$283.07
Both cover benign