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CMS RVU26D · Effective 2026-10-01

11440 in Delaware

Office / nonfacility

$140.50

Base rate per service

Facility setting

$96.94

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 11440: Small benign facial lesion excision

Reports excision of a benign lesion on the face, ears, eyelids, nose, or lips when its diameter, including margins, is 0.5 cm or less.

This service removes a benign skin lesion from the face, ears, eyelids, nose, or lips, including the tissue margins needed for complete removal. Dermatologists, plastic surgeons, and other clinicians who perform skin procedures commonly remove small lesions such as benign facial growths in office or facility settings. The excised tissue may be sent for pathology. Simple closure is part of the excision service.

Choose the code using the lesion’s greatest diameter plus the margins removed, not the lesion alone; document the site, dimensions, benign diagnosis, and excision margins. Report separate lesions individually using the appropriate size and site code. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.

CMS billing rules for 11440

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 RVU1.02 · 24%
  • Practice expense (office) RVU3.12 · 73%
  • Malpractice RVU0.11 · 3%

20K

Medicare services in 2024 · #1149 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.

11440 compared with similar codes

Office rates for Delaware, from the same CMS release.

11441

Benign lesion excision

Face, 0.6 to 1 cm

$171.88

Both cover benign lesions in the same facial site group. Select 11441 when the lesion diameter plus margins exceeds 0.5 cm and falls within its size range.

11420

Benign lesion excision

Scalp, neck, hands, feet, genitalia

$123.66

This code covers the same small size level for a different site group, such as the scalp, hands, feet, or genitalia; 11440 is for the face, ears, eyelids, nose, or lips.

11400

Skin lesion excision

Trunk, arm, or leg; 0.5 cm or less

$126.56

This code is for small benign lesions on the trunk or extremities. Use 11440 for the specified facial and related sites.

11640

Lesion excision

Face, 0.5 cm or less

$200.31

The site and size range are similar, but 11640 is for excision of a malignant lesion; 11440 is for a benign lesion.

The same code, a different location

How does Delaware compare?

11440 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $140.50

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $161.19

    $20.69 higher than Delaware

  3. Dc + Md/Va Suburbs

    $162.76

    $22.26 higher than Delaware

  4. Miami

    $151.84

    $11.34 higher than Delaware

  5. Chicago

    $147.47

    $6.97 higher than Delaware

  6. Manhattan

    $163.17

    $22.67 higher than Delaware

  7. Alaska*

    $164.11

    $23.61 higher than Delaware

Other payment areas listed in Delaware 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, 11440 ranges from $125.48 in Arkansas to $190.06 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

  • Alabama

    Alabama · 11440

    Office

    $127.33

    Facility

    $88.75

    $13.17 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 11440

    Office

    $125.48

    Facility

    $87.61

    $15.02 lower than Delaware for the office setting.

  • Arizona

    Arizona · 11440

    Office

    $138.19

    Facility

    $95.47

    $2.31 lower than Delaware for the office setting.

  • Bakersfield

    California · 11440

    Office

    $151.17

    Facility

    $102.85

    $10.67 higher than Delaware for the office setting.

  • Chico

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • El Centro

    California · 11440

    Office

    $150.85

    Facility

    $102.53

    $10.35 higher than Delaware for the office setting.

  • Fresno

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Madera

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Merced

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Modesto

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Napa

    California · 11440

    Office

    $175.43

    Facility

    $117.32

    $34.93 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11440

    Office

    $160.49

    Facility

    $108.38

    $19.99 higher than Delaware for the office setting.

  • Redding

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Rest Of California

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11440

    Office

    $152.03

    Facility

    $103.71

    $11.53 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11440

    Office

    $158.46

    Facility

    $107.19

    $17.96 higher than Delaware for the office setting.

  • Salinas

    California · 11440

    Office

    $157.87

    Facility

    $106.78

    $17.37 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11440

    Office

    $161.72

    Facility

    $108.99

    $21.22 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11440

    Office

    $185.93

    Facility

    $123.76

    $45.43 higher than Delaware for the office setting.

