FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

11770 in Austin

Office / nonfacility

$404.40

Base rate per service

Facility setting

$183.18

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.

General surgery

About 11770: Simple pilonidal cyst excision

Reports surgical removal of a simple pilonidal cyst or sinus in the sacrococcygeal cleft, rather than drainage or more extensive excision.

A surgeon excises a simple pilonidal cyst or sinus in the cleft near the tailbone, removing the lesion and involved tissue or tract. The procedure is commonly performed in an outpatient operating room, though a suitable simple case may be treated in an office setting. The operative report should show that excision was performed and describe the disease and extent of the work.

Choose this code for the simple-excision level, not for drainage alone or a more extensive or complicated excision. Document the operative findings and the basis for the selected level. CMS assigns a 10-day global period, so related postoperative visits during that period are included. 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 multiple-procedure reduction. Bilateral adjustment is inappropriate. CMS does not pay an assistant at surgery for this code and does not permit co-surgeon or team-surgery billing.

CMS billing rules for 11770

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 RVU2.59 · 22%
  • Practice expense (office) RVU8.48 · 73%
  • Malpractice RVU0.61 · 5%

265

Medicare services in 2024 · #4089 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.

11770 compared with similar codes

Office rates for Austin, from the same CMS release.

11771

Pilonidal excision

Extensive disease

$713.23

11770 describes simple excision; 11771 is for pilonidal excision at the extensive level.

11772

Pilonidal excision

Complicated disease

$873.35

Choose 11772 when the pilonidal excision is complicated, rather than a simple excision reported with 11770.

10080

Pilonidal drainage

Simple incision and drainage

$281.80

10080 represents simple incision and drainage of a pilonidal cyst. Use 11770 when the service is excision, not drainage.

10081

Pilonidal drainage

Complicated incision and drainage

$394.83

10081 represents complicated pilonidal cyst drainage; 11770 is for simple excision of the lesion.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 11770 is $363.18—$41.22 lower than the $404.40 rate in Austin. Both use the same code, release and participation basis.

11770 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $404.40

  2. Beaumont

    $363.18

    $41.22 lower than Austin

  3. Brazoria

    $383.78

    $20.62 lower than Austin

  4. Dallas

    $386.87

    $17.53 lower than Austin

  5. Fort Worth

    $384.31

    $20.09 lower than Austin

  6. Galveston

    $385.33

    $19.07 lower than Austin

  7. Houston

    $396.49

    $7.91 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, 11770 ranges from $340.30 in Arkansas to $515.38 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 · 11770

    Office

    $373.70

    Facility

    $175.27

    $30.70 lower than Austin for the office setting.

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

    California · 11770

    Office

    $438.66

    Facility

    $191.30

    $34.26 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11770

    Office

    $447.51

    Facility

    $201.21

    $43.11 higher than Austin for the office setting.

  • Miami

    Florida · 11770

    Office

    $432.89

    Facility

    $215.23

    $28.49 higher than Austin for the office setting.

  • Chicago

    Illinois · 11770

    Office

    $418.53

    Facility

    $208.39

    $14.13 higher than Austin for the office setting.

  • Manhattan

    New York · 11770

    Office

    $453.48

    Facility

    $210.52

    $49.08 higher than Austin for the office setting.

  • Alaska*

    Alaska · 11770

    Office

    $442.64

    Facility

    $219.96

    $38.24 higher than Austin for the office setting.

  • Alabama

    Alabama · 11770

    Office

    $345.88

    Facility

    $162.92

    $58.52 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 11770

    Office

    $340.30

    Facility

    $160.70

    $64.10 lower than Austin for the office setting.

  • Arizona

    Arizona · 11770

    Office

    $378.41

    Facility

    $175.80

    $25.99 lower than Austin for the office setting.

  • Bakersfield

    California · 11770

    Office

    $410.99

    Facility

    $181.83

    $6.59 higher than Austin for the office setting.

  • Chico

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • El Centro

    California · 11770

    Office

    $409.43

    Facility

    $180.27

    $5.03 higher than Austin for the office setting.

  • Fresno

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Madera

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Merced

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Modesto

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Napa

    California · 11770

    Office

    $475.62

    Facility

    $200.04

    $71.22 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11770

    Office

    $436.41

    Facility

    $189.27

    $32.01 higher than Austin for the office setting.

  • Redding

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Rest Of California

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11770

    Office

    $415.88

    Facility

    $186.71

    $11.48 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11770

    Office

    $429.95

    Facility

    $186.78

    $25.55 higher than Austin for the office setting.

  • Salinas

    California · 11770

    Office

    $428.39

    Facility

    $186.05

    $23.99 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11770

    Office

    $438.90

    Facility

    $188.83

    $34.50 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11770

    Office

    $503.45

    Facility

    $208.63

    $99.05 higher than Austin for the office setting.

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

    California · 11770

    Office

    $502.75

    Facility

    $207.94

    $98.35 higher than Austin for the office setting.

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

    California · 11770

    Office

    $515.38

    Facility

    $213.87

    $110.98 higher than Austin for the office setting.

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

    California · 11770

    Office

    $512.54

    Facility

    $211.04

    $108.14 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11770

    Office

    $421.51

    Facility

    $183.36

    $17.11 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 11770

    Office

    $443.38

    Facility

    $189.34

    $38.98 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 11770

    Office

    $430.11

    Facility

    $186.31

    $25.71 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 11770

    Office

    $447.84

    Facility

    $191.08

    $43.44 higher than Austin for the office setting.

  • Stockton

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Vallejo

    California · 11770

    Office

    $474.62

    Facility

    $199.04

    $70.22 higher than Austin for the office setting.

  • Visalia

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Yuba City

    California · 11770

    Office

    $409.33

    Facility

    $180.17

    $4.93 higher than Austin for the office setting.

  • Colorado

    Colorado · 11770

    Office

    $404.83

    Facility

    $182.35

    $0.43 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 11770

    Office

    $417.94

    Facility

    $192.75

    $13.54 higher than Austin for the office setting.

  • Delaware

    Delaware · 11770

    Office

    $385.10

    Facility

    $178.52

    $19.30 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 11770

    Office

    $410.27

    Facility

    $198.46

    $5.87 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 11770

    Office

    $387.91

    Facility

    $188.02

    $16.49 lower than Austin for the office setting.

  • Atlanta

    Georgia · 11770

    Office

    $399.01

    Facility

    $186.57

    $5.39 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 11770

    Office

    $363.44

    Facility

    $176.94

    $40.96 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 11770

    Office

    $420.35

    Facility

    $182.61

    $15.95 higher than Austin for the office setting.

  • Iowa

    Iowa · 11770

    Office

    $353.76

    Facility

    $162.44

    $50.64 lower than Austin for the office setting.

  • Idaho

    Idaho · 11770

    Office

    $356.73

    Facility

    $164.36

    $47.67 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 11770

    Office

    $388.12

    Facility

    $195.76

    $16.28 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 11770

    Office

    $376.95

    Facility

    $186.05

    $27.45 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 11770

    Office

    $414.10

    Facility

    $199.37

    $9.70 higher than Austin for the office setting.

  • Indiana

    Indiana · 11770

    Office

    $358.97

    Facility

    $165.15

    $45.43 lower than Austin for the office setting.

  • Kansas

    Kansas · 11770

    Office

    $352.83

    Facility

    $163.81

    $51.57 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 11770

    Office

    $356.95

    Facility

    $171.07

    $47.45 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 11770

    Office

    $376.18

    Facility

    $179.43

    $28.22 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 11770

    Office

    $356.69

    Facility

    $171.65

    $47.71 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 11770

    Office

    $446.38

    Facility

    $196.72

    $41.98 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11770

    Office

    $402.38

    Facility

    $182.21

    $2.02 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11770

    Office

    $417.01

    Facility

    $192.66

    $12.61 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 11770

    Office

    $392.72

    Facility

    $181.12

    $11.68 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 11770

    Office

    $359.76

    Facility

    $167.40

    $44.64 lower than Austin for the office setting.

  • Southern Maine

    Maine · 11770

    Office

    $380.06

    Facility

    $172.85

    $24.34 lower than Austin for the office setting.

  • Detroit

    Michigan · 11770

    Office

    $394.19

    Facility

    $192.41

    $10.21 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 11770

    Office

    $368.11

    Facility

    $177.21

    $36.29 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 11770

    Office

    $383.99

    Facility

    $168.84

    $20.41 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 11770

    Office

    $372.38

    Facility

    $176.04

    $32.02 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 11770

    Office

    $376.57

    Facility

    $177.51

    $27.83 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 11770

    Office

    $350.51

    Facility

    $170.27

    $53.89 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 11770

    Office

    $345.43

    Facility

    $165.41

    $58.97 lower than Austin for the office setting.

  • Montana**

    Montana · 11770

    Office

    $390.08

    Facility

    $180.99

    $14.32 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 11770

    Office

    $363.79

    Facility

    $168.71

    $40.61 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 11770

    Office

    $378.02

    Facility

    $168.93

    $26.38 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 11770

    Office

    $355.64

    Facility

    $162.65

    $48.76 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 11770

    Office

    $399.19

    Facility

    $181.53

    $5.21 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 11770

    Office

    $442.28

    Facility

    $199.73

    $37.88 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 11770

    Office

    $421.62

    Facility

    $193.29

    $17.22 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 11770

    Office

    $370.71

    Facility

    $178.97

    $33.69 lower than Austin for the office setting.

  • Nevada**

    Nevada · 11770

    Office

    $387.00

    Facility

    $177.70

    $17.40 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11770

    Office

    $466.65

    Facility

    $218.04

    $62.25 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11770

    Office

    $425.20

    Facility

    $196.25

    $20.80 higher than Austin for the office setting.

  • Queens

    New York · 11770

    Office

    $456.21

    Facility

    $209.07

    $51.81 higher than Austin for the office setting.

  • Rest Of New York

    New York · 11770

    Office

    $369.91

    Facility

    $171.27

    $34.49 lower than Austin for the office setting.

  • Ohio

    Ohio · 11770

    Office

    $365.64

    Facility

    $174.74

    $38.76 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 11770

    Office

    $355.27

    Facility

    $168.56

    $49.13 lower than Austin for the office setting.

  • Portland

    Oregon · 11770

    Office

    $417.73

    Facility

    $185.43

    $13.33 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 11770

    Office

    $382.94

    Facility

    $174.69

    $21.46 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11770

    Office

    $407.22

    Facility

    $189.56

    $2.82 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11770

    Office

    $365.78

    Facility

    $173.83

    $38.62 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 11770

    Office

    $392.93

    Facility

    $181.54

    $11.47 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 11770

    Office

    $398.91

    Facility

    $182.92

    $5.49 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 11770

    Office

    $365.54

    Facility

    $172.34

    $38.86 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 11770

    Office

    $376.59

    Facility

    $167.50

    $27.81 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 11770

    Office

    $354.91

    Facility

    $164.85

    $49.49 lower than Austin for the office setting.

  • Utah

    Utah · 11770

    Office

    $371.05

    Facility

    $174.51

    $33.35 lower than Austin for the office setting.

  • Virginia

    Virginia · 11770

    Office

    $379.32

    Facility

    $173.78

    $25.08 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11770

    Office

    $392.93

    Facility

    $181.54

    $11.47 lower than Austin for the office setting.

  • Vermont

    Vermont · 11770

    Office

    $377.23

    Facility

    $170.23

    $27.17 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 11770

    Office

    $401.39

    Facility

    $181.22

    $3.01 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 11770

    Office

    $455.01

    Facility

    $198.46

    $50.61 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 11770

    Office

    $364.13

    Facility

    $163.82

    $40.27 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 11770

    Office

    $361.80

    Facility

    $180.10

    $42.60 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 11770

    Office

    $384.83

    Facility

    $175.74

    $19.57 lower than Austin for the office setting.

See how rates vary across the country

11770 · 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.

$340.30

$462.36

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$442.641
AL$345.881
AR$340.301
AZ$378.411
CA$409.33–$515.3829
CO$404.831
CT$417.941
DC$447.511
DE$385.101
FL$387.91–$432.893
GA$363.44–$399.012
GU$420.351
HI$420.351
IA$353.761
ID$356.731
IL$376.95–$418.534
IN$358.971
KS$352.831
KY$356.951
LA$356.69–$376.182
MA$402.38–$446.382
MD$392.72–$447.513
ME$359.76–$380.062
MI$368.11–$394.192
MN$383.991
MO$350.51–$376.573
MS$345.431
MT$390.081
NC$363.791
ND$378.021
NE$355.641
NH$399.191
NJ$421.62–$442.282
NM$370.711
NV$387.001
NY$369.91–$466.655
OH$365.641
OK$355.271
OR$382.94–$417.732
PA$365.78–$407.222
PR$392.931
RI$398.911
SC$365.541
SD$376.591
TN$354.911
TX$363.18–$404.408
UT$371.051
VA$379.32–$447.512
VI$392.931
VT$377.231
WA$401.39–$455.012
WI$364.131
WV$361.801
WY$384.831

Explore 11770 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 11770 in Austin, the physician’s office rate is $404.40 and the facility-setting rate is $183.18: a difference of $221.22.

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 11770 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$444.84

$404.40 × 110% = $444.84

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 11770 in Austin.

PPRRVU2026_Oct_nonQPP.csv

1,372

Code
11770
Physician work
2.59
Practice expense
8.48
Malpractice
0.61

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 11770 in Austin
ComponentRVULocality factorAdjusted
Physician work2.59× 1.0022.5952
Practice expense8.48× 1.0588.9718
Malpractice0.61× 0.8860.5405
Total RVUs12.1075
Conversion factor× 33.4009

Office / nonfacility rate, Austin$404.40

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

Open 11770 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.591.002
Practice expense8.481.058
Malpractice0.610.886

(2.59 × 1.002 + 8.48 × 1.058 + 0.61 × 0.886) × $33.4009 = $404.40

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.591.002
Practice expense2.221.058
Malpractice0.610.886

(2.59 × 1.002 + 2.22 × 1.058 + 0.61 × 0.886) × $33.4009 = $183.18

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

11770 · Office / nonfacility

$404.40

Effective 2026-10-01

The base rate is $58.03 higher than on 2025-10-01, moving from $346.37 to $404.40 (16.8%).

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

    $346.37changed to$404.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.66 changed to 2.59
    • Practice expense RVU 7.17 changed to 8.48
    • Malpractice RVU 0.60 changed to 0.61
    • 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: $346.37

    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$404.40$183.18RVU26D
2026-07-01$404.40$183.18RVU26C
2026-04-01$404.40$183.18RVU26B
2026-01-01$404.40$183.18RVU26A
2025-10-01$346.37$182.95RVU25D
2025-07-01$346.37$182.95RVU25C
2025-04-01$346.37$182.95RVU25B
2025-01-01$346.37$182.95RVU25A

11770 billing questions

How does 11770 differ from 11771 or 11772?

Use 11770 for simple excision. The higher family codes describe more extensive or complicated excision; the operative findings and work performed should support the selected level.

Can 11770 be reported for draining a pilonidal abscess?

No. When the service is incision and drainage rather than excision, consider the pilonidal drainage codes 10080 or 10081, as appropriate to the procedure.

Are related postoperative visits separately billable?

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

Can modifier 50 be used for pilonidal excision?

No. CMS identifies bilateral adjustment as inappropriate for this code and its anatomy.

Can an assistant or co-surgeon be billed with 11770?

CMS does not pay an assistant at surgery for this code and does not permit co-surgeon or team-surgery billing.

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, while other procedures 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 11770PPRRVU2026_Oct_nonQPP.csv, line 1,372 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet