$192.62
Use 11442 for a benign lesion at the same facial sites when the excised diameter is 1.1 to 2 cm; use 11443 when it is 2.1 to 3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11443 Skin excision Medicare reimbursement rates in Minnesota
Reports complete excision of a clinically benign lesion on the face, ears, eyelids, nose, or lips when the excised diameter is 2.1 to 3 cm. Compare 11443 office and facility rates across CMS payment localities in Minnesota.
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 11443 in Minnesota?
Minnesota 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
$227.25
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$154.39
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 11443: Benign facial lesion excision, 2.1 to 3 cm
Reports complete excision of a clinically benign lesion on the face, ears, eyelids, nose, or lips when the excised diameter is 2.1 to 3 cm.
This service removes a lesion believed to be benign from the face, ears, eyelids, nose, or lips, including a margin of surrounding skin. Dermatologists, plastic surgeons, and other qualified clinicians commonly perform it in an office procedure room or an outpatient facility. A specimen may be submitted for histopathology, which can confirm the diagnosis; the excision code is selected based on the lesion’s clinical classification and the excised diameter, not the eventual pathology result alone.
Measure the greatest diameter of the lesion plus the narrowest margins needed for removal, and document the site, lesion size, and margins so the reported size falls within 2.1 to 3 cm. Simple closure is included; a separately reportable intermediate or complex repair may be coded based on its own criteria. The procedure has a 10-day global period, which includes related postoperative visits during that period. When multiple procedures are performed 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; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 11443
- 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 RVU2.28 · 33%
- Practice expense (office) RVU4.31 · 63%
- Malpractice RVU0.30 · 4%
6.5K
Medicare services in 2024 · #1704 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.
11443 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$283.07
Use 11444 for the same type of benign facial lesion excision when the excised diameter is 3.1 to 4 cm.
$206.25
The size range and benign-lesion excision method are similar, but 11423 is for scalp, neck, hands, feet, or genitalia rather than the face and related sites.
$311.38
Use 11643 for excision of a lesion treated as malignant at these facial sites and in this size range; 11443 is for lesions treated as benign.
Compare 11443 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
Minnesota →
Office / nonfacility
$227.25
Facility
$154.39
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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 11443 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
1,324
- Code
- 11443
- Physician work
- 2.28
- Practice expense
- 4.31
- Malpractice
- 0.30
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.28 | × 1.000 | 2.2800 |
| Practice expense | 4.31 | × 1.029 | 4.4350 |
| Malpractice | 0.30 | × 0.296 | 0.0888 |
| Total RVUs | 6.8038 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$227.25
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.28 | 1 |
| Practice expense | 4.31 | 1.029 |
| Malpractice | 0.3 | 0.296 |
(2.28 × 1 + 4.31 × 1.029 + 0.3 × 0.296) × $33.4009 = $227.25
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.28 | 1 |
| Practice expense | 2.19 | 1.029 |
| Malpractice | 0.3 | 0.296 |
(2.28 × 1 + 2.19 × 1.029 + 0.3 × 0.296) × $33.4009 = $154.39
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.
11443 billing questions
How is the size range determined?
Use the greatest diameter of the lesion together with the narrowest margins required for excision. The documented excised diameter must be 2.1 to 3 cm.
Can the closure be billed separately?
Simple closure is included in the excision. A qualifying intermediate or complex repair may be separately reported using the repair code that matches its complexity, site, and length.
Does a pathology result showing malignancy change this code?
The excision code is chosen based on the lesion’s clinical classification when removed. If the lesion is treated as malignant rather than benign, use the applicable malignant-lesion excision code instead.
Should modifier 50 be appended for lesions on both sides of the face?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a reduction. Assistant-at-surgery payment is restricted, and co-surgeons and 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.
1,32111440,,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
1,32611446,,Exc face-mm b9+marg >4 cm,A,,4.68,6.57,,3.10,,0.68,11.93,8.46,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32711450,,Exc skn hdrdnt ax smpl/ntrm,A,,3.14,9.95,,3.77,,0.72,13.81,7.63,0,090,0.10,0.71,0.19,2,1,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002