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CMS RVU26D · Effective 2026-10-01

11600 in Delaware

Office / nonfacility

$196.30

Base rate per service

Facility setting

$107.53

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 11600: Small malignant lesion excision, trunk or extremity

Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and required margins have an excised diameter of 0.5 cm or less.

This code describes removal of a malignant skin lesion from the trunk, an arm, or a leg, with margins included in the measured excision. Dermatologists, surgeons, and other qualified clinicians may perform it in an office procedure room or a facility. The size category is based on the lesion’s greatest clinical diameter plus the margins taken, not just the visible lesion. Typical cases include excision of a small malignant lesion on the back, torso, or extremity.

Report the code when the excised diameter is 0.5 cm or less and the site falls within this anatomic group. Documentation should identify the site, lesion dimensions, margins or excised diameter, and clinical or pathology support for malignancy. Simple closure is included; a separately documented intermediate or complex repair may be reported under its repair code. The procedure has a 10-day global period, including related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 11600

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 RVU1.59 · 27%
  • Practice expense (office) RVU4.14 · 70%
  • Malpractice RVU0.21 · 4%

2.6K

Medicare services in 2024 · #2278 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.

11600 compared with similar codes

Office rates for Delaware, from the same CMS release.

11601

Malignant skin excision

Trunk, arms, or legs; 0.6–1 cm

$224.83

Both codes cover malignant lesions on the trunk, arms, or legs. Choose 11601 when the lesion plus margins measures 0.6–1 cm rather than 0.5 cm or less.

11620

Skin excision

Scalp, neck, hands, feet, genitalia

$196.63

The size category is similar, but 11620 applies to the scalp, neck, hands, feet, or genitalia rather than the trunk, arms, or legs.

11640

Lesion excision

Face, 0.5 cm or less

$200.31

This code is for the face, ears, eyelids, nose, and lips. Use 11600 for the trunk, arms, or legs.

11400

Skin lesion excision

Trunk, arm, or leg; 0.5 cm or less

$126.56

11400 is for excision of a benign lesion on the trunk, arms, or legs in the same small size range; 11600 is for a malignant lesion.

The same code, a different location

How does Delaware compare?

11600 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $196.30

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

    $223.53

    $27.23 higher than Delaware

  3. Dc + Md/Va Suburbs

    $226.68

    $30.38 higher than Delaware

  4. Miami

    $214.80

    $18.50 higher than Delaware

  5. Chicago

    $208.55

    $12.25 higher than Delaware

  6. Manhattan

    $228.31

    $32.01 higher than Delaware

  7. Alaska*

    $230.79

    $34.49 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, 11600 ranges from $175.50 in Arkansas to $262.11 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 · 11600

    Office

    $178.07

    Facility

    $99.45

    $18.23 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 11600

    Office

    $175.50

    Facility

    $98.32

    $20.80 lower than Delaware for the office setting.

  • Arizona

    Arizona · 11600

    Office

    $193.10

    Facility

    $106.04

    $3.20 lower than Delaware for the office setting.

  • Bakersfield

    California · 11600

    Office

    $209.94

    Facility

    $111.47

    $13.64 higher than Delaware for the office setting.

  • Chico

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • El Centro

    California · 11600

    Office

    $209.36

    Facility

    $110.89

    $13.06 higher than Delaware for the office setting.

  • Fresno

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Madera

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Merced

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Modesto

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Napa

    California · 11600

    Office

    $242.27

    Facility

    $123.85

    $45.97 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11600

    Office

    $222.41

    Facility

    $116.21

    $26.11 higher than Delaware for the office setting.

  • Redding

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Rest Of California

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11600

    Office

    $211.60

    Facility

    $113.13

    $15.30 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11600

    Office

    $219.60

    Facility

    $115.10

    $23.30 higher than Delaware for the office setting.

  • Salinas

    California · 11600

    Office

    $218.78

    Facility

    $114.65

    $22.48 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11600

    Office

    $223.88

    Facility

    $116.43

    $27.58 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11600

    Office

    $256.35

    Facility

    $129.66

    $60.05 higher than Delaware for the office setting.

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

    California · 11600

    Office

    $256.11

    Facility

    $129.42

    $59.81 higher than Delaware for the office setting.

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

    California · 11600

    Office

    $262.11

    Facility

    $132.55

    $65.81 higher than Delaware for the office setting.

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

    California · 11600

    Office

    $261.13

    Facility

    $131.57

    $64.83 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11600

    Office

    $215.27

    Facility

    $112.93

    $18.97 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 11600

    Office

    $225.99

    Facility

    $116.83

    $29.69 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 11600

    Office

    $219.59

    Facility

    $114.82

    $23.29 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 11600

    Office

    $228.27

    Facility

    $117.93

    $31.97 higher than Delaware for the office setting.

  • Stockton

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Vallejo

    California · 11600

    Office

    $241.93

    Facility

    $123.51

    $45.63 higher than Delaware for the office setting.

  • Visalia

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Yuba City

    California · 11600

    Office

    $209.32

    Facility

    $110.85

    $13.02 higher than Delaware for the office setting.

  • Colorado

    Colorado · 11600

    Office

    $206.35

    Facility

    $110.75

    $10.05 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 11600

    Office

    $211.58

    Facility

    $114.82

    $15.28 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 11600

    Office

    $205.87

    Facility

    $114.85

    $9.57 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 11600

    Office

    $195.85

    Facility

    $109.95

    $0.45 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 11600

    Office

    $202.18

    Facility

    $110.90

    $5.88 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 11600

    Office

    $184.81

    Facility

    $104.67

    $11.49 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 11600

    Office

    $214.39

    Facility

    $112.24

    $18.09 higher than Delaware for the office setting.

  • Iowa

    Iowa · 11600

    Office

    $182.42

    Facility

    $100.21

    $13.88 lower than Delaware for the office setting.

  • Idaho

    Idaho · 11600

    Office

    $183.64

    Facility

    $100.98

    $12.66 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 11600

    Office

    $194.45

    Facility

    $111.79

    $1.85 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 11600

    Office

    $190.32

    Facility

    $108.29

    $5.98 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 11600

    Office

    $207.92

    Facility

    $115.65

    $11.62 higher than Delaware for the office setting.

  • Indiana

    Indiana · 11600

    Office

    $184.70

    Facility

    $101.41

    $11.60 lower than Delaware for the office setting.

  • Kansas

    Kansas · 11600

    Office

    $181.65

    Facility

    $100.42

    $14.65 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 11600

    Office

    $182.46

    Facility

    $102.58

    $13.84 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 11600

    Office

    $191.20

    Facility

    $106.65

    $5.10 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 11600

    Office

    $182.20

    Facility

    $102.69

    $14.10 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 11600

    Office

    $226.63

    Facility

    $119.35

    $30.33 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11600

    Office

    $205.16

    Facility

    $110.55

    $8.86 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11600

    Office

    $211.01

    Facility

    $114.60

    $14.71 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 11600

    Office

    $200.02

    Facility

    $109.09

    $3.72 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 11600

    Office

    $184.69

    Facility

    $102.03

    $11.61 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 11600

    Office

    $194.57

    Facility

    $105.53

    $1.73 lower than Delaware for the office setting.

  • Detroit

    Michigan · 11600

    Office

    $198.37

    Facility

    $111.67

    $2.07 higher than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 11600

    Office

    $187.28

    Facility

    $105.24

    $9.02 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 11600

    Office

    $197.47

    Facility

    $105.02

    $1.17 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 11600

    Office

    $189.80

    Facility

    $105.44

    $6.50 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 11600

    Office

    $191.78

    Facility

    $106.24

    $4.52 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 11600

    Office

    $179.14

    Facility

    $101.69

    $17.16 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 11600

    Office

    $177.35

    Facility

    $99.99

    $18.95 lower than Delaware for the office setting.

  • Montana**

    Montana · 11600

    Office

    $198.39

    Facility

    $108.54

    $2.09 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 11600

    Office

    $186.60

    Facility

    $102.78

    $9.70 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 11600

    Office

    $194.23

    Facility

    $104.39

    $2.07 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 11600

    Office

    $183.39

    Facility

    $100.46

    $12.91 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 11600

    Office

    $203.19

    Facility

    $109.66

    $6.89 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 11600

    Office

    $224.35

    Facility

    $120.12

    $28.05 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 11600

    Office

    $213.93

    Facility

    $115.81

    $17.63 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 11600

    Office

    $188.33

    Facility

    $105.94

    $7.97 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 11600

    Office

    $197.37

    Facility

    $107.43

    $1.07 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11600

    Office

    $233.95

    Facility

    $127.12

    $37.65 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11600

    Office

    $215.40

    Facility

    $117.02

    $19.10 higher than Delaware for the office setting.

  • Queens

    New York · 11600

    Office

    $230.07

    Facility

    $123.87

    $33.77 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 11600

    Office

    $189.40

    Facility

    $104.05

    $6.90 lower than Delaware for the office setting.

  • Ohio

    Ohio · 11600

    Office

    $186.43

    Facility

    $104.40

    $9.87 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 11600

    Office

    $182.04

    Facility

    $101.81

    $14.26 lower than Delaware for the office setting.

  • Portland

    Oregon · 11600

    Office

    $212.80

    Facility

    $112.98

    $16.50 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 11600

    Office

    $195.77

    Facility

    $106.28

    $0.53 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11600

    Office

    $206.38

    Facility

    $112.85

    $10.08 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11600

    Office

    $186.68

    Facility

    $104.20

    $9.62 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 11600

    Office

    $199.82

    Facility

    $108.98

    $3.52 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 11600

    Office

    $203.22

    Facility

    $110.40

    $6.92 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 11600

    Office

    $186.84

    Facility

    $103.82

    $9.46 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 11600

    Office

    $193.74

    Facility

    $103.90

    $2.56 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 11600

    Office

    $182.57

    Facility

    $100.90

    $13.73 lower than Delaware for the office setting.

  • Austin

    Texas · 11600

    Office

    $205.73

    Facility

    $110.67

    $9.43 higher than Delaware for the office setting.

  • Beaumont

    Texas · 11600

    Office

    $185.46

    Facility

    $103.70

    $10.84 lower than Delaware for the office setting.

  • Brazoria

    Texas · 11600

    Office

    $196.04

    Facility

    $107.00

    $0.26 lower than Delaware for the office setting.

  • Dallas

    Texas · 11600

    Office

    $197.33

    Facility

    $107.84

    $1.03 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 11600

    Office

    $196.04

    Facility

    $107.45

    $0.26 lower than Delaware for the office setting.

  • Galveston

    Texas · 11600

    Office

    $196.65

    Facility

    $107.43

    $0.35 higher than Delaware for the office setting.

  • Houston

    Texas · 11600

    Office

    $200.50

    Facility

    $111.28

    $4.20 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 11600

    Office

    $190.67

    Facility

    $105.40

    $5.63 lower than Delaware for the office setting.

  • Utah

    Utah · 11600

    Office

    $189.39

    Facility

    $104.93

    $6.91 lower than Delaware for the office setting.

  • Virginia

    Virginia · 11600

    Office

    $193.99

    Facility

    $105.67

    $2.31 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11600

    Office

    $199.82

    Facility

    $108.98

    $3.52 higher than Delaware for the office setting.