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

    California · 11440

    Office

    $185.80

    Facility

    $123.64

    $45.30 higher than Delaware for the office setting.

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

    California · 11440

    Office

    $190.06

    Facility

    $126.48

    $49.56 higher than Delaware for the office setting.

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

    California · 11440

    Office

    $189.55

    Facility

    $125.97

    $49.05 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11440

    Office

    $155.31

    Facility

    $105.10

    $14.81 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 11440

    Office

    $163.37

    Facility

    $109.80

    $22.87 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 11440

    Office

    $158.50

    Facility

    $107.09

    $18.00 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 11440

    Office

    $165.03

    Facility

    $110.89

    $24.53 higher than Delaware for the office setting.

  • Stockton

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Vallejo

    California · 11440

    Office

    $175.25

    Facility

    $117.14

    $34.75 higher than Delaware for the office setting.

  • Visalia

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Yuba City

    California · 11440

    Office

    $150.83

    Facility

    $102.51

    $10.33 higher than Delaware for the office setting.

  • Colorado

    Colorado · 11440

    Office

    $148.23

    Facility

    $101.32

    $7.73 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 11440

    Office

    $151.43

    Facility

    $103.95

    $10.93 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 11440

    Office

    $146.28

    Facility

    $101.61

    $5.78 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 11440

    Office

    $139.22

    Facility

    $97.07

    $1.28 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 11440

    Office

    $144.46

    Facility

    $99.67

    $3.96 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 11440

    Office

    $131.40

    Facility

    $92.08

    $9.10 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 11440

    Office

    $154.68

    Facility

    $104.55

    $14.18 higher than Delaware for the office setting.

  • Iowa

    Iowa · 11440

    Office

    $130.88

    Facility

    $90.54

    $9.62 lower than Delaware for the office setting.

  • Idaho

    Idaho · 11440

    Office

    $131.68

    Facility

    $91.12

    $8.82 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 11440

    Office

    $137.34

    Facility

    $96.78

    $3.16 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 11440

    Office

    $134.96

    Facility

    $94.70

    $5.54 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 11440

    Office

    $147.84

    Facility

    $102.56

    $7.34 higher than Delaware for the office setting.

  • Indiana

    Indiana · 11440

    Office

    $132.46

    Facility

    $91.59

    $8.04 lower than Delaware for the office setting.

  • Kansas

    Kansas · 11440

    Office

    $130.13

    Facility

    $90.27

    $10.37 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 11440

    Office

    $130.07

    Facility

    $90.88

    $10.43 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 11440

    Office

    $136.31

    Facility

    $94.82

    $4.19 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 11440

    Office

    $129.82

    Facility

    $90.80

    $10.68 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 11440

    Office

    $163.16

    Facility

    $110.52

    $22.66 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11440

    Office

    $147.28

    Facility

    $100.85

    $6.78 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11440

    Office

    $150.98

    Facility

    $103.67

    $10.48 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 11440

    Office

    $143.24

    Facility

    $98.63

    $2.74 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 11440

    Office

    $132.23

    Facility

    $91.67

    $8.27 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 11440

    Office

    $139.66

    Facility

    $95.97

    $0.84 lower than Delaware for the office setting.

  • Detroit

    Michigan · 11440

    Office

    $140.83

    Facility

    $98.28

    $0.33 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 11440

    Office

    $133.36

    Facility

    $93.11

    $7.14 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 11440

    Office

    $142.39

    Facility

    $97.02

    $1.89 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 11440

    Office

    $135.51

    Facility

    $94.11

    $4.99 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 11440

    Office

    $136.96

    Facility

    $94.99

    $3.54 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 11440

    Office

    $127.48

    Facility

    $89.47

    $13.02 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 11440

    Office

    $126.51

    Facility

    $88.55

    $13.99 lower than Delaware for the office setting.

