Billing code 11601: Malignant skin excisionMedicare rate & RVUs
Excision of a malignant skin lesion on the trunk, arm, or leg, selected when the lesion and margins together measure 0.6–1 cm.
Medicare pays $227.13 for 11601 nationally in the office and $128.26 in a hospital or facility. Local office rates run $201.86–$297.85.
Medicare rate · 11601
Malignant skin excision
Swap in your local Medicare rate.
- Work RVUs
- 2.02
- Total RVUs
- 6.80
- Global days
- 010
National rate · 2026
$227.13
Office setting, before claim adjustments.
See every locality for 11601 → · 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 11601 covers
This service removes a malignant skin lesion from the trunk, an arm, or a leg, including the surrounding margins. A dermatologist, surgeon, or other qualified physician typically performs the excision in an office or outpatient setting. The selected size is the greatest diameter of the lesion plus the margins, not the lesion’s diameter alone. Routine simple closure is included; a separately documented intermediate or complex repair may be reported when its requirements are met.
Report this code for an excised diameter of 0.6–1 cm at one of these anatomic sites. Documentation should identify the site, lesion dimensions, margins taken, final excised diameter, and malignant diagnosis. The 10-day global period includes related postoperative visits during that period. 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 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.
Where 11601 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
$201.86 to $297.85
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $204.69 | $118.18 |
| Alaska* | $267.12 | $161.83 |
| Arizona | $221.27 | $125.47 |
| Arkansas | $201.86 | $116.93 |
| Atlanta | $231.37 | $130.92 |
| Austin | $235.14 | $130.54 |
| Bakersfield | $239.83 | $131.47 |
| Baltimore/Surr. Cntys | $241.18 | $135.09 |
| Beaumont | $212.91 | $122.94 |
| Brazoria | $224.54 | $126.56 |
| Chicago | $238.74 | $139.38 |
| Chico | $239.11 | $130.75 |
| Colorado | $235.89 | $130.69 |
| Connecticut | $241.84 | $135.36 |
| Dallas | $225.99 | $127.52 |
| Dc + Md/Va Suburbs | $258.67 | $142.20 |
| Delaware | $224.83 | $127.15 |
| Detroit | $227.32 | $131.91 |
| East St. Louis | $223.12 | $132.17 |
| El Centro | $239.15 | $130.79 |
| Fort Lauderdale | $235.57 | $135.42 |
| Fort Worth | $224.58 | $127.09 |
| Fresno | $239.11 | $130.75 |
| Galveston | $225.23 | $127.05 |
| Hanford-Corcoran | $239.11 | $130.75 |
| Hawaii, Guam | $244.53 | $132.11 |
| Houston | $229.62 | $131.44 |
| Idaho | $210.77 | $119.81 |
| Indiana | $211.94 | $120.29 |
| Iowa | $209.40 | $118.94 |
| Kansas | $208.59 | $119.22 |
| Kentucky | $209.61 | $121.72 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $254.95 | $137.99 |
| Madera | $239.11 | $130.75 |
| Manhattan | $260.71 | $145.82 |
| Merced | $239.11 | $130.75 |
| Metropolitan Boston | $258.43 | $140.38 |
| Metropolitan Kansas City | $217.69 | $124.86 |
| Metropolitan Philadelphia | $236.10 | $133.18 |
| Metropolitan St. Louis | $219.86 | $125.74 |
| Miami | $245.60 | $142.68 |
| Minnesota | $225.88 | $124.15 |
| Mississippi | $203.96 | $118.83 |
| Modesto | $239.11 | $130.75 |
| Montana** | $227.11 | $128.24 |
| Napa | $275.65 | $145.35 |
| Nebraska | $210.46 | $119.21 |
| Nevada** | $225.94 | $126.97 |
| New Hampshire | $232.34 | $129.42 |
| New Mexico | $216.15 | $125.49 |
| New Orleans | $219.27 | $126.24 |
| North Carolina | $214.07 | $121.83 |
| North Dakota** | $222.36 | $123.50 |
| Northern Nj | $256.18 | $141.50 |
| Nyc Suburbs/Long Island | $266.97 | $149.42 |
| Ohio | $214.00 | $123.73 |
| Oklahoma | $209.11 | $120.83 |
| Oxnard-Thousand Oaks-Ventura | $253.59 | $136.73 |
| Portland | $242.99 | $133.14 |
| Poughkpsie/N Nyc Suburbs | $246.25 | $137.99 |
| Puerto Rico | $228.67 | $128.72 |
| Queens | $262.59 | $145.73 |
| Redding | $239.11 | $130.75 |
| Rest Of California | $239.11 | $130.75 |
| Rest Of Florida | $224.49 | $129.97 |
| Rest Of Georgia | $212.29 | $124.10 |
| Rest Of Illinois | $218.45 | $128.18 |
| Rest Of Louisiana | $209.35 | $121.85 |
| Rest Of Maine | $211.96 | $121.01 |
| Rest Of Maryland | $228.96 | $128.91 |
| Rest Of Massachusetts | $234.62 | $130.51 |
| Rest Of Michigan | $214.97 | $124.70 |
| Rest Of Missouri | $205.99 | $120.77 |
| Rest Of New Jersey | $244.55 | $136.59 |
| Rest Of New York | $217.16 | $123.24 |
| Rest Of Oregon | $224.14 | $125.67 |
| Rest Of Pennsylvania | $214.25 | $123.49 |
| Rest Of Texas | $218.61 | $124.79 |
| Rest Of Washington | $234.12 | $130.02 |
| Rhode Island | $232.55 | $130.42 |
| Riverside-San Bernardino-Ontario | $241.72 | $133.36 |
| Sacramento-Roseville-Folsom | $250.55 | $135.57 |
| Salinas | $249.61 | $135.02 |
| San Diego-Chula Vista-Carlsbad | $255.20 | $136.96 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $291.37 | $151.97 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $291.10 | $151.70 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $297.85 | $155.29 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $296.74 | $154.17 |
| San Luis Obispo-Paso Robles | $245.63 | $133.02 |
| Santa Cruz-Watsonville | $257.43 | $137.30 |
| Santa Maria-Santa Barbara | $250.47 | $135.19 |
| Santa Rosa-Petaluma | $260.00 | $138.60 |
| Seattle (King Cnty) | $263.45 | $142.15 |
| South Carolina | $214.40 | $123.05 |
| South Dakota** | $221.80 | $122.94 |
| Southern Maine | $222.80 | $124.83 |
| Stockton | $239.11 | $130.75 |
| Suburban Chicago | $237.88 | $136.35 |
| Tennessee | $209.62 | $119.75 |
| Utah | $217.21 | $124.28 |
| Vallejo | $275.26 | $144.96 |
| Vermont | $221.65 | $123.77 |
| Virgin Islands | $228.67 | $128.72 |
| Virginia | $222.19 | $125.01 |
| Visalia | $239.11 | $130.75 |
| West Virginia | $210.72 | $124.80 |
| Wisconsin | $215.21 | $120.50 |
| Wyoming** | $225.04 | $126.18 |
| Yuba City | $239.11 | $130.75 |
11601 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$201.86
$268.48
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 | $267.12 | 1 |
| AL | $204.69 | 1 |
| AR | $201.86 | 1 |
| AZ | $221.27 | 1 |
| CA | $239.11–$297.85 | 29 |
| CO | $235.89 | 1 |
| CT | $241.84 | 1 |
| DC | $258.67 | 1 |
| DE | $224.83 | 1 |
| FL | $224.49–$245.60 | 3 |
| GA | $212.29–$231.37 | 2 |
| GU | $244.53 | 1 |
| HI | $244.53 | 1 |
| IA | $209.40 | 1 |
| ID | $210.77 | 1 |
| IL | $218.45–$238.74 | 4 |
| IN | $211.94 | 1 |
| KS | $208.59 | 1 |
| KY | $209.61 | 1 |
| LA | $209.35–$219.27 | 2 |
| MA | $234.62–$258.43 | 2 |
| MD | $228.96–$258.67 | 3 |
| ME | $211.96–$222.80 | 2 |
| MI | $214.97–$227.32 | 2 |
| MN | $225.88 | 1 |
| MO | $205.99–$219.86 | 3 |
| MS | $203.96 | 1 |
| MT | $227.11 | 1 |
| NC | $214.07 | 1 |
| ND | $222.36 | 1 |
| NE | $210.46 | 1 |
| NH | $232.34 | 1 |
| NJ | $244.55–$256.18 | 2 |
| NM | $216.15 | 1 |
| NV | $225.94 | 1 |
| NY | $217.16–$266.97 | 5 |
| OH | $214.00 | 1 |
| OK | $209.11 | 1 |
| OR | $224.14–$242.99 | 2 |
| PA | $214.25–$236.10 | 2 |
| PR | $228.67 | 1 |
| RI | $232.55 | 1 |
| SC | $214.40 | 1 |
| SD | $221.80 | 1 |
| TN | $209.62 | 1 |
| TX | $212.91–$235.14 | 8 |
| UT | $217.21 | 1 |
| VA | $222.19–$258.67 | 2 |
| VI | $228.67 | 1 |
| VT | $221.65 | 1 |
| WA | $234.12–$263.45 | 2 |
| WI | $215.21 | 1 |
| WV | $210.72 | 1 |
| WY | $225.04 | 1 |
How the 11601 rate is calculated
Each of 11601’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 · 11601
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.02Practice expense 4.54Malpractice 0.24
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11601
11601 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11601
Malignant skin excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 11601
Malignant skin excision
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11601 without 51 · national office
$227.13
Malignant skin excision
11601-51 · Second procedure: 50%
$113.57
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%).
11601 compared with similar codes
Compare codes
11601 vs 11600 vs 11602 vs 11621 vs 11641: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11600Malignant lesion excision
- Both cover malignant lesions on the trunk, arms, or legs. Choose 11600 when the lesion plus margins measures 0.5 cm or less.
- 11602Malignant lesion excision
- Both cover malignant lesions on the trunk, arms, or legs. Choose 11602 when the lesion plus margins measures 1.1–2 cm.
- 11621Skin lesion excision
- The size range is the same, but 11621 applies to its specified anatomic group rather than the trunk, arms, or legs.
- 11641Malignant lesion excision
- The size range is the same, but 11641 applies to its specified facial and related anatomic group rather than the trunk, arms, or legs.
11601 billing questions
How is the size range determined?
Use the greatest diameter of the lesion together with the margins removed. The lesion’s original diameter alone does not determine the code.
When should 11600 or 11602 be reported instead?
For a trunk, arm, or leg lesion, use 11600 when the excised diameter is 0.5 cm or less and 11602 when it is 1.1–2 cm.
Can the closure be billed separately?
Routine simple closure is included. A separately documented intermediate or complex repair may be reported when the repair meets that service’s coding requirements.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What documentation supports reporting 11601?
Record the anatomic site, lesion dimensions, margins removed, greatest final excised diameter, and malignant diagnosis.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
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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