Billing code 11622: Skin lesion excisionMedicare rate & RVUs in Delaware
Excision of a malignant skin lesion on the scalp, neck, hands, feet, or genitalia, selected by the diameter of the lesion plus margins.
Medicare pays $247.40 for 11622 in the office in Delaware (Delaware). 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 11622 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $247.40 | $142.79 |
How the 11622 rate is calculated
Each of 11622’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 · 11622
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.35Practice expense 4.87Malpractice 0.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 11622
11622 has a 10-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 11622
Skin lesion 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 · 11622
Skin lesion 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
11622 without 51 · national office
$249.84
Skin lesion excision
11622-51 · Second procedure: 50%
$124.92
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%).
11622 compared with similar codes
Compare codes
11622 vs 11621 vs 11623 vs 11602 vs 11642: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 11621Skin lesion excision
- 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.
- 11623Skin excision
- 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.
- 11602Malignant lesion excision
- 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.
- 11642Skin lesion excision
- This code covers malignant lesion excision on the face, ears, eyelids, nose, or lips at the same size level; 11622 covers its designated sites.
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 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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