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

In South Dakota, Medicare pays $571.56 for 26115 in the office and $304.68 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $571.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

26115 rates by state

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

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.

Payment rules and modifiers for 26115

26115 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 26115

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

How 26115 has changed in South Dakota

Price 26115 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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