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CPT code 11641: Malignant lesion excision, face, 0.6–1.0 cm2026 Medicare rate & RVUs in Hawaii, Guam, HI

Excision of a malignant lesion on the face, ear, eyelid, nose, or lip, selected when the lesion plus margins measures 0.6–1.0 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality14.9K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $255.09 for 11641 in the office and $138.50 when it’s performed in a hospital or facility.

$255.09Office (non-facility)
$138.50Hospital or facility
+7.6%vs the national office rate ($237.15)

Check a contract rate as a % of Medicare · 11641 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 11641 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 11641 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 11641 covers

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

Document the malignant lesion, exact site, and excised diameter including margins. The procedure has a 10-day global period, so related postoperative visits during that period are included. When multiple procedures are performed in the same session, 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 for this service, 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 Hawaii, Guam, HI compares for 11641

Across 109 of 109 payment localities, the office rate for 11641 runs from $210.71 in Arkansas to $310.59 in San Benito County, CA. Hawaii, Guam, HI pays $255.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

11641 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$255.09
  2. Los Angeles, CA · California$265.98+$10.89
  3. Washington, DC area · District of Columbia$270.01+$14.92
  4. Miami, FL · Florida$256.89+$1.80
  5. Chicago, IL · Illinois$249.68−$5.41
  6. Manhattan, NY · New York$272.31+$17.22
  7. Alaska · Alaska$278.90+$23.81

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

Every other payment area

11641 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$213.67$123.95
ArkansasArkansas$210.71$122.62
ArizonaArizona$231.01$131.65
Bakersfield, CACalifornia$250.23$137.85
Chico, CACalifornia$249.46$137.07
El Centro, CACalifornia$249.50$137.11
Fresno, CACalifornia$249.46$137.07
Hanford, CACalifornia$249.46$137.07

11641 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.

$210.71

$280.03

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

View every state and territory as a table
11641 office rate range by state
State / territoryOffice rate rangeLocalities
AK$278.901
AL$213.671
AR$210.711
AZ$231.011
CA$249.46–$310.5929
CO$246.181
CT$252.531
DC$270.011
DE$234.731
FL$234.58–$256.893
GA$221.79–$241.632
GU$255.091
HI$255.091
IA$218.511
ID$219.961
IL$228.32–$249.684
IN$221.171
KS$217.701
KY$218.911
LA$218.65–$229.032
MA$244.87–$269.682
MD$239.03–$270.013
ME$221.25–$232.522
MI$224.55–$237.592
MN$235.601
MO$215.16–$229.603
MS$212.971
MT$237.131
NC$223.451
ND$231.991
NE$219.611
NH$242.521
NJ$255.33–$267.422
NM$225.811
NV$235.851
NY$226.68–$278.925
OH$223.501
OK$218.341
OR$233.94–$253.562
PA$223.74–$246.562
PR$238.751
RI$242.761
SC$223.861
SD$231.381
TN$218.781
TX$222.34–$245.448
UT$226.801
VA$231.91–$270.012
VI$238.751
VT$231.281
WA$244.35–$274.882
WI$224.521
WV$220.241
WY$234.891

See 11641 in every payment locality

How the 11641 rate is calculated

Each of 11641’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 · 11641

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.12

2.12 RVUs× 1.000 GPCI

Practice expense4.72

4.72 RVUs× 1.000 GPCI

Malpractice0.26

0.26 RVUs× 1.000 GPCI

Adjusted RVUs

7.1000

Conversion factor

$33.4009

Medicare rate

$237.15

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

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,354

Code
11641
Physician work
2.12
Practice expense
4.72
Malpractice
0.26

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 11641 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work2.12× 1.0002.1200
Practice expense4.72× 1.1375.3666
Malpractice0.26× 0.5790.1505
Total RVUs7.6372
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$255.09

Office: (2.12 × 1 + 4.72 × 1.137 + 0.26 × 0.579) × $33.4009 = $255.09

Facility: (2.12 × 1 + 1.65 × 1.137 + 0.26 × 0.579) × $33.4009 = $138.50

Open 11641 in the RVU calculator

Payment rules and modifiers for 11641

11641 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11641

Malignant lesion excision, face, 0.6–1.0 cm

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 · 11641

Malignant lesion excision, face, 0.6–1.0 cm

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

11641 without 51 · national office

$237.15

Malignant lesion excision, face, 0.6–1.0 cm

11641-51 · Second procedure: 50%

$118.58

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 11641

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

Codes related to 11641
CodeHow it relatesOffice range, Hawaii, Guam, HI
Same family
11640Lesion excision, face, 0.5 cm or lessSame facial and related-site excision family; for the smaller excised-diameter category.$218.95
11642Skin lesion excision, face, ears, eyelids, nose, lipsSame site group; for the next larger excised-diameter category.$286.17
11643Malignant lesion excision, face, ears, eyelids, nose, lipsSame site group; for a larger excised-diameter category.$336.01
11644Malignant lesion excision, face and related sites, 3.1-4 cmSame site group; for a larger excised-diameter category.$416.26
11646Malignant lesion excision, face and related sites, over 4 cmSame site group; for the largest excised-diameter category.$540.36
Used instead
11601Malignant skin excision, trunk, arms, or legs; 0.6–1 cmMalignant-lesion excision for trunk, extremities, or other specified sites at a similar size level.$244.53

How 11641 has changed in Hawaii, Guam, HI

11641 · Office / nonfacility

$255.09

Effective 2026-10-01

The base rate is $6.62 higher than on 2025-10-01, moving from $248.47 to $255.09 (2.7%).

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

    $248.47changed to$255.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.17 changed to 2.12
    • Practice expense RVU 4.66 changed to 4.72
    • Malpractice RVU 0.28 changed to 0.26
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $257.04changed to$248.47

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.70 changed to 4.66
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $252.84changed to$257.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $261.16changed to$252.84

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.68 changed to 4.70
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $264.43changed to$261.16

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.62 changed to 4.68
    • Malpractice RVU 0.25 changed to 0.27
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $266.86changed to$264.43

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $264.24changed to$266.86

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.34 changed to 4.62
    • Malpractice RVU 0.27 changed to 0.26
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $262.35changed to$264.24

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.28 changed to 4.34
    • Malpractice RVU 0.33 changed to 0.27
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $262.26changed to$262.35

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.29 changed to 4.28
    • Malpractice RVU 0.32 changed to 0.33

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $261.76changed to$262.26

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.26 changed to 4.29
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $261.63changed to$261.76

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.24 changed to 4.26
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $261.72changed to$261.63

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.23 changed to 4.24
    • Malpractice RVU 0.31 changed to 0.33

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $260.41changed to$261.72

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $257.60changed to$260.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.15 changed to 4.23
    • Malpractice RVU 0.32 changed to 0.31
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $264.65changed to$257.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.66 changed to 4.15
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$264.65

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$255.09$138.50RVU26D
2026-07-01$255.09$138.50RVU26C
2026-04-01$255.09$138.50RVU26B
2026-01-01$255.09$138.50RVU26A
2025-10-01$248.47$158.90RVU25D
2025-07-01$248.47$158.90RVU25C
2025-04-01$248.47$158.90RVU25B
2025-01-01$248.47$158.90RVU25A
2024-10-01$257.04$162.19RVU24D
2024-07-01$257.04$162.19RVU24C
2024-04-01$257.04$162.19RVU24B
2024-03-09$257.04$162.19RVU24AR
2024-01-01$252.84$159.54RVU24A
2023-10-01$261.16$164.07RVU23D
2023-07-01$261.16$164.07RVU23C
2023-04-01$261.16$164.07RVU23B
2023-01-01$261.16$164.07RVU23A
2022-10-01$264.43$165.15RVU22D
2022-07-01$264.43$165.15RVU22C
2022-04-01$264.43$165.15RVU22B
2022-01-01$264.43$165.15RVU22A
2021-10-01$266.86$165.16RVU21D
2021-07-01$266.86$165.16RVU21C
2021-04-01$266.86$165.16RVU21B
2021-01-01$266.86$165.16RVU21A
2020-10-01$264.24$168.05RVU20D
2020-07-01$264.24$168.05RVU20C
2020-04-01$264.24$168.05RVU20B
2020-01-01$264.24$168.05RVU20A
2019-10-01$262.35$168.19RVU19D
2019-07-01$262.35$168.19RVU19C
2019-04-01$262.35$168.19RVU19B
2019-01-01$262.35$168.19RVU19A
2018-10-01$262.26$167.78RVU18D
2018-07-01$262.26$167.78RVU18C
2018-04-01$262.26$167.78RVU18B
2018-01-01$262.26$167.78RVU18AR1
2017-10-01$261.76$168.16RVU17D
2017-07-01$261.76$168.16RVU17C
2017-04-01$261.76$168.16RVU17B
2017-01-01$261.76$168.16RVU17A
2016-10-01$261.63$168.02RVU16D
2016-07-01$261.63$168.02RVU16C
2016-04-01$261.63$168.02RVU16B
2016-01-01$261.63$168.02RVU16A
2015-10-01$261.72$168.19RVU15D
2015-07-01$261.72$168.19RVU15C
2015-04-01$260.41$167.35RVU15B
2015-01-01$260.41$167.35RVU15A
2014-10-01$257.60$166.34RVU14D
2014-07-01$257.60$166.34RVU14C
2014-04-01$257.60$166.34RVU14B
2014-01-01$257.60$166.34RVU14A
2013-10-01$264.65$166.89RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 11641 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

11641 billing questions

How is this code distinguished from 11640 or 11642?

Use 11641 for the face, ear, eyelid, nose, or lip when the lesion plus margins measures 0.6–1.0 cm. Code 11640 is for the smaller size category, while 11642 is for the next larger category.

Which size should be documented?

Document the excised diameter, including the lesion and the margins removed. Do not select the size category from the lesion diameter alone.

Can a repair be billed separately?

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

Are postoperative visits separately payable during the global period?

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

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

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this code.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.

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 11641PPRRVU2026_Oct_nonQPP.csv, line 1,354 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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