$546.10–$600.56
Both describe subcutaneous hand or finger mass excision; choose 26111 for a mass 1.5 cm or larger and 26115 for the smaller size category.
On this page
CMS RVU26D · Effective 2026-10-01
26111 Hand mass excision Medicare reimbursement rates in Georgia
Reports removal of a subcutaneous soft-tissue mass of the hand or finger measuring at least 1.5 cm, with code selection based on size and depth. Compare 26111 office and facility rates across CMS payment localities in Georgia.
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 26111 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$380.14–$403.55
2 of 2 localities have a supported rate.
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.
Hand surgery
About 26111: Subcutaneous hand mass excision, 1.5 cm or larger
Reports removal of a subcutaneous soft-tissue mass of the hand or finger measuring at least 1.5 cm, with code selection based on size and depth.
A hand or finger surgeon excises a discrete soft-tissue mass located in the subcutaneous plane and measuring 1.5 cm or larger. Orthopedic hand, plastic, and other surgeons who treat hand masses may perform the procedure in an operating room or, when appropriate, an office procedure setting. The removed tissue may be submitted for pathologic examination.
Choose this code when the operative findings establish both the qualifying size and the subcutaneous location. The note should identify the hand or finger site, mass size, tissue plane, and work performed; a deeper mass or a more extensive radical resection points to a different code. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care 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 may be available; co-surgeons and team surgery are not permitted.
CMS billing rules for 26111
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.28 · 45%
- Practice expense (office) RVU5.45 · 46%
- Malpractice RVU1.04 · 9%
2.2K
Medicare services in 2024 · #2406 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.
26111 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
This code is for a deep hand or finger mass 1.5 cm or larger. Use 26111 when the mass is subcutaneous.
No office rate
26117 describes radical resection of a hand tumor under 3 cm. Use 26111 for a qualifying-size subcutaneous mass excision that is not a radical resection.
$605.80–$670.75
26160 is for a lesion arising from a tendon sheath; 26111 is for a subcutaneous soft-tissue mass of the hand or finger.
Compare 26111 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$403.55
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$380.14
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26111 billing questions
When should 26111 be selected instead of 26115?
Use 26111 for a subcutaneous hand or finger mass measuring 1.5 cm or larger. Code 26115 is the corresponding smaller-size service.
How does 26111 differ from 26113?
The key distinction is the tissue plane: 26111 describes a subcutaneous mass, while 26113 is for a deep mass of the qualifying size. The operative report should support the location relative to deeper tissues.
What documentation supports reporting 26111?
Document the hand or finger site, the mass size, its subcutaneous location, and the excision performed. Include the operative findings that distinguish it from a deeper lesion or a radical resection.
Can modifier 50 be reported for bilateral hand masses?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate. Apply the multiple-procedure rule when qualifying procedures are performed in the same session.
What is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
May an assistant or another surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeons and team surgery are not permitted 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 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.
2,54226100,,Biopsy hand joint lining,A,,3.70,5.65,NA,5.65,,0.79,10.14,10.14,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54326105,,Biopsy finger joint lining,A,,3.73,5.66,NA,5.66,,0.80,10.19,10.19,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54426110,,Biopsy finger joint lining,A,,3.56,5.28,NA,5.28,,0.68,9.52,9.52,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54526111,,Exc hand les sc 1.5 cm/>,A,,5.28,5.45,NA,5.45,,1.04,11.77,11.77,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54626113,,Exc hand tum deep 1.5 cm/>,A,,6.95,7.07,NA,7.07,,1.31,15.33,15.33,0,090,0.10,0.69,0.21,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54726115,,Exc hand les sc < 1.5 cm,A,,3.86,13.00,,5.01,,0.75,17.61,9.62,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,54826116,,Exc hand tum deep < 1.5 cm,A,,6.57,6.97,NA,6.97,,1.25,14.79,14.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00