No office rate
Use 26111 for a hand lesion at least 1.5 cm that is subcutaneous. Code 26113 requires a deep, subfascial or intramuscular location.
On this page
CMS RVU26D · Effective 2026-10-01
26113 Hand tumor excision Medicare reimbursement rates in Michigan
Reports excision of a deep hand or finger soft-tissue tumor measuring at least 1.5 cm, including a subfascial or intramuscular mass. Compare 26113 office and facility rates across CMS payment localities in Michigan.
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 26113 in Michigan?
Michigan 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
$497.14–$533.79
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 26113: Deep hand tumor excision, 1.5 cm or larger
Reports excision of a deep hand or finger soft-tissue tumor measuring at least 1.5 cm, including a subfascial or intramuscular mass.
This code describes removal of a soft-tissue mass in the hand or finger that lies beneath the fascia, including an intramuscular tumor, and measures 1.5 cm or more. A hand surgeon or other qualified surgeon typically performs the excision in an operating room, with the mass dissected from deeper tissue rather than removed as a superficial skin or subcutaneous lesion. The code identifies the depth and size of the excised tumor; it does not by itself specify the tumor’s pathology.
Choose this code when the operative report supports both the deep location and the size threshold. Document the site, depth, measured tumor size, and extent of excision. This major surgery has a 90-day global period, including the day-before preoperative visit and related postoperative care 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 not appropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 26113
- 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 RVU6.95 · 45%
- Practice expense (office) RVU7.07 · 46%
- Malpractice RVU1.31 · 9%
2.4K
Medicare services in 2024 · #2326 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.
26113 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
Both describe deep hand tumor excision; the size threshold separates them. Code 26116 is for tumors smaller than 1.5 cm.
No office rate
26117 describes radical resection of a hand tumor smaller than 3 cm. Select based on the documented resection approach, not size alone.
$615.32–$654.61
26160 is for a lesion of a tendon sheath. Use 26113 for a deep hand soft-tissue tumor when the procedure and documented site support that code.
Compare 26113 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
Detroit →
Office / nonfacility
Unavailable
Facility
$533.79
Rest Of Michigan →
Office / nonfacility
Unavailable
Facility
$497.14
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26113 billing questions
How is this distinguished from 26111?
26113 is for a tumor beneath the fascia, such as an intramuscular mass, at least 1.5 cm in size. Code 26111 describes a subcutaneous hand lesion of that size.
When should 26116 be considered instead?
Use 26116 for a deep hand tumor smaller than 1.5 cm. The operative documentation should support the tumor’s depth and measured size.
Is this the right code for a tendon-sheath mass?
A lesion arising from a tendon sheath may be better represented by 26160. The operative report should establish the lesion’s origin and the procedure performed.
What documentation supports reporting 26113?
Document the hand or finger site, subfascial or intramuscular depth, tumor measurement of at least 1.5 cm, and the excision performed.
Can modifier 50 be used when tumors are removed from both hands?
Modifier 50 is not appropriate for this code. Report the procedures according to the documented services and applicable claim instructions.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and related postoperative care for 90 days are included in the surgical global period.
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.
2,54326105,,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
2,54926117,,Rad resect hand tumor < 3 cm,A,,9.88,8.93,NA,8.93,,1.98,20.79,20.79,0,090,0.10,0.69,0.21,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00