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CPT code 11771: Pilonidal excision, extensive disease2026 Medicare rate & RVUs in Queens, NY

Reports surgical removal of extensive pilonidal disease in the sacrococcygeal cleft, with code selection based on the documented extent of the excision.

CMS RVU26DEffective Oct 1, 2026One payment locality356 Medicare services in 2024

In Queens, NY, Medicare pays $807.42 for 11771 in the office and $511.33 when it’s performed in a hospital or facility.

$807.42Office (non-facility)
$511.33Hospital or facility
+16.6%vs the national office rate ($692.40)

Check a contract rate as a % of Medicare · 11771 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 11771 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 11771 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 11771 covers

A surgeon excises extensive pilonidal disease involving the skin and underlying tissue of the cleft between the buttocks near the tailbone. The condition may include a cyst or sinus tracts. General surgeons commonly perform the procedure in a facility operating room; it may also be performed in an office setting. The wound is managed according to the operative plan.

Choose this level when the operative findings and work support extensive disease, rather than a simple or complicated excision. Document the location and extent of the disease, sinus tracts or involved tissue, and what was removed. This major surgery has a 90-day global period: the day-before preoperative visit and related postoperative care 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. Medicare does not pay an assistant at surgery; 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 Queens, NY compares for 11771

Across 109 of 109 payment localities, the office rate for 11771 runs from $606.32 in Arkansas to $889.30 in San Benito County, CA. Queens, NY pays $807.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

11771 in Queens, NY vs other payment areas
  1. Queens, NY · this page$807.42
  2. Manhattan, NY · New York$805.38−$2.04
  3. NYC suburbs and Long Island, NY · New York$830.37+$22.95
  4. Poughkeepsie and northern NYC suburbs, NY · New York$753.75−$53.67
  5. Rest of New York · New York$655.90−$151.52
  6. Los Angeles, CA · California$766.15−$41.27
  7. Washington, DC area · District of Columbia$787.94−$19.48

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

Every other payment area

11771 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$783.73$522.95
Chicago, ILIllinois$757.87$506.11
AlaskaAlaska$799.16$532.37
AlabamaAlabama$615.89$396.70
ArkansasArkansas$606.32$391.13
ArizonaArizona$671.69$428.95
Bakersfield, CACalifornia$720.33$445.78
Chico, CACalifornia$716.45$441.89

11771 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.

$606.32

$802.88

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

View every state and territory as a table
11771 office rate range by state
State / territoryOffice rate rangeLocalities
AK$799.161
AL$615.891
AR$606.321
AZ$671.691
CA$716.45–$889.3029
CO$712.881
CT$740.761
DC$787.941
DE$683.211
FL$696.79–$783.733
GA$653.38–$709.742
GU$733.431
HI$733.431
IA$625.671
ID$631.531
IL$680.47–$757.874
IN$635.281
KS$625.871
KY$638.811
LA$639.08–$672.572
MA$709.53–$781.852
MD$695.82–$787.943
ME$638.65–$670.762
MI$659.74–$709.552
MN$671.721
MO$629.58–$671.083
MS$617.911
MT$692.311
NC$645.261
ND$664.031
NE$628.331
NH$704.731
NJ$746.02–$779.552
NM$664.961
NV$684.871
NY$655.90–$830.375
OH$653.961
OK$634.001
OR$676.43–$732.882
PA$653.18–$723.492
PR$696.591
RI$705.741
SC$651.321
SD$660.691
TN$629.681
TX$648.85–$713.238
UT$660.751
VA$670.77–$787.942
VI$696.591
VT$664.341
WA$707.21–$794.882
WI$640.611
WV$654.531
WY$679.981

See 11771 in every payment locality

How the 11771 rate is calculated

Each of 11771’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 · 11771

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.94

5.94 RVUs× 1.000 GPCI

Practice expense13.36

13.36 RVUs× 1.000 GPCI

Malpractice1.43

1.43 RVUs× 1.000 GPCI

Adjusted RVUs

20.7300

Conversion factor

$33.4009

Medicare rate

$692.40

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

1,373

Code
11771
Physician work
5.94
Practice expense
13.36
Malpractice
1.43

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 11771 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work5.94× 1.0646.3202
Practice expense13.36× 1.18215.7915
Malpractice1.43× 1.4422.0621
Total RVUs24.1737
Conversion factor× 33.4009

Office rate, Queens, NY$807.42

Office: (5.94 × 1.064 + 13.36 × 1.182 + 1.43 × 1.442) × $33.4009 = $807.42

Facility: (5.94 × 1.064 + 5.86 × 1.182 + 1.43 × 1.442) × $33.4009 = $511.33

Open 11771 in the RVU calculator

Payment rules and modifiers for 11771

11771 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11771

Pilonidal excision, extensive disease

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 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)0.10/0.71/0.19Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 11771

Pilonidal excision, extensive disease

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11771 without 51 · national office

$692.40

Pilonidal excision, extensive disease

11771-51 · Second procedure: 50%

$346.20

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 11771

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

Codes related to 11771
CodeHow it relatesOffice range, Queens, NY
Same family
11770Pilonidal excision, simple excisionSibling code for simple pilonidal disease excision.$456.21
11772Pilonidal excision, complicated diseaseSibling code for complicated pilonidal disease excision.$988.11
Used instead
10080Pilonidal drainage, simple incision and drainageSimple pilonidal incision and drainage rather than excision.$315.65
10081Pilonidal drainage, complicated incision and drainageComplicated pilonidal incision and drainage rather than excision.$443.83

How 11771 has changed in Queens, NY

11771 · Office / nonfacility

$807.42

Effective 2026-10-01

The base rate is $91.06 higher than on 2025-10-01, moving from $716.36 to $807.42 (12.7%).

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

    $716.36changed to$807.42

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.09 changed to 5.94
    • Practice expense RVU 11.38 changed to 13.36
    • Malpractice RVU 1.41 changed to 1.43
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $741.88changed to$716.36

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.51 changed to 11.38
    • Malpractice RVU 1.40 changed to 1.41

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $729.77changed to$741.88

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $786.43changed to$729.77

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.47 changed to 11.51
    • Malpractice RVU 1.38 changed to 1.40
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $841.46changed to$786.43

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.53 changed to 11.47
    • Malpractice RVU 1.40 changed to 1.38
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $828.51changed to$841.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.13 changed to 11.53
    • Malpractice RVU 1.37 changed to 1.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $780.13changed to$828.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.84 changed to 11.13
    • Malpractice RVU 1.36 changed to 1.37
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $738.77changed to$780.13

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.34 changed to 9.84
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $725.67changed to$738.77

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.02 changed to 9.34
    • Malpractice RVU 1.38 changed to 1.36

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $715.71changed to$725.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.86 changed to 9.02
    • Malpractice RVU 1.35 changed to 1.38
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $716.29changed to$715.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.85 changed to 8.86
    • Malpractice RVU 1.37 changed to 1.35
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $716.96changed to$716.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.86 changed to 8.85
    • Malpractice RVU 1.34 changed to 1.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $713.39changed to$716.96

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $684.92changed to$713.39

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.77 changed to 8.86
    • Malpractice RVU 1.19 changed to 1.34
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $681.39changed to$684.92

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 9.80 changed to 8.77
    • Malpractice RVU 1.24 changed to 1.19
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $681.39

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$807.42$511.33RVU26D
2026-07-01$807.42$511.33RVU26C
2026-04-01$807.42$511.33RVU26B
2026-01-01$807.42$511.33RVU26A
2025-10-01$716.36$516.13RVU25D
2025-07-01$716.36$516.13RVU25C
2025-04-01$716.36$516.13RVU25B
2025-01-01$716.36$516.13RVU25A
2024-10-01$741.88$527.87RVU24D
2024-07-01$741.88$527.87RVU24C
2024-04-01$741.88$527.87RVU24B
2024-03-09$741.88$527.87RVU24AR
2024-01-01$729.77$519.26RVU24A
2023-10-01$786.43$562.18RVU23D
2023-07-01$786.43$562.18RVU23C
2023-04-01$786.43$562.18RVU23B
2023-01-01$786.43$562.18RVU23A
2022-10-01$841.46$602.63RVU22D
2022-07-01$841.46$602.63RVU22C
2022-04-01$841.46$602.63RVU22B
2022-01-01$841.46$602.63RVU22A
2021-10-01$828.51$594.13RVU21D
2021-07-01$828.51$594.13RVU21C
2021-04-01$828.51$594.13RVU21B
2021-01-01$828.51$594.13RVU21A
2020-10-01$780.13$580.78RVU20D
2020-07-01$780.13$580.78RVU20C
2020-04-01$780.13$580.78RVU20B
2020-01-01$780.13$580.78RVU20A
2019-10-01$738.77$558.00RVU19D
2019-07-01$738.77$558.00RVU19C
2019-04-01$738.77$558.00RVU19B
2019-01-01$738.77$558.00RVU19A
2018-10-01$725.67$555.03RVU18D
2018-07-01$725.67$555.03RVU18C
2018-04-01$725.67$555.03RVU18B
2018-01-01$725.67$555.03RVU18AR1
2017-10-01$715.71$550.34RVU17D
2017-07-01$715.71$550.34RVU17C
2017-04-01$715.71$550.34RVU17B
2017-01-01$715.71$550.34RVU17A
2016-10-01$716.29$551.44RVU16D
2016-07-01$716.29$551.44RVU16C
2016-04-01$716.29$551.44RVU16B
2016-01-01$716.29$551.44RVU16A
2015-10-01$716.96$550.65RVU15D
2015-07-01$716.96$550.65RVU15C
2015-04-01$713.39$547.91RVU15B
2015-01-01$713.39$547.91RVU15A
2014-10-01$684.92$523.26RVU14D
2014-07-01$684.92$523.26RVU14C
2014-04-01$684.92$523.26RVU14B
2014-01-01$684.92$523.26RVU14A
2013-10-01$681.39$508.19RVU13D
2013-07-01$681.39$508.19RVU13C
2013-04-01$681.39$508.19RVU13B
2013-01-01$681.39$508.19RVU13AR

Price 11771 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

11771 billing questions

How does this code differ from 11770?

11771 is for extensive pilonidal disease excision; 11770 is for a simple excision. Base the choice on the documented disease and operative work, not on the diagnosis alone.

How does this code differ from 11772?

11772 describes complicated pilonidal disease excision. Use 11771 when the documented extent supports an extensive excision rather than a complicated one.

Can this be reported for incision and drainage?

No. This code represents excision of extensive pilonidal disease. Incision and drainage is represented by a different code family, such as 10080 or 10081, depending on the service.

Can modifier 50 be used for disease on both sides?

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

Is postoperative wound care separately reported during the global period?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit.

Can an assistant surgeon or co-surgeon be paid?

Medicare does not pay an assistant at surgery for this code. 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 11771PPRRVU2026_Oct_nonQPP.csv, line 1,373 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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