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CMS RVU26D · Effective 2026-10-01

11604 in El Centro

Office / nonfacility

$325.25

Base rate per service

Facility setting

$182.84

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 11604: Malignant lesion excision, trunk or extremity, 3.1–4 cm

Reports excision of a malignant skin lesion on the trunk or extremity when the lesion and required margins measure 3.1–4 cm across.

A dermatologist, surgeon, or other qualified practitioner uses this code to remove a malignant skin lesion from the trunk or an arm or leg. The coded size is the greatest diameter of the lesion plus the margins taken for excision—not the length of the resulting wound or closure. The excised tissue is typically submitted for pathologic examination. Simple closure is included in the excision; a separately documented intermediate or complex repair may be reported when performed.

Select the size level using the documented lesion diameter and margins, measured before removal. Record the lesion’s site, clinical size, margins, and excision performed so the reported diameter is supported. CMS assigns a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 11604

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 RVU3.09 · 33%
  • Practice expense (office) RVU5.82 · 63%
  • Malpractice RVU0.40 · 4%

38.3K

Medicare services in 2024 · #889 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.

11604 compared with similar codes

Office rates for El Centro, from the same CMS release.

11603

Lesion excision

Trunk or limb, 2.1–3 cm

$289.37

Use 11603 when the lesion plus margins measures 2.1–3 cm; use 11604 when that diameter measures 3.1–4 cm.

11606

Lesion excision

Trunk or extremity, over 4 cm

$479.64

Use 11606 for a trunk or extremity excision diameter greater than 4 cm. A diameter from 3.1 through 4 cm falls under 11604.

11624

Skin excision

3.1–4 cm excised diameter

$353.72

The size range is the same, but 11624 is for the scalp, neck, hands, feet, or genitalia rather than the trunk or extremities.

11404

Skin excision

Trunk or extremity, 3.1–4 cm

$241.21

11404 is for excision of a benign lesion on the trunk or extremity in the same size range. Code 11604 is for a malignant lesion.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 11604 is $326.36—$1.11 higher than the $325.25 rate in El Centro. Both use the same code, release and participation basis.

11604 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $325.25

  2. Bakersfield

    $326.36

    $1.11 higher than El Centro

  3. Chico

    $325.18

    $0.07 lower than El Centro

  4. Fresno

    $325.18

    $0.07 lower than El Centro

  5. Hanford-Corcoran

    $325.18

    $0.07 lower than El Centro

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

    $346.28

    $21.03 higher than El Centro

  7. Madera

    $325.18

    $0.07 lower than El Centro

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, 11604 ranges from $277.07 in Arkansas to $402.04 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 · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Modesto

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Napa

    California · 11604

    Office

    $372.71

    Facility

    $201.46

    $47.46 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11604

    Office

    $344.19

    Facility

    $190.62

    $18.94 higher than El Centro for the office setting.

  • Redding

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Rest Of California

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11604

    Office

    $329.52

    Facility

    $187.12

    $4.27 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11604

    Office

    $340.16

    Facility

    $189.06

    $14.91 higher than El Centro for the office setting.

  • Salinas

    California · 11604

    Office

    $338.87

    Facility

    $188.28

    $13.62 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11604

    Office

    $346.04

    Facility

    $190.64

    $20.79 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11604

    Office

    $393.24

    Facility

    $210.04

    $67.99 higher than El Centro for the office setting.

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

    California · 11604

    Office

    $392.79

    Facility

    $209.59

    $67.54 higher than El Centro for the office setting.

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

    California · 11604

    Office

    $402.04

    Facility

    $214.68

    $76.79 higher than El Centro for the office setting.

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

    California · 11604

    Office

    $400.18

    Facility

    $212.82

    $74.93 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11604

    Office

    $333.54

    Facility

    $185.55

    $8.29 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 11604

    Office

    $348.73

    Facility

    $190.86

    $23.48 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 11604

    Office

    $339.92

    Facility

    $188.42

    $14.67 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 11604

    Office

    $352.18

    Facility

    $192.63

    $26.93 higher than El Centro for the office setting.

