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CMS RVU26D · Effective 2026-10-01

11200 in Modesto

Office / nonfacility

$97.43

Base rate per service

Facility setting

$72.17

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 11200: Removal of up to 15 skin tags

Report this service for removal of up to 15 skin tags, such as irritated acrochordons, during a single procedure session.

This service covers removal of one or more skin tags, also called acrochordons, when the total is no more than 15. A dermatologist, primary care clinician, or other qualified practitioner commonly performs it in an office. Tags may be removed individually with snipping or another appropriate removal technique; the code applies to tags from any body area. Examples include tags that rub against clothing or become irritated in skin folds.

Count the tags treated in the session: report this code for the first 15, then use 11201 for each additional 10 tags or part of 10. Document the number and treated sites, along with the clinical reason for removal and relevant symptoms. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 11200

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 RVU0.80 · 29%
  • Practice expense (office) RVU1.88 · 68%
  • Malpractice RVU0.08 · 3%

78.1K

Medicare services in 2024 · #639 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.

11200 compared with similar codes

Office rates for Modesto, from the same CMS release.

11201

Skin tag removal

Each additional 10 lesions

$18.83

Use 11201 only after the first 15 skin tags reported with 11200; it represents each additional 10 tags or part thereof.

17110

Benign lesion destruction

Up to 14 lesions

$118.80

This code is for skin tags. Code 17110 is for destruction of qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions, up to 14 lesions.

17111

Lesion destruction

15 or more benign lesions

$138.40

This code is for skin tags. Code 17111 is for destruction of 15 or more qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 11200 is $97.68—$0.25 higher than the $97.43 rate in Modesto. Both use the same code, release and participation basis.

11200 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $97.43

  2. Bakersfield

    $97.68

    $0.25 higher than Modesto

  3. Chico

    $97.43

    The same base rate than Modesto

  4. El Centro

    $97.44

    $0.01 higher than Modesto

  5. Fresno

    $97.43

    The same base rate than Modesto

  6. Hanford-Corcoran

    $97.43

    The same base rate than Modesto

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

    $103.88

    $6.45 higher than Modesto

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, 11200 ranges from $82.04 in Arkansas to $121.64 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

  • Madera

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Merced

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Napa

    California · 11200

    Office

    $112.52

    Facility

    $82.15

    $15.09 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11200

    Office

    $103.36

    Facility

    $76.11

    $5.93 higher than Modesto for the office setting.

  • Redding

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11200

    Office

    $98.30

    Facility

    $73.04

    $0.87 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11200

    Office

    $102.14

    Facility

    $75.34

    $4.71 higher than Modesto for the office setting.

  • Salinas

    California · 11200

    Office

    $101.76

    Facility

    $75.05

    $4.33 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11200

    Office

    $104.07

    Facility

    $76.51

    $6.64 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11200

    Office

    $119.02

    Facility

    $86.53

    $21.59 higher than Modesto for the office setting.

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

    California · 11200

    Office

    $118.93

    Facility

    $86.44

    $21.50 higher than Modesto for the office setting.

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

    California · 11200

    Office

    $121.64

    Facility

    $88.41

    $24.21 higher than Modesto for the office setting.

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

    California · 11200

    Office

    $121.27

    Facility

    $88.04

    $23.84 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11200

    Office

    $100.13

    Facility

    $73.88

    $2.70 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 11200

    Office

    $105.01

    Facility

    $77.01

    $7.58 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 11200

    Office

    $102.12

    Facility

    $75.25

    $4.69 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 11200

    Office

    $106.07

    Facility

    $77.76

    $8.64 higher than Modesto for the office setting.

  • Stockton

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 11200

    Office

    $112.39

    Facility

    $82.02

    $14.96 higher than Modesto for the office setting.

  • Visalia

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 11200

    Office

    $97.43

    Facility

    $72.17

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11200

    Office

    $105.11

    Facility

    $77.96

    $7.68 higher than Modesto for the office setting.

  • Miami

    Florida · 11200

    Office

    $98.85

    Facility

    $74.86

    $1.42 higher than Modesto for the office setting.

  • Chicago

    Illinois · 11200

    Office

    $96.15

    Facility

    $72.99

    $1.28 lower than Modesto for the office setting.

  • Manhattan

    New York · 11200

    Office

    $105.64

    Facility

    $78.85

    $8.21 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 11200

    Office

    $108.43

    Facility

    $83.88

    $11.00 higher than Modesto for the office setting.

  • Alabama

    Alabama · 11200

    Office

    $83.18

    Facility

    $63.01

    $14.25 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 11200

    Office

    $82.04

    Facility

    $62.24

    $15.39 lower than Modesto for the office setting.

  • Arizona

    Arizona · 11200

    Office

    $89.86

    Facility

    $67.52

    $7.57 lower than Modesto for the office setting.

  • Colorado

    Colorado · 11200

    Office

    $95.94

    Facility

    $71.42

    $1.49 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 11200

    Office

    $98.12

    Facility

    $73.30

    $0.69 higher than Modesto for the office setting.

  • Delaware

    Delaware · 11200

    Office

    $91.30

    Facility

    $68.53

    $6.13 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 11200

    Office

    $95.16

    Facility

    $71.82

    $2.27 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 11200

    Office

    $90.77

    Facility

    $68.74

    $6.66 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 11200

    Office

    $93.81

    Facility

    $70.39

    $3.62 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 11200

    Office

    $85.92

    Facility

    $65.36

    $11.51 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 11200

    Office

    $99.66

    Facility

    $73.46

    $2.23 higher than Modesto for the office setting.

  • Iowa

    Iowa · 11200

    Office

    $85.24

    Facility

    $64.15

    $12.19 lower than Modesto for the office setting.

  • Idaho

    Idaho · 11200

    Office

    $85.75

    Facility

    $64.55

    $11.68 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 11200

    Office

    $89.87

    Facility

    $68.67

    $7.56 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 11200

    Office

    $88.23

    Facility

    $67.19

    $9.20 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 11200

    Office

    $96.13

    Facility

    $72.46

    $1.30 lower than Modesto for the office setting.

  • Indiana

    Indiana · 11200

    Office

    $86.23

    Facility

    $64.86

    $11.20 lower than Modesto for the office setting.

  • Kansas

    Kansas · 11200

    Office

    $84.83

    Facility

    $64.00

    $12.60 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 11200

    Office

    $84.99

    Facility

    $64.50

    $12.44 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 11200

    Office

    $88.85

    Facility

    $67.16

    $8.58 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 11200

    Office

    $84.85

    Facility

    $64.46

    $12.58 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 11200

    Office

    $105.17

    Facility

    $77.65

    $7.74 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11200

    Office

    $95.40

    Facility

    $71.13

    $2.03 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11200

    Office

    $97.83

    Facility

    $73.10

    $0.40 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 11200

    Office

    $92.99

    Facility

    $69.66

    $4.44 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 11200

    Office

    $86.15

    Facility

    $64.95

    $11.28 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 11200

    Office

    $90.64

    Facility

    $67.80

    $6.79 lower than Modesto for the office setting.

  • Detroit

    Michigan · 11200

    Office

    $91.82

    Facility

    $69.58

    $5.61 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 11200

    Office

    $87.07

    Facility

    $66.03

    $10.36 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 11200

    Office

    $92.13

    Facility

    $68.41

    $5.30 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 11200

    Office

    $88.29

    Facility

    $66.65

    $9.14 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 11200

    Office

    $89.18

    Facility

    $67.24

    $8.25 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 11200

    Office

    $83.45

    Facility

    $63.59

    $13.98 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 11200

    Office

    $82.76

    Facility

    $62.92

    $14.67 lower than Modesto for the office setting.

  • Montana**

    Montana · 11200

    Office

    $92.18

    Facility

    $69.13

    $5.25 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 11200

    Office

    $87.01

    Facility

    $65.51

    $10.42 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 11200

    Office

    $90.60

    Facility

    $67.55

    $6.83 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 11200

    Office

    $85.69

    Facility

    $64.42

    $11.74 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 11200

    Office

    $94.43

    Facility

    $70.44

    $3.00 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 11200

    Office

    $104.10

    Facility

    $77.36

    $6.67 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 11200

    Office

    $99.29

    Facility

    $74.12

    $1.86 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 11200

    Office

    $87.51

    Facility

    $66.38

    $9.92 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 11200

    Office

    $91.80

    Facility

    $68.73

    $5.63 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11200

    Office

    $108.05

    Facility

    $80.65

    $10.62 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11200

    Office

    $99.92

    Facility

    $74.68

    $2.49 higher than Modesto for the office setting.

  • Queens

    New York · 11200

    Office

    $106.51

    Facility

    $79.27

    $9.08 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 11200

    Office

    $88.25

    Facility

    $66.36

    $9.18 lower than Modesto for the office setting.

  • Ohio

    Ohio · 11200

    Office

    $86.74

    Facility

    $65.70

    $10.69 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 11200

    Office

    $84.87

    Facility

    $64.29

    $12.56 lower than Modesto for the office setting.

  • Portland

    Oregon · 11200

    Office

    $98.90

    Facility

    $73.30

    $1.47 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 11200

    Office

    $91.14

    Facility

    $68.19

    $6.29 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11200

    Office

    $95.76

    Facility

    $71.77

    $1.67 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11200

    Office

    $86.89

    Facility

    $65.73

    $10.54 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 11200

    Office

    $92.84

    Facility

    $69.54

    $4.59 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 11200

    Office

    $94.48

    Facility

    $70.67

    $2.95 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 11200

    Office

    $87.01

    Facility

    $65.72

    $10.42 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 11200

    Office

    $90.41

    Facility

    $67.37

    $7.02 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 11200

    Office

    $85.24

    Facility

    $64.29

    $12.19 lower than Modesto for the office setting.

  • Austin

    Texas · 11200

    Office

    $95.58

    Facility

    $71.19

    $1.85 lower than Modesto for the office setting.

  • Beaumont

    Texas · 11200

    Office

    $86.35

    Facility

    $65.37

    $11.08 lower than Modesto for the office setting.

  • Brazoria

    Texas · 11200

    Office

    $91.25

    Facility

    $68.41

    $6.18 lower than Modesto for the office setting.

  • Dallas

    Texas · 11200

    Office

    $91.80

    Facility

    $68.84

    $5.63 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 11200

    Office

    $91.20

    Facility

    $68.48

    $6.23 lower than Modesto for the office setting.

  • Galveston

    Texas · 11200

    Office

    $91.50

    Facility

    $68.62

    $5.93 lower than Modesto for the office setting.

  • Houston

    Texas · 11200

    Office

    $92.97

    Facility

    $70.08

    $4.46 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 11200

    Office

    $88.72

    Facility

    $66.85

    $8.71 lower than Modesto for the office setting.

  • Utah

    Utah · 11200

    Office

    $88.15

    Facility

    $66.48

    $9.28 lower than Modesto for the office setting.

  • Virginia

    Virginia · 11200

    Office

    $90.33

    Facility

    $67.68

    $7.10 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11200

    Office

    $92.84

    Facility

    $69.54

    $4.59 lower than Modesto for the office setting.

  • Vermont

    Vermont · 11200

    Office

    $90.24

    Facility

    $67.42

    $7.19 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 11200

    Office

    $95.22

    Facility

    $70.96

    $2.21 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 11200

    Office

    $107.29

    Facility

    $79.01

    $9.86 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 11200

    Office

    $87.70

    Facility

    $65.62

    $9.73 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 11200

    Office

    $85.11

    Facility

    $65.08

    $12.32 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 11200

    Office

    $91.49

    Facility

    $68.45

    $5.94 lower than Modesto for the office setting.

See how rates vary across the country

11200 · 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.

$82.04

$109.54

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$108.431
AL$83.181
AR$82.041
AZ$89.861
CA$97.43–$121.6429
CO$95.941
CT$98.121
DC$105.111
DE$91.301
FL$90.77–$98.853
GA$85.92–$93.812
GU$99.661
HI$99.661
IA$85.241
ID$85.751
IL$88.23–$96.154
IN$86.231
KS$84.831
KY$84.991
LA$84.85–$88.852
MA$95.40–$105.172
MD$92.99–$105.113
ME$86.15–$90.642
MI$87.07–$91.822
MN$92.131
MO$83.45–$89.183
MS$82.761
MT$92.181
NC$87.011
ND$90.601
NE$85.691
NH$94.431
NJ$99.29–$104.102
NM$87.511
NV$91.801
NY$88.25–$108.055
OH$86.741
OK$84.871
OR$91.14–$98.902
PA$86.89–$95.762
PR$92.841
RI$94.481
SC$87.011
SD$90.411
TN$85.241
TX$86.35–$95.588
UT$88.151
VA$90.33–$105.112
VI$92.841
VT$90.241
WA$95.22–$107.292
WI$87.701
WV$85.111
WY$91.491

Explore 11200 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 11200 in Modesto, the physician’s office rate is $97.43 and the facility-setting rate is $72.17: a difference of $25.26.

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 11200 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$107.17

$97.43 × 110% = $107.17

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 11200 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

1,283

Code
11200
Physician work
0.80
Practice expense
1.88
Malpractice
0.08

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11200 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.80× 1.0170.8136
Practice expense1.88× 1.0962.0605
Malpractice0.08× 0.5360.0429
Total RVUs2.9170
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$97.43

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

Open 11200 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.81.017
Practice expense1.881.096
Malpractice0.080.536

(0.8 × 1.017 + 1.88 × 1.096 + 0.08 × 0.536) × $33.4009 = $97.43

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.81.017
Practice expense1.191.096
Malpractice0.080.536

(0.8 × 1.017 + 1.19 × 1.096 + 0.08 × 0.536) × $33.4009 = $72.17

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

11200 · Office / nonfacility

$97.43

Effective 2026-10-01

The base rate is $2.26 higher than on 2025-10-01, moving from $95.17 to $97.43 (2.4%).

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

    $95.17changed to$97.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.82 changed to 0.80
    • Practice expense RVU 1.89 changed to 1.88
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $95.17

    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$97.43$72.17RVU26D
2026-07-01$97.43$72.17RVU26C
2026-04-01$97.43$72.17RVU26B
2026-01-01$97.43$72.17RVU26A
2025-10-01$95.17$78.90RVU25D
2025-07-01$95.17$78.90RVU25C
2025-04-01$95.17$78.90RVU25B
2025-01-01$95.17$78.90RVU25A

11200 billing questions

When is 11201 reported with this code?

Use 11200 for the first 15 skin tags and 11201 for each additional 10 tags or part of 10. For example, 16 treated tags require 11200 and one unit of 11201.

What documentation supports reporting 11200?

Record the number of tags removed, their body sites, and the clinical reason for removal. Note relevant symptoms, such as irritation or repeated rubbing, when present.

Can modifier 50 be used for tags on both sides of the body?

No. Modifier 50 is inappropriate for this service, including when tags are removed from both sides.

How does the 10-day global period affect follow-up?

Related postoperative visits during the 10 days after the procedure are included in the global period.

How is 11200 distinguished from 17110?

11200 is for skin tags. Code 17110 is for destruction of qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions.

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 11200PPRRVU2026_Oct_nonQPP.csv, line 1,283 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet