FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

11602 in Austin

Office / nonfacility

$248.98

Base rate per service

Facility setting

$139.08

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Dermatologic surgery

About 11602: Malignant lesion excision, trunk or extremity

Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and margins produce an excised diameter of 1.1–2 cm.

This service removes a malignant skin lesion from the trunk or an extremity, including the margins taken to achieve excision. Dermatologists and surgeons commonly perform it in an office or outpatient facility for cancers such as basal cell or squamous cell carcinoma. The code’s size range is based on the lesion’s greatest diameter together with the narrowest margins removed, not the length of the final closure.

Select the code using the anatomic site and documented excised diameter. The record should identify the lesion site, malignancy, lesion dimensions, margins, and resulting excised diameter. Simple closure is included; a separately documented intermediate or complex repair may be reported when its criteria are met. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 11602

Global period
Minor procedure with a 10-day global period: related postoperative visits for 10 days are included.
Multiple procedures
Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Statutory restriction: assistant at surgery is not paid.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU2.21 · 31%
  • Practice expense (office) RVU4.76 · 66%
  • Malpractice RVU0.23 · 3%

243.3K

Medicare services in 2024 · #348 by national volume

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.

11602 compared with similar codes

Office rates for Austin, from the same CMS release.

11601

Malignant skin excision

Trunk, arms, or legs; 0.6–1 cm

$235.14

Both cover malignant-lesion excision on the trunk or extremities, but 11601 applies to an excised diameter of 0.6–1 cm; 11602 begins at 1.1 cm.

11603

Lesion excision

Trunk or limb, 2.1–3 cm

$285.21

Use 11603 when the excised diameter is 2.1–3 cm. A diameter of 1.1–2 cm fits 11602.

11622

Skin lesion excision

Designated sites, 1.1–2 cm

$258.44

The size range is the same, but 11622 is for a different anatomic group, including the scalp, neck, hands, feet, and genitalia.

11402

Skin lesion excision

Trunk or extremity, 1.1–2 cm

$177.26

Use 11402 for a benign lesion in the corresponding body-site and size group; 11602 is for malignant lesions.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 11602 is $225.63—$23.35 lower than the $248.98 rate in Austin. Both use the same code, release and participation basis.

11602 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $248.98

  2. Beaumont

    $225.63

    $23.35 lower than Austin

  3. Brazoria

    $237.96

    $11.02 lower than Austin

  4. Dallas

    $239.42

    $9.56 lower than Austin

  5. Fort Worth

    $237.93

    $11.05 lower than Austin

  6. Galveston

    $238.64

    $10.34 lower than Austin

  7. Houston

    $242.85

    $6.13 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11602 ranges from $214.34 in Arkansas to $315.31 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 11602

    Office

    $231.63

    Facility

    $133.05

    $17.35 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 11602

    Office

    $270.03

    Facility

    $147.14

    $21.05 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11602

    Office

    $273.64

    Facility

    $151.27

    $24.66 higher than Austin for the office setting.

  • Miami

    Florida · 11602

    Office

    $258.75

    Facility

    $150.62

    $9.77 higher than Austin for the office setting.

  • Chicago

    Illinois · 11602

    Office

    $251.75

    Facility

    $147.35

    $2.77 higher than Austin for the office setting.

  • Manhattan

    New York · 11602

    Office

    $275.47

    Facility

    $154.76

    $26.49 higher than Austin for the office setting.

  • Alaska*

    Alaska · 11602

    Office

    $284.28

    Facility

    $173.65

    $35.30 higher than Austin for the office setting.

  • Alabama

    Alabama · 11602

    Office

    $217.28

    Facility

    $126.39

    $31.70 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 11602

    Office

    $214.34

    Facility

    $125.11

    $34.64 lower than Austin for the office setting.

  • Arizona

    Arizona · 11602

    Office

    $234.45

    Facility

    $133.79

    $14.53 lower than Austin for the office setting.

  • Bakersfield

    California · 11602

    Office

    $254.15

    Facility

    $140.30

    $5.17 higher than Austin for the office setting.

  • Chico

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • El Centro

    California · 11602

    Office

    $253.48

    Facility

    $139.63

    $4.50 higher than Austin for the office setting.

  • Fresno

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Madera

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Merced

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Modesto

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Napa

    California · 11602

    Office

    $291.92

    Facility

    $155.01

    $42.94 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11602

    Office

    $268.59

    Facility

    $145.81

    $19.61 higher than Austin for the office setting.

  • Redding

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Rest Of California

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11602

    Office

    $255.95

    Facility

    $142.10

    $6.97 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11602

    Office

    $265.49

    Facility

    $144.69

    $16.51 higher than Austin for the office setting.

  • Salinas

    California · 11602

    Office

    $264.49

    Facility

    $144.10

    $15.51 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11602

    Office

    $270.34

    Facility

    $146.11

    $21.36 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11602

    Office

    $308.53

    Facility

    $162.06

    $59.55 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 11602

    Office

    $308.27

    Facility

    $161.80

    $59.29 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 11602

    Office

    $315.31

    Facility

    $165.52

    $66.33 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 11602

    Office

    $314.25

    Facility

    $164.46

    $65.27 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11602

    Office

    $260.28

    Facility

    $141.96

    $11.30 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 11602

    Office

    $272.65

    Facility

    $146.44

    $23.67 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 11602

    Office

    $265.38

    Facility

    $144.26

    $16.40 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 11602

    Office

    $275.39

    Facility

    $147.83

    $26.41 higher than Austin for the office setting.

  • Stockton

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Vallejo

    California · 11602

    Office

    $291.54

    Facility

    $154.63

    $42.56 higher than Austin for the office setting.

  • Visalia

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Yuba City

    California · 11602

    Office

    $253.44

    Facility

    $139.59

    $4.46 higher than Austin for the office setting.

  • Colorado

    Colorado · 11602

    Office

    $249.87

    Facility

    $139.34

    $0.89 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 11602

    Office

    $255.82

    Facility

    $143.94

    $6.84 higher than Austin for the office setting.

  • Delaware

    Delaware · 11602

    Office

    $238.17

    Facility

    $135.54

    $10.81 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 11602

    Office

    $248.76

    Facility

    $143.53

    $0.22 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 11602

    Office

    $237.36

    Facility

    $138.05

    $11.62 lower than Austin for the office setting.

  • Atlanta

    Georgia · 11602

    Office

    $244.80

    Facility

    $139.26

    $4.18 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 11602

    Office

    $224.79

    Facility

    $132.13

    $24.19 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 11602

    Office

    $259.03

    Facility

    $140.93

    $10.05 higher than Austin for the office setting.

  • Iowa

    Iowa · 11602

    Office

    $222.34

    Facility

    $127.29

    $26.64 lower than Austin for the office setting.

  • Idaho

    Idaho · 11602

    Office

    $223.72

    Facility

    $128.15

    $25.26 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 11602

    Office

    $235.56

    Facility

    $139.99

    $13.42 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 11602

    Office

    $230.98

    Facility

    $136.14

    $18.00 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 11602

    Office

    $251.23

    Facility

    $144.55

    $2.25 higher than Austin for the office setting.

  • Indiana

    Indiana · 11602

    Office

    $224.93

    Facility

    $128.64

    $24.05 lower than Austin for the office setting.

  • Kansas

    Kansas · 11602

    Office

    $221.41

    Facility

    $127.51

    $27.57 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 11602

    Office

    $222.19

    Facility

    $129.84

    $26.79 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 11602

    Office

    $232.15

    Facility

    $134.40

    $16.83 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 11602

    Office

    $221.88

    Facility

    $129.95

    $27.10 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 11602

    Office

    $273.51

    Facility

    $149.48

    $24.53 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11602

    Office

    $248.53

    Facility

    $139.15

    $0.45 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11602

    Office

    $255.09

    Facility

    $143.63

    $6.11 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 11602

    Office

    $242.50

    Facility

    $137.38

    $6.48 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 11602

    Office

    $224.86

    Facility

    $129.30

    $24.12 lower than Austin for the office setting.

  • Southern Maine

    Maine · 11602

    Office

    $236.22

    Facility

    $133.28

    $12.76 lower than Austin for the office setting.

  • Detroit

    Michigan · 11602

    Office

    $240.19

    Facility

    $139.95

    $8.79 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 11602

    Office

    $227.65

    Facility

    $132.81

    $21.33 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 11602

    Office

    $239.69

    Facility

    $132.80

    $9.29 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 11602

    Office

    $230.61

    Facility

    $133.07

    $18.37 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 11602

    Office

    $232.87

    Facility

    $133.98

    $16.11 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 11602

    Office

    $218.35

    Facility

    $128.80

    $30.63 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 11602

    Office

    $216.38

    Facility

    $126.94

    $32.60 lower than Austin for the office setting.

  • Montana**

    Montana · 11602

    Office

    $240.47

    Facility

    $136.59

    $8.51 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 11602

    Office

    $227.06

    Facility

    $130.14

    $21.92 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 11602

    Office

    $235.92

    Facility

    $132.05

    $13.06 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 11602

    Office

    $223.47

    Facility

    $127.59

    $25.51 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 11602

    Office

    $246.04

    Facility

    $137.91

    $2.94 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 11602

    Office

    $271.10

    Facility

    $150.60

    $22.12 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 11602

    Office

    $258.81

    Facility

    $145.38

    $9.83 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 11602

    Office

    $228.83

    Facility

    $133.58

    $20.15 lower than Austin for the office setting.

  • Nevada**

    Nevada · 11602

    Office

    $239.36

    Facility

    $135.38

    $9.62 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11602

    Office

    $281.84

    Facility

    $158.33

    $32.86 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11602

    Office

    $260.53

    Facility

    $146.78

    $11.55 higher than Austin for the office setting.

  • Queens

    New York · 11602

    Office

    $277.54

    Facility

    $154.76

    $28.56 higher than Austin for the office setting.

  • Rest Of New York

    New York · 11602

    Office

    $230.26

    Facility

    $131.57

    $18.72 lower than Austin for the office setting.

  • Ohio

    Ohio · 11602

    Office

    $226.72

    Facility

    $131.88

    $22.26 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 11602

    Office

    $221.76

    Facility

    $129.00

    $27.22 lower than Austin for the office setting.

  • Portland

    Oregon · 11602

    Office

    $257.35

    Facility

    $141.94

    $8.37 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 11602

    Office

    $237.57

    Facility

    $134.11

    $11.41 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11602

    Office

    $249.82

    Facility

    $141.68

    $0.84 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11602

    Office

    $227.03

    Facility

    $131.67

    $21.95 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 11602

    Office

    $242.12

    Facility

    $137.10

    $6.86 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 11602

    Office

    $246.31

    Facility

    $139.00

    $2.67 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 11602

    Office

    $227.25

    Facility

    $131.27

    $21.73 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 11602

    Office

    $235.39

    Facility

    $131.51

    $13.59 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 11602

    Office

    $222.46

    Facility

    $128.04

    $26.52 lower than Austin for the office setting.

  • Utah

    Utah · 11602

    Office

    $230.16

    Facility

    $132.52

    $18.82 lower than Austin for the office setting.

  • Virginia

    Virginia · 11602

    Office

    $235.53

    Facility

    $133.41

    $13.45 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11602

    Office

    $242.12

    Facility

    $137.10

    $6.86 lower than Austin for the office setting.

  • Vermont

    Vermont · 11602

    Office

    $235.10

    Facility

    $132.26

    $13.88 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 11602

    Office

    $248.04

    Facility

    $138.65

    $0.94 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 11602

    Office

    $278.86

    Facility

    $151.40

    $29.88 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 11602

    Office

    $228.49

    Facility

    $128.98

    $20.49 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 11602

    Office

    $222.97

    Facility

    $132.70

    $26.01 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 11602

    Office

    $238.49

    Facility

    $134.61

    $10.49 lower than Austin for the office setting.

See how rates vary across the country

11602 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$214.34

$284.38

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$284.281
AL$217.281
AR$214.341
AZ$234.451
CA$253.44–$315.3129
CO$249.871
CT$255.821
DC$273.641
DE$238.171
FL$237.36–$258.753
GA$224.79–$244.802
GU$259.031
HI$259.031
IA$222.341
ID$223.721
IL$230.98–$251.754
IN$224.931
KS$221.411
KY$222.191
LA$221.88–$232.152
MA$248.53–$273.512
MD$242.50–$273.643
ME$224.86–$236.222
MI$227.65–$240.192
MN$239.691
MO$218.35–$232.873
MS$216.381
MT$240.471
NC$227.061
ND$235.921
NE$223.471
NH$246.041
NJ$258.81–$271.102
NM$228.831
NV$239.361
NY$230.26–$281.845
OH$226.721
OK$221.761
OR$237.57–$257.352
PA$227.03–$249.822
PR$242.121
RI$246.311
SC$227.251
SD$235.391
TN$222.461
TX$225.63–$248.988
UT$230.161
VA$235.53–$273.642
VI$242.121
VT$235.101
WA$248.04–$278.862
WI$228.491
WV$222.971
WY$238.491

Explore 11602 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 11602 in Austin, the physician’s office rate is $248.98 and the facility-setting rate is $139.08: a difference of $109.90.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 11602 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$273.88

$248.98 × 110% = $273.88

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 11602 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,342

Code
11602
Physician work
2.21
Practice expense
4.76
Malpractice
0.23

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 11602 in Austin
ComponentRVULocality factorAdjusted
Physician work2.21× 1.0022.2144
Practice expense4.76× 1.0585.0361
Malpractice0.23× 0.8860.2038
Total RVUs7.4543
Conversion factor× 33.4009

Office / nonfacility rate, Austin$248.98

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 11602 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.211.002
Practice expense4.761.058
Malpractice0.230.886

(2.21 × 1.002 + 4.76 × 1.058 + 0.23 × 0.886) × $33.4009 = $248.98

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.211.002
Practice expense1.651.058
Malpractice0.230.886

(2.21 × 1.002 + 1.65 × 1.058 + 0.23 × 0.886) × $33.4009 = $139.08

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

11602 · Office / nonfacility

$248.98

Effective 2026-10-01

The base rate is $4.74 higher than on 2025-10-01, moving from $244.24 to $248.98 (1.9%).

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

    $244.24changed to$248.98

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.27 changed to 2.21
    • Practice expense RVU 4.83 changed to 4.76
    • Malpractice RVU 0.25 changed to 0.23
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $244.24

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$248.98$139.08RVU26D
2026-07-01$248.98$139.08RVU26C
2026-04-01$248.98$139.08RVU26B
2026-01-01$248.98$139.08RVU26A
2025-10-01$244.24$160.33RVU25D
2025-07-01$244.24$160.33RVU25C
2025-04-01$244.24$160.33RVU25B
2025-01-01$244.24$160.33RVU25A

11602 billing questions

How do I choose between 11602 and 11601 or 11603?

Use 11602 when the lesion plus the margins removed measures 1.1–2 cm. The adjacent codes cover the smaller and larger size ranges, respectively.

Does the code depend on the closure length?

No. Select the excision code by the lesion and margins removed. Simple closure is included; a qualifying intermediate or complex repair may be separately reported based on the repair performed and its documented length.

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report the services according to the applicable lesion and procedure coding.

What documentation supports the 1.1–2 cm level?

Document the malignant diagnosis, exact site, lesion dimensions, margins removed, and excised diameter. The excised diameter includes the lesion and the margins, rather than the closure length.

Are postoperative visits included?

Related postoperative visits during the 10-day global period are included in the procedure.

How does Medicare handle multiple procedures in one session?

The highest-valued procedure is paid in full, and other procedures performed in the same session are subject to the standard multiple-procedure reduction.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 11602PPRRVU2026_Oct_nonQPP.csv, line 1,342 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet