Both codes cover the scalp, neck, hands, feet, and genitalia. Choose 11624 for an excised diameter of 3.1 to 4 cm; 11626 is for greater than 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11626 in Chico
Office / nonfacility
$433.36
Base rate per service
Facility setting
$252.52
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.
Dermatology procedure
About 11626: Malignant skin lesion excision, over 4 cm
Excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia, with margins producing an excised diameter greater than 4 cm.
This service removes a malignant skin lesion through the dermis, including the margins needed for excision. The site must be the scalp, neck, hand, foot, or genitalia, and the excised diameter must exceed 4 cm. Dermatologists, plastic surgeons, and other clinicians performing skin surgery commonly provide it in office or outpatient settings. Simple closure is included; intermediate or complex repair may be separately reported when performed and documented. The excised tissue is typically submitted for pathologic examination.
Choose the code by the anatomic site and the greatest excised diameter, measured as the lesion plus the margins removed. Document the lesion, site, measurements, margins, and procedure. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and reduces the others. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11626
- 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 RVU4.49 · 36%
- Practice expense (office) RVU7.30 · 58%
- Malpractice RVU0.76 · 6%
7.2K
Medicare services in 2024 · #1641 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.
11626 compared with similar codes
Office rates for Chico, from the same CMS release.
This code covers malignant lesions over 4 cm on the trunk, arms, or legs. Code 11626 is for the scalp, neck, hands, feet, or genitalia.
This code covers malignant lesions over 4 cm on the face, ears, eyelids, nose, or lips. Code 11626 covers the scalp, neck, hands, feet, or genitalia.
The same code, a different location
How does Chico compare?
In Bakersfield, the office rate for 11626 is $435.51—$2.15 higher than the $433.36 rate in Chico. Both use the same code, release and participation basis.
11626 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
$433.36
$435.51
$2.15 higher than Chico
$433.49
$0.13 higher than Chico
$433.36
The same base rate than Chico
$433.36
The same base rate than Chico
$28.06 higher than Chico
$433.36
The same base rate than Chico
Other payment areas listed in California 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, 11626 ranges from $372.49 in Arkansas to $531.67 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
Merced
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Modesto
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Napa
California · 11626
Office
$493.68
Facility
$276.21
$60.32 higher than Chico for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 11626
Office
$458.19
Facility
$263.16
$24.83 higher than Chico for the office setting.
Redding
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Rest Of California
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Riverside-San Bernardino-Ontario
California · 11626
Office
$441.56
Facility
$260.72
$8.20 higher than Chico for the office setting.
Sacramento-Roseville-Folsom
California · 11626
Office
$452.55
Facility
$260.65
$19.19 higher than Chico for the office setting.
Salinas
California · 11626
Office
$450.82
Facility
$259.58
$17.46 higher than Chico for the office setting.
San Diego-Chula Vista-Carlsbad
California · 11626
Office
$459.84
Facility
$262.50
$26.48 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 11626
Office
$519.66
Facility
$287.01
$86.30 higher than Chico for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 11626
Office
$518.80
Facility
$286.15
$85.44 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 11626
Office
$531.67
Facility
$293.74
$98.31 higher than Chico for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 11626
Office
$528.14
Facility
$290.21
$94.78 higher than Chico for the office setting.
San Luis Obispo-Paso Robles
California · 11626
Office
$443.84
Facility
$255.91
$10.48 higher than Chico for the office setting.
Santa Cruz-Watsonville
California · 11626
Office
$462.97
Facility
$262.50
$29.61 higher than Chico for the office setting.
Santa Maria-Santa Barbara
California · 11626
Office
$452.08
Facility
$259.69
$18.72 higher than Chico for the office setting.
Santa Rosa-Petaluma
California · 11626
Office
$467.49
Facility
$264.87
$34.13 higher than Chico for the office setting.
Stockton
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Vallejo
California · 11626
Office
$492.43
Facility
$274.96
$59.07 higher than Chico for the office setting.
Visalia
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Yuba City
California · 11626
Office
$433.36
Facility
$252.52
The same base rate than Chico for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 11626
Office
$473.55
Facility
$279.18
$40.19 higher than Chico for the office setting.
Miami
Florida · 11626
Office
$467.99
Facility
$296.23
$34.63 higher than Chico for the office setting.
Chicago
Illinois · 11626
Office
$454.32
Facility
$288.50
$20.96 higher than Chico for the office setting.
Manhattan
New York · 11626
Office
$483.15
Facility
$291.42
$49.79 higher than Chico for the office setting.
Alaska*
Alaska · 11626
Office
$498.62
Facility
$322.89
$65.26 higher than Chico for the office setting.
Alabama
Alabama · 11626
Office
$377.69
Facility
$233.31
$55.67 lower than Chico for the office setting.
Arkansas
Arkansas · 11626
Office
$372.49
Facility
$230.75
$60.87 lower than Chico for the office setting.
Arizona
Arizona · 11626
Office
$407.97
Facility
$248.08
$25.39 lower than Chico for the office setting.
Colorado
Colorado · 11626
Office
$431.03
Facility
$255.47
$2.33 lower than Chico for the office setting.
Connecticut
Connecticut · 11626
Office
$446.29
Facility
$268.58
$12.93 higher than Chico for the office setting.
Delaware
Delaware · 11626
Office
$414.44
Facility
$251.42
$18.92 lower than Chico for the office setting.
Fort Lauderdale
Florida · 11626
Office
$442.86
Facility
$275.72
$9.50 higher than Chico for the office setting.
Rest Of Florida
Florida · 11626
Office
$421.22
Facility
$263.48
$12.14 lower than Chico for the office setting.
Atlanta
Georgia · 11626
Office
$428.63
Facility
$260.99
$4.73 lower than Chico for the office setting.
Rest Of Georgia
Georgia · 11626
Office
$397.72
Facility
$250.54
$35.64 lower than Chico for the office setting.
Hawaii, Guam
Hawaii · 11626
Office
$441.90
Facility
$254.29
$8.54 higher than Chico for the office setting.
Iowa
Iowa · 11626
Office
$383.15
Facility
$232.17
$50.21 lower than Chico for the office setting.
Idaho
Idaho · 11626
Office
$386.30
Facility
$234.50
$47.06 lower than Chico for the office setting.
East St. Louis
Illinois · 11626
Office
$425.42
Facility
$273.61
$7.94 lower than Chico for the office setting.
Rest Of Illinois
Illinois · 11626
Office
$412.26
Facility
$261.61
$21.10 lower than Chico for the office setting.
Suburban Chicago
Illinois · 11626
Office
$446.41
Facility
$276.96
$13.05 higher than Chico for the office setting.
Indiana
Indiana · 11626
Office
$388.33
Facility
$235.38
$45.03 lower than Chico for the office setting.
Kansas
Kansas · 11626
Office
$383.18
Facility
$234.02
$50.18 lower than Chico for the office setting.
Kentucky
Kentucky · 11626
Office
$389.96
Facility
$243.27
$43.40 lower than Chico for the office setting.
New Orleans
Louisiana · 11626
Office
$408.25
Facility
$252.98
$25.11 lower than Chico for the office setting.
Rest Of Louisiana
Louisiana · 11626
Office
$390.08
Facility
$244.05
$43.28 lower than Chico for the office setting.
Metropolitan Boston
Massachusetts · 11626
Office
$469.84
Facility
$272.83
$36.48 higher than Chico for the office setting.
Rest Of Massachusetts
Massachusetts · 11626
Office
$429.35
Facility
$255.61
$4.01 lower than Chico for the office setting.
Baltimore/Surr. Cntys
Maryland · 11626
Office
$445.40
Facility
$268.35
$12.04 higher than Chico for the office setting.
Rest Of Maryland
Maryland · 11626
Office
$421.53
Facility
$254.54
$11.83 lower than Chico for the office setting.
Rest Of Maine
Maine · 11626
Office
$390.08
Facility
$238.28
$43.28 lower than Chico for the office setting.
Southern Maine
Maine · 11626
Office
$407.62
Facility
$244.10
$25.74 lower than Chico for the office setting.
Detroit
Michigan · 11626
Office
$428.06
Facility
$268.84
$5.30 lower than Chico for the office setting.
Rest Of Michigan
Michigan · 11626
Office
$401.24
Facility
$250.60
$32.12 lower than Chico for the office setting.
Minnesota
Minnesota · 11626
Office
$408.38
Facility
$238.60
$24.98 lower than Chico for the office setting.
Metropolitan Kansas City
Missouri · 11626
Office
$403.72
Facility
$248.79
$29.64 lower than Chico for the office setting.
Metropolitan St. Louis
Missouri · 11626
Office
$407.53
Facility
$250.45
$25.83 lower than Chico for the office setting.
Rest Of Missouri
Missouri · 11626
Office
$384.87
Facility
$242.64
$48.49 lower than Chico for the office setting.
Mississippi
Mississippi · 11626
Office
$378.66
Facility
$236.60
$54.70 lower than Chico for the office setting.
Montana**
Montana · 11626
Office
$419.13
Facility
$254.13
$14.23 lower than Chico for the office setting.
North Carolina
North Carolina · 11626
Office
$393.68
Facility
$239.74
$39.68 lower than Chico for the office setting.
North Dakota**
North Dakota · 11626
Office
$404.10
Facility
$239.10
$29.26 lower than Chico for the office setting.
Nebraska
Nebraska · 11626
Office
$384.62
Facility
$232.32
$48.74 lower than Chico for the office setting.
New Hampshire
New Hampshire · 11626
Office
$426.01
Facility
$254.24
$7.35 lower than Chico for the office setting.
Northern Nj
New Jersey · 11626
Office
$469.37
Facility
$277.97
$36.01 higher than Chico for the office setting.
Rest Of New Jersey
New Jersey · 11626
Office
$450.07
Facility
$269.89
$16.71 higher than Chico for the office setting.
New Mexico
New Mexico · 11626
Office
$404.05
Facility
$252.74
$29.31 lower than Chico for the office setting.
Nevada**
Nevada · 11626
Office
$415.19
Facility
$250.02
$18.17 lower than Chico for the office setting.
Nyc Suburbs/Long Island
New York · 11626
Office
$496.62
Facility
$300.43
$63.26 higher than Chico for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 11626
Office
$454.42
Facility
$273.75
$21.06 higher than Chico for the office setting.
Queens
New York · 11626
Office
$484.38
Facility
$289.35
$51.02 higher than Chico for the office setting.
Rest Of New York
New York · 11626
Office
$399.45
Facility
$242.70
$33.91 lower than Chico for the office setting.
Ohio
Ohio · 11626
Office
$398.17
Facility
$247.53
$35.19 lower than Chico for the office setting.
Oklahoma
Oklahoma · 11626
Office
$387.43
Facility
$240.09
$45.93 lower than Chico for the office setting.
Portland
Oregon · 11626
Office
$442.15
Facility
$258.83
$8.79 higher than Chico for the office setting.
Rest Of Oregon
Oregon · 11626
Office
$410.67
Facility
$246.33
$22.69 lower than Chico for the office setting.
Metropolitan Philadelphia
Pennsylvania · 11626
Office
$436.78
Facility
$265.01
$3.42 higher than Chico for the office setting.
Rest Of Pennsylvania
Pennsylvania · 11626
Office
$397.79
Facility
$246.32
$35.57 lower than Chico for the office setting.
Puerto Rico
Puerto Rico · 11626
Office
$421.48
Facility
$254.67
$11.88 lower than Chico for the office setting.
Rhode Island
Rhode Island · 11626
Office
$427.34
Facility
$256.89
$6.02 lower than Chico for the office setting.
South Carolina
South Carolina · 11626
Office
$396.84
Facility
$244.38
$36.52 lower than Chico for the office setting.
South Dakota**
South Dakota · 11626
Office
$402.33
Facility
$237.33
$31.03 lower than Chico for the office setting.
Tennessee
Tennessee · 11626
Office
$385.24
Facility
$235.25
$48.12 lower than Chico for the office setting.
Austin
Texas · 11626
Office
$430.73
Facility
$256.16
$2.63 lower than Chico for the office setting.
Beaumont
Texas · 11626
Office
$395.43
Facility
$245.28
$37.93 lower than Chico for the office setting.
Brazoria
Texas · 11626
Office
$412.60
Facility
$249.09
$20.76 lower than Chico for the office setting.
Dallas
Texas · 11626
Office
$415.95
Facility
$251.61
$17.41 lower than Chico for the office setting.
Fort Worth
Texas · 11626
Office
$413.84
Facility
$251.15
$19.52 lower than Chico for the office setting.
Galveston
Texas · 11626
Office
$414.31
Facility
$250.46
$19.05 lower than Chico for the office setting.
Houston
Texas · 11626
Office
$428.22
Facility
$264.37
$5.14 lower than Chico for the office setting.
Rest Of Texas
Texas · 11626
Office
$404.28
Facility
$247.70
$29.08 lower than Chico for the office setting.
Utah
Utah · 11626
Office
$401.96
Facility
$246.86
$31.40 lower than Chico for the office setting.
Virginia
Virginia · 11626
Office
$407.57
Facility
$245.38
$25.79 lower than Chico for the office setting.
Virgin Islands
United States Virgin Islands · 11626
Office
$421.48
Facility
$254.67
$11.88 lower than Chico for the office setting.
Vermont
Vermont · 11626
Office
$404.20
Facility
$240.85
$29.16 lower than Chico for the office setting.
Rest Of Washington
Washington · 11626
Office
$427.99
Facility
$254.24
$5.37 lower than Chico for the office setting.
Seattle (King Cnty)
Washington · 11626
Office
$477.38
Facility
$274.93
$44.02 higher than Chico for the office setting.
Wisconsin
Wisconsin · 11626
Office
$391.37
Facility
$233.30
$41.99 lower than Chico for the office setting.
West Virginia
West Virginia · 11626
Office
$398.18
Facility
$254.80
$35.18 lower than Chico for the office setting.
Wyoming**
Wyoming · 11626
Office
$412.58
Facility
$247.58
$20.78 lower than Chico for the office setting.
See how rates vary across the country
11626 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$372.49
$498.62
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $498.62 | 1 |
| AL | $377.69 | 1 |
| AR | $372.49 | 1 |
| AZ | $407.97 | 1 |
| CA | $433.36–$531.67 | 29 |
| CO | $431.03 | 1 |
| CT | $446.29 | 1 |
| DC | $473.55 | 1 |
| DE | $414.44 | 1 |
| FL | $421.22–$467.99 | 3 |
| GA | $397.72–$428.63 | 2 |
| GU | $441.90 | 1 |
| HI | $441.90 | 1 |
| IA | $383.15 | 1 |
| ID | $386.30 | 1 |
| IL | $412.26–$454.32 | 4 |
| IN | $388.33 | 1 |
| KS | $383.18 | 1 |
| KY | $389.96 | 1 |
| LA | $390.08–$408.25 | 2 |
| MA | $429.35–$469.84 | 2 |
| MD | $421.53–$473.55 | 3 |
| ME | $390.08–$407.62 | 2 |
| MI | $401.24–$428.06 | 2 |
| MN | $408.38 | 1 |
| MO | $384.87–$407.53 | 3 |
| MS | $378.66 | 1 |
| MT | $419.13 | 1 |
| NC | $393.68 | 1 |
| ND | $404.10 | 1 |
| NE | $384.62 | 1 |
| NH | $426.01 | 1 |
| NJ | $450.07–$469.37 | 2 |
| NM | $404.05 | 1 |
| NV | $415.19 | 1 |
| NY | $399.45–$496.62 | 5 |
| OH | $398.17 | 1 |
| OK | $387.43 | 1 |
| OR | $410.67–$442.15 | 2 |
| PA | $397.79–$436.78 | 2 |
| PR | $421.48 | 1 |
| RI | $427.34 | 1 |
| SC | $396.84 | 1 |
| SD | $402.33 | 1 |
| TN | $385.24 | 1 |
| TX | $395.43–$430.73 | 8 |
| UT | $401.96 | 1 |
| VA | $407.57–$473.55 | 2 |
| VI | $421.48 | 1 |
| VT | $404.20 | 1 |
| WA | $427.99–$477.38 | 2 |
| WI | $391.37 | 1 |
| WV | $398.18 | 1 |
| WY | $412.58 | 1 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Why are the office and facility amounts different?
For 11626 in Chico, the physician’s office rate is $433.36 and the facility-setting rate is $252.52: a difference of $180.84.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 11626 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$476.70
$433.36 × 110% = $476.70
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.
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 11626 in Chico.
PPRRVU2026_Oct_nonQPP.csv
1,352
- Code
- 11626
- Physician work
- 4.49
- Practice expense
- 7.30
- Malpractice
- 0.76
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.49 | × 1.017 | 4.5663 |
| Practice expense | 7.30 | × 1.096 | 8.0008 |
| Malpractice | 0.76 | × 0.536 | 0.4074 |
| Total RVUs | 12.9745 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chico$433.36
Open 11626 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.49 | 1.017 |
| Practice expense | 7.3 | 1.096 |
| Malpractice | 0.76 | 0.536 |
(4.49 × 1.017 + 7.3 × 1.096 + 0.76 × 0.536) × $33.4009 = $433.36
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.49 | 1.017 |
| Practice expense | 2.36 | 1.096 |
| Malpractice | 0.76 | 0.536 |
(4.49 × 1.017 + 2.36 × 1.096 + 0.76 × 0.536) × $33.4009 = $252.52
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
11626 · Office / nonfacility
$433.36
Effective 2026-10-01
The base rate is $26.73 higher than on 2025-10-01, moving from $406.63 to $433.36 (6.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$406.63changed to$433.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.61 changed to 4.49
- Practice expense RVU 6.83 changed to 7.30
- Malpractice RVU 0.77 changed to 0.76
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $406.63
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
11626 billing questions
How is the greater-than-4-cm size determined?
Use the excised diameter, including the margins removed, rather than the lesion diameter alone. The measurement must be greater than 4 cm.
When is 11624 more appropriate?
Use 11624 for the same site group when the excised diameter is 3.1 to 4 cm. Code 11626 requires a diameter greater than 4 cm.
Is simple closure separately billable?
Simple closure is included in the excision service. A separately performed intermediate or complex repair may be reported when supported by the operative documentation.
Should modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the excision according to the documented lesion, site, and size.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.
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.
