$222.58
Both codes cover the same anatomic sites. Choose 11621 when the lesion plus margins measures 0.6–1.0 cm; choose 11622 for 1.1–2.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11622 Skin lesion excision Medicare reimbursement rates in Arizona
Excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by the diameter of the lesion plus margins. Compare 11622 office and facility rates across CMS payment localities in Arizona.
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.
What does Medicare pay for 11622 in Arizona?
Arizona has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$243.55
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
Facility setting
$140.95
1 of 1 localities have a supported rate.
Payment area: Arizona
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Dermatology procedure
About 11622: Malignant lesion excision, scalp, neck, hands, feet, genitalia
Excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by the diameter of the lesion plus margins.
This service removes a malignant skin lesion from the scalp, neck, hand, foot, or genital area, including the margins taken to achieve complete removal. Dermatologists, plastic surgeons, and other physicians who perform skin surgery commonly provide it in office procedure rooms or outpatient operating settings. Select this size level when the greatest diameter of the lesion plus the margins removed is 1.1 through 2.0 cm.
Documentation should identify the site, malignancy, lesion dimensions, and excised diameter including margins; pathology findings support the diagnosis. Simple closure is included, while a separately documented intermediate or complex repair may be reported under its own rules. Medicare assigns a 10-day global period, so related postoperative visits during that interval are included. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate for this descriptor. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 11622
- 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 RVU2.35 · 31%
- Practice expense (office) RVU4.87 · 65%
- Malpractice RVU0.26 · 3%
44.9K
Medicare services in 2024 · #821 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.
11622 compared with similar codes
Office rates for Arizona, from the same CMS release.
$287.81
Both codes cover the same anatomic sites. Code 11623 applies when the lesion plus margins measures 2.1–3.0 cm, rather than 1.1–2.0 cm.
$234.45
The size range is the same, but 11602 is for the trunk, arms, or legs. Use 11622 for the scalp, neck, hands, feet, or genitalia.
$260.11
This code covers malignant lesion excision on the face, ears, eyelids, nose, or lips at the same size level; 11622 covers its designated sites.
Compare 11622 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arizona →
Office / nonfacility
$243.55
Facility
$140.95
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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 11622 in Arizona.
PPRRVU2026_Oct_nonQPP.csv
1,349
- Code
- 11622
- Physician work
- 2.35
- Practice expense
- 4.87
- Malpractice
- 0.26
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.35 | × 1.000 | 2.3500 |
| Practice expense | 4.87 | × 0.969 | 4.7190 |
| Malpractice | 0.26 | × 0.856 | 0.2226 |
| Total RVUs | 7.2916 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arizona$243.55
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 4.87 | 0.969 |
| Malpractice | 0.26 | 0.856 |
(2.35 × 1 + 4.87 × 0.969 + 0.26 × 0.856) × $33.4009 = $243.55
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.35 | 1 |
| Practice expense | 1.7 | 0.969 |
| Malpractice | 0.26 | 0.856 |
(2.35 × 1 + 1.7 × 0.969 + 0.26 × 0.856) × $33.4009 = $140.95
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.
11622 billing questions
How is the 1.1–2 cm size level determined?
Use the greatest diameter of the lesion together with the margins removed, not the length of the closure. The combined excised diameter must fall in the 1.1–2.0 cm range.
When should I use 11622 instead of 11602?
Use 11622 for the scalp, neck, hands, feet, or genitalia. Code 11602 is for malignant lesion excision on the trunk, arms, or legs at the corresponding size level.
Is closure included in 11622?
Simple closure is included in the excision service. A separately documented intermediate or complex repair may be reported when it meets the requirements for that repair service.
Can I append modifier 50 for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this descriptor.
How does Medicare handle other procedures in the same session?
Medicare pays the highest-valued procedure in full and reduces the other procedures under the standard multiple procedure rule. Related postoperative visits during the 10-day global period are included.
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.
1,3461160F,,Rvw meds by rx/dr in rcrd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34711620,,Exc h-f-nk-sp mal+marg 0.5/<,A,,1.60,4.14,,1.46,,0.21,5.95,3.27,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34811621,,Exc s/n/h/f/g mal+mrg 0.6-1,A,,2.03,4.57,,1.60,,0.24,6.84,3.87,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34911622,,Exc s/n/h/f/g mal+mrg 1.1-2,A,,2.35,4.87,,1.70,,0.26,7.48,4.31,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35011623,,Exc s/n/h/f/g mal+mrg 2.1-3,A,,3.03,5.43,,1.91,,0.38,8.84,5.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35111624,,Exc s/n/h/f/g mal+mrg 3.1-4,A,,3.53,6.15,,2.07,,0.48,10.16,6.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35211626,,Exc s/n/h/f/g mal+mrg >4 cm,A,,4.49,7.30,,2.36,,0.76,12.55,7.61,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536