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CMS RVU26D · Effective 2026-10-01

11624 in Houston

Office / nonfacility

$344.89

Base rate per service

Facility setting

$209.56

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.

Dermatologic surgery

About 11624: Malignant skin lesion excision, specialized sites

Reports excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia when the lesion and margins span 3.1–4 cm.

A dermatologist or surgeon uses this code to remove a malignant skin lesion from the scalp, neck, hands, feet, or genitalia. Common examples include excision of basal cell carcinoma, squamous cell carcinoma, or melanoma. The size category is based on the excised diameter: the lesion together with the margins removed around it, not the lesion’s size alone. The service may be performed in an office, ambulatory surgery center, or hospital setting.

Document the exact site, lesion dimensions, margins taken, and resulting excised diameter; pathology records can support the malignant diagnosis. Simple closure is included, while a separately reportable intermediate or complex repair may be coded when performed and documented. Medicare includes related postoperative visits for 10 days in the global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.

CMS billing rules for 11624

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 RVU3.53 · 35%
  • Practice expense (office) RVU6.15 · 61%
  • Malpractice RVU0.48 · 5%

7.4K

Medicare services in 2024 · #1627 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.

11624 compared with similar codes

Office rates for Houston, from the same CMS release.

11604

Malignant excision

Trunk or extremity, 3.1–4 cm

$315.45

The excised diameter is the same, but 11604 is for the trunk, arms, or legs; 11624 is for the scalp, neck, hands, feet, or genitalia.

11644

Malignant lesion excision

Face and related sites, 3.1-4 cm

$399.71

Both cover a 3.1–4 cm excised diameter. Use 11644 for the face, ears, eyelids, nose, or lips rather than the site group covered by 11624.

11623

Skin excision

Scalp, neck, hand, foot, genital skin

$299.58

This is the smaller size level for the same site group, covering an excised diameter of 2.1–3 cm.

11626

Skin excision

Scalp, neck, hands, feet, genitalia; over 4 cm

$428.22

This is the next larger size level for the same site group, used when the excised diameter exceeds 4 cm.

The same code, a different location

How does Houston compare?

In Austin, the office rate for 11624 is $349.68—$4.79 higher than the $344.89 rate in Houston. Both use the same code, release and participation basis.

11624 across payment areas

Same release and payment basis · bars start at $0

  1. Houston · This locality

    $344.89

  2. Austin

    $349.68

    $4.79 higher than Houston

  3. Beaumont

    $319.73

    $25.16 lower than Houston

  4. Brazoria

    $334.92

    $9.97 lower than Houston

  5. Dallas

    $337.32

    $7.57 lower than Houston

  6. Fort Worth

    $335.47

    $9.42 lower than Houston

  7. Galveston

    $336.10

    $8.79 lower than Houston

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 11624 ranges from $302.61 in Arkansas to $435.68 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 11624

    Office

    $327.32

    Facility

    $198.00

    $17.57 lower than Houston for the office setting.

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

    California · 11624

    Office

    $376.39

    Facility

    $215.18

    $31.50 higher than Houston for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11624

    Office

    $384.10

    Facility

    $223.56

    $39.21 higher than Houston for the office setting.

  • Miami

    Florida · 11624

    Office

    $372.29

    Facility

    $230.43

    $27.40 higher than Houston for the office setting.

  • Chicago

    Illinois · 11624

    Office

    $361.97

    Facility

    $225.01

    $17.08 higher than Houston for the office setting.

  • Manhattan

    New York · 11624

    Office

    $389.57

    Facility

    $231.22

    $44.68 higher than Houston for the office setting.

  • Alaska*

    Alaska · 11624

    Office

    $404.46

    Facility

    $259.33

    $59.57 higher than Houston for the office setting.

  • Alabama

    Alabama · 11624

    Office

    $306.72

    Facility

    $187.48

    $38.17 lower than Houston for the office setting.

  • Arkansas

    Arkansas · 11624

    Office

    $302.61

    Facility

    $185.55

    $42.28 lower than Houston for the office setting.

  • Arizona

    Arizona · 11624

    Office

    $330.68

    Facility

    $198.63

    $14.21 lower than Houston for the office setting.

  • Bakersfield

    California · 11624

    Office

    $355.04

    Facility

    $205.69

    $10.15 higher than Houston for the office setting.

  • Chico

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • El Centro

    California · 11624

    Office

    $353.72

    Facility

    $204.36

    $8.83 higher than Houston for the office setting.

  • Fresno

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Hanford-Corcoran

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Madera

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Merced

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Modesto

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Napa

    California · 11624

    Office

    $404.22

    Facility

    $224.60

    $59.33 higher than Houston for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11624

    Office

    $374.00

    Facility

    $212.92

    $29.11 higher than Houston for the office setting.

  • Redding

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Rest Of California

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11624

    Office

    $358.84

    Facility

    $209.48

    $13.95 higher than Houston for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11624

    Office

    $369.64

    Facility

    $211.15

    $24.75 higher than Houston for the office setting.

  • Salinas

    California · 11624

    Office

    $368.23

    Facility

    $210.29

    $23.34 higher than Houston for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11624

    Office

    $375.81

    Facility

    $212.82

    $30.92 higher than Houston for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11624

    Office

    $426.10

    Facility

    $233.95

    $81.21 higher than Houston for the office setting.

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

    California · 11624

    Office

    $425.56

    Facility

    $233.41

    $80.67 higher than Houston for the office setting.

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

    California · 11624

    Office

    $435.68

    Facility

    $239.17

    $90.79 higher than Houston for the office setting.

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

    California · 11624

    Office

    $433.45

    Facility

    $236.94

    $88.56 higher than Houston for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11624

    Office

    $362.47

    Facility

    $207.25

    $17.58 higher than Houston for the office setting.

  • Santa Cruz-Watsonville

    California · 11624

    Office

    $378.55

    Facility

    $212.98

    $33.66 higher than Houston for the office setting.

  • Santa Maria-Santa Barbara

    California · 11624

    Office

    $369.31

    Facility

    $210.42

    $24.42 higher than Houston for the office setting.

  • Santa Rosa-Petaluma

    California · 11624

    Office

    $382.29

    Facility

    $214.94

    $37.40 higher than Houston for the office setting.

  • Stockton

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Vallejo

    California · 11624

    Office

    $403.43

    Facility

    $223.82

    $58.54 higher than Houston for the office setting.

  • Visalia

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Yuba City

    California · 11624

    Office

    $353.64

    Facility

    $204.28

    $8.75 higher than Houston for the office setting.

  • Colorado

    Colorado · 11624

    Office

    $350.40

    Facility

    $205.41

    $5.51 higher than Houston for the office setting.

  • Connecticut

    Connecticut · 11624

    Office

    $360.90

    Facility

    $214.13

    $16.01 higher than Houston for the office setting.

  • Delaware

    Delaware · 11624

    Office

    $335.86

    Facility

    $201.22

    $9.03 lower than Houston for the office setting.

  • Fort Lauderdale

    Florida · 11624

    Office

    $354.98

    Facility

    $216.93

    $10.09 higher than Houston for the office setting.

  • Rest Of Florida

    Florida · 11624

    Office

    $338.38

    Facility

    $208.10

    $6.51 lower than Houston for the office setting.

  • Atlanta

    Georgia · 11624

    Office

    $346.22

    Facility

    $207.76

    $1.33 higher than Houston for the office setting.

  • Rest Of Georgia

    Georgia · 11624

    Office

    $320.25

    Facility

    $198.69

    $24.64 lower than Houston for the office setting.

  • Hawaii, Guam

    Hawaii · 11624

    Office

    $360.75

    Facility

    $205.80

    $15.86 higher than Houston for the office setting.

  • Iowa

    Iowa · 11624

    Office

    $312.23

    Facility

    $187.53

    $32.66 lower than Houston for the office setting.

