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CMS RVU26D · Effective 2026-10-01

11642 in Manhattan

Office / nonfacility

$306.01

Base rate per service

Facility setting

$175.60

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 11642: Malignant skin lesion excision, face, 1.1–2 cm

Report this code for excision of a malignant skin lesion on the face, ear, eyelid, nose, or lip when the excised diameter is 1.1–2 cm.

This code covers conventional excision of a malignant skin lesion on the face, ears, eyelids, nose, or lips. Dermatologists, plastic surgeons, and other qualified clinicians commonly perform the procedure in an office or outpatient setting. The excision removes the lesion with the margins needed for the planned treatment; it is distinct from Mohs surgery. Simple closure is included, while a separately reportable intermediate or complex repair may be coded when its requirements are met.

Choose the code by the anatomic site group and the excised diameter: the lesion’s greatest diameter plus the narrowest margins removed. Document the diagnosis, exact site, lesion and margin measurements, and closure performed. CMS assigns a 10-day global period, so related postoperative visits during that period are included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

CMS billing rules for 11642

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 RVU2.55 · 32%
  • Practice expense (office) RVU5.14 · 64%
  • Malpractice RVU0.30 · 4%

54.7K

Medicare services in 2024 · #751 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.

11642 compared with similar codes

Office rates for Manhattan, from the same CMS release.

11641

Malignant lesion excision

Face, 0.6–1.0 cm

$272.31

Both cover malignant lesions in the same site group; 11641 applies when the excised diameter is 0.6–1 cm rather than 1.1–2 cm.

11643

Malignant lesion excision

Face, ears, eyelids, nose, lips

$362.35

This code is for an excised diameter of 1.1–2 cm; 11643 is for 2.1–3 cm at the same sites.

11602

Malignant lesion excision

Trunk or extremity, 1.1–2 cm

$275.47

The size range is the same, but 11602 applies to the trunk, arms, or legs rather than the face, ears, eyelids, nose, or lips.

11622

Skin lesion excision

Designated sites, 1.1–2 cm

$286.30

The size range is the same, but 11622 applies to the scalp, neck, hands, feet, or genitalia.

The same code, a different location

How does Manhattan compare?

In Nyc Suburbs/Long Island, the office rate for 11642 is $313.36—$7.35 higher than the $306.01 rate in Manhattan. Both use the same code, release and participation basis.

11642 across payment areas

Same release and payment basis · bars start at $0

  1. Manhattan · This locality

    $306.01

  2. Nyc Suburbs/Long Island

    $313.36

    $7.35 higher than Manhattan

  3. Poughkpsie/N Nyc Suburbs

    $289.12

    $16.89 lower than Manhattan

  4. Queens

    $308.00

    $1.99 higher than Manhattan

  5. Rest Of New York

    $255.31

    $50.70 lower than Manhattan

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

    $298.42

    $7.59 lower than Manhattan

  7. Dc + Md/Va Suburbs

    $303.16

    $2.85 lower than Manhattan

Other payment areas listed in New York 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, 11642 ranges from $237.81 in Arkansas to $347.48 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

  • Miami

    Florida · 11642

    Office

    $289.23

    Facility

    $172.40

    $16.78 lower than Manhattan for the office setting.

  • Chicago

    Illinois · 11642

    Office

    $281.30

    Facility

    $168.52

    $24.71 lower than Manhattan for the office setting.

  • Alaska*

    Alaska · 11642

    Office

    $316.12

    Facility

    $196.60

    $10.11 higher than Manhattan for the office setting.

  • Alabama

    Alabama · 11642

    Office

    $241.06

    Facility

    $142.87

    $64.95 lower than Manhattan for the office setting.

  • Arkansas

    Arkansas · 11642

    Office

    $237.81

    Facility

    $141.40

    $68.20 lower than Manhattan for the office setting.

  • Arizona

    Arizona · 11642

    Office

    $260.11

    Facility

    $151.36

    $45.90 lower than Manhattan for the office setting.

  • Bakersfield

    California · 11642

    Office

    $281.05

    Facility

    $158.05

    $24.96 lower than Manhattan for the office setting.

  • Chico

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • El Centro

    California · 11642

    Office

    $280.20

    Facility

    $157.20

    $25.81 lower than Manhattan for the office setting.

  • Fresno

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Hanford-Corcoran

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Madera

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Merced

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Modesto

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Napa

    California · 11642

    Office

    $321.90

    Facility

    $173.99

    $15.89 higher than Manhattan for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11642

    Office

    $296.73

    Facility

    $164.07

    $9.28 lower than Manhattan for the office setting.

  • Redding

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Rest Of California

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11642

    Office

    $283.41

    Facility

    $160.41

    $22.60 lower than Manhattan for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11642

    Office

    $293.27

    Facility

    $162.75

    $12.74 lower than Manhattan for the office setting.

  • Salinas

    California · 11642

    Office

    $292.16

    Facility

    $162.09

    $13.85 lower than Manhattan for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11642

    Office

    $298.49

    Facility

    $164.26

    $7.52 lower than Manhattan for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11642

    Office

    $339.93

    Facility

    $181.69

    $33.92 higher than Manhattan for the office setting.

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

    California · 11642

    Office

    $339.59

    Facility

    $181.35

    $33.58 higher than Manhattan for the office setting.

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

    California · 11642

    Office

    $347.48

    Facility

    $185.64

    $41.47 higher than Manhattan for the office setting.

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

    California · 11642

    Office

    $346.08

    Facility

    $184.25

    $40.07 higher than Manhattan for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11642

    Office

    $287.54

    Facility

    $159.71

    $18.47 lower than Manhattan for the office setting.

  • Santa Cruz-Watsonville

    California · 11642

    Office

    $300.92

    Facility

    $164.57

    $5.09 lower than Manhattan for the office setting.

  • Santa Maria-Santa Barbara

    California · 11642

    Office

    $293.11

    Facility

    $162.25

    $12.90 lower than Manhattan for the office setting.

  • Santa Rosa-Petaluma

    California · 11642

    Office

    $303.92

    Facility

    $166.11

    $2.09 lower than Manhattan for the office setting.

  • Stockton

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Vallejo

    California · 11642

    Office

    $321.41

    Facility

    $173.50

    $15.40 higher than Manhattan for the office setting.

  • Visalia

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Yuba City

    California · 11642

    Office

    $280.15

    Facility

    $157.15

    $25.86 lower than Manhattan for the office setting.

  • Colorado

    Colorado · 11642

    Office

    $276.69

    Facility

    $157.28

    $29.32 lower than Manhattan for the office setting.

  • Connecticut

    Connecticut · 11642

    Office

    $283.90

    Facility

    $163.03

    $22.11 lower than Manhattan for the office setting.

  • Delaware

    Delaware · 11642

    Office

    $264.23

    Facility

    $153.35

    $41.78 lower than Manhattan for the office setting.

  • Fort Lauderdale

    Florida · 11642

    Office

    $277.20

    Facility

    $163.52

    $28.81 lower than Manhattan for the office setting.

  • Rest Of Florida

    Florida · 11642

    Office

    $264.36

    Facility

    $157.07

    $41.65 lower than Manhattan for the office setting.

  • Atlanta

    Georgia · 11642

    Office

    $271.89

    Facility

    $157.87

    $34.12 lower than Manhattan for the office setting.

  • Rest Of Georgia

    Georgia · 11642

    Office

    $250.26

    Facility

    $150.15

    $55.75 lower than Manhattan for the office setting.

  • Hawaii, Guam

    Hawaii · 11642

    Office

    $286.17

    Facility

    $158.57

    $19.84 lower than Manhattan for the office setting.

  • Iowa

    Iowa · 11642

    Office

    $246.24

    Facility

    $143.55

    $59.77 lower than Manhattan for the office setting.

  • Idaho

    Idaho · 11642

    Office

    $247.86

    Facility

    $144.61

    $58.15 lower than Manhattan for the office setting.

  • East St. Louis

    Illinois · 11642

    Office

    $263.30

    Facility

    $160.05

    $42.71 lower than Manhattan for the office setting.

  • Rest Of Illinois

    Illinois · 11642

    Office

    $257.58

    Facility

    $155.12

    $48.43 lower than Manhattan for the office setting.

  • Suburban Chicago

    Illinois · 11642

    Office

    $279.84

    Facility

    $164.58

    $26.17 lower than Manhattan for the office setting.

  • Indiana

    Indiana · 11642

    Office

    $249.19

    Facility

    $145.16

    $56.82 lower than Manhattan for the office setting.

  • Kansas

    Kansas · 11642

    Office

    $245.42

    Facility

    $143.97

    $60.59 lower than Manhattan for the office setting.

  • Kentucky

    Kentucky · 11642

    Office

    $246.96

    Facility

    $147.20

    $59.05 lower than Manhattan for the office setting.

  • New Orleans

    Louisiana · 11642

    Office

    $258.11

    Facility

    $152.50

    $47.90 lower than Manhattan for the office setting.

  • Rest Of Louisiana

    Louisiana · 11642

    Office

    $246.71

    Facility

    $147.39

    $59.30 lower than Manhattan for the office setting.

  • Metropolitan Boston

    Massachusetts · 11642

    Office

    $302.57

    Facility

    $168.57

    $3.44 lower than Manhattan for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11642

    Office

    $275.30

    Facility

    $157.13

    $30.71 lower than Manhattan for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11642

    Office

    $283.14

    Facility

    $162.72

    $22.87 lower than Manhattan for the office setting.

  • Rest Of Maryland

    Maryland · 11642

    Office

    $268.96

    Facility

    $155.39

    $37.05 lower than Manhattan for the office setting.

  • Rest Of Maine

    Maine · 11642

    Office

    $249.35

    Facility

    $146.10

    $56.66 lower than Manhattan for the office setting.

  • Southern Maine

    Maine · 11642

    Office

    $261.63

    Facility

    $150.41

    $44.38 lower than Manhattan for the office setting.

  • Detroit

    Michigan · 11642

    Office

    $267.74

    Facility

    $159.44

    $38.27 lower than Manhattan for the office setting.

  • Rest Of Michigan

    Michigan · 11642

    Office

    $253.23

    Facility

    $150.77

    $52.78 lower than Manhattan for the office setting.

  • Minnesota

    Minnesota · 11642

    Office

    $264.80

    Facility

    $149.32

    $41.21 lower than Manhattan for the office setting.

  • Metropolitan Kansas City

    Missouri · 11642

    Office

    $256.17

    Facility

    $150.79

    $49.84 lower than Manhattan for the office setting.

  • Metropolitan St. Louis

    Missouri · 11642

    Office

    $258.65

    Facility

    $151.81

    $47.36 lower than Manhattan for the office setting.

  • Rest Of Missouri

    Missouri · 11642

    Office

    $242.92

    Facility

    $146.18

    $63.09 lower than Manhattan for the office setting.

  • Mississippi

    Mississippi · 11642

    Office

    $240.39

    Facility

    $143.77

    $65.62 lower than Manhattan for the office setting.

  • Montana**

    Montana · 11642

    Office

    $266.85

    Facility

    $154.63

    $39.16 lower than Manhattan for the office setting.

  • North Carolina

    North Carolina · 11642

    Office

    $251.75

    Facility

    $147.05

    $54.26 lower than Manhattan for the office setting.

  • North Dakota**

    North Dakota · 11642

    Office

    $260.92

    Facility

    $148.69

    $45.09 lower than Manhattan for the office setting.

  • Nebraska

    Nebraska · 11642

    Office

    $247.42

    Facility

    $143.84

    $58.59 lower than Manhattan for the office setting.

  • New Hampshire

    New Hampshire · 11642

    Office

    $272.66

    Facility

    $155.83

    $33.35 lower than Manhattan for the office setting.

  • Northern Nj

    New Jersey · 11642

    Office

    $300.39

    Facility

    $170.21

    $5.62 lower than Manhattan for the office setting.

  • Rest Of New Jersey

    New Jersey · 11642

    Office

    $287.05

    Facility

    $164.49

    $18.96 lower than Manhattan for the office setting.

  • New Mexico

    New Mexico · 11642

    Office

    $254.64

    Facility

    $151.73

    $51.37 lower than Manhattan for the office setting.

  • Nevada**

    Nevada · 11642

    Office

    $265.37

    Facility

    $153.03

    $40.64 lower than Manhattan for the office setting.

  • Ohio

    Ohio · 11642

    Office

    $252.02

    Facility

    $149.55

    $53.99 lower than Manhattan for the office setting.

