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CMS RVU26D · Effective 2026-10-01

11606 in Redding

Office / nonfacility

$479.50

Base rate per service

Facility setting

$273.03

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 11606: Malignant lesion excision, trunk or extremity, over 4 cm

Excision of a malignant skin lesion on the trunk, arm, or leg is reported when the lesion and required margins produce an excised diameter greater than 4 cm.

This code covers surgical removal of a malignant skin lesion from the trunk, an arm, or a leg when the excised diameter, including the margins, is greater than 4 cm. Dermatologists, general surgeons, and other qualified physicians may perform the procedure in an office or surgical setting. The removed tissue is typically submitted for pathologic examination; closure is based on the resulting defect and may involve a separate repair service when the closure is intermediate or complex.

Choose the code by the anatomic site and the excised diameter, not the lesion’s appearance alone. Documentation should identify the site and diagnosis, describe the lesion dimensions and margins, and support the final excised diameter. Simple closure is included. A 10-day global period includes related postoperative visits during that period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeon and team-surgery services are not permitted.

CMS billing rules for 11606

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 RVU4.89 · 35%
  • Practice expense (office) RVU8.15 · 59%
  • Malpractice RVU0.84 · 6%

28.7K

Medicare services in 2024 · #991 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.

11606 compared with similar codes

Office rates for Redding, from the same CMS release.

11604

Malignant excision

Trunk or extremity, 3.1–4 cm

$325.18

Both codes cover malignant lesions on the trunk, arms, or legs. Choose 11604 for an excised diameter of 3.1–4 cm; choose 11606 when it is greater than 4 cm.

11626

Skin excision

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

$433.36

Both use the greater-than-4-cm size category, but 11626 is for scalp, neck, hands, feet, or genitalia. Use 11606 for the trunk, arms, or legs.

11646

Malignant lesion excision

Face and related sites, over 4 cm

$530.99

Both use the greater-than-4-cm size category, but 11646 is for the face, ears, eyelids, nose, or lips. Use 11606 for the trunk, arms, or legs.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 11606 is $481.87—$2.37 higher than the $479.50 rate in Redding. Both use the same code, release and participation basis.

11606 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $479.50

  2. Bakersfield

    $481.87

    $2.37 higher than Redding

  3. Chico

    $479.50

    The same base rate than Redding

  4. El Centro

    $479.64

    $0.14 higher than Redding

  5. Fresno

    $479.50

    The same base rate than Redding

  6. Hanford-Corcoran

    $479.50

    The same base rate than Redding

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

    $510.69

    $31.19 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, 11606 ranges from $411.61 in Arkansas to $588.87 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 · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Merced

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Modesto

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Napa

    California · 11606

    Office

    $546.66

    Facility

    $298.37

    $67.16 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 11606

    Office

    $507.14

    Facility

    $284.48

    $27.64 higher than Redding for the office setting.

  • Rest Of California

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 11606

    Office

    $488.55

    Facility

    $282.09

    $9.05 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 11606

    Office

    $500.84

    Facility

    $281.75

    $21.34 higher than Redding for the office setting.

  • Salinas

    California · 11606

    Office

    $498.93

    Facility

    $280.60

    $19.43 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 11606

    Office

    $509.01

    Facility

    $283.71

    $29.51 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 11606

    Office

    $575.55

    Facility

    $309.93

    $96.05 higher than Redding for the office setting.

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

    California · 11606

    Office

    $574.60

    Facility

    $308.98

    $95.10 higher than Redding for the office setting.

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

    California · 11606

    Office

    $588.87

    Facility

    $317.23

    $109.37 higher than Redding for the office setting.

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

    California · 11606

    Office

    $584.97

    Facility

    $313.33

    $105.47 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 11606

    Office

    $491.20

    Facility

    $276.63

    $11.70 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 11606

    Office

    $512.54

    Facility

    $283.66

    $33.04 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 11606

    Office

    $500.35

    Facility

    $280.70

    $20.85 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 11606

    Office

    $517.55

    Facility

    $286.22

    $38.05 higher than Redding for the office setting.

  • Stockton

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 11606

    Office

    $545.28

    Facility

    $296.99

    $65.78 higher than Redding for the office setting.

  • Visalia

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 11606

    Office

    $479.50

    Facility

    $273.03

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 11606

    Office

    $524.05

    Facility

    $302.14

    $44.55 higher than Redding for the office setting.

  • Miami

    Florida · 11606

    Office

    $517.66

    Facility

    $321.56

    $38.16 higher than Redding for the office setting.

  • Chicago

    Illinois · 11606

    Office

    $502.44

    Facility

    $313.12

    $22.94 higher than Redding for the office setting.

  • Manhattan

    New York · 11606

    Office

    $534.60

    Facility

    $315.70

    $55.10 higher than Redding for the office setting.

  • Alaska*

    Alaska · 11606

    Office

    $550.37

    Facility

    $349.74

    $70.87 higher than Redding for the office setting.

  • Alabama

    Alabama · 11606

    Office

    $417.40

    Facility

    $252.57

    $62.10 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 11606

    Office

    $411.61

    Facility

    $249.79

    $67.89 lower than Redding for the office setting.

  • Arizona

    Arizona · 11606

    Office

    $451.13

    Facility

    $268.58

    $28.37 lower than Redding for the office setting.

  • Colorado

    Colorado · 11606

    Office

    $476.84

    Facility

    $276.40

    $2.66 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 11606

    Office

    $493.72

    Facility

    $290.84

    $14.22 higher than Redding for the office setting.

  • Delaware

    Delaware · 11606

    Office

    $458.32

    Facility

    $272.20

    $21.18 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 11606

    Office

    $489.81

    Facility

    $298.98

    $10.31 higher than Redding for the office setting.

  • Rest Of Florida

    Florida · 11606

    Office

    $465.74

    Facility

    $285.65

    $13.76 lower than Redding for the office setting.

  • Atlanta

    Georgia · 11606

    Office

    $474.09

    Facility

    $282.69

    $5.41 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 11606

    Office

    $439.59

    Facility

    $271.56

    $39.91 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 11606

    Office

    $489.09

    Facility

    $274.90

    $9.59 higher than Redding for the office setting.

  • Iowa

    Iowa · 11606

    Office

    $423.55

    Facility

    $251.18

    $55.95 lower than Redding for the office setting.

  • Idaho

    Idaho · 11606

    Office

    $427.04

    Facility

    $253.73

    $52.46 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 11606

    Office

    $470.28

    Facility

    $296.97

    $9.22 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 11606

    Office

    $455.72

    Facility

    $283.73

    $23.78 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 11606

    Office

    $493.76

    Facility

    $300.29

    $14.26 higher than Redding for the office setting.

  • Indiana

    Indiana · 11606

    Office

    $429.31

    Facility

    $254.68

    $50.19 lower than Redding for the office setting.

  • Kansas

    Kansas · 11606

    Office

    $423.56

    Facility

    $253.26

    $55.94 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 11606

    Office

    $431.00

    Facility

    $263.53

    $48.50 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 11606

    Office

    $451.36

    Facility

    $274.09

    $28.14 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 11606

    Office

    $431.12

    Facility

    $264.40

    $48.38 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 11606

    Office

    $520.02

    Facility

    $295.10

    $40.52 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 11606

    Office

    $474.95

    Facility

    $276.58

    $4.55 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 11606

    Office

    $492.74

    Facility

    $290.61

    $13.24 higher than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 11606

    Office

    $466.20

    Facility

    $275.56

    $13.30 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 11606

    Office

    $431.22

    Facility

    $257.91

    $48.28 lower than Redding for the office setting.

  • Southern Maine

    Maine · 11606

    Office

    $450.80

    Facility

    $264.12

    $28.70 lower than Redding for the office setting.

  • Detroit

    Michigan · 11606

    Office

    $473.32

    Facility

    $291.54

    $6.18 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 11606

    Office

    $443.54

    Facility

    $271.55

    $35.96 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 11606

    Office

    $451.75

    Facility

    $257.90

    $27.75 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 11606

    Office

    $446.35

    Facility

    $269.46

    $33.15 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 11606

    Office

    $450.59

    Facility

    $271.26

    $28.91 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 11606

    Office

    $425.31

    Facility

    $262.92

    $54.19 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 11606

    Office

    $418.44

    Facility

    $256.25

    $61.06 lower than Redding for the office setting.

  • Montana**

    Montana · 11606

    Office

    $463.55

    Facility

    $275.17

    $15.95 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 11606

    Office

    $435.24

    Facility

    $259.48

    $44.26 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 11606

    Office

    $446.94

    Facility

    $258.56

    $32.56 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 11606

    Office

    $425.19

    Facility

    $251.32

    $54.31 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 11606

    Office

    $471.26

    Facility

    $275.15

    $8.24 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 11606

    Office

    $519.36

    Facility

    $300.83

    $39.86 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 11606

    Office

    $497.90

    Facility

    $292.19

    $18.40 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 11606

    Office

    $446.65

    Facility

    $273.90

    $32.85 lower than Redding for the office setting.

  • Nevada**

    Nevada · 11606

    Office

    $459.19

    Facility

    $270.62

    $20.31 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 11606

    Office

    $549.55

    Facility

    $325.57

    $70.05 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 11606

    Office

    $502.71

    Facility

    $296.43

    $23.21 higher than Redding for the office setting.

  • Queens

    New York · 11606

    Office

    $536.00

    Facility

    $313.34

    $56.50 higher than Redding for the office setting.

  • Rest Of New York

    New York · 11606

    Office

    $441.66

    Facility

    $262.70

    $37.84 lower than Redding for the office setting.

  • Ohio

    Ohio · 11606

    Office

    $440.15

    Facility

    $268.15

    $39.35 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 11606

    Office

    $428.22

    Facility

    $260.00

    $51.28 lower than Redding for the office setting.

  • Portland

    Oregon · 11606

    Office

    $489.25

    Facility

    $279.96

    $9.75 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 11606

    Office

    $454.18

    Facility

    $266.56

    $25.32 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 11606

    Office

    $483.12

    Facility

    $287.02

    $3.62 higher than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 11606

    Office

    $439.74

    Facility

    $266.81

    $39.76 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 11606

    Office

    $466.18

    Facility

    $275.72

    $13.32 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 11606

    Office

    $472.66

    Facility

    $278.06

    $6.84 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 11606

    Office

    $438.71

    Facility

    $264.64

    $40.79 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 11606

    Office

    $444.97

    Facility

    $256.59

    $34.53 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 11606

    Office

    $425.84

    Facility

    $254.60

    $53.66 lower than Redding for the office setting.

  • Austin

    Texas · 11606

    Office

    $476.52

    Facility

    $277.21

    $2.98 lower than Redding for the office setting.

  • Beaumont

    Texas · 11606

    Office

    $437.11

    Facility

    $265.69

    $42.39 lower than Redding for the office setting.

  • Brazoria

    Texas · 11606

    Office

    $456.29

    Facility

    $269.60

    $23.21 lower than Redding for the office setting.

  • Dallas

    Texas · 11606

    Office

    $460.00

    Facility

    $272.37

    $19.50 lower than Redding for the office setting.

  • Fort Worth

    Texas · 11606

    Office

    $457.64

    Facility

    $271.90

    $21.86 lower than Redding for the office setting.

  • Galveston

    Texas · 11606

    Office

    $458.18

    Facility

    $271.12

    $21.32 lower than Redding for the office setting.

  • Houston

    Texas · 11606

    Office

    $473.55

    Facility

    $286.49

    $5.95 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 11606

    Office

    $447.00

    Facility

    $268.23

    $32.50 lower than Redding for the office setting.

  • Utah

    Utah · 11606

    Office

    $444.41

    Facility

    $267.33

    $35.09 lower than Redding for the office setting.

  • Virginia

    Virginia · 11606

    Office

    $450.73

    Facility

    $265.55

    $28.77 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 11606

    Office

    $466.18

    Facility

    $275.72

    $13.32 lower than Redding for the office setting.

  • Vermont

    Vermont · 11606

    Office

    $447.02

    Facility

    $260.53

    $32.48 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 11606

    Office

    $473.45

    Facility

    $275.08

    $6.05 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 11606

    Office

    $528.43

    Facility

    $297.29

    $48.93 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 11606

    Office

    $432.76

    Facility

    $252.29

    $46.74 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 11606

    Office

    $440.04

    Facility

    $276.33

    $39.46 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 11606

    Office

    $456.31

    Facility

    $267.93

    $23.19 lower than Redding for the office setting.

See how rates vary across the country

11606 · 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.

$411.61

$550.37

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$550.371
AL$417.401
AR$411.611
AZ$451.131
CA$479.50–$588.8729
CO$476.841
CT$493.721
DC$524.051
DE$458.321
FL$465.74–$517.663
GA$439.59–$474.092
GU$489.091
HI$489.091
IA$423.551
ID$427.041
IL$455.72–$502.444
IN$429.311
KS$423.561
KY$431.001
LA$431.12–$451.362
MA$474.95–$520.022
MD$466.20–$524.053
ME$431.22–$450.802
MI$443.54–$473.322
MN$451.751
MO$425.31–$450.593
MS$418.441
MT$463.551
NC$435.241
ND$446.941
NE$425.191
NH$471.261
NJ$497.90–$519.362
NM$446.651
NV$459.191
NY$441.66–$549.555
OH$440.151
OK$428.221
OR$454.18–$489.252
PA$439.74–$483.122
PR$466.181
RI$472.661
SC$438.711
SD$444.971
TN$425.841
TX$437.11–$476.528
UT$444.411
VA$450.73–$524.052
VI$466.181
VT$447.021
WA$473.45–$528.432
WI$432.761
WV$440.041
WY$456.311

Explore 11606 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 11606 in Redding, the physician’s office rate is $479.50 and the facility-setting rate is $273.03: a difference of $206.47.

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 11606 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$527.45

$479.50 × 110% = $527.45

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 11606 in Redding.

PPRRVU2026_Oct_nonQPP.csv

1,345

Code
11606
Physician work
4.89
Practice expense
8.15
Malpractice
0.84

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 11606 in Redding
ComponentRVULocality factorAdjusted
Physician work4.89× 1.0174.9731
Practice expense8.15× 1.0968.9324
Malpractice0.84× 0.5360.4502
Total RVUs14.3558
Conversion factor× 33.4009

Office / nonfacility rate, Redding$479.50

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

Open 11606 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work4.891.017
Practice expense8.151.096
Malpractice0.840.536

(4.89 × 1.017 + 8.15 × 1.096 + 0.84 × 0.536) × $33.4009 = $479.50

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work4.891.017
Practice expense2.511.096
Malpractice0.840.536

(4.89 × 1.017 + 2.51 × 1.096 + 0.84 × 0.536) × $33.4009 = $273.03

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

11606 · Office / nonfacility

$479.50

Effective 2026-10-01

The base rate is $30.40 higher than on 2025-10-01, moving from $449.10 to $479.50 (6.8%).

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

    $449.10changed to$479.50

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.02 changed to 4.89
    • Practice expense RVU 7.61 changed to 8.15
    • Malpractice RVU 0.85 changed to 0.84
    • 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: $449.10

    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$479.50$273.03RVU26D
2026-07-01$479.50$273.03RVU26C
2026-04-01$479.50$273.03RVU26B
2026-01-01$479.50$273.03RVU26A
2025-10-01$449.10$308.39RVU25D
2025-07-01$449.10$308.39RVU25C
2025-04-01$449.10$308.39RVU25B
2025-01-01$449.10$308.39RVU25A

11606 billing questions

How is the size threshold determined?

Use the excised diameter, including the margins, rather than the lesion diameter alone. This code applies when that measurement is greater than 4 cm.

When should 11604 be used instead?

Use 11604 for a malignant lesion on the trunk, arm, or leg with an excised diameter of 3.1–4 cm. The site is the same; the size category differs.

Is closure separately reportable?

Simple closure is included in the excision. An intermediate or complex repair may be separately reported when the repair performed and its documentation support that service.

Can modifier 50 be used for lesions on both sides?

No. Modifier 50 is inappropriate for this code. Follow the applicable reporting rules for each procedure performed.

What postoperative care is included?

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

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment is restricted; co-surgeons and team surgery are not permitted.

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 11606PPRRVU2026_Oct_nonQPP.csv, line 1,345 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet