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CPT code 11643: Malignant lesion excision, face, ears, eyelids, nose, lips2026 Medicare rate & RVUs in Washington, DC area

Reports excision of a malignant skin lesion on the face, ear, eyelid, nose, or lip when the lesion plus margins measures 2.1 to 3 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality23K Medicare services in 2024

In Washington, DC area, Medicare pays $357.49 for 11643 in the office and $213.09 when it’s performed in a hospital or facility.

$357.49Office (non-facility)
$213.09Hospital or facility
+13.1%vs the national office rate ($315.97)

Check a contract rate as a % of Medicare · 11643 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 11643 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 11643 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 11643 covers

This service removes a malignant skin lesion from the face, ear, eyelid, nose, or lip, including the margins needed for excision. Dermatologists, plastic surgeons, and other physicians who perform skin cancer surgery may provide it in an office or facility. A basal cell or squamous cell carcinoma on the nose or ear is a typical clinical context. The code is selected by the greatest diameter of the lesion plus the margins taken, not by the final closure length. Document the site, malignant diagnosis, and measurement supporting the size range; report each separately excised lesion according to its own site and size.

Simple closure is included; a separately performed intermediate or complex repair may be reported when supported. Medicare includes related postoperative visits during the 10-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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 Washington, DC area compares for 11643

Across 109 of 109 payment localities, the office rate for 11643 runs from $282.16 in Arkansas to $405.69 in San Benito County, CA. Washington, DC area pays $357.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

11643 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$357.49
  2. Los Angeles, CA · California$350.55−$6.94
  3. Miami, FL · Florida$345.74−$11.75
  4. Chicago, IL · Illinois$336.30−$21.19
  5. Manhattan, NY · New York$362.35+$4.86
  6. Alaska · Alaska$377.51+$20.02
  7. Alabama · Alabama$285.94−$71.55

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

11643 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$282.16$176.87
ArizonaArizona$308.00$189.22
Bakersfield, CACalifornia$330.75$196.40
Chico, CACalifornia$329.48$195.13
El Centro, CACalifornia$329.55$195.20
Fresno, CACalifornia$329.48$195.13
Hanford, CACalifornia$329.48$195.13
Madera, CACalifornia$329.48$195.13

11643 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.

$282.16

$377.51

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

View every state and territory as a table
11643 office rate range by state
State / territoryOffice rate rangeLocalities
AK$377.511
AL$285.941
AR$282.161
AZ$308.001
CA$329.48–$405.6929
CO$326.351
CT$335.871
DC$357.491
DE$312.791
FL$314.82–$345.743
GA$298.17–$322.242
GU$336.011
HI$336.011
IA$291.131
ID$293.171
IL$307.50–$336.304
IN$294.691
KS$290.571
KY$293.621
LA$293.48–$306.692
MA$324.93–$355.892
MD$318.19–$357.493
ME$295.31–$308.962
MI$301.26–$319.162
MN$311.381
MO$289.33–$306.863
MS$285.761
MT$315.941
NC$298.031
ND$307.441
NE$292.381
NH$321.981
NJ$339.33–$354.422
NM$303.061
NV$313.761
NY$302.19–$371.385
OH$299.521
OK$292.401
OR$310.95–$335.212
PA$299.57–$328.552
PR$317.851
RI$322.821
SC$299.351
SD$306.441
TN$292.001
TX$297.82–$325.608
UT$303.081
VA$308.51–$357.492
VI$317.851
VT$306.971
WA$324.08–$362.122
WI$298.041
WV$297.221
WY$312.241

See 11643 in every payment locality

How the 11643 rate is calculated

Each of 11643’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 · 11643

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.33

3.33 RVUs× 1.000 GPCI

Practice expense5.70

5.70 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

9.4600

Conversion factor

$33.4009

Medicare rate

$315.97

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,356

Code
11643
Physician work
3.33
Practice expense
5.70
Malpractice
0.43

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 11643 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.33× 1.0543.5098
Practice expense5.70× 1.1786.7146
Malpractice0.43× 1.1130.4786
Total RVUs10.7030
Conversion factor× 33.4009

Office rate, Washington, DC area$357.49

Office: (3.33 × 1.054 + 5.7 × 1.178 + 0.43 × 1.113) × $33.4009 = $357.49

Facility: (3.33 × 1.054 + 2.03 × 1.178 + 0.43 × 1.113) × $33.4009 = $213.09

Open 11643 in the RVU calculator

Payment rules and modifiers for 11643

11643 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11643

Malignant 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 · 11643

Malignant 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

11643 without 51 · national office

$315.97

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

11643-51 · Second procedure: 50%

$157.99

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 11643

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

Codes related to 11643
CodeHow it relatesOffice range, Washington, DC area
Same family
11642Skin lesion excision, face, ears, eyelids, nose, lipsSame anatomic group, for lesion-plus-margin diameters of 1.1 to 2 cm.$303.16
11644Malignant lesion excision, face and related sites, 3.1-4 cmSame anatomic group, for lesion-plus-margin diameters of 3.1 to 4 cm.$443.91
11623Skin excision, scalp, neck, hand, foot, genital skinMalignant-lesion excision in a different anatomic group, with a 2.1-to-3-cm size range.$334.45
11603Lesion excision, trunk or limb, 2.1–3 cmMalignant-lesion excision for the trunk or extremities, with a 2.1-to-3-cm size range.$313.29

How 11643 has changed in Washington, DC area

11643 · Office / nonfacility

$357.49

Effective 2026-10-01

The base rate is $6.89 higher than on 2025-10-01, moving from $350.60 to $357.49 (2.0%).

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

    $350.60changed to$357.49

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.42 changed to 3.33
    • Practice expense RVU 5.59 changed to 5.70
    • Malpractice RVU 0.48 changed to 0.43
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $360.42changed to$350.60

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.60 changed to 5.59
    • Malpractice RVU 0.46 changed to 0.48

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $354.54changed to$360.42

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $370.29changed to$354.54

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.58 changed to 5.60
    • Malpractice RVU 0.44 changed to 0.46
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $379.25changed to$370.29

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.50 changed to 5.58
    • Malpractice RVU 0.43 changed to 0.44
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $381.99changed to$379.25

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.48 changed to 5.50
    • Malpractice RVU 0.44 changed to 0.43

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $378.89changed to$381.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.20 changed to 5.48
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $376.10changed to$378.89

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.14 changed to 5.20
    • Malpractice RVU 0.53 changed to 0.44
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $376.99changed to$376.10

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.17 changed to 5.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $375.55changed to$376.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.14 changed to 5.17
    • Malpractice RVU 0.54 changed to 0.53
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $374.34changed to$375.55

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.12 changed to 5.14
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $373.88changed to$374.34

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.11 changed to 5.12
    • Malpractice RVU 0.51 changed to 0.54

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $372.02changed to$373.88

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $368.10changed to$372.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.04 changed to 5.11
    • Malpractice RVU 0.52 changed to 0.51
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $372.30changed to$368.10

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.63 changed to 5.04
    • Malpractice RVU 0.54 changed to 0.52
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $372.30

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$357.49$213.09RVU26D
2026-07-01$357.49$213.09RVU26C
2026-04-01$357.49$213.09RVU26B
2026-01-01$357.49$213.09RVU26A
2025-10-01$350.60$249.19RVU25D
2025-07-01$350.60$249.19RVU25C
2025-04-01$350.60$249.19RVU25B
2025-01-01$350.60$249.19RVU25A
2024-10-01$360.42$253.68RVU24D
2024-07-01$360.42$253.68RVU24C
2024-04-01$360.42$253.68RVU24B
2024-03-09$360.42$253.68RVU24AR
2024-01-01$354.54$249.54RVU24A
2023-10-01$370.29$259.22RVU23D
2023-07-01$370.29$259.22RVU23C
2023-04-01$370.29$259.22RVU23B
2023-01-01$370.29$259.22RVU23A
2022-10-01$379.25$263.34RVU22D
2022-07-01$379.25$263.34RVU22C
2022-04-01$379.25$263.34RVU22B
2022-01-01$379.25$263.34RVU22A
2021-10-01$381.99$264.25RVU21D
2021-07-01$381.99$264.25RVU21C
2021-04-01$381.99$264.25RVU21B
2021-01-01$381.99$264.25RVU21A
2020-10-01$378.89$268.29RVU20D
2020-07-01$378.89$268.29RVU20C
2020-04-01$378.89$268.29RVU20B
2020-01-01$378.89$268.29RVU20A
2019-10-01$376.10$268.84RVU19D
2019-07-01$376.10$268.84RVU19C
2019-04-01$376.10$268.84RVU19B
2019-01-01$376.10$268.84RVU19A
2018-10-01$376.99$268.98RVU18D
2018-07-01$376.99$268.98RVU18C
2018-04-01$376.99$268.98RVU18B
2018-01-01$376.99$268.98RVU18AR1
2017-10-01$375.55$269.59RVU17D
2017-07-01$375.55$269.59RVU17C
2017-04-01$375.55$269.59RVU17B
2017-01-01$375.55$269.59RVU17A
2016-10-01$374.34$268.64RVU16D
2016-07-01$374.34$268.64RVU16C
2016-04-01$374.34$268.64RVU16B
2016-01-01$374.34$268.64RVU16A
2015-10-01$373.88$268.66RVU15D
2015-07-01$373.88$268.66RVU15C
2015-04-01$372.02$267.32RVU15B
2015-01-01$372.02$267.32RVU15A
2014-10-01$368.10$264.76RVU14D
2014-07-01$368.10$264.76RVU14C
2014-04-01$368.10$264.76RVU14B
2014-01-01$368.10$264.76RVU14A
2013-10-01$372.30$261.43RVU13D
2013-07-01$372.30$261.43RVU13C
2013-04-01$372.30$261.43RVU13B
2013-01-01$372.30$261.43RVU13AR

Price 11643 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

11643 billing questions

How is the 2.1-to-3-cm size determined?

Use the greatest diameter of the lesion plus the margins required for excision. Do not use the length of the resulting wound or closure.

When should 11642 or 11644 be used instead?

Use 11642 for the same anatomic group when the lesion plus margins measures 1.1 to 2 cm. Use 11644 when it measures 3.1 to 4 cm.

Can the repair be billed separately?

Simple closure is included. An intermediate or complex repair may be separately reported when that repair is performed and documented.

Can modifier 50 be used for lesions on both sides?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Are assistant-at-surgery or co-surgeon claims payable?

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

What postoperative care is included?

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

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 11643PPRRVU2026_Oct_nonQPP.csv, line 1,356 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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