  • Montana**

    Montana · 11440

    Office

    $141.95

    Facility

    $97.86

    $1.45 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 11440

    Office

    $133.65

    Facility

    $92.51

    $6.85 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 11440

    Office

    $139.77

    Facility

    $95.68

    $0.73 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 11440

    Office

    $131.64

    Facility

    $90.95

    $8.86 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 11440

    Office

    $145.77

    Facility

    $99.87

    $5.27 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 11440

    Office

    $161.02

    Facility

    $109.88

    $20.52 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 11440

    Office

    $153.26

    Facility

    $105.11

    $12.76 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 11440

    Office

    $134.04

    Facility

    $93.61

    $6.46 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 11440

    Office

    $141.44

    Facility

    $97.31

    $0.94 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11440

    Office

    $166.98

    Facility

    $114.56

    $26.48 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11440

    Office

    $154.16

    Facility

    $105.88

    $13.66 higher than Delaware for the office setting.

  • Queens

    New York · 11440

    Office

    $164.72

    Facility

    $112.61

    $24.22 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 11440

    Office

    $135.65

    Facility

    $93.77

    $4.85 lower than Delaware for the office setting.

  • Ohio

    Ohio · 11440

    Office

    $132.92

    Facility

    $92.66

    $7.58 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 11440

    Office

    $129.98

    Facility

    $90.61

    $10.52 lower than Delaware for the office setting.

  • Portland

    Oregon · 11440

    Office

    $153.13

    Facility

    $104.14

    $12.63 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 11440

    Office

    $140.45

    Facility

    $96.53

    $0.05 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11440

    Office

    $147.55

    Facility

    $101.65

    $7.05 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11440

    Office

    $133.21

    Facility

    $92.73

    $7.29 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 11440

    Office

    $143.05

    Facility

    $98.47

    $2.55 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 11440

    Office

    $145.64

    Facility

    $100.10

    $5.14 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 11440

    Office

    $133.48

    Facility

    $92.74

    $7.02 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 11440

    Office

    $139.51

    Facility

    $95.43

    $0.99 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 11440

    Office

    $130.77

    Facility

    $90.69

    $9.73 lower than Delaware for the office setting.

  • Austin

    Texas · 11440

    Office

    $147.65

    Facility

    $101.00

    $7.15 higher than Delaware for the office setting.

  • Beaumont

    Texas · 11440

    Office

    $132.31

    Facility

    $92.19

    $8.19 lower than Delaware for the office setting.

  • Brazoria

    Texas · 11440

    Office

    $140.48

    Facility

    $96.79

    $0.02 lower than Delaware for the office setting.

  • Dallas

    Texas · 11440

    Office

    $141.32

    Facility

    $97.41

    $0.82 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 11440

    Office

    $140.33

    Facility

    $96.86

    $0.17 lower than Delaware for the office setting.

  • Galveston

    Texas · 11440

    Office

    $140.86

    Facility

    $97.08

    $0.36 higher than Delaware for the office setting.

  • Houston

    Texas · 11440

    Office

    $142.88

    Facility

    $99.10

    $2.38 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 11440

    Office

    $136.28

    Facility

    $94.44

    $4.22 lower than Delaware for the office setting.

  • Utah

    Utah · 11440

    Office

    $135.33

    Facility

    $93.88

    $5.17 lower than Delaware for the office setting.

  • Virginia

    Virginia · 11440

    Office

    $139.10

    Facility

    $95.76

    $1.40 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11440

    Office

    $143.05

    Facility

    $98.47

    $2.55 higher than Delaware for the office setting.

  • Vermont

    Vermont · 11440

    Office

    $139.10

    Facility

    $95.45

    $1.40 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 11440

    Office

    $147.04

    Facility

    $100.62

    $6.54 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 11440

    Office

    $166.64

    Facility

    $112.54

    $26.14 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 11440

    Office

    $135.03

    Facility

    $92.80

    $5.47 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 11440

    Office

    $129.89

    Facility

    $91.57

    $10.61 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 11440

    Office

    $141.00

    Facility

    $96.91

    $0.50 higher than Delaware for the office setting.

See how rates vary across the country

11440 · 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.

$125.48

$170.45

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$164.111
AL$127.331
AR$125.481
AZ$138.191
CA$150.83–$190.0629
CO$148.231
CT$151.431
DC$162.761
DE$140.501
FL$139.22–$151.843
GA$131.40–$144.462
GU$154.681
HI$154.681
IA$130.881
ID$131.681
IL$134.96–$147.844
IN$132.461
KS$130.131
KY$130.071
LA$129.82–$136.312
MA$147.28–$163.162
MD$143.24–$162.763
ME$132.23–$139.662
MI$133.36–$140.832
MN$142.391
MO$127.48–$136.963
MS$126.511
MT$141.951
NC$133.651
ND$139.771
NE$131.641
NH$145.771
NJ$153.26–$161.022
NM$134.041
NV$141.441
NY$135.65–$166.985
OH$132.921
OK$129.981
OR$140.45–$153.132
PA$133.21–$147.552
PR$143.051
RI$145.641
SC$133.481
SD$139.511
TN$130.771
TX$132.31–$147.658
UT$135.331
VA$139.10–$162.762
VI$143.051
VT$139.101
WA$147.04–$166.642
WI$135.031
WV$129.891
WY$141.001

Explore 11440 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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 Delaware →

Why are the office and facility amounts different?

For 11440 in Delaware, the physician’s office rate is $140.50 and the facility-setting rate is $96.94: a difference of $43.56.

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 11440 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$154.55

$140.50 × 110% = $154.55

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 11440 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,321

Code
11440
Physician work
1.02
Practice expense
3.12
Malpractice
0.11

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 11440 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.02× 1.0051.0251
Practice expense3.12× 0.9883.0826
Malpractice0.11× 0.8990.0989
Total RVUs4.2066
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$140.50

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

Open 11440 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.021.005
Practice expense3.120.988
Malpractice0.110.899

(1.02 × 1.005 + 3.12 × 0.988 + 0.11 × 0.899) × $33.4009 = $140.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.021.005
Practice expense1.80.988
Malpractice0.110.899

(1.02 × 1.005 + 1.8 × 0.988 + 0.11 × 0.899) × $33.4009 = $96.94

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

11440 · Office / nonfacility

$140.50

Effective 2026-10-01

The base rate is $3.07 higher than on 2025-10-01, moving from $137.43 to $140.50 (2.2%).

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

    $137.43changed to$140.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.05 changed to 1.02
    • Practice expense RVU 3.10 changed to 3.12
    • Malpractice RVU 0.12 changed to 0.11
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $137.43

    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$140.50$96.94RVU26D
2026-07-01$140.50$96.94RVU26C
2026-04-01$140.50$96.94RVU26B
2026-01-01$140.50$96.94RVU26A
2025-10-01$137.43$105.02RVU25D
2025-07-01$137.43$105.02RVU25C
2025-04-01$137.43$105.02RVU25B
2025-01-01$137.43$105.02RVU25A

11440 billing questions

How is the size level selected?

Use the greatest diameter of the lesion plus the margins removed. The combined measurement must be 0.5 cm or less for this code.

Can this code be used for a lesion on the trunk?

No. This code is for lesions on the face, ears, eyelids, nose, or lips. A benign lesion on the trunk or extremities falls in a different site group.

Is simple closure separately reported?

Simple closure is included in the excision service. A more involved repair may be separately reportable when supported by the work performed and applicable coding requirements.

Should modifier 50 be used for lesions on both sides of the face?

No. CMS identifies bilateral adjustment as inappropriate for this code. Report each distinct lesion using the code that matches its site and excised diameter.

Are postoperative visits included?

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

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery 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.

RVUs for 11440PPRRVU2026_Oct_nonQPP.csv, line 1,321 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet