FeeBase
Log inGet started
Menu

CPT code 11642: Skin lesion excision, face, ears, eyelids, nose, lips2026 Medicare rate & RVUs in Iowa

Report this code for excision of a malignant skin lesion on the face, ear, eyelid, nose, or lip when the excised diameter is 1.1–2 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality54.7K Medicare services in 2024

In Iowa, Medicare pays $246.24 for 11642 in the office and $143.55 when it’s performed in a hospital or facility.

$246.24Office (non-facility)
$143.55Hospital or facility
−7.7%vs the national office rate ($266.87)

Check a contract rate as a % of Medicare · 11642 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 11642 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 11642 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 11642 covers

This code covers conventional excision of a malignant skin lesion on the face, ears, eyelids, nose, or lips. Dermatologists, plastic surgeons, and other qualified clinicians commonly perform the procedure in an office or outpatient setting. The excision removes the lesion with the margins needed for the planned treatment; it is distinct from Mohs surgery. Simple closure is included, while a separately reportable intermediate or complex repair may be coded when its requirements are met.

Choose the code by the anatomic site group and the excised diameter: the lesion’s greatest diameter plus the narrowest margins removed. Document the diagnosis, exact site, lesion and margin measurements, and closure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

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 Iowa compares for 11642

Across 109 of 109 payment localities, the office rate for 11642 runs from $237.81 in Arkansas to $347.48 in San Benito County, CA. Iowa pays $246.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

11642 in Iowa vs other payment areas
  1. Iowa · this page$246.24
  2. Los Angeles, CA · California$298.42+$52.18
  3. Washington, DC area · District of Columbia$303.16+$56.92
  4. Miami, FL · Florida$289.23+$42.99
  5. Chicago, IL · Illinois$281.30+$35.06
  6. Manhattan, NY · New York$306.01+$59.77
  7. Alaska · Alaska$316.12+$69.88

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

Every other payment area

11642 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$241.06$142.87
ArkansasArkansas$237.81$141.40
ArizonaArizona$260.11$151.36
Bakersfield, CACalifornia$281.05$158.05
Chico, CACalifornia$280.15$157.15
El Centro, CACalifornia$280.20$157.20
Fresno, CACalifornia$280.15$157.15
Hanford, CACalifornia$280.15$157.15

11642 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.

$237.81

$316.12

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

View every state and territory as a table
11642 office rate range by state
State / territoryOffice rate rangeLocalities
AK$316.121
AL$241.061
AR$237.811
AZ$260.111
CA$280.15–$347.4829
CO$276.691
CT$283.901
DC$303.161
DE$264.231
FL$264.36–$289.233
GA$250.26–$271.892
GU$286.171
HI$286.171
IA$246.241
ID$247.861
IL$257.58–$281.304
IN$249.191
KS$245.421
KY$246.961
LA$246.71–$258.112
MA$275.30–$302.572
MD$268.96–$303.163
ME$249.35–$261.632
MI$253.23–$267.742
MN$264.801
MO$242.92–$258.653
MS$240.391
MT$266.851
NC$251.751
ND$260.921
NE$247.421
NH$272.661
NJ$287.05–$300.392
NM$254.641
NV$265.371
NY$255.31–$313.365
OH$252.021
OK$246.271
OR$263.21–$284.732
PA$252.24–$277.382
PR$268.611
RI$273.071
SC$252.321
SD$260.221
TN$246.611
TX$250.71–$275.868
UT$255.551
VA$261.01–$303.162
VI$268.611
VT$260.211
WA$274.68–$308.272
WI$252.731
WV$248.701
WY$264.271

See 11642 in every payment locality

How the 11642 rate is calculated

Each of 11642’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 · 11642

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.55

2.55 RVUs× 1.000 GPCI

Practice expense5.14

5.14 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

7.9900

Conversion factor

$33.4009

Medicare rate

$266.87

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,355

Code
11642
Physician work
2.55
Practice expense
5.14
Malpractice
0.30

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 11642 in Iowa
ComponentRVULocality factorAdjusted
Physician work2.55× 1.0002.5500
Practice expense5.14× 0.9154.7031
Malpractice0.30× 0.3970.1191
Total RVUs7.3722
Conversion factor× 33.4009

Office rate, Iowa$246.24

Office: (2.55 × 1 + 5.14 × 0.915 + 0.3 × 0.397) × $33.4009 = $246.24

Facility: (2.55 × 1 + 1.78 × 0.915 + 0.3 × 0.397) × $33.4009 = $143.55

Open 11642 in the RVU calculator

Payment rules and modifiers for 11642

11642 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11642

Skin lesion excision, face, ears, eyelids, nose, lips

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 · 11642

Skin lesion excision, face, ears, eyelids, nose, lips

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

11642 without 51 · national office

$266.87

Skin lesion excision, face, ears, eyelids, nose, lips

11642-51 · Second procedure: 50%

$133.44

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 11642

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

Codes related to 11642
CodeHow it relatesOffice range, Iowa
Same family
11641Malignant lesion excision, face, 0.6–1.0 cmSame site group, for an excised diameter of 0.6–1 cm.$218.51
11643Malignant lesion excision, face, ears, eyelids, nose, lipsSame site group, for an excised diameter of 2.1–3 cm.$291.13
Used instead
11602Malignant lesion excision, trunk or extremity, 1.1–2 cmSame size range, but for trunk, arms, or legs.$222.34
11622Skin lesion excision, designated sites, 1.1–2 cmSame size range, but for scalp, neck, hands, feet, or genitalia.$230.78
Often billed with
12051Facial repair, intermediate, 2.5 cm or lessMay describe a separately reportable intermediate repair at these sites when its criteria are met.$260.29

How 11642 has changed in Iowa

11642 · Office / nonfacility

$246.24

Effective 2026-10-01

The base rate is $6.00 higher than on 2025-10-01, moving from $240.24 to $246.24 (2.5%).

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

    $240.24changed to$246.24

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.62 changed to 2.55
    • Practice expense RVU 5.10 changed to 5.14
    • Malpractice RVU 0.33 changed to 0.30
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $247.99changed to$240.24

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.12 changed to 5.10
    • Malpractice RVU 0.34 changed to 0.33

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $243.94changed to$247.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $250.69changed to$243.94

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.10 changed to 5.12
    • Malpractice RVU 0.31 changed to 0.34
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $252.94changed to$250.69

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.02 changed to 5.10
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $254.89changed to$252.94

    • Conversion factor 34.8931 changed to 34.6062
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $254.93changed to$254.89

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.75 changed to 5.02
    • Malpractice RVU 0.32 changed to 0.31
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $254.30changed to$254.93

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.70 changed to 4.75
    • Malpractice RVU 0.41 changed to 0.32
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $254.53changed to$254.30

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.72 changed to 4.70
    • Malpractice RVU 0.40 changed to 0.41

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $252.59changed to$254.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.69 changed to 4.72
    • Malpractice RVU 0.41 changed to 0.40
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $250.86changed to$252.59

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.67 changed to 4.69
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $250.74changed to$250.86

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.66 changed to 4.67
    • Malpractice RVU 0.37 changed to 0.41

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $249.49changed to$250.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $246.18changed to$249.49

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.57 changed to 4.66
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $250.31changed to$246.18

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.14 changed to 4.57
    • Malpractice RVU 0.39 changed to 0.37
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $250.31

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$246.24$143.55RVU26D
2026-07-01$246.24$143.55RVU26C
2026-04-01$246.24$143.55RVU26B
2026-01-01$246.24$143.55RVU26A
2025-10-01$240.24$164.34RVU25D
2025-07-01$240.24$164.34RVU25C
2025-04-01$240.24$164.34RVU25B
2025-01-01$240.24$164.34RVU25A
2024-10-01$247.99$168.06RVU24D
2024-07-01$247.99$168.06RVU24C
2024-04-01$247.99$168.06RVU24B
2024-03-09$247.99$168.06RVU24AR
2024-01-01$243.94$165.32RVU24A
2023-10-01$250.69$169.28RVU23D
2023-07-01$250.69$169.28RVU23C
2023-04-01$250.69$169.28RVU23B
2023-01-01$250.69$169.28RVU23A
2022-10-01$252.94$169.76RVU22D
2022-07-01$252.94$169.76RVU22C
2022-04-01$252.94$169.76RVU22B
2022-01-01$252.94$169.76RVU22A
2021-10-01$254.89$170.07RVU21D
2021-07-01$254.89$170.07RVU21C
2021-04-01$254.89$170.07RVU21B
2021-01-01$254.89$170.07RVU21A
2020-10-01$254.93$174.08RVU20D
2020-07-01$254.93$174.08RVU20C
2020-04-01$254.93$174.08RVU20B
2020-01-01$254.93$174.08RVU20A
2019-10-01$254.30$174.87RVU19D
2019-07-01$254.30$174.87RVU19C
2019-04-01$254.30$174.87RVU19B
2019-01-01$254.30$174.87RVU19A
2018-10-01$254.53$174.53RVU18D
2018-07-01$254.53$174.53RVU18C
2018-04-01$254.53$174.53RVU18B
2018-01-01$254.53$174.53RVU18AR1
2017-10-01$252.59$174.57RVU17D
2017-07-01$252.59$174.57RVU17C
2017-04-01$252.59$174.57RVU17B
2017-01-01$252.59$174.57RVU17A
2016-10-01$250.86$173.87RVU16D
2016-07-01$250.86$173.87RVU16C
2016-04-01$250.86$173.87RVU16B
2016-01-01$250.86$173.87RVU16A
2015-10-01$250.74$174.11RVU15D
2015-07-01$250.74$174.11RVU15C
2015-04-01$249.49$173.24RVU15B
2015-01-01$249.49$173.24RVU15A
2014-10-01$246.18$171.41RVU14D
2014-07-01$246.18$171.41RVU14C
2014-04-01$246.18$171.41RVU14B
2014-01-01$246.18$171.41RVU14A
2013-10-01$250.31$169.73RVU13D
2013-07-01$250.31$169.73RVU13C
2013-04-01$250.31$169.73RVU13B
2013-01-01$250.31$169.73RVU13AR

Price 11642 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

11642 billing questions

How is the 1.1–2 cm size determined?

Use the excised diameter: the lesion’s greatest diameter plus the narrowest margins removed. Document the measurements that support the selected size range.

Does the code include closing the wound?

Simple closure is included. An intermediate or complex repair may be separately reported when supported by the repair documentation and applicable coding requirements.

When should 11641 be used instead?

Use 11641 for the same anatomic site group when the excised diameter is 0.6–1 cm. The size is based on the lesion and margins, not the length of the closure.

Does the 10-day global period include wound checks?

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

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be billed?

CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

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 11642PPRRVU2026_Oct_nonQPP.csv, line 1,355 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 11642 pays in Iowa?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 11642 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist