Billing code 11624: Skin excisionMedicare rate & RVUs in Alabama
Reports excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia when the lesion and margins span 3.1–4 cm.
Medicare pays $306.72 for 11624 in the office in Alabama (Alabama). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 11624 covers
A dermatologist or surgeon uses this code to remove a malignant skin lesion from the scalp, neck, hands, feet, or genitalia. Common examples include excision of basal cell carcinoma, squamous cell carcinoma, or melanoma. The size category is based on the excised diameter: the lesion together with the margins removed around it, not the lesion’s size alone. The service may be performed in an office, ambulatory surgery center, or hospital setting.
Document the exact site, lesion dimensions, margins taken, and resulting excised diameter; pathology records can support the malignant diagnosis. Simple closure is included, while a separately reportable intermediate or complex repair may be coded when performed and documented. Medicare includes related postoperative visits for 10 days in the global period. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
11624 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $306.72 | $187.48 |
How the 11624 rate is calculated
Each of 11624’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 11624
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.53Practice expense 6.15Malpractice 0.48
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11624
11624 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11624
Skin excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 010 | Minor procedure: the day of the procedure plus 10 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.10/0.80/0.10 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 11624
Skin excision
10-day global period ends
Oct 11, 2026
Covers Oct 1, 2026 through Oct 11, 2026 (11 days).
Visit on Oct 31, 2026
After the global period ends: visits and procedures are billed normally.
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
11624 without 51 · national office
$339.35
Skin excision
11624-51 · Second procedure: 50%
$169.68
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
11624 compared with similar codes
Compare codes
11624 vs 11604 vs 11644 vs 11623 vs 11626: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11604Malignant excision
- The excised diameter is the same, but 11604 is for the trunk, arms, or legs; 11624 is for the scalp, neck, hands, feet, or genitalia.
- 11644Malignant lesion excision
- Both cover a 3.1–4 cm excised diameter. Use 11644 for the face, ears, eyelids, nose, or lips rather than the site group covered by 11624.
- 11623Skin excision
- This is the smaller size level for the same site group, covering an excised diameter of 2.1–3 cm.
- 11626Skin excision
- This is the next larger size level for the same site group, used when the excised diameter exceeds 4 cm.
11624 billing questions
How is the 3.1–4 cm size determined?
Use the excised diameter, which includes the lesion and the margins removed around it. Document the lesion, margins, and total excised measurement.
Which body sites belong to this code?
It applies to malignant lesions on the scalp, neck, hands, feet, or genitalia. Similar-sized lesions on the trunk, arms, or legs use a different code family.
Is closure separately billable?
Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when performed.
Can modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code; do not use modifier 50.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%. Medicare also does not pay an assistant at surgery or permit co-surgeon or team-surgery billing for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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