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CPT code 26115: Hand mass excision, subcutaneous, under 1.5 cm2026 Medicare rate & RVUs in Queens, NY

Reports surgical removal of a subcutaneous soft-tissue lesion of the hand or finger when the excised lesion measures less than 1.5 cm.

CMS RVU26DEffective Oct 1, 2026One payment locality5.5K Medicare services in 2024

In Queens, NY, Medicare pays $686.54 for 26115 in the office and $371.10 when it’s performed in a hospital or facility.

$686.54Office (non-facility)
$371.10Hospital or facility
+16.7%vs the national office rate ($588.19)

Check a contract rate as a % of Medicare · 26115 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 26115 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 26115 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 26115 covers

A surgeon removes a small soft-tissue mass located beneath the skin of the hand or a finger. The code fits a superficial lesion, such as a discrete subcutaneous nodule, rather than a mass extending into deeper structures. Hand and orthopedic surgeons commonly perform the procedure in an operating room or ambulatory surgery setting; the operative report should identify the site, tissue depth, lesion size, and extent of removal.

Select this code when the lesion is subcutaneous and under 1.5 cm; a lesion at least 1.5 cm or one involving deeper tissue belongs to a different code in the excision family. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and 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 26115

Across 109 of 109 payment localities, the office rate for 26115 runs from $514.82 in Arkansas to $782.67 in San Benito County, CA. Queens, NY pays $686.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

26115 in Queens, NY vs other payment areas
  1. Queens, NY · this page$686.54
  2. Manhattan, NY · New York$681.46−$5.08
  3. NYC suburbs and Long Island, NY · New York$699.98+$13.44
  4. Poughkeepsie and northern NYC suburbs, NY · New York$640.50−$46.04
  5. Rest of New York · New York$559.04−$127.50
  6. Los Angeles, CA · California$664.52−$22.02
  7. Washington, DC area · District of Columbia$675.27−$11.27

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

Every other payment area

26115 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$644.30$366.48
Chicago, ILIllinois$623.70$355.50
AlaskaAlaska$669.63$385.41
AlabamaAlabama$523.04$289.53
ArkansasArkansas$514.82$285.57
ArizonaArizona$571.12$312.52
Bakersfield, CACalifornia$622.53$330.04
Chico, CACalifornia$620.44$327.95

26115 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.

$514.82

$701.56

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

View every state and territory as a table
26115 office rate range by state
State / territoryOffice rate rangeLocalities
AK$669.631
AL$523.041
AR$514.821
AZ$571.121
CA$620.44–$782.6729
CO$612.041
CT$629.461
DC$675.271
DE$581.091
FL$581.69–$644.303
GA$546.10–$600.562
GU$637.131
HI$637.131
IA$536.181
ID$540.251
IL$564.52–$623.704
IN$543.621
KS$534.081
KY$537.861
LA$537.20–$565.982
MA$608.18–$674.962
MD$592.64–$675.273
ME$543.98–$575.042
MI$553.64–$590.182
MN$583.151
MO$527.62–$567.403
MS$521.301
MT$588.141
NC$550.051
ND$573.311
NE$539.171
NH$602.861
NJ$635.72–$667.492
NM$557.191
NV$584.441
NY$559.04–$699.985
OH$550.611
OK$536.141
OR$579.01–$632.042
PA$551.21–$613.152
PR$592.591
RI$602.261
SC$551.431
SD$571.561
TN$537.081
TX$547.33–$610.788
UT$559.581
VA$573.44–$675.272
VI$592.591
VT$571.471
WA$606.89–$688.622
WI$552.621
WV$542.101
WY$581.681

See 26115 in every payment locality

How the 26115 rate is calculated

Each of 26115’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 · 26115

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.86

3.86 RVUs× 1.000 GPCI

Practice expense13.00

13.00 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

17.6100

Conversion factor

$33.4009

Medicare rate

$588.19

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

2,547

Code
26115
Physician work
3.86
Practice expense
13.00
Malpractice
0.75

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 26115 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work3.86× 1.0644.1070
Practice expense13.00× 1.18215.3660
Malpractice0.75× 1.4421.0815
Total RVUs20.5545
Conversion factor× 33.4009

Office rate, Queens, NY$686.54

Office: (3.86 × 1.064 + 13 × 1.182 + 0.75 × 1.442) × $33.4009 = $686.54

Facility: (3.86 × 1.064 + 5.01 × 1.182 + 0.75 × 1.442) × $33.4009 = $371.10

Open 26115 in the RVU calculator

Payment rules and modifiers for 26115

26115 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 26115

Hand mass excision, subcutaneous, under 1.5 cm

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)0.10/0.69/0.21Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 26115

Hand mass excision, subcutaneous, under 1.5 cm

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

26115 without 51 · national office

$588.19

Hand mass excision, subcutaneous, under 1.5 cm

26115-51 · Second procedure: 50%

$294.10

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 26115

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

Codes related to 26115
CodeHow it relatesOffice range, Queens, NY
Same family
26111Hand mass excision, subcutaneous, 1.5 cm or largerSubcutaneous hand or finger lesion excision when the lesion is 1.5 cm or larger.No office rate
26116Hand tumor excision, deep, under 1.5 cmHand or finger soft-tissue lesion excision for a deep lesion under 1.5 cm.No office rate
26113Hand tumor excision, deep, 1.5 cm or largerHand soft-tissue tumor excision for a deep lesion 1.5 cm or larger.No office rate
Used instead
26117Hand tumor resection, tumor under 3 cmRadical resection of a hand tumor, rather than ordinary excision of a small subcutaneous lesion.No office rate
26160Tendon sheath excision, hand or finger lesionExcision of a lesion arising from a tendon sheath or joint capsule.$769.37

How 26115 has changed in Queens, NY

26115 · Office / nonfacility

$686.54

Effective 2026-10-01

The base rate is $57.08 higher than on 2025-10-01, moving from $629.46 to $686.54 (9.1%).

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

    $629.46changed to$686.54

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.96 changed to 3.86
    • Practice expense RVU 11.85 changed to 13.00
    • Malpractice RVU 0.74 changed to 0.75
    • 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

    $651.84changed to$629.46

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 11.94 changed to 11.85
    • Malpractice RVU 0.75 changed to 0.74

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $641.20changed to$651.84

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $684.99changed to$641.20

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 11.97 changed to 11.94
    • Malpractice RVU 0.73 changed to 0.75
    • 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

    $716.80changed to$684.99

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.88 changed to 11.97
    • 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

    $716.17changed to$716.80

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.77 changed to 11.88
    • Malpractice RVU 0.71 changed to 0.73

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $674.57changed to$716.17

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.58 changed to 11.77
    • Malpractice RVU 0.70 changed to 0.71
    • 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

    $645.33changed to$674.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.16 changed to 10.58
    • Malpractice RVU 0.73 changed to 0.70
    • 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

    $626.47changed to$645.33

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 9.74 changed to 10.16

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $621.45changed to$626.47

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 9.65 changed to 9.74
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $620.35changed to$621.45

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 9.63 changed to 9.65
    • Malpractice RVU 0.74 changed to 0.73
    • 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

    $623.45changed to$620.35

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 9.65 changed to 9.63

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $620.35changed to$623.45

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $602.03changed to$620.35

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 9.50 changed to 9.65
    • Malpractice RVU 0.68 changed to 0.74
    • 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

    $607.63changed to$602.03

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 10.54 changed to 9.50
    • Malpractice RVU 0.71 changed to 0.68
    • 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: $607.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$686.54$371.10RVU26D
2026-07-01$686.54$371.10RVU26C
2026-04-01$686.54$371.10RVU26B
2026-01-01$686.54$371.10RVU26A
2025-10-01$629.46$389.04RVU25D
2025-07-01$629.46$389.04RVU25C
2025-04-01$629.46$389.04RVU25B
2025-01-01$629.46$389.04RVU25A
2024-10-01$651.84$395.27RVU24D
2024-07-01$651.84$395.27RVU24C
2024-04-01$651.84$395.27RVU24B
2024-03-09$651.84$395.27RVU24AR
2024-01-01$641.20$388.82RVU24A
2023-10-01$684.99$413.92RVU23D
2023-07-01$684.99$413.92RVU23C
2023-04-01$684.99$413.92RVU23B
2023-01-01$684.99$413.92RVU23A
2022-10-01$716.80$431.22RVU22D
2022-07-01$716.80$431.22RVU22C
2022-04-01$716.80$431.22RVU22B
2022-01-01$716.80$431.22RVU22A
2021-10-01$716.17$430.80RVU21D
2021-07-01$716.17$430.80RVU21C
2021-04-01$716.17$430.80RVU21B
2021-01-01$716.17$430.80RVU21A
2020-10-01$674.57$423.53RVU20D
2020-07-01$674.57$423.53RVU20C
2020-04-01$674.57$423.53RVU20B
2020-01-01$674.57$423.53RVU20A
2019-10-01$645.33$415.68RVU19D
2019-07-01$645.33$415.68RVU19C
2019-04-01$645.33$415.68RVU19B
2019-01-01$645.33$415.68RVU19A
2018-10-01$626.47$416.52RVU18D
2018-07-01$626.47$416.52RVU18C
2018-04-01$626.47$416.52RVU18B
2018-01-01$626.47$416.52RVU18AR1
2017-10-01$621.45$413.87RVU17D
2017-07-01$621.45$413.87RVU17C
2017-04-01$621.45$413.87RVU17B
2017-01-01$621.45$413.87RVU17A
2016-10-01$620.35$413.86RVU16D
2016-07-01$620.35$413.86RVU16C
2016-04-01$620.35$413.86RVU16B
2016-01-01$620.35$413.86RVU16A
2015-10-01$623.45$414.93RVU15D
2015-07-01$623.45$414.93RVU15C
2015-04-01$620.35$412.86RVU15B
2015-01-01$620.35$412.86RVU15A
2014-10-01$602.03$399.21RVU14D
2014-07-01$602.03$399.21RVU14C
2014-04-01$602.03$399.21RVU14B
2014-01-01$602.03$399.21RVU14A
2013-10-01$607.63$391.33RVU13D
2013-07-01$607.63$391.33RVU13C
2013-04-01$607.63$391.33RVU13B
2013-01-01$607.63$391.33RVU13AR

Price 26115 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

26115 billing questions

How does this code differ from 26111?

Both describe excision of a subcutaneous hand or finger lesion. Use 26115 when the lesion is under 1.5 cm and 26111 when it is 1.5 cm or larger.

When is 26116 a better fit?

26116 is for a lesion in deeper soft tissue measuring under 1.5 cm. The operative report should support whether the mass was subcutaneous or deep.

Can the related postoperative visits be billed separately?

Related postoperative care during the 90-day global period is included, as is the day-before preoperative visit. Care unrelated to the operation is outside that stated global package.

Should modifier 50 be appended for lesions on both hands?

No. CMS identifies bilateral adjustment as inapplicable to this code, so modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. 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 26115PPRRVU2026_Oct_nonQPP.csv, line 2,547 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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