$211.94
Both cover malignant-lesion excision on the trunk or extremities, but 11601 applies to an excised diameter of 0.6–1 cm; 11602 begins at 1.1 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11602 Malignant lesion excision Medicare reimbursement rates in Indiana
Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and margins produce an excised diameter of 1.1–2 cm. Compare 11602 office and facility rates across CMS payment localities in Indiana.
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 11602 in Indiana?
Indiana 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
$224.93
1 of 1 localities have a supported rate.
Payment area: Indiana
One mapped payment locality.
Facility setting
$128.64
1 of 1 localities have a supported rate.
Payment area: Indiana
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 11602: Malignant lesion excision, trunk or extremity
Reports excision of a malignant skin lesion on the trunk, arm, or leg when the lesion and margins produce an excised diameter of 1.1–2 cm.
This service removes a malignant skin lesion from the trunk or an extremity, including the margins taken to achieve excision. Dermatologists and surgeons commonly perform it in an office or outpatient facility for cancers such as basal cell or squamous cell carcinoma. The code’s size range is based on the lesion’s greatest diameter together with the narrowest margins removed, not the length of the final closure.
Select the code using the anatomic site and documented excised diameter. The record should identify the lesion site, malignancy, lesion dimensions, margins, and resulting excised diameter. Simple closure is included; a separately documented intermediate or complex repair may be reported when its criteria are met. 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 other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11602
- 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 RVU2.21 · 31%
- Practice expense (office) RVU4.76 · 66%
- Malpractice RVU0.23 · 3%
243.3K
Medicare services in 2024 · #348 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.
11602 compared with similar codes
Office rates for Indiana, from the same CMS release.
$257.91
Use 11603 when the excised diameter is 2.1–3 cm. A diameter of 1.1–2 cm fits 11602.
$233.50
The size range is the same, but 11622 is for a different anatomic group, including the scalp, neck, hands, feet, and genitalia.
$159.32
Use 11402 for a benign lesion in the corresponding body-site and size group; 11602 is for malignant lesions.
Compare 11602 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
Indiana →
Office / nonfacility
$224.93
Facility
$128.64
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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 11602 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
1,342
- Code
- 11602
- Physician work
- 2.21
- Practice expense
- 4.76
- Malpractice
- 0.23
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.21 | × 1.000 | 2.2100 |
| Practice expense | 4.76 | × 0.927 | 4.4125 |
| Malpractice | 0.23 | × 0.486 | 0.1118 |
| Total RVUs | 6.7343 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$224.93
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.21 | 1 |
| Practice expense | 4.76 | 0.927 |
| Malpractice | 0.23 | 0.486 |
(2.21 × 1 + 4.76 × 0.927 + 0.23 × 0.486) × $33.4009 = $224.93
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.21 | 1 |
| Practice expense | 1.65 | 0.927 |
| Malpractice | 0.23 | 0.486 |
(2.21 × 1 + 1.65 × 0.927 + 0.23 × 0.486) × $33.4009 = $128.64
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.
11602 billing questions
How do I choose between 11602 and 11601 or 11603?
Use 11602 when the lesion plus the margins removed measures 1.1–2 cm. The adjacent codes cover the smaller and larger size ranges, respectively.
Does the code depend on the closure length?
No. Select the excision code by the lesion and margins removed. Simple closure is included; a qualifying intermediate or complex repair may be separately reported based on the repair performed and its documented length.
Can modifier 50 be used for lesions on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the services according to the applicable lesion and procedure coding.
What documentation supports the 1.1–2 cm level?
Document the malignant diagnosis, exact site, lesion dimensions, margins removed, and excised diameter. The excised diameter includes the lesion and the margins, rather than the closure length.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure.
How does Medicare handle multiple procedures in one session?
The highest-valued procedure is paid in full, and other procedures performed in the same session 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.
1,3391159F,,Med list docd in rcrd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34011600,,Exc tr-ext mal+marg 0.5 cm/<,A,,1.59,4.14,,1.45,,0.21,5.94,3.25,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34111601,,Exc tr-ext mal+marg 0.6-1 cm,A,,2.02,4.54,,1.58,,0.24,6.80,3.84,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34211602,,Exc tr-ext mal+marg 1.1-2 cm,A,,2.21,4.76,,1.65,,0.23,7.20,4.09,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34311603,,Exc tr-ext mal+marg 2.1-3 cm,A,,2.75,5.19,,1.81,,0.33,8.27,4.89,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34411604,,Exc tr-ext mal+marg 3.1-4 cm,A,,3.09,5.82,,1.93,,0.40,9.31,5.42,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34511606,,Exc tr-ext mal+marg >4 cm,A,,4.89,8.15,,2.51,,0.84,13.88,8.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915