  • Idaho

    Idaho · 11624

    Office

    $314.47

    Facility

    $189.10

    $30.42 lower than Houston for the office setting.

  • East St. Louis

    Illinois · 11624

    Office

    $339.18

    Facility

    $213.80

    $5.71 lower than Houston for the office setting.

  • Rest Of Illinois

    Illinois · 11624

    Office

    $330.51

    Facility

    $206.09

    $14.38 lower than Houston for the office setting.

  • Suburban Chicago

    Illinois · 11624

    Office

    $358.10

    Facility

    $218.15

    $13.21 higher than Houston for the office setting.

  • Indiana

    Indiana · 11624

    Office

    $316.12

    Facility

    $189.79

    $28.77 lower than Houston for the office setting.

  • Kansas

    Kansas · 11624

    Office

    $311.68

    Facility

    $188.49

    $33.21 lower than Houston for the office setting.

  • Kentucky

    Kentucky · 11624

    Office

    $315.19

    Facility

    $194.04

    $29.70 lower than Houston for the office setting.

  • New Orleans

    Louisiana · 11624

    Office

    $329.41

    Facility

    $201.18

    $15.48 lower than Houston for the office setting.

  • Rest Of Louisiana

    Louisiana · 11624

    Office

    $315.06

    Facility

    $194.45

    $29.83 lower than Houston for the office setting.

  • Metropolitan Boston

    Massachusetts · 11624

    Office

    $382.27

    Facility

    $219.56

    $37.38 higher than Houston for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11624

    Office

    $348.87

    Facility

    $205.37

    $3.98 higher than Houston for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11624

    Office

    $360.03

    Facility

    $213.81

    $15.14 higher than Houston for the office setting.

  • Rest Of Maryland

    Maryland · 11624

    Office

    $341.68

    Facility

    $203.77

    $3.21 lower than Houston for the office setting.

  • Rest Of Maine

    Maine · 11624

    Office

    $316.86

    Facility

    $191.49

    $28.03 lower than Houston for the office setting.

  • Southern Maine

    Maine · 11624

    Office

    $331.59

    Facility

    $196.54

    $13.30 lower than Houston for the office setting.

  • Detroit

    Michigan · 11624

    Office

    $343.16

    Facility

    $211.66

    $1.73 lower than Houston for the office setting.

  • Rest Of Michigan

    Michigan · 11624

    Office

    $323.55

    Facility

    $199.13

    $21.34 lower than Houston for the office setting.

  • Minnesota

    Minnesota · 11624

    Office

    $334.02

    Facility

    $193.80

    $10.87 lower than Houston for the office setting.

  • Metropolitan Kansas City

    Missouri · 11624

    Office

    $326.45

    Facility

    $198.49

    $18.44 lower than Houston for the office setting.

  • Metropolitan St. Louis

    Missouri · 11624

    Office

    $329.53

    Facility

    $199.79

    $15.36 lower than Houston for the office setting.

  • Rest Of Missouri

    Missouri · 11624

    Office

    $310.59

    Facility

    $193.12

    $34.30 lower than Houston for the office setting.

  • Mississippi

    Mississippi · 11624

    Office

    $306.62

    Facility

    $189.28

    $38.27 lower than Houston for the office setting.

  • Montana**

    Montana · 11624

    Office

    $339.32

    Facility

    $203.05

    $5.57 lower than Houston for the office setting.

  • North Carolina

    North Carolina · 11624

    Office

    $319.80

    Facility

    $192.66

    $25.09 lower than Houston for the office setting.

  • North Dakota**

    North Dakota · 11624

    Office

    $329.83

    Facility

    $193.55

    $15.06 lower than Houston for the office setting.

  • Nebraska

    Nebraska · 11624

    Office

    $313.56

    Facility

    $187.78

    $31.33 lower than Houston for the office setting.

  • New Hampshire

    New Hampshire · 11624

    Office

    $345.77

    Facility

    $203.91

    $0.88 higher than Houston for the office setting.

  • Northern Nj

    New Jersey · 11624

    Office

    $380.74

    Facility

    $222.66

    $35.85 higher than Houston for the office setting.

  • Rest Of New Jersey

    New Jersey · 11624

    Office

    $364.52

    Facility

    $215.71

    $19.63 higher than Houston for the office setting.

  • New Mexico

    New Mexico · 11624

    Office

    $325.53

    Facility

    $200.56

    $19.36 lower than Houston for the office setting.

  • Nevada**

    Nevada · 11624

    Office

    $336.88

    Facility

    $200.47

    $8.01 lower than Houston for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11624

    Office

    $399.46

    Facility

    $237.43

    $54.57 higher than Houston for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11624

    Office

    $367.54

    Facility

    $218.32

    $22.65 higher than Houston for the office setting.

  • Queens

    New York · 11624

    Office

    $391.37

    Facility

    $230.29

    $46.48 higher than Houston for the office setting.

  • Rest Of New York

    New York · 11624

    Office

    $324.32

    Facility

    $194.86

    $20.57 lower than Houston for the office setting.

  • Ohio

    Ohio · 11624

    Office

    $321.61

    Facility

    $197.19

    $23.28 lower than Houston for the office setting.

  • Oklahoma

    Oklahoma · 11624

    Office

    $313.80

    Facility

    $192.10

    $31.09 lower than Houston for the office setting.

  • Portland

    Oregon · 11624

    Office

    $359.94

    Facility

    $208.53

    $15.05 higher than Houston for the office setting.

  • Rest Of Oregon

    Oregon · 11624

    Office

    $333.77

    Facility

    $198.04

    $11.12 lower than Houston for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11624

    Office

    $352.99

    Facility

    $211.13

    $8.10 higher than Houston for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11624

    Office

    $321.63

    Facility

    $196.53

    $23.26 lower than Houston for the office setting.

  • Puerto Rico

    Puerto Rico · 11624

    Office

    $341.37

    Facility

    $203.60

    $3.52 lower than Houston for the office setting.

  • Rhode Island

    Rhode Island · 11624

    Office

    $346.64

    Facility

    $205.87

    $1.75 higher than Houston for the office setting.

  • South Carolina

    South Carolina · 11624

    Office

    $321.34

    Facility

    $195.42

    $23.55 lower than Houston for the office setting.

  • South Dakota**

    South Dakota · 11624

    Office

    $328.71

    Facility

    $192.43

    $16.18 lower than Houston for the office setting.

  • Tennessee

    Tennessee · 11624

    Office

    $313.24

    Facility

    $189.36

    $31.65 lower than Houston for the office setting.

  • Utah

    Utah · 11624

    Office

    $325.39

    Facility

    $197.29

    $19.50 lower than Houston for the office setting.

  • Virginia

    Virginia · 11624

    Office

    $331.15

    Facility

    $197.19

    $13.74 lower than Houston for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11624

    Office

    $341.37

    Facility

    $203.60

    $3.52 lower than Houston for the office setting.

  • Vermont

    Vermont · 11624

    Office

    $329.38

    Facility

    $194.47

    $15.51 lower than Houston for the office setting.

  • Rest Of Washington

    Washington · 11624

    Office

    $347.94

    Facility

    $204.44

    $3.05 higher than Houston for the office setting.

  • Seattle (King Cnty)

    Washington · 11624

    Office

    $388.94

    Facility

    $221.73

    $44.05 higher than Houston for the office setting.

  • Wisconsin

    Wisconsin · 11624

    Office

    $319.63

    Facility

    $189.08

    $25.26 lower than Houston for the office setting.

  • West Virginia

    West Virginia · 11624

    Office

    $319.35

    Facility

    $200.93

    $25.54 lower than Houston for the office setting.

  • Wyoming**

    Wyoming · 11624

    Office

    $335.18

    Facility

    $198.91

    $9.71 lower than Houston for the office setting.

See how rates vary across the country

11624 · 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.

$302.61

$404.46

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$404.461
AL$306.721
AR$302.611
AZ$330.681
CA$353.64–$435.6829
CO$350.401
CT$360.901
DC$384.101
DE$335.861
FL$338.38–$372.293
GA$320.25–$346.222
GU$360.751
HI$360.751
IA$312.231
ID$314.471
IL$330.51–$361.974
IN$316.121
KS$311.681
KY$315.191
LA$315.06–$329.412
MA$348.87–$382.272
MD$341.68–$384.103
ME$316.86–$331.592
MI$323.55–$343.162
MN$334.021
MO$310.59–$329.533
MS$306.621
MT$339.321
NC$319.801
ND$329.831
NE$313.561
NH$345.771
NJ$364.52–$380.742
NM$325.531
NV$336.881
NY$324.32–$399.465
OH$321.611
OK$313.801
OR$333.77–$359.942
PA$321.63–$352.992
PR$341.371
RI$346.641
SC$321.341
SD$328.711
TN$313.241
TX$319.73–$349.688
UT$325.391
VA$331.15–$384.102
VI$341.371
VT$329.381
WA$347.94–$388.942
WI$319.631
WV$319.351
WY$335.181

Explore 11624 on the national rate map →

Where does this rate apply?

Houston is a Medicare payment area. Our Census mapping connects it to 46 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 11624 in Houston, the physician’s office rate is $344.89 and the facility-setting rate is $209.56: a difference of $135.33.

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 11624 in Houston. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$379.38

$344.89 × 110% = $379.38

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 11624 in Houston.

PPRRVU2026_Oct_nonQPP.csv

1,351

Code
11624
Physician work
3.53
Practice expense
6.15
Malpractice
0.48

GPCI2026.csv

102

Locality
Houston
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office / nonfacility calculation for 11624 in Houston
ComponentRVULocality factorAdjusted
Physician work3.53× 1.0083.5582
Practice expense6.15× 0.9936.1070
Malpractice0.48× 1.3760.6605
Total RVUs10.3257
Conversion factor× 33.4009

Office / nonfacility rate, Houston$344.89

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

Open 11624 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.531.008
Practice expense6.150.993
Malpractice0.481.376

(3.53 × 1.008 + 6.15 × 0.993 + 0.48 × 1.376) × $33.4009 = $344.89

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.531.008
Practice expense2.070.993
Malpractice0.481.376

(3.53 × 1.008 + 2.07 × 0.993 + 0.48 × 1.376) × $33.4009 = $209.56

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

11624 · Office / nonfacility

$344.89

Effective 2026-10-01

The base rate is $8.58 higher than on 2025-10-01, moving from $336.31 to $344.89 (2.6%).

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

    $336.31changed to$344.89

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.62 changed to 3.53
    • Practice expense RVU 5.99 changed to 6.15
    • Malpractice RVU 0.51 changed to 0.48
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $336.31

    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$344.89$209.56RVU26D
2026-07-01$344.89$209.56RVU26C
2026-04-01$344.89$209.56RVU26B
2026-01-01$344.89$209.56RVU26A
2025-10-01$336.31$239.96RVU25D
2025-07-01$336.31$239.96RVU25C
2025-04-01$336.31$239.96RVU25B
2025-01-01$336.31$239.96RVU25A

11624 billing questions

How is the 3.1–4 cm size determined?

Use the excised diameter, which includes the lesion and the margins removed around it. Document the lesion, margins, and total excised measurement.

Which body sites belong to this code?

It applies to malignant lesions on the scalp, neck, hands, feet, or genitalia. Similar-sized lesions on the trunk, arms, or legs use a different code family.

Is closure separately billable?

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

Can modifier 50 be used for lesions on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.

What postoperative care is included?

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

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Medicare also does not pay an assistant at surgery or permit co-surgeon or team-surgery billing 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 11624PPRRVU2026_Oct_nonQPP.csv, line 1,351 (RVU26D)
Geographic factors for HoustonGPCI2026.csv, line 102 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet