$154.68
Both apply to facial, ear, eyelid, nose, or lip sites. Choose 11440 when the total excised diameter, including margins, is 0.5 cm or less; choose 11441 when it is 0.6 to 1 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11441 Benign lesion excision Medicare reimbursement rates in Hawaii
Reports removal of a benign skin lesion on the face, ear, eyelid, nose, or lip when the lesion and margins measure 0.6 to 1 cm. Compare 11441 office and facility rates across CMS payment localities in Hawaii.
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 11441 in Hawaii?
Hawaii 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
$187.12
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$126.36
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 11441: Facial benign lesion excision, 0.6 to 1 cm
Reports removal of a benign skin lesion on the face, ear, eyelid, nose, or lip when the lesion and margins measure 0.6 to 1 cm.
This code describes surgical removal of a benign skin lesion from the face, ear, eyelid, nose, or lip. A dermatologist, plastic surgeon, or other qualified physician excises the lesion through the skin, including the necessary margins; simple closure is included. The service may be performed in an office or facility. A common clinical context is removal of a symptomatic or changing lesion that is believed to be benign and submitted for examination.
Select the code by anatomic site and the total excised diameter, measured across the lesion and the margins, not by lesion size alone. Document the site, lesion dimensions, margin width or excised dimensions, and technique. Related postoperative visits during the 10-day global period are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this procedure; co-surgeons and team surgery are not permitted.
CMS billing rules for 11441
- 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 RVU1.49 · 29%
- Practice expense (office) RVU3.52 · 68%
- Malpractice RVU0.19 · 4%
20.9K
Medicare services in 2024 · #1129 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.
11441 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$208.63
This is the next size level for the same anatomic sites. Use it when the total excised diameter is 1.1 to 2 cm.
$171.44
The size range is the same, but the anatomic group differs: 11421 is for the scalp, neck, hands, feet, or genitalia rather than the face and listed facial structures.
$167.51
Use 11401 for a benign lesion on the trunk or extremities in this size range; 11441 is for facial, ear, eyelid, nose, or lip sites.
Compare 11441 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
Hawaii, Guam →
Office / nonfacility
$187.12
Facility
$126.36
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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 11441 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
1,322
- Code
- 11441
- Physician work
- 1.49
- Practice expense
- 3.52
- Malpractice
- 0.19
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 3.52 | × 1.137 | 4.0022 |
| Malpractice | 0.19 | × 0.579 | 0.1100 |
| Total RVUs | 5.6023 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$187.12
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 3.52 | 1.137 |
| Malpractice | 0.19 | 0.579 |
(1.49 × 1 + 3.52 × 1.137 + 0.19 × 0.579) × $33.4009 = $187.12
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1 |
| Practice expense | 1.92 | 1.137 |
| Malpractice | 0.19 | 0.579 |
(1.49 × 1 + 1.92 × 1.137 + 0.19 × 0.579) × $33.4009 = $126.36
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.
11441 billing questions
How is the 0.6-to-1-cm size selected?
Use the total excised diameter, including the lesion and margins. Do not select the size based only on the visible lesion.
When should 11440 be used instead?
Use 11440 for the same facial, ear, eyelid, nose, or lip sites when the total excised diameter is 0.5 cm or less.
Does this code include closure?
Simple closure is included in the excision service. Do not separately report a simple repair for closing the excision wound.
Are related postoperative visits separately reported?
Related postoperative visits for 10 days after the procedure are included in its global period.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How does Medicare handle multiple procedures in the same session?
The highest-valued procedure is paid in full; other procedures performed in that session are subject to a 50% reduction. Medicare also does not pay an assistant at surgery, and co-surgeons or team surgery are not permitted.
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.
1,31911424,,Exc h-f-nk-sp b9+marg 3.1-4,A,,2.42,4.51,,2.15,,0.37,7.30,4.94,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32011426,,Exc h-f-nk-sp b9+marg >4 cm,A,,3.99,5.55,,2.70,,0.64,10.18,7.33,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32111440,,Exc face-mm b9+marg 0.5 cm/<,A,,1.02,3.12,,1.80,,0.11,4.25,2.93,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32211441,,Exc face-mm b9+marg 0.6-1 cm,A,,1.49,3.52,,1.92,,0.19,5.20,3.60,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32311442,,Exc face-mm b9+marg 1.1-2 cm,A,,1.73,3.86,,2.00,,0.22,5.81,3.95,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32411443,,Exc face-mm b9+marg 2.1-3 cm,A,,2.28,4.31,,2.19,,0.30,6.89,4.77,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32511444,,Exc face-mm b9+marg 3.1-4 cm,A,,3.11,5.09,,2.45,,0.43,8.63,5.99,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014