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

In Vermont, Medicare pays $329.38 for 11624 in the office and $194.47 when it’s performed in a hospital or facility.

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.

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 Vermont 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. Vermont pays $329.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11624 rates by state

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

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.

Payment rules and modifiers for 11624

11624 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

Codes related to 11624

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

How 11624 has changed in Vermont

Price 11624 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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