Billing code 11201: Skin tag removalMedicare rate & RVUs
Report this add-on for removal of skin tags beyond the first 15, counting each additional 10 lesions or part of 10 with the primary service.
Medicare pays $18.37 for 11201 nationally in the office and $13.03 in a hospital or facility. Local office rates run $16.75–$23.12.
Medicare rate · 11201
Skin tag removal
Swap in your local Medicare rate.
- Work RVUs
- 0.28
- Total RVUs
- 0.55
- Global days
- ZZZ
National rate · 2026
$18.37
Office setting, before claim adjustments.
See every locality for 11201 → · Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 10 sections
What 11201 covers
This add-on covers removal of additional skin tags after the first 15 have been addressed. Skin tags are commonly treated when they catch on clothing or jewelry, become irritated, or interfere with care; typical sites include the neck, underarms, and groin. A physician or other qualified practitioner may remove them in an office or outpatient setting using an appropriate technique such as snipping, electrosurgery, or cryotherapy.
Report 11201 with 11200, not as a stand-alone service. The primary code covers up to 15 tags; report one unit of this add-on for each additional 10 lesions or part of 10. Document the total number removed, the sites, and the treatment performed so the primary service and additional units are supported. CMS treats this as an add-on paid within the primary procedure’s global period.
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.
Where 11201 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$16.75 to $23.12
109 of 109 payment localities
11201 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$16.75
$23.12
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $23.12 | 1 |
| AL | $16.93 | 1 |
| AR | $16.75 | 1 |
| AZ | $17.98 | 1 |
| CA | $18.83–$22.48 | 29 |
| CO | $18.78 | 1 |
| CT | $19.39 | 1 |
| DC | $20.42 | 1 |
| DE | $18.22 | 1 |
| FL | $18.52–$20.23 | 3 |
| GA | $17.70–$18.73 | 2 |
| GU | $19.05 | 1 |
| HI | $19.05 | 1 |
| IA | $17.08 | 1 |
| ID | $17.20 | 1 |
| IL | $18.24–$19.77 | 4 |
| IN | $17.27 | 1 |
| KS | $17.10 | 1 |
| KY | $17.40 | 1 |
| LA | $17.41–$18.03 | 2 |
| MA | $18.74–$20.20 | 2 |
| MD | $18.48–$20.42 | 3 |
| ME | $17.35–$17.93 | 2 |
| MI | $17.80–$18.78 | 2 |
| MN | $17.90 | 1 |
| MO | $17.24–$17.99 | 3 |
| MS | $16.99 | 1 |
| MT | $18.37 | 1 |
| NC | $17.47 | 1 |
| ND | $17.78 | 1 |
| NE | $17.13 | 1 |
| NH | $18.57 | 1 |
| NJ | $19.58–$20.31 | 2 |
| NM | $17.91 | 1 |
| NV | $18.21 | 1 |
| NY | $17.67–$21.34 | 5 |
| OH | $17.68 | 1 |
| OK | $17.29 | 1 |
| OR | $18.04–$19.15 | 2 |
| PA | $17.66–$19.06 | 2 |
| PR | $18.44 | 1 |
| RI | $18.70 | 1 |
| SC | $17.61 | 1 |
| SD | $17.71 | 1 |
| TN | $17.18 | 1 |
| TX | $17.58–$18.77 | 8 |
| UT | $17.79 | 1 |
| VA | $17.94–$20.42 | 2 |
| VI | $18.44 | 1 |
| VT | $17.80 | 1 |
| WA | $18.68–$20.47 | 2 |
| WI | $17.34 | 1 |
| WV | $17.75 | 1 |
| WY | $18.11 | 1 |
How the 11201 rate is calculated
Each of 11201’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 · 11201
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.28Practice expense 0.24Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11201
The CMS indicators that decide how 11201 is paid alongside other services.
CMS payment indicators · 11201
Skin tag removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
11201 compared with similar codes
Compare codes
11201 vs 11200 vs 17110 vs 17111: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11200Skin tag removal
- 11200 covers removal of up to 15 skin tags. Use 11201 only for additional tags beyond that initial count, alongside 11200.
- 17110Benign lesion destruction
- 17110 is for destruction of eligible benign lesions other than skin tags, up to 14 lesions; it is not the code for removing skin tags.
- 17111Lesion destruction
- 17111 applies to destruction of eligible benign lesions other than skin tags when more than 14 are treated; 11201 counts additional skin tags with 11200.
11201 billing questions
When is 11201 reported instead of 11200?
Use 11200 for removal of up to 15 skin tags. Add 11201 for tags beyond that initial group, counting each additional 10 or part of 10.
Can 11201 be billed by itself?
No. It is an add-on code and must be reported with 11200 as the primary procedure.
How many units should be reported?
Report one unit for each additional group of 10 tags, or any remaining portion of a group, after the first 15.
What should the procedure note include?
Document the number of tags removed, their locations, and the technique used. The count should support the units billed in addition to the first 15.
Does the add-on have its own global period?
CMS identifies 11201 as an add-on paid within the primary procedure’s global period.
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
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