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CMS RVU26D · Effective 2026-10-01

11451 in Redding

Office / nonfacility

$599.18

Base rate per service

Facility setting

$320.60

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.

Dermatologic surgery

About 11451: Axillary hidradenitis excision, complex repair

Reports excision of axillary skin and subcutaneous tissue for hidradenitis when the resulting wound is managed with complex repair.

This code is for surgical removal of skin and underlying subcutaneous tissue affected by hidradenitis in the axilla, with complex repair of the resulting wound. Dermatologic, general, or plastic surgeons may perform the procedure, commonly in a facility setting for more extensive disease. The code is specific to the axilla; disease at other sites uses the corresponding hidradenitis excision code for that location.

Choose this code when the axillary excision is accompanied by complex repair, rather than simple or intermediate repair. Document the operative site and laterality, excision performed, and repair details supporting the complex level. The repair is included in this service and should not be separately unbundled. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in one session, the highest-valued is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 11451

Global period
Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 procedure with modifier 50 is paid at 150%.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU4.32 · 25%
  • Practice expense (office) RVU11.87 · 69%
  • Malpractice RVU1.00 · 6%

78

Medicare services in 2024 · #5072 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.

11451 compared with similar codes

Office rates for Redding, from the same CMS release.

11450

Hidradenitis excision

Axilla, simple/intermediate repair

$483.80

Both are for axillary hidradenitis excision. The repair level distinguishes them: 11450 covers simple or intermediate repair, while 11451 covers complex repair.

11463

Hidradenitis excision

Inguinal, complex repair

$601.42

This code covers complex repair after hidradenitis excision in the inguinal region, not the axilla.

11471

Hidradenitis excision

Perianal, perineal, or umbilical

$611.93

This code covers complex repair after hidradenitis excision at perianal, perineal, or umbilical sites, rather than the axilla.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 11451 is $601.90—$2.72 higher than the $599.18 rate in Redding. Both use the same code, release and participation basis.

11451 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $599.18

  2. Bakersfield

    $601.90

    $2.72 higher than Redding

  3. Chico

    $599.18

    The same base rate than Redding

  4. El Centro

    $599.34

    $0.16 higher than Redding

  5. Fresno

    $599.18

    The same base rate than Redding

  6. Hanford-Corcoran

    $599.18

    The same base rate than Redding

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

    $641.41

    $42.23 higher than Redding

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, 11451 ranges from $502.06 in Arkansas to $749.77 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 · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Merced

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Modesto

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Napa

    California · 11451

    Office

    $692.90

    Facility

    $357.89

    $93.72 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11451

    Office

    $637.77

    Facility

    $337.33

    $38.59 higher than Redding for the office setting.

  • Rest Of California

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11451

    Office

    $609.91

    Facility

    $331.33

    $10.73 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11451

    Office

    $628.48

    Facility

    $332.87

    $29.30 higher than Redding for the office setting.

  • Salinas

    California · 11451

    Office

    $626.18

    Facility

    $331.58

    $27.00 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11451

    Office

    $640.90

    Facility

    $336.90

    $41.72 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11451

    Office

    $732.35

    Facility

    $373.96

    $133.17 higher than Redding for the office setting.

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

    California · 11451

    Office

    $731.22

    Facility

    $372.82

    $132.04 higher than Redding for the office setting.

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

    California · 11451

    Office

    $749.77

    Facility

    $383.25

    $150.59 higher than Redding for the office setting.

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

    California · 11451

    Office

    $745.13

    Facility

    $378.60

    $145.95 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11451

    Office

    $616.23

    Facility

    $326.71

    $17.05 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 11451

    Office

    $646.93

    Facility

    $338.10

    $47.75 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 11451

    Office

    $628.52

    Facility

    $332.14

    $29.34 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 11451

    Office

    $653.39

    Facility

    $341.25

    $54.21 higher than Redding for the office setting.

  • Stockton

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 11451

    Office

    $691.26

    Facility

    $356.25

    $92.08 higher than Redding for the office setting.

  • Visalia

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 11451

    Office

    $599.18

    Facility

    $320.60

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11451

    Office

    $656.30

    Facility

    $356.87

    $57.12 higher than Redding for the office setting.

  • Miami

    Florida · 11451

    Office

    $641.49

    Facility

    $376.88

    $42.31 higher than Redding for the office setting.

  • Chicago

    Illinois · 11451

    Office

    $620.41

    Facility

    $364.96

    $21.23 higher than Redding for the office setting.

  • Manhattan

    New York · 11451

    Office

    $667.20

    Facility

    $371.84

    $68.02 higher than Redding for the office setting.

  • Alaska*

    Alaska · 11451

    Office

    $657.08

    Facility

    $386.38

    $57.90 higher than Redding for the office setting.

  • Alabama

    Alabama · 11451

    Office

    $510.11

    Facility

    $287.70

    $89.07 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 11451

    Office

    $502.06

    Facility

    $283.72

    $97.12 lower than Redding for the office setting.

  • Arizona

    Arizona · 11451

    Office

    $557.06

    Facility

    $310.76

    $42.12 lower than Redding for the office setting.

  • Colorado

    Colorado · 11451

    Office

    $593.95

    Facility

    $323.50

    $5.23 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 11451

    Office

    $614.59

    Facility

    $340.84

    $15.41 higher than Redding for the office setting.

  • Delaware

    Delaware · 11451

    Office

    $566.75

    Facility

    $315.62

    $32.43 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 11451

    Office

    $606.30

    Facility

    $348.82

    $7.12 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 11451

    Office

    $573.52

    Facility

    $330.52

    $25.66 lower than Redding for the office setting.

  • Atlanta

    Georgia · 11451

    Office

    $587.65

    Facility

    $329.40

    $11.53 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 11451

    Office

    $537.76

    Facility

    $311.03

    $61.42 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 11451

    Office

    $614.42

    Facility

    $325.41

    $15.24 higher than Redding for the office setting.

  • Iowa

    Iowa · 11451

    Office

    $520.32

    Facility

    $287.75

    $78.86 lower than Redding for the office setting.

  • Idaho

    Idaho · 11451

    Office

    $524.84

    Facility

    $291.00

    $74.34 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 11451

    Office

    $576.31

    Facility

    $342.47

    $22.87 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 11451

    Office

    $558.47

    Facility

    $326.41

    $40.71 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 11451

    Office

    $611.66

    Facility

    $350.62

    $12.48 higher than Redding for the office setting.

  • Indiana

    Indiana · 11451

    Office

    $528.05

    Facility

    $292.43

    $71.13 lower than Redding for the office setting.

  • Kansas

    Kansas · 11451

    Office

    $519.53

    Facility

    $289.75

    $79.65 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 11451

    Office

    $527.31

    Facility

    $301.35

    $71.87 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 11451

    Office

    $555.31

    Facility

    $316.13

    $43.87 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 11451

    Office

    $527.16

    Facility

    $302.21

    $72.02 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 11451

    Office

    $653.32

    Facility

    $349.83

    $54.14 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11451

    Office

    $590.70

    Facility

    $323.05

    $8.48 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11451

    Office

    $613.33

    Facility

    $340.59

    $14.15 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 11451

    Office

    $577.62

    Facility

    $320.39

    $21.56 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 11451

    Office

    $529.82

    Facility

    $295.97

    $69.36 lower than Redding for the office setting.

  • Southern Maine

    Maine · 11451

    Office

    $558.27

    Facility

    $306.38

    $40.91 lower than Redding for the office setting.

  • Detroit

    Michigan · 11451

    Office

    $583.20

    Facility

    $337.91

    $15.98 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 11451

    Office

    $543.98

    Facility

    $311.91

    $55.20 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 11451

    Office

    $562.14

    Facility

    $300.59

    $37.04 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 11451

    Office

    $549.21

    Facility

    $310.53

    $49.97 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 11451

    Office

    $555.20

    Facility

    $313.22

    $43.98 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 11451

    Office

    $518.58

    Facility

    $299.48

    $80.60 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 11451

    Office

    $510.33

    Facility

    $291.48

    $88.85 lower than Redding for the office setting.

  • Montana**

    Montana · 11451

    Office

    $574.09

    Facility

    $319.91

    $25.09 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 11451

    Office

    $535.54

    Facility

    $298.39

    $63.64 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 11451

    Office

    $554.32

    Facility

    $300.14

    $44.86 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 11451

    Office

    $522.86

    Facility

    $288.25

    $76.32 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 11451

    Office

    $586.24

    Facility

    $321.64

    $12.94 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 11451

    Office

    $648.96

    Facility

    $354.11

    $49.78 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 11451

    Office

    $619.65

    Facility

    $342.08

    $20.47 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 11451

    Office

    $547.97

    Facility

    $314.88

    $51.21 lower than Redding for the office setting.

  • Nevada**

    Nevada · 11451

    Office

    $568.98

    Facility

    $314.54

    $30.20 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11451

    Office

    $686.95

    Facility

    $384.73

    $87.77 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11451

    Office

    $625.33

    Facility

    $347.01

    $26.15 higher than Redding for the office setting.

  • Queens

    New York · 11451

    Office

    $670.32

    Facility

    $369.87

    $71.14 higher than Redding for the office setting.

  • Rest Of New York

    New York · 11451

    Office

    $544.42

    Facility

    $302.95

    $54.76 lower than Redding for the office setting.

  • Ohio

    Ohio · 11451

    Office

    $539.94

    Facility

    $307.87

    $59.24 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 11451

    Office

    $524.29

    Facility

    $297.31

    $74.89 lower than Redding for the office setting.

  • Portland

    Oregon · 11451

    Office

    $611.93

    Facility

    $329.53

    $12.75 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 11451

    Office

    $562.66

    Facility

    $309.49

    $36.52 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11451

    Office

    $599.46

    Facility

    $334.86

    $0.28 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11451

    Office

    $539.81

    Facility

    $306.48

    $59.37 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 11451

    Office

    $578.02

    Facility

    $321.04

    $21.16 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 11451

    Office

    $586.38

    Facility

    $323.81

    $12.80 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 11451

    Office

    $539.02

    Facility

    $304.16

    $60.16 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 11451

    Office

    $551.98

    Facility

    $297.80

    $47.20 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 11451

    Office

    $522.62

    Facility

    $291.57

    $76.56 lower than Redding for the office setting.

  • Austin

    Texas · 11451

    Office

    $593.64

    Facility

    $324.71

    $5.54 lower than Redding for the office setting.

  • Beaumont

    Texas · 11451

    Office

    $536.11

    Facility

    $304.80

    $63.07 lower than Redding for the office setting.

  • Brazoria

    Texas · 11451

    Office

    $564.40

    Facility

    $312.51

    $34.78 lower than Redding for the office setting.

  • Dallas

    Texas · 11451

    Office

    $569.13

    Facility

    $315.97

    $30.05 lower than Redding for the office setting.

  • Fort Worth

    Texas · 11451

    Office

    $565.60

    Facility

    $314.98

    $33.58 lower than Redding for the office setting.

  • Galveston

    Texas · 11451

    Office

    $566.80

    Facility

    $314.39

    $32.38 lower than Redding for the office setting.

  • Houston

    Texas · 11451

    Office

    $585.10

    Facility

    $332.70

    $14.08 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 11451

    Office

    $550.70

    Facility

    $309.48

    $48.48 lower than Redding for the office setting.

  • Utah

    Utah · 11451

    Office

    $546.97

    Facility

    $308.04

    $52.21 lower than Redding for the office setting.

  • Virginia

    Virginia · 11451

    Office

    $557.60

    Facility

    $307.74

    $41.58 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11451

    Office

    $578.02

    Facility

    $321.04

    $21.16 lower than Redding for the office setting.

  • Vermont

    Vermont · 11451

    Office

    $553.70

    Facility

    $302.06

    $45.48 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 11451

    Office

    $589.07

    Facility

    $321.41

    $10.11 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 11451

    Office

    $665.26

    Facility

    $353.38

    $66.08 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 11451

    Office

    $534.40

    Facility

    $290.89

    $64.78 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 11451

    Office

    $536.62

    Facility

    $315.74

    $62.56 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 11451

    Office

    $565.48

    Facility

    $311.30

    $33.70 lower than Redding for the office setting.

See how rates vary across the country

11451 · 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.

$502.06

$674.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$657.081
AL$510.111
AR$502.061
AZ$557.061
CA$599.18–$749.7729
CO$593.951
CT$614.591
DC$656.301
DE$566.751
FL$573.52–$641.493
GA$537.76–$587.652
GU$614.421
HI$614.421
IA$520.321
ID$524.841
IL$558.47–$620.414
IN$528.051
KS$519.531
KY$527.311
LA$527.16–$555.312
MA$590.70–$653.322
MD$577.62–$656.303
ME$529.82–$558.272
MI$543.98–$583.202
MN$562.141
MO$518.58–$555.203
MS$510.331
MT$574.091
NC$535.541
ND$554.321
NE$522.861
NH$586.241
NJ$619.65–$648.962
NM$547.971
NV$568.981
NY$544.42–$686.955
OH$539.941
OK$524.291
OR$562.66–$611.932
PA$539.81–$599.462
PR$578.021
RI$586.381
SC$539.021
SD$551.981
TN$522.621
TX$536.11–$593.648
UT$546.971
VA$557.60–$656.302
VI$578.021
VT$553.701
WA$589.07–$665.262
WI$534.401
WV$536.621
WY$565.481

Explore 11451 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 11451 in Redding, the physician’s office rate is $599.18 and the facility-setting rate is $320.60: a difference of $278.58.

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 11451 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$659.10

$599.18 × 110% = $659.10

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.

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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 11451 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,328

Code
11451
Physician work
4.32
Practice expense
11.87
Malpractice
1.00

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11451 in Redding
ComponentRVULocality factorAdjusted
Physician work4.32× 1.0174.3934
Practice expense11.87× 1.09613.0095
Malpractice1.00× 0.5360.5360
Total RVUs17.9390
Conversion factor× 33.4009

Office / nonfacility rate, Redding$599.18

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

Open 11451 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.321.017
Practice expense11.871.096
Malpractice10.536

(4.32 × 1.017 + 11.87 × 1.096 + 1 × 0.536) × $33.4009 = $599.18

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.321.017
Practice expense4.261.096
Malpractice10.536

(4.32 × 1.017 + 4.26 × 1.096 + 1 × 0.536) × $33.4009 = $320.60

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

11451 · Office / nonfacility

$599.18

Effective 2026-10-01

The base rate is $68.63 higher than on 2025-10-01, moving from $530.55 to $599.18 (12.9%).

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

    $530.55changed to$599.18

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.43 changed to 4.32
    • Practice expense RVU 10.41 changed to 11.87
    • Malpractice RVU 0.95 changed to 1.00
    • 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: $530.55

    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$599.18$320.60RVU26D
2026-07-01$599.18$320.60RVU26C
2026-04-01$599.18$320.60RVU26B
2026-01-01$599.18$320.60RVU26A
2025-10-01$530.55$330.80RVU25D
2025-07-01$530.55$330.80RVU25C
2025-04-01$530.55$330.80RVU25B
2025-01-01$530.55$330.80RVU25A

11451 billing questions

When should 11451 be chosen over 11450?

Both cover axillary hidradenitis excision. Choose 11451 when the wound receives complex repair; 11450 is for simple or intermediate repair.

Can the complex closure be billed separately?

No. Complex repair is part of 11451, so it is not separately reported as a repair service for the same wound.

How is bilateral axillary surgery reported?

Report modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full; additional procedures are paid at 50%. Assistant-at-surgery payment requires documented medical necessity.

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 11451PPRRVU2026_Oct_nonQPP.csv, line 1,328 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet