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CPT code 11640: Lesion excision, face, 0.5 cm or less2026 Medicare rate & RVUs in Fort Worth, TX

Reports excision of a malignant skin lesion on the face or specified facial sites when the lesion and required margins measure 0.5 cm or less.

CMS RVU26DEffective Oct 1, 2026One payment locality3.8K Medicare services in 2024

In Fort Worth, TX, Medicare pays $200.06 for 11640 in the office and $109.82 when it’s performed in a hospital or facility.

$200.06Office (non-facility)
$109.82Hospital or facility
−1.2%vs the national office rate ($202.41)

Check a contract rate as a % of Medicare · 11640 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 11640 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Fort Worth, TX
  2. What 11640 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 11640 covers

This code covers removal of a malignant skin lesion from the face, ear, eyelid, nose, or lip, with the margins needed for excision. Dermatologists, plastic surgeons, and other qualified physicians commonly perform the procedure in an office or outpatient surgical setting. The size category is based on the excised diameter, including the lesion and margins—not the lesion alone. The code includes simple closure; a separately performed intermediate or complex repair may be reported when supported by the service and documentation.

Choose this code when the anatomic site is one of the specified facial sites and the excised diameter is 0.5 cm or less. Document the lesion’s location and size, the margins taken, and the resulting excised diameter; retain pathology findings supporting the malignant diagnosis. CMS assigns a 10-day global period, so related postoperative visits during that period are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is statutorily restricted, and 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 Fort Worth, TX compares for 11640

Across 109 of 109 payment localities, the office rate for 11640 runs from $179.25 in Arkansas to $267.75 in San Benito County, CA. Fort Worth, TX pays $200.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

11640 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$200.06
  2. Austin, TX · Texas$209.95+$9.89
  3. Beaumont, TX · Texas$189.22−$10.84
  4. Brazoria, TX · Texas$200.10+$0.04
  5. Dallas, TX · Texas$201.39+$1.33
  6. Galveston, TX · Texas$200.71+$0.65
  7. Houston, TX · Texas$204.37+$4.31

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

Every other payment area

11640 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$194.56$107.70
Los Angeles, CACalifornia$228.25$119.99
Washington, DC areaDistrict of Columbia$231.25$123.44
Miami, FLFlorida$218.42$123.15
Chicago, ILIllinois$212.15$120.17
Manhattan, NYNew York$232.70$126.35
AlaskaAlaska$235.82$138.35
AlabamaAlabama$181.85$101.77

11640 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.

$179.25

$240.78

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

View every state and territory as a table
11640 office rate range by state
State / territoryOffice rate rangeLocalities
AK$235.821
AL$181.851
AR$179.251
AZ$197.071
CA$213.80–$267.7529
CO$210.641
CT$215.781
DC$231.251
DE$200.311
FL$199.55–$218.423
GA$188.43–$206.182
GU$218.951
HI$218.951
IA$186.371
ID$187.591
IL$193.88–$212.154
IN$188.661
KS$185.531
KY$186.161
LA$185.88–$194.982
MA$209.41–$231.322
MD$204.10–$231.253
ME$188.58–$198.672
MI$190.98–$202.052
MN$201.801
MO$182.74–$195.643
MS$181.031
MT$202.401
NC$190.531
ND$198.441
NE$187.381
NH$207.371
NJ$218.23–$228.902
NM$192.031
NV$201.441
NY$193.36–$238.325
OH$190.171
OK$185.801
OR$199.86–$217.252
PA$190.46–$210.472
PR$203.861
RI$207.381
SC$190.671
SD$197.971
TN$186.461
TX$189.22–$209.958
UT$193.251
VA$198.04–$231.252
VI$203.861
VT$197.701
WA$209.01–$235.982
WI$191.851
WV$186.781
WY$200.671

See 11640 in every payment locality

How the 11640 rate is calculated

Each of 11640’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 · 11640

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.63

1.63 RVUs× 1.000 GPCI

Practice expense4.23

4.23 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

6.0600

Conversion factor

$33.4009

Medicare rate

$202.41

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

The exact Fort Worth, TX inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,353

Code
11640
Physician work
1.63
Practice expense
4.23
Malpractice
0.20

GPCI2026.csv

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 11640 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work1.63× 1.0091.6447
Practice expense4.23× 0.9864.1708
Malpractice0.20× 0.8710.1742
Total RVUs5.9897
Conversion factor× 33.4009

Office rate, Fort Worth, TX$200.06

Office: (1.63 × 1.009 + 4.23 × 0.986 + 0.2 × 0.871) × $33.4009 = $200.06

Facility: (1.63 × 1.009 + 1.49 × 0.986 + 0.2 × 0.871) × $33.4009 = $109.82

Open 11640 in the RVU calculator

Payment rules and modifiers for 11640

11640 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11640

Lesion excision, face, 0.5 cm or less

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 · 11640

Lesion excision, face, 0.5 cm or less

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

11640 without 51 · national office

$202.41

Lesion excision, face, 0.5 cm or less

11640-51 · Second procedure: 50%

$101.21

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 11640

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

Codes related to 11640
CodeHow it relatesOffice range, Fort Worth, TX
Same family
11641Malignant lesion excision, face, 0.6–1.0 cmSame facial sites, for an excised diameter of 0.6–1 cm.$234.46
11642Skin lesion excision, face, ears, eyelids, nose, lipsSame facial sites, for an excised diameter of 1.1–2 cm.$263.94
Used instead
11600Malignant lesion excision, trunk or extremity, 0.5 cm or lessSame size category for specified trunk and extremity sites.$196.04
11620Skin excision, scalp, neck, hands, feet, genitaliaSame size category for specified scalp, neck, hand, foot, and genital sites.$196.38

How 11640 has changed in Fort Worth, TX

11640 · Office / nonfacility

$200.06

Effective 2026-10-01

The base rate is $3.41 higher than on 2025-10-01, moving from $196.65 to $200.06 (1.7%).

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

    $196.65changed to$200.06

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.67 changed to 1.63
    • Practice expense RVU 4.21 changed to 4.23
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $203.70changed to$196.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.25 changed to 4.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $200.37changed to$203.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $204.98changed to$200.37

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.23 changed to 4.25
    • Malpractice RVU 0.20 changed to 0.21
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902

  5. January 1, 2023

    RVU23A

    $206.91changed to$204.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.19 changed to 4.23
    • Malpractice RVU 0.21 changed to 0.20
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $208.62changed to$206.91

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $204.93changed to$208.62

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.89 changed to 4.19
    • Work GPCI 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $203.08changed to$204.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.82 changed to 3.89
    • Malpractice RVU 0.25 changed to 0.21
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $202.50changed to$203.08

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.81 changed to 3.82

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $201.20changed to$202.50

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.77 changed to 3.81
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $200.60changed to$201.20

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.75 changed to 3.77
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $200.69changed to$200.60

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.74 changed to 3.75
    • Malpractice RVU 0.24 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $199.69changed to$200.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $197.21changed to$199.69

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.68 changed to 3.74
    • Malpractice RVU 0.25 changed to 0.24
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $201.69changed to$197.21

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.13 changed to 3.68
    • Malpractice RVU 0.26 changed to 0.25
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $201.69

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$200.06$109.82RVU26D
2026-07-01$200.06$109.82RVU26C
2026-04-01$200.06$109.82RVU26B
2026-01-01$200.06$109.82RVU26A
2025-10-01$196.65$123.69RVU25D
2025-07-01$196.65$123.69RVU25C
2025-04-01$196.65$123.69RVU25B
2025-01-01$196.65$123.69RVU25A
2024-10-01$203.70$126.62RVU24D
2024-07-01$203.70$126.62RVU24C
2024-04-01$203.70$126.62RVU24B
2024-03-09$203.70$126.62RVU24AR
2024-01-01$200.37$124.56RVU24A
2023-10-01$204.98$126.00RVU23D
2023-07-01$204.98$126.00RVU23C
2023-04-01$204.98$126.00RVU23B
2023-01-01$204.98$126.00RVU23A
2022-10-01$206.91$125.30RVU22D
2022-07-01$206.91$125.30RVU22C
2022-04-01$206.91$125.30RVU22B
2022-01-01$206.91$125.30RVU22A
2021-10-01$208.62$125.30RVU21D
2021-07-01$208.62$125.30RVU21C
2021-04-01$208.62$125.30RVU21B
2021-01-01$208.62$125.30RVU21A
2020-10-01$204.93$126.96RVU20D
2020-07-01$204.93$126.96RVU20C
2020-04-01$204.93$126.96RVU20B
2020-01-01$204.93$126.96RVU20A
2019-10-01$203.08$127.39RVU19D
2019-07-01$203.08$127.39RVU19C
2019-04-01$203.08$127.39RVU19B
2019-01-01$203.08$127.39RVU19A
2018-10-01$202.50$126.90RVU18D
2018-07-01$202.50$126.90RVU18C
2018-04-01$202.50$126.90RVU18B
2018-01-01$202.50$126.90RVU18AR1
2017-10-01$201.20$126.51RVU17D
2017-07-01$201.20$126.51RVU17C
2017-04-01$201.20$126.51RVU17B
2017-01-01$201.20$126.51RVU17A
2016-10-01$200.60$126.14RVU16D
2016-07-01$200.60$126.14RVU16C
2016-04-01$200.60$126.14RVU16B
2016-01-01$200.60$126.14RVU16A
2015-10-01$200.69$126.68RVU15D
2015-07-01$200.69$126.68RVU15C
2015-04-01$199.69$126.05RVU15B
2015-01-01$199.69$126.05RVU15A
2014-10-01$197.21$125.08RVU14D
2014-07-01$197.21$125.08RVU14C
2014-04-01$197.21$125.08RVU14B
2014-01-01$197.21$125.08RVU14A
2013-10-01$201.69$124.75RVU13D
2013-07-01$201.69$124.75RVU13C
2013-04-01$201.69$124.75RVU13B
2013-01-01$201.69$124.75RVU13AR

Price 11640 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

11640 billing questions

How is the size category determined?

Use the excised diameter, including the lesion and the margins taken, rather than the lesion’s diameter alone. This code is for an excised diameter of 0.5 cm or less.

Which sites qualify for this code?

The site must be the face, ear, eyelid, nose, or lip. For the same size category on a different anatomic group, use the code assigned to that group.

Is simple closure separately reported?

Simple closure is included in the excision service. A separately performed intermediate or complex repair may be reported when its documentation supports that repair.

Are related postoperative visits separately payable during the global period?

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

What happens when multiple procedures are performed in the same session?

CMS pays the highest-valued procedure in full and applies the standard multiple procedure reduction to the other procedures.

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 11640PPRRVU2026_Oct_nonQPP.csv, line 1,353 (RVU26D)
Geographic factors for Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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