$247.40
Use 11622 for the same anatomic group when the lesion and required margins total 1.1–2 cm; use 11623 when they total 2.1–3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11623 Skin excision Medicare reimbursement rates in Delaware
Surgical removal of a malignant skin lesion on the scalp, neck, hand, foot, or genital skin, selected by the total excision diameter. Compare 11623 office and facility rates across CMS payment localities in Delaware.
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 11623 in Delaware?
Delaware 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
$292.31
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$176.15
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Dermatologic surgery
About 11623: Malignant skin lesion excision
Surgical removal of a malignant skin lesion on the scalp, neck, hand, foot, or genital skin, selected by the total excision diameter.
This code covers surgical removal of a malignant cutaneous lesion from the scalp, neck, hand, foot, or genital skin when the total excision diameter is 2.1–3 cm. Dermatologists and other clinicians who perform skin surgery commonly report it for an outpatient excision, with the specimen typically submitted for pathologic examination. The measured diameter includes the lesion and the margins taken around it, not only the visible lesion.
Choose the code by the anatomic group and the total diameter planned for excision, and document the site, lesion measurement, margins, and resulting excision size. Simple closure is included; an intermediate or complex repair may be separately reportable when performed and documented. CMS assigns a 10-day global period, so related postoperative visits during those 10 days are included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11623
- 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 RVU3.03 · 34%
- Practice expense (office) RVU5.43 · 61%
- Malpractice RVU0.38 · 4%
20.9K
Medicare services in 2024 · #1127 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.
11623 compared with similar codes
Office rates for Delaware, from the same CMS release.
$335.86
Use 11624 for the same anatomic group when the total excision diameter is 3.1–4 cm, rather than 2.1–3 cm.
$273.49
The size range is the same, but 11603 is for the trunk or extremities; 11623 is for the scalp, neck, hands, feet, or genital skin.
$312.79
The size range is the same, but 11643 is for the face, ears, eyelids, nose, or lips.
Compare 11623 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
Delaware →
Office / nonfacility
$292.31
Facility
$176.15
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 11623 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
1,350
- Code
- 11623
- Physician work
- 3.03
- Practice expense
- 5.43
- Malpractice
- 0.38
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.03 | × 1.005 | 3.0451 |
| Practice expense | 5.43 | × 0.988 | 5.3648 |
| Malpractice | 0.38 | × 0.899 | 0.3416 |
| Total RVUs | 8.7516 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$292.31
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.03 | 1.005 |
| Practice expense | 5.43 | 0.988 |
| Malpractice | 0.38 | 0.899 |
(3.03 × 1.005 + 5.43 × 0.988 + 0.38 × 0.899) × $33.4009 = $292.31
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.03 | 1.005 |
| Practice expense | 1.91 | 0.988 |
| Malpractice | 0.38 | 0.899 |
(3.03 × 1.005 + 1.91 × 0.988 + 0.38 × 0.899) × $33.4009 = $176.15
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.
11623 billing questions
How is the 2.1–3 cm size determined?
Use the total diameter of the lesion plus the margins required for excision, rather than the visible lesion alone. Document the lesion measurement, planned margins, site, and total excision size.
Is simple closure separately reportable?
No. Simple closure is included in the excision; an intermediate or complex repair may be separately reported when supported by the repair performed and its documentation.
Can modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the excisions based on the individual lesions and applicable same-session multiple-procedure rules.
How does the 10-day global period affect follow-up?
Related postoperative visits during the 10-day global period are included in the procedure payment.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
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.
1,34711620,,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
1,35311640,,Exc f/e/e/n/l mal+mrg 0.5cm<,A,,1.63,4.23,,1.49,,0.20,6.06,3.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503