  • Stockton

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Vallejo

    California · 11604

    Office

    $372.05

    Facility

    $200.81

    $46.80 higher than El Centro for the office setting.

  • Visalia

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Yuba City

    California · 11604

    Office

    $325.18

    Facility

    $182.78

    $0.07 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11604

    Office

    $352.65

    Facility

    $199.59

    $27.40 higher than El Centro for the office setting.

  • Miami

    Florida · 11604

    Office

    $339.36

    Facility

    $204.10

    $14.11 higher than El Centro for the office setting.

  • Chicago

    Illinois · 11604

    Office

    $329.96

    Facility

    $199.38

    $4.71 higher than El Centro for the office setting.

  • Manhattan

    New York · 11604

    Office

    $356.89

    Facility

    $205.91

    $31.64 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 11604

    Office

    $369.20

    Facility

    $230.83

    $43.95 higher than El Centro for the office setting.

  • Alabama

    Alabama · 11604

    Office

    $280.86

    Facility

    $167.18

    $44.39 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 11604

    Office

    $277.07

    Facility

    $165.46

    $48.18 lower than El Centro for the office setting.

  • Arizona

    Arizona · 11604

    Office

    $303.01

    Facility

    $177.11

    $22.24 lower than El Centro for the office setting.

  • Colorado

    Colorado · 11604

    Office

    $321.72

    Facility

    $183.47

    $3.53 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 11604

    Office

    $330.80

    Facility

    $190.87

    $5.55 higher than El Centro for the office setting.

  • Delaware

    Delaware · 11604

    Office

    $307.80

    Facility

    $179.43

    $17.45 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 11604

    Office

    $324.28

    Facility

    $192.67

    $0.97 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 11604

    Office

    $309.13

    Facility

    $184.92

    $16.12 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 11604

    Office

    $317.07

    Facility

    $185.06

    $8.18 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 11604

    Office

    $292.53

    Facility

    $176.64

    $32.72 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 11604

    Office

    $331.97

    Facility

    $184.24

    $6.72 higher than El Centro for the office setting.

  • Iowa

    Iowa · 11604

    Office

    $286.38

    Facility

    $167.50

    $38.87 lower than El Centro for the office setting.

  • Idaho

    Idaho · 11604

    Office

    $288.37

    Facility

    $168.83

    $36.88 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 11604

    Office

    $308.96

    Facility

    $189.42

    $16.29 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 11604

    Office

    $301.57

    Facility

    $182.95

    $23.68 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 11604

    Office

    $327.25

    Facility

    $193.81

    $2.00 higher than El Centro for the office setting.

  • Indiana

    Indiana · 11604

    Office

    $289.90

    Facility

    $169.46

    $35.35 lower than El Centro for the office setting.

  • Kansas

    Kansas · 11604

    Office

    $285.67

    Facility

    $168.22

    $39.58 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 11604

    Office

    $288.25

    Facility

    $172.74

    $37.00 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 11604

    Office

    $301.31

    Facility

    $179.05

    $23.94 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 11604

    Office

    $288.05

    Facility

    $173.06

    $37.20 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 11604

    Office

    $351.44

    Facility

    $196.30

    $26.19 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11604

    Office

    $320.20

    Facility

    $183.39

    $5.05 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11604

    Office

    $329.97

    Facility

    $190.56

    $4.72 higher than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 11604

    Office

    $313.23

    Facility

    $181.74

    $12.02 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 11604

    Office

    $290.36

    Facility

    $170.83

    $34.89 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 11604

    Office

    $304.28

    Facility

    $175.52

    $20.97 lower than El Centro for the office setting.

  • Detroit

    Michigan · 11604

    Office

    $313.32

    Facility

    $187.94

    $11.93 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 11604

    Office

    $295.77

    Facility

    $177.15

    $29.48 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 11604

    Office

    $307.19

    Facility

    $173.50

    $18.06 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 11604

    Office

    $298.80

    Facility

    $176.79

    $26.45 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 11604

    Office

    $301.66

    Facility

    $177.97

    $23.59 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 11604

    Office

    $283.79

    Facility

    $171.79

    $41.46 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 11604

    Office

    $280.45

    Facility

    $168.59

    $44.80 lower than El Centro for the office setting.

  • Montana**

    Montana · 11604

    Office

    $310.94

    Facility

    $181.01

    $14.31 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 11604

    Office

    $293.11

    Facility

    $171.89

    $32.14 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 11604

    Office

    $303.03

    Facility

    $173.10

    $22.22 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 11604

    Office

    $287.68

    Facility

    $167.76

    $37.57 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 11604

    Office

    $317.26

    Facility

    $182.01

    $7.99 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 11604

    Office

    $349.48

    Facility

    $198.76

    $24.23 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 11604

    Office

    $334.27

    Facility

    $192.39

    $9.02 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 11604

    Office

    $297.51

    Facility

    $178.37

    $27.74 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 11604

    Office

    $308.93

    Facility

    $178.87

    $16.32 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11604

    Office

    $365.76

    Facility

    $211.27

    $40.51 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11604

    Office

    $336.88

    Facility

    $194.61

    $11.63 higher than El Centro for the office setting.

  • Queens

    New York · 11604

    Office

    $358.85

    Facility

    $205.28

    $33.60 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 11604

    Office

    $297.27

    Facility

    $173.84

    $27.98 lower than El Centro for the office setting.

  • Ohio

    Ohio · 11604

    Office

    $294.16

    Facility

    $175.53

    $31.09 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 11604

    Office

    $287.18

    Facility

    $171.16

    $38.07 lower than El Centro for the office setting.

  • Portland

    Oregon · 11604

    Office

    $330.77

    Facility

    $186.42

    $5.52 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 11604

    Office

    $306.22

    Facility

    $176.81

    $19.03 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11604

    Office

    $323.37

    Facility

    $188.11

    $1.88 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11604

    Office

    $294.29

    Facility

    $175.01

    $30.96 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 11604

    Office

    $312.90

    Facility

    $181.54

    $12.35 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 11604

    Office

    $317.90

    Facility

    $183.68

    $7.35 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 11604

    Office

    $294.18

    Facility

    $174.13

    $31.07 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 11604

    Office

    $302.09

    Facility

    $172.16

    $23.16 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 11604

    Office

    $287.09

    Facility

    $168.98

    $38.16 lower than El Centro for the office setting.

  • Austin

    Texas · 11604

    Office

    $320.92

    Facility

    $183.46

    $4.33 lower than El Centro for the office setting.

  • Beaumont

    Texas · 11604

    Office

    $292.52

    Facility

    $174.28

    $32.73 lower than El Centro for the office setting.

  • Brazoria

    Texas · 11604

    Office

    $307.10

    Facility

    $178.34

    $18.15 lower than El Centro for the office setting.

  • Dallas

    Texas · 11604

    Office

    $309.22

    Facility

    $179.81

    $16.03 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 11604

    Office

    $307.45

    Facility

    $179.34

    $17.80 lower than El Centro for the office setting.

  • Galveston

    Texas · 11604

    Office

    $308.13

    Facility

    $179.11

    $17.12 lower than El Centro for the office setting.

  • Houston

    Texas · 11604

    Office

    $315.45

    Facility

    $186.43

    $9.80 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 11604

    Office

    $299.75

    Facility

    $176.45

    $25.50 lower than El Centro for the office setting.

  • Utah

    Utah · 11604

    Office

    $297.94

    Facility

    $175.80

    $27.31 lower than El Centro for the office setting.

  • Virginia

    Virginia · 11604

    Office

    $303.73

    Facility

    $176.01

    $21.52 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11604

    Office

    $312.90

    Facility

    $181.54

    $12.35 lower than El Centro for the office setting.

  • Vermont

    Vermont · 11604

    Office

    $302.42

    Facility

    $173.79

    $22.83 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 11604

    Office

    $319.41

    Facility

    $182.60

    $5.84 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 11604

    Office

    $357.81

    Facility

    $198.38

    $32.56 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 11604

    Office

    $293.55

    Facility

    $169.08

    $31.70 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 11604

    Office

    $291.26

    Facility

    $178.35

    $33.99 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 11604

    Office

    $307.49

    Facility

    $177.56

    $17.76 lower than El Centro for the office setting.

See how rates vary across the country

11604 · 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.

$277.07

$369.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$369.201
AL$280.861
AR$277.071
AZ$303.011
CA$325.18–$402.0429
CO$321.721
CT$330.801
DC$352.651
DE$307.801
FL$309.13–$339.363
GA$292.53–$317.072
GU$331.971
HI$331.971
IA$286.381
ID$288.371
IL$301.57–$329.964
IN$289.901
KS$285.671
KY$288.251
LA$288.05–$301.312
MA$320.20–$351.442
MD$313.23–$352.653
ME$290.36–$304.282
MI$295.77–$313.322
MN$307.191
MO$283.79–$301.663
MS$280.451
MT$310.941
NC$293.111
ND$303.031
NE$287.681
NH$317.261
NJ$334.27–$349.482
NM$297.511
NV$308.931
NY$297.27–$365.765
OH$294.161
OK$287.181
OR$306.22–$330.772
PA$294.29–$323.372
PR$312.901
RI$317.901
SC$294.181
SD$302.091
TN$287.091
TX$292.52–$320.928
UT$297.941
VA$303.73–$352.652
VI$312.901
VT$302.421
WA$319.41–$357.812
WI$293.551
WV$291.261
WY$307.491

Explore 11604 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 11604 in El Centro, the physician’s office rate is $325.25 and the facility-setting rate is $182.84: a difference of $142.41.

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 11604 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$357.78

$325.25 × 110% = $357.78

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 11604 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

1,344

Code
11604
Physician work
3.09
Practice expense
5.82
Malpractice
0.40

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 11604 in El Centro
ComponentRVULocality factorAdjusted
Physician work3.09× 1.0173.1425
Practice expense5.82× 1.0966.3787
Malpractice0.40× 0.5410.2164
Total RVUs9.7377
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$325.25

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

Open 11604 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.091.017
Practice expense5.821.096
Malpractice0.40.541

(3.09 × 1.017 + 5.82 × 1.096 + 0.4 × 0.541) × $33.4009 = $325.25

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.091.017
Practice expense1.931.096
Malpractice0.40.541

(3.09 × 1.017 + 1.93 × 1.096 + 0.4 × 0.541) × $33.4009 = $182.84

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

11604 · Office / nonfacility

$325.25

Effective 2026-10-01

The base rate is $10.06 higher than on 2025-10-01, moving from $315.19 to $325.25 (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

    $315.19changed to$325.25

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.17 changed to 3.09
    • Practice expense RVU 5.75 changed to 5.82
    • Malpractice RVU 0.43 changed to 0.40
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $315.19

    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$325.25$182.84RVU26D
2026-07-01$325.25$182.84RVU26C
2026-04-01$325.25$182.84RVU26B
2026-01-01$325.25$182.84RVU26A
2025-10-01$315.19$211.25RVU25D
2025-07-01$315.19$211.25RVU25C
2025-04-01$315.19$211.25RVU25B
2025-01-01$315.19$211.25RVU25A

11604 billing questions

How is the 3.1–4 cm size determined?

Use the greatest diameter of the lesion together with the margins taken for excision. The wound or closure length does not determine the size level.

Can the repair be billed separately?

Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when performed.

Does the 10-day global include postoperative visits?

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

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code. When multiple procedures are performed in the same session, the standard multiple-procedure reduction applies.

May an assistant or co-surgeon be reported?

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

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 11604PPRRVU2026_Oct_nonQPP.csv, line 1,344 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet