-01-01$346.01$240.46RVU22A
2021-10-01$347.15$240.38RVU21D
2021-07-01$347.15$240.38RVU21C
2021-04-01$347.15$240.38RVU21B
2021-01-01$347.15$240.38RVU21A
2020-10-01$353.64$252.59RVU20D
2020-07-01$353.64$252.59RVU20C
2020-04-01$353.64$252.59RVU20B
2020-01-01$353.64$252.59RVU20A
2019-10-01$361.92$262.81RVU19D
2019-07-01$361.92$262.81RVU19C
2019-04-01$361.92$262.81RVU19B
2019-01-01$361.92$262.81RVU19A
2018-10-01$361.88$262.88RVU18D
2018-07-01$361.88$262.88RVU18C
2018-04-01$361.88$262.88RVU18B
2018-01-01$361.88$262.88RVU18AR1
2017-10-01$355.56$258.31RVU17D
2017-07-01$355.56$258.31RVU17C
2017-04-01$355.56$258.31RVU17B
2017-01-01$355.56$258.31RVU17A
2016-10-01$349.29$252.62RVU16D
2016-07-01$349.29$252.62RVU16C
2016-04-01$349.29$252.62RVU16B
2016-01-01$349.29$252.62RVU16A
2015-10-01$348.43$251.77RVU15D
2015-07-01$348.43$251.77RVU15C
2015-04-01$346.70$250.52RVU15B
2015-01-01$346.70$250.52RVU15A
2014-10-01$342.97$248.40RVU14D
2014-07-01$342.97$248.40RVU14C
2014-04-01$342.97$248.40RVU14B
2014-01-01$342.97$248.40RVU14A
2013-10-01$346.76$245.03RVU13D
2013-07-01$346.76$245.03RVU13C
2013-04-01$346.76$245.03RVU13B
2013-01-01$346.76$245.03RVU13AR

Price 11624 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

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 MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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