  • Vermont

    Vermont · 11600

    Office

    $193.55

    Facility

    $104.60

    $2.75 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 11600

    Office

    $204.74

    Facility

    $110.13

    $8.44 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 11600

    Office

    $231.16

    Facility

    $120.92

    $34.86 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 11600

    Office

    $187.74

    Facility

    $101.66

    $8.56 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 11600

    Office

    $183.31

    Facility

    $105.23

    $12.99 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 11600

    Office

    $196.58

    Facility

    $106.73

    $0.28 higher than Delaware for the office setting.

See how rates vary across the country

11600 · 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.

$175.50

$235.72

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$230.791
AL$178.071
AR$175.501
AZ$193.101
CA$209.32–$262.1129
CO$206.351
CT$211.581
DC$226.681
DE$196.301
FL$195.85–$214.803
GA$184.81–$202.182
GU$214.391
HI$214.391
IA$182.421
ID$183.641
IL$190.32–$208.554
IN$184.701
KS$181.651
KY$182.461
LA$182.20–$191.202
MA$205.16–$226.632
MD$200.02–$226.683
ME$184.69–$194.572
MI$187.28–$198.372
MN$197.471
MO$179.14–$191.783
MS$177.351
MT$198.391
NC$186.601
ND$194.231
NE$183.391
NH$203.191
NJ$213.93–$224.352
NM$188.331
NV$197.371
NY$189.40–$233.955
OH$186.431
OK$182.041
OR$195.77–$212.802
PA$186.68–$206.382
PR$199.821
RI$203.221
SC$186.841
SD$193.741
TN$182.571
TX$185.46–$205.738
UT$189.391
VA$193.99–$226.682
VI$199.821
VT$193.551
WA$204.74–$231.162
WI$187.741
WV$183.311
WY$196.581

Explore 11600 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 11600 in Delaware, the physician’s office rate is $196.30 and the facility-setting rate is $107.53: a difference of $88.77.

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 11600 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$215.93

$196.30 × 110% = $215.93

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 11600 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

1,340

Code
11600
Physician work
1.59
Practice expense
4.14
Malpractice
0.21

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 11600 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.59× 1.0051.5979
Practice expense4.14× 0.9884.0903
Malpractice0.21× 0.8990.1888
Total RVUs5.8771
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$196.30

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

Open 11600 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.591.005
Practice expense4.140.988
Malpractice0.210.899

(1.59 × 1.005 + 4.14 × 0.988 + 0.21 × 0.899) × $33.4009 = $196.30

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.591.005
Practice expense1.450.988
Malpractice0.210.899

(1.59 × 1.005 + 1.45 × 0.988 + 0.21 × 0.899) × $33.4009 = $107.53

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

11600 · Office / nonfacility

$196.30

Effective 2026-10-01

The base rate is $6.06 higher than on 2025-10-01, moving from $190.24 to $196.30 (3.2%).

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

    $190.24changed to$196.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.63 changed to 1.59
    • Practice expense RVU 4.07 changed to 4.14
    • 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: $190.24

    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$196.30$107.53RVU26D
2026-07-01$196.30$107.53RVU26C
2026-04-01$196.30$107.53RVU26B
2026-01-01$196.30$107.53RVU26A
2025-10-01$190.24$119.01RVU25D
2025-07-01$190.24$119.01RVU25C
2025-04-01$190.24$119.01RVU25B
2025-01-01$190.24$119.01RVU25A

11600 billing questions

How do I distinguish this code from 11601?

Use 11600 when the lesion plus required margins measures 0.5 cm or less. Code 11601 begins at an excised diameter of 0.6 cm.

Does the measurement include the margins?

Yes. Select the size category using the lesion’s greatest clinical diameter plus the margins removed, rather than the lesion alone.

Can I bill separately for closing the excision?

Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when the repair service meets its code requirements.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code. The CMS bilateral adjustment does not apply.

Are assistant or co-surgeon services payable?

Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.

Are related postoperative visits included?

Yes. The 10-day global period includes related postoperative visits during those 10 days.

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 11600PPRRVU2026_Oct_nonQPP.csv, line 1,340 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet