CPT code 11642: Skin lesion excision, face, ears, eyelids, nose, lips2026 Medicare rate & RVUs in Tennessee
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.
In Tennessee, Medicare pays $246.61 for 11642 in the office and $144.60 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Tennessee 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. Tennessee pays $246.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Tennessee · this page$246.61
- Los Angeles, CA · California$298.42+$51.81
- Washington, DC area · District of Columbia$303.16+$56.55
- Miami, FL · Florida$289.23+$42.62
- Chicago, IL · Illinois$281.30+$34.69
- Manhattan, NY · New York$306.01+$59.40
- Alaska · Alaska$316.12+$69.51
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $280.15 | $157.15 |
| Merced, CACalifornia | $280.15 | $157.15 |
| Modesto, CACalifornia | $280.15 | $157.15 |
| Napa, CACalifornia | $321.90 | $173.99 |
| Oxnard, CACalifornia | $296.73 | $164.07 |
| Redding, CACalifornia | $280.15 | $157.15 |
| Rest of CaliforniaCalifornia | $280.15 | $157.15 |
| Riverside, CACalifornia | $283.41 | $160.41 |
| Sacramento, CACalifornia | $293.27 | $162.75 |
| Salinas, CACalifornia | $292.16 | $162.09 |
| San Diego, CACalifornia | $298.49 | $164.26 |
| Marin County, CACalifornia | $339.93 | $181.69 |
| San Francisco, CACalifornia | $339.59 | $181.35 |
| San Benito County, CACalifornia | $347.48 | $185.64 |
| Santa Clara County, CACalifornia | $346.08 | $184.25 |
| San Luis Obispo, CACalifornia | $287.54 | $159.71 |
| Santa Cruz, CACalifornia | $300.92 | $164.57 |
| Santa Maria, CACalifornia | $293.11 | $162.25 |
| Santa Rosa, CACalifornia | $303.92 | $166.11 |
| Stockton, CACalifornia | $280.15 | $157.15 |
| Vallejo, CACalifornia | $321.41 | $173.50 |
| Visalia, CACalifornia | $280.15 | $157.15 |
| Yuba City, CACalifornia | $280.15 | $157.15 |
| ColoradoColorado | $276.69 | $157.28 |
| ConnecticutConnecticut | $283.90 | $163.03 |
| DelawareDelaware | $264.23 | $153.35 |
| Fort Lauderdale, FLFlorida | $277.20 | $163.52 |
| Rest of FloridaFlorida | $264.36 | $157.07 |
| Atlanta, GAGeorgia | $271.89 | $157.87 |
| Rest of GeorgiaGeorgia | $250.26 | $150.15 |
| Hawaii, Guam, HIHawaii | $286.17 | $158.57 |
| IowaIowa | $246.24 | $143.55 |
| IdahoIdaho | $247.86 | $144.61 |
| East St. Louis, ILIllinois | $263.30 | $160.05 |
| Rest of IllinoisIllinois | $257.58 | $155.12 |
| Suburban Chicago, ILIllinois | $279.84 | $164.58 |
| IndianaIndiana | $249.19 | $145.16 |
| KansasKansas | $245.42 | $143.97 |
| KentuckyKentucky | $246.96 | $147.20 |
| New Orleans, LALouisiana | $258.11 | $152.50 |
| Rest of LouisianaLouisiana | $246.71 | $147.39 |
| Metropolitan Boston, MAMassachusetts | $302.57 | $168.57 |
| Rest of MassachusettsMassachusetts | $275.30 | $157.13 |
| Baltimore area, MDMaryland | $283.14 | $162.72 |
| Rest of MarylandMaryland | $268.96 | $155.39 |
| Rest of MaineMaine | $249.35 | $146.10 |
| Southern Maine, MEMaine | $261.63 | $150.41 |
| Detroit, MIMichigan | $267.74 | $159.44 |
| Rest of MichiganMichigan | $253.23 | $150.77 |
| MinnesotaMinnesota | $264.80 | $149.32 |
| Metropolitan Kansas City, MOMissouri | $256.17 | $150.79 |
| Metropolitan St. Louis, MOMissouri | $258.65 | $151.81 |
| Rest of MissouriMissouri | $242.92 | $146.18 |
| MississippiMississippi | $240.39 | $143.77 |
| MontanaMontana | $266.85 | $154.63 |
| North CarolinaNorth Carolina | $251.75 | $147.05 |
| North DakotaNorth Dakota | $260.92 | $148.69 |
| NebraskaNebraska | $247.42 | $143.84 |
| New HampshireNew Hampshire | $272.66 | $155.83 |
| Northern New JerseyNew Jersey | $300.39 | $170.21 |
| Rest of New JerseyNew Jersey | $287.05 | $164.49 |
| New MexicoNew Mexico | $254.64 | $151.73 |
| NevadaNevada | $265.37 | $153.03 |
| NYC suburbs and Long Island, NYNew York | $313.36 | $179.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $289.12 | $166.23 |
| Queens, NYNew York | $308.00 | $175.35 |
| Rest of New YorkNew York | $255.31 | $148.70 |
| OhioOhio | $252.02 | $149.55 |
| OklahomaOklahoma | $246.27 | $146.05 |
| Portland, OROregon | $284.73 | $160.04 |
| Rest of OregonOregon | $263.21 | $151.43 |
| Metropolitan Philadelphia, PAPennsylvania | $277.38 | $160.55 |
| Rest of PennsylvaniaPennsylvania | $252.24 | $149.22 |
| Puerto RicoPuerto Rico | $268.61 | $155.15 |
| Rhode IslandRhode Island | $273.07 | $157.14 |
| South CarolinaSouth Carolina | $252.32 | $148.62 |
| South DakotaSouth Dakota | $260.22 | $147.99 |
| Austin, TXTexas | $275.86 | $157.12 |
| Beaumont, TXTexas | $250.71 | $148.58 |
| Brazoria, TXTexas | $263.80 | $152.59 |
| Dallas, TXTexas | $265.53 | $153.75 |
| Fort Worth, TXTexas | $263.94 | $153.29 |
| Galveston, TXTexas | $264.63 | $153.19 |
| Houston, TXTexas | $270.12 | $158.68 |
| Rest of TexasTexas | $257.15 | $150.64 |
| UtahUtah | $255.55 | $150.06 |
| VirginiaVirginia | $261.01 | $150.69 |
| Virgin Islands, VIUnited States Virgin Islands | $268.61 | $155.15 |
| VermontVermont | $260.21 | $149.10 |
| Rest of WashingtonWashington | $274.68 | $156.51 |
| King County, WAWashington | $308.27 | $170.57 |
| WisconsinWisconsin | $252.73 | $145.22 |
| West VirginiaWest Virginia | $248.70 | $151.18 |
| WyomingWyoming | $264.27 | $152.04 |
11642 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.
$237.81
$316.12
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $316.12 | 1 |
| AL | $241.06 | 1 |
| AR | $237.81 | 1 |
| AZ | $260.11 | 1 |
| CA | $280.15–$347.48 | 29 |
| CO | $276.69 | 1 |
| CT | $283.90 | 1 |
| DC | $303.16 | 1 |
| DE | $264.23 | 1 |
| FL | $264.36–$289.23 | 3 |
| GA | $250.26–$271.89 | 2 |
| GU | $286.17 | 1 |
| HI | $286.17 | 1 |
| IA | $246.24 | 1 |
| ID | $247.86 | 1 |
| IL | $257.58–$281.30 | 4 |
| IN | $249.19 | 1 |
| KS | $245.42 | 1 |
| KY | $246.96 | 1 |
| LA | $246.71–$258.11 | 2 |
| MA | $275.30–$302.57 | 2 |
| MD | $268.96–$303.16 | 3 |
| ME | $249.35–$261.63 | 2 |
| MI | $253.23–$267.74 | 2 |
| MN | $264.80 | 1 |
| MO | $242.92–$258.65 | 3 |
| MS | $240.39 | 1 |
| MT | $266.85 | 1 |
| NC | $251.75 | 1 |
| ND | $260.92 | 1 |
| NE | $247.42 | 1 |
| NH | $272.66 | 1 |
| NJ | $287.05–$300.39 | 2 |
| NM | $254.64 | 1 |
| NV | $265.37 | 1 |
| NY | $255.31–$313.36 | 5 |
| OH | $252.02 | 1 |
| OK | $246.27 | 1 |
| OR | $263.21–$284.73 | 2 |
| PA | $252.24–$277.38 | 2 |
| PR | $268.61 | 1 |
| RI | $273.07 | 1 |
| SC | $252.32 | 1 |
| SD | $260.22 | 1 |
| TN | $246.61 | 1 |
| TX | $250.71–$275.86 | 8 |
| UT | $255.55 | 1 |
| VA | $261.01–$303.16 | 2 |
| VI | $268.61 | 1 |
| VT | $260.21 | 1 |
| WA | $274.68–$308.27 | 2 |
| WI | $252.73 | 1 |
| WV | $248.70 | 1 |
| WY | $264.27 | 1 |
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
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 Tennessee 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
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.55 | × 1.000 | 2.5500 |
| Practice expense | 5.14 | × 0.909 | 4.6723 |
| Malpractice | 0.30 | × 0.537 | 0.1611 |
| Total RVUs | 7.3834 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Tennessee$246.61
Office: (2.55 × 1 + 5.14 × 0.909 + 0.3 × 0.537) × $33.4009 = $246.61
Facility: (2.55 × 1 + 1.78 × 0.909 + 0.3 × 0.537) × $33.4009 = $144.60
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share 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.
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%).
How 11642 has changed in Tennessee
11642 · Office / nonfacility
$246.61
Effective 2026-10-01
The base rate is $8.24 higher than on 2025-10-01, moving from $238.37 to $246.61 (3.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$238.37changed to$246.61
- 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 0.896 changed to 0.909
- Malpractice GPCI 0.544 changed to 0.537
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$246.08changed to$238.37
- 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.
March 9, 2024
RVU24AR
$242.06changed to$246.08
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$248.73changed to$242.06
- 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 0.894 changed to 0.896
- Malpractice GPCI 0.518 changed to 0.544
January 1, 2023
RVU23A
$251.08changed to$248.73
- 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 0.892 changed to 0.894
- Malpractice GPCI 0.492 changed to 0.518
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$252.99changed to$251.08
- Conversion factor 34.8931 changed to 34.6062
- Malpractice RVU 0.31 changed to 0.32
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$254.20changed to$252.99
- 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
- Practice expense GPCI 0.897 changed to 0.892
- Malpractice GPCI 0.509 changed to 0.492
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$254.81changed to$254.20
- 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
- Practice expense GPCI 0.901 changed to 0.897
- Malpractice GPCI 0.526 changed to 0.509
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$254.99changed to$254.81
- 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.
April 1, 2018
RVU18B
No ratechanged to$254.99
Held through RVU18C, RVU18D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $246.61 | $144.60 | RVU26D |
| 2026-07-01 | $246.61 | $144.60 | RVU26C |
| 2026-04-01 | $246.61 | $144.60 | RVU26B |
| 2026-01-01 | $246.61 | $144.60 | RVU26A |
| 2025-10-01 | $238.37 | $163.88 | RVU25D |
| 2025-07-01 | $238.37 | $163.88 | RVU25C |
| 2025-04-01 | $238.37 | $163.88 | RVU25B |
| 2025-01-01 | $238.37 | $163.88 | RVU25A |
| 2024-10-01 | $246.08 | $167.64 | RVU24D |
| 2024-07-01 | $246.08 | $167.64 | RVU24C |
| 2024-04-01 | $246.08 | $167.64 | RVU24B |
| 2024-03-09 | $246.08 | $167.64 | RVU24AR |
| 2024-01-01 | $242.06 | $164.90 | RVU24A |
| 2023-10-01 | $248.73 | $168.75 | RVU23D |
| 2023-07-01 | $248.73 | $168.75 | RVU23C |
| 2023-04-01 | $248.73 | $168.75 | RVU23B |
| 2023-01-01 | $248.73 | $168.75 | RVU23A |
| 2022-10-01 | $251.08 | $169.28 | RVU22D |
| 2022-07-01 | $251.08 | $169.28 | RVU22C |
| 2022-04-01 | $251.08 | $169.28 | RVU22B |
| 2022-01-01 | $251.08 | $169.28 | RVU22A |
| 2021-10-01 | $252.99 | $169.57 | RVU21D |
| 2021-07-01 | $252.99 | $169.57 | RVU21C |
| 2021-04-01 | $252.99 | $169.57 | RVU21B |
| 2021-01-01 | $252.99 | $169.57 | RVU21A |
| 2020-10-01 | $254.20 | $174.24 | RVU20D |
| 2020-07-01 | $254.20 | $174.24 | RVU20C |
| 2020-04-01 | $254.20 | $174.24 | RVU20B |
| 2020-01-01 | $254.20 | $174.24 | RVU20A |
| 2019-10-01 | $254.81 | $175.90 | RVU19D |
| 2019-07-01 | $254.81 | $175.90 | RVU19C |
| 2019-04-01 | $254.81 | $175.90 | RVU19B |
| 2019-01-01 | $254.81 | $175.90 | RVU19A |
| 2018-10-01 | $254.99 | $175.52 | RVU18D |
| 2018-07-01 | $254.99 | $175.52 | RVU18C |
| 2018-04-01 | $254.99 | $175.52 | RVU18B |
| 2018-01-01 | Rate data unavailable | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Rate data unavailable | Rate data unavailable | RVU17D |
| 2017-07-01 | Rate data unavailable | Rate data unavailable | RVU17C |
| 2017-04-01 | Rate data unavailable | Rate data unavailable | RVU17B |
| 2017-01-01 | Rate data unavailable | Rate data unavailable | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Tennessee rate applies
Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.
- Adams
- Adamsville
- Alamo
- Alcoa
- Alexandria
- Algood
- Allardt
- Altamont
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
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