CPT code 11641: Malignant lesion excision, face, 0.6–1.0 cm2026 Medicare rate & RVUs in South Dakota

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 South Dakota, Medicare pays $231.38 for 11641 in the office and $128.84 when it’s performed in a hospital or facility.

$231.38Office (non-facility)
$128.84Hospital or facility
−2.4%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 South Dakota
  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 South Dakota 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. South Dakota pays $231.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

11641 in South Dakota vs other payment areas
  1. South Dakota · this page$231.38
  2. Los Angeles, CA · California$265.98+$34.60
  3. Washington, DC area · District of Columbia$270.01+$38.63
  4. Miami, FL · Florida$256.89+$25.51
  5. Chicago, IL · Illinois$249.68+$18.30
  6. Manhattan, NY · New York$272.31+$40.93
  7. Alaska · Alaska$278.90+$47.52

Other areas in South Dakota 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.

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 South Dakota 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

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Office calculation for 11641 in South Dakota
ComponentRVULocality factorAdjusted
Physician work2.12× 1.0002.1200
Practice expense4.72× 1.0004.7200
Malpractice0.26× 0.3360.0874
Total RVUs6.9274
Conversion factor× 33.4009

Office rate, South Dakota$231.38

Office: (2.12 × 1 + 4.72 × 1 + 0.26 × 0.336) × $33.4009 = $231.38

Facility: (2.12 × 1 + 1.65 × 1 + 0.26 × 0.336) × $33.4009 = $128.84

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

How 11641 has changed in South Dakota

11641 · Office / nonfacility

$231.38

Effective 2026-10-01

The base rate is $6.99 higher than on 2025-10-01, moving from $224.39 to $231.38 (3.1%).

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

    $224.39changed to$231.38

    • 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
    • Malpractice GPCI 0.382 changed to 0.336

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $232.12changed to$224.39

    • 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

    $228.33changed to$232.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $235.46changed to$228.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.68 changed to 4.70
    • Malpractice GPCI 0.364 changed to 0.382
  5. January 1, 2023

    RVU23A

    $237.98changed to$235.46

    • 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
    • Malpractice GPCI 0.347 changed to 0.364

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $240.07changed to$237.98

    • 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

    $238.53changed to$240.07

    • 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
    • Malpractice GPCI 0.368 changed to 0.347

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $237.08changed to$238.53

    • 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
    • Malpractice GPCI 0.389 changed to 0.368

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $237.04changed to$237.08

    • 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

    $235.44changed to$237.04

    • 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
    • Malpractice GPCI 0.395 changed to 0.389

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $234.23changed to$235.44

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.24 changed to 4.26
    • Malpractice GPCI 0.400 changed to 0.395

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $234.43changed to$234.23

    • 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

    $233.26changed to$234.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $231.17changed to$233.26

    • 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
    • Malpractice GPCI 0.416 changed to 0.400

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $237.23changed to$231.17

    • 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
    • Malpractice GPCI 0.432 changed to 0.416

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $237.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$231.38$128.84RVU26D
2026-07-01$231.38$128.84RVU26C
2026-04-01$231.38$128.84RVU26B
2026-01-01$231.38$128.84RVU26A
2025-10-01$224.39$146.43RVU25D
2025-07-01$224.39$146.43RVU25C
2025-04-01$224.39$146.43RVU25B
2025-01-01$224.39$146.43RVU25A
2024-10-01$232.12$149.57RVU24D
2024-07-01$232.12$149.57RVU24C
2024-04-01$232.12$149.57RVU24B
2024-03-09$232.12$149.57RVU24AR
2024-01-01$228.33$147.12RVU24A
2023-10-01$235.46$150.74RVU23D
2023-07-01$235.46$150.74RVU23C
2023-04-01$235.46$150.74RVU23B
2023-01-01$235.46$150.74RVU23A
2022-10-01$237.98$151.12RVU22D
2022-07-01$237.98$151.12RVU22C
2022-04-01$237.98$151.12RVU22B
2022-01-01$237.98$151.12RVU22A
2021-10-01$240.07$151.09RVU21D
2021-07-01$240.07$151.09RVU21C
2021-04-01$240.07$151.09RVU21B
2021-01-01$240.07$151.09RVU21A
2020-10-01$238.53$154.44RVU20D
2020-07-01$238.53$154.44RVU20C
2020-04-01$238.53$154.44RVU20B
2020-01-01$238.53$154.44RVU20A
2019-10-01$237.08$154.91RVU19D
2019-07-01$237.08$154.91RVU19C
2019-04-01$237.08$154.91RVU19B
2019-01-01$237.08$154.91RVU19A
2018-10-01$237.04$154.60RVU18D
2018-07-01$237.04$154.60RVU18C
2018-04-01$237.04$154.60RVU18B
2018-01-01$237.04$154.60RVU18AR1
2017-10-01$235.44$154.33RVU17D
2017-07-01$235.44$154.33RVU17C
2017-04-01$235.44$154.33RVU17B
2017-01-01$235.44$154.33RVU17A
2016-10-01$234.23$153.67RVU16D
2016-07-01$234.23$153.67RVU16C
2016-04-01$234.23$153.67RVU16B
2016-01-01$234.23$153.67RVU16A
2015-10-01$234.43$153.94RVU15D
2015-07-01$234.43$153.94RVU15C
2015-04-01$233.26$153.17RVU15B
2015-01-01$233.26$153.17RVU15A
2014-10-01$231.17$152.36RVU14D
2014-07-01$231.17$152.36RVU14C
2014-04-01$231.17$152.36RVU14B
2014-01-01$231.17$152.36RVU14A
2013-10-01$237.23$152.51RVU13D
2013-07-01$237.23$152.51RVU13C
2013-04-01$237.23$152.51RVU13B
2013-01-01$237.23$152.51RVU13AR

Price 11641 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

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 South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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