  • Oklahoma

    Oklahoma · 11642

    Office

    $246.27

    Facility

    $146.05

    $59.74 lower than Manhattan for the office setting.

  • Portland

    Oregon · 11642

    Office

    $284.73

    Facility

    $160.04

    $21.28 lower than Manhattan for the office setting.

  • Rest Of Oregon

    Oregon · 11642

    Office

    $263.21

    Facility

    $151.43

    $42.80 lower than Manhattan for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11642

    Office

    $277.38

    Facility

    $160.55

    $28.63 lower than Manhattan for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11642

    Office

    $252.24

    Facility

    $149.22

    $53.77 lower than Manhattan for the office setting.

  • Puerto Rico

    Puerto Rico · 11642

    Office

    $268.61

    Facility

    $155.15

    $37.40 lower than Manhattan for the office setting.

  • Rhode Island

    Rhode Island · 11642

    Office

    $273.07

    Facility

    $157.14

    $32.94 lower than Manhattan for the office setting.

  • South Carolina

    South Carolina · 11642

    Office

    $252.32

    Facility

    $148.62

    $53.69 lower than Manhattan for the office setting.

  • South Dakota**

    South Dakota · 11642

    Office

    $260.22

    Facility

    $147.99

    $45.79 lower than Manhattan for the office setting.

  • Tennessee

    Tennessee · 11642

    Office

    $246.61

    Facility

    $144.60

    $59.40 lower than Manhattan for the office setting.

  • Austin

    Texas · 11642

    Office

    $275.86

    Facility

    $157.12

    $30.15 lower than Manhattan for the office setting.

  • Beaumont

    Texas · 11642

    Office

    $250.71

    Facility

    $148.58

    $55.30 lower than Manhattan for the office setting.

  • Brazoria

    Texas · 11642

    Office

    $263.80

    Facility

    $152.59

    $42.21 lower than Manhattan for the office setting.

  • Dallas

    Texas · 11642

    Office

    $265.53

    Facility

    $153.75

    $40.48 lower than Manhattan for the office setting.

  • Fort Worth

    Texas · 11642

    Office

    $263.94

    Facility

    $153.29

    $42.07 lower than Manhattan for the office setting.

  • Galveston

    Texas · 11642

    Office

    $264.63

    Facility

    $153.19

    $41.38 lower than Manhattan for the office setting.

  • Houston

    Texas · 11642

    Office

    $270.12

    Facility

    $158.68

    $35.89 lower than Manhattan for the office setting.

  • Rest Of Texas

    Texas · 11642

    Office

    $257.15

    Facility

    $150.64

    $48.86 lower than Manhattan for the office setting.

  • Utah

    Utah · 11642

    Office

    $255.55

    Facility

    $150.06

    $50.46 lower than Manhattan for the office setting.

  • Virginia

    Virginia · 11642

    Office

    $261.01

    Facility

    $150.69

    $45.00 lower than Manhattan for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11642

    Office

    $268.61

    Facility

    $155.15

    $37.40 lower than Manhattan for the office setting.

  • Vermont

    Vermont · 11642

    Office

    $260.21

    Facility

    $149.10

    $45.80 lower than Manhattan for the office setting.

  • Rest Of Washington

    Washington · 11642

    Office

    $274.68

    Facility

    $156.51

    $31.33 lower than Manhattan for the office setting.

  • Seattle (King Cnty)

    Washington · 11642

    Office

    $308.27

    Facility

    $170.57

    $2.26 higher than Manhattan for the office setting.

  • Wisconsin

    Wisconsin · 11642

    Office

    $252.73

    Facility

    $145.22

    $53.28 lower than Manhattan for the office setting.

  • West Virginia

    West Virginia · 11642

    Office

    $248.70

    Facility

    $151.18

    $57.31 lower than Manhattan for the office setting.

  • Wyoming**

    Wyoming · 11642

    Office

    $264.27

    Facility

    $152.04

    $41.74 lower than Manhattan for the office setting.

See how rates vary across the country

11642 · 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.

$237.81

$316.12

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$316.121
AL$241.061
AR$237.811
AZ$260.111
CA$280.15–$347.4829
CO$276.691
CT$283.901
DC$303.161
DE$264.231
FL$264.36–$289.233
GA$250.26–$271.892
GU$286.171
HI$286.171
IA$246.241
ID$247.861
IL$257.58–$281.304
IN$249.191
KS$245.421
KY$246.961
LA$246.71–$258.112
MA$275.30–$302.572
MD$268.96–$303.163
ME$249.35–$261.632
MI$253.23–$267.742
MN$264.801
MO$242.92–$258.653
MS$240.391
MT$266.851
NC$251.751
ND$260.921
NE$247.421
NH$272.661
NJ$287.05–$300.392
NM$254.641
NV$265.371
NY$255.31–$313.365
OH$252.021
OK$246.271
OR$263.21–$284.732
PA$252.24–$277.382
PR$268.611
RI$273.071
SC$252.321
SD$260.221
TN$246.611
TX$250.71–$275.868
UT$255.551
VA$261.01–$303.162
VI$268.611
VT$260.211
WA$274.68–$308.272
WI$252.731
WV$248.701
WY$264.271

Explore 11642 on the national rate map →

Where does this rate apply?

Manhattan is a Medicare payment area. Our Census mapping connects it to 1 cities and communities in New York, 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 New York →

Why are the office and facility amounts different?

For 11642 in Manhattan, the physician’s office rate is $306.01 and the facility-setting rate is $175.60: a difference of $130.41.

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 11642 in Manhattan. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$336.61

$306.01 × 110% = $336.61

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 11642 in Manhattan.

PPRRVU2026_Oct_nonQPP.csv

1,355

Code
11642
Physician work
2.55
Practice expense
5.14
Malpractice
0.30

GPCI2026.csv

78

Locality
Manhattan
Physician work
1.064
Practice expense
1.162
Malpractice
1.586
Office / nonfacility calculation for 11642 in Manhattan
ComponentRVULocality factorAdjusted
Physician work2.55× 1.0642.7132
Practice expense5.14× 1.1625.9727
Malpractice0.30× 1.5860.4758
Total RVUs9.1617
Conversion factor× 33.4009

Office / nonfacility rate, Manhattan$306.01

Open 11642 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.551.064
Practice expense5.141.162
Malpractice0.31.586

(2.55 × 1.064 + 5.14 × 1.162 + 0.3 × 1.586) × $33.4009 = $306.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.551.064
Practice expense1.781.162
Malpractice0.31.586

(2.55 × 1.064 + 1.78 × 1.162 + 0.3 × 1.586) × $33.4009 = $175.60

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

11642 · Office / nonfacility

$306.01

Effective 2026-10-01

The base rate is $5.73 higher than on 2025-10-01, moving from $300.28 to $306.01 (1.9%).

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

    $300.28changed to$306.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.62 changed to 2.55
    • Practice expense RVU 5.10 changed to 5.14
    • Malpractice RVU 0.33 changed to 0.30
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.166 changed to 1.162
    • Malpractice GPCI 1.656 changed to 1.586

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $300.28

    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$306.01$175.60RVU26D
2026-07-01$306.01$175.60RVU26C
2026-04-01$306.01$175.60RVU26B
2026-01-01$306.01$175.60RVU26A
2025-10-01$300.28$203.35RVU25D
2025-07-01$300.28$203.35RVU25C
2025-04-01$300.28$203.35RVU25B
2025-01-01$300.28$203.35RVU25A

11642 billing questions

How is the 1.1–2 cm size determined?

Use the excised diameter: the lesion’s greatest diameter plus the narrowest margins removed. Document the measurements that support the selected size range.

Does the code include closing the wound?

Simple closure is included. An intermediate or complex repair may be separately reported when supported by the repair documentation and applicable coding requirements.

When should 11641 be used instead?

Use 11641 for the same anatomic site group when the excised diameter is 0.6–1 cm. The size is based on the lesion and margins, not the length of the closure.

Does the 10-day global period include wound checks?

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

What happens if another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction.

Can an assistant surgeon or co-surgeon be billed?

CMS does not pay an assistant at surgery for this service and does not permit co-surgeon or team-surgery billing.

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 11642PPRRVU2026_Oct_nonQPP.csv, line 1,355 (RVU26D)
Geographic factors for ManhattanGPCI2026.csv, line 78 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet