Billing code 11200: Skin tag removalMedicare rate & RVUs in Guam

Report this service for removal of up to 15 skin tags, such as irritated acrochordons, during a single procedure session.

CMS RVU26DEffective Oct 1, 20261 payment locality78.1K Medicare services in 2024

Medicare pays $99.66 for 11200 in the office in Guam (Hawaii, Guam). Which amount applies depends on the service address.

$99.66Office (non-facility)
$73.46Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 11200 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Guam
  2. What 11200 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 11200 covers

This service covers removal of one or more skin tags, also called acrochordons, when the total is no more than 15. A dermatologist, primary care clinician, or other qualified practitioner commonly performs it in an office. Tags may be removed individually with snipping or another appropriate removal technique; the code applies to tags from any body area. Examples include tags that rub against clothing or become irritated in skin folds.

Count the tags treated in the session: report this code for the first 15, then use 11201 for each additional 10 tags or part of 10. Document the number and treated sites, along with the clinical reason for removal and relevant symptoms. The 10-day global period includes related postoperative visits during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. 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.

11200 in Hawaii, Guam

11200 office and facility rates by payment locality
Payment localityOfficeFacility
Hawaii, Guam$99.66$73.46

How the 11200 rate is calculated

Each of 11200’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 · 11200

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.80Practice expense 1.88Malpractice 0.08

2.7600 adjusted RVUs×$33.4009 conversion factor=$92.19

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 11200

11200 has a 10-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 11200

Skin tag removal

RuleCMS valueWhat it means
Global period010Minor procedure: the day of the procedure plus 10 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.10/0.80/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 11200

Skin tag removal

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.

SurgeryVisit
Sep 28, 2026Oct 14, 2026

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

11200 without 51 · national office

$92.19

Skin tag removal

11200-51 · Second procedure: 50%

$46.10

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%).

When to use modifier 51

11200 compared with similar codes

Compare codes

11200 vs 11201 vs 17110 vs 17111: national Medicare rates

Swap in your local Medicare rate.

  • 11200
    Skin tag removal · 0.8 wRVU
    $92.19
  • 11201
    Skin tag removal · 0.28 wRVU
    $18.37−$73.82
  • 17110
    Benign lesion destruction · 0.68 wRVU
    $111.22+$19.03
  • 17111
    Lesion destruction · 0.95 wRVU
    $129.93+$37.74

How to choose

11201Skin tag removal
Use 11201 only after the first 15 skin tags reported with 11200; it represents each additional 10 tags or part thereof.
17110Benign lesion destruction
This code is for skin tags. Code 17110 is for destruction of qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions, up to 14 lesions.
17111Lesion destruction
This code is for skin tags. Code 17111 is for destruction of 15 or more qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions.

11200 billing questions

When is 11201 reported with this code?

Use 11200 for the first 15 skin tags and 11201 for each additional 10 tags or part of 10. For example, 16 treated tags require 11200 and one unit of 11201.

What documentation supports reporting 11200?

Record the number of tags removed, their body sites, and the clinical reason for removal. Note relevant symptoms, such as irritation or repeated rubbing, when present.

Can modifier 50 be used for tags on both sides of the body?

No. Modifier 50 is inappropriate for this service, including when tags are removed from both sides.

How does the 10-day global period affect follow-up?

Related postoperative visits during the 10 days after the procedure are included in the global period.

How is 11200 distinguished from 17110?

11200 is for skin tags. Code 17110 is for destruction of qualifying benign lesions other than skin tags and cutaneous vascular proliferative lesions.

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
RVUs for 11200PPRRVU2026_Oct_nonQPP.csv, line 1,283 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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