CPT code 11772: Pilonidal excision, complicated disease2026 Medicare rate & RVUs in New Hampshire

In New Hampshire, Medicare pays $862.88 for 11772 in the office and $577.76 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 11772 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 11772 covers

A surgeon excises complicated pilonidal disease involving a cyst or sinus in the natal cleft near the coccyx. The procedure is generally performed in an operating room, often for disease with a complex course or extent that requires more involved excision than a simple case. The wound may be managed according to the operative plan; closure method alone does not establish the code level.

Select this code when the operative report supports complicated disease and the work performed, rather than choosing by diagnosis wording alone. Document the involved area, sinus or cyst extent, and the operative findings and technique that support the complexity. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; 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 New Hampshire compares for 11772

Across 109 of 109 payment localities, the office rate for 11772 runs from $742.13 in Arkansas to $1,090.97 in San Benito County, CA. New Hampshire pays $862.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

11772 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 11772 in every payment locality

How the 11772 rate is calculated

Each of 11772’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.

Payment rules and modifiers for 11772

11772 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 11772

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

How 11772 has changed in New Hampshire

Price 11772 for an earlier date of service

Where the New Hampshire rate applies

New Hampshire is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in New Hampshire. Some span more than one payment area; confirm with the service ZIP.

• Alton
• Amherst
• Antrim
• Ashland
• Bartlett
• Belmont
• Bennington
• Berlin

Browse all communities in New Hampshire

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

Open CMS sourceHow we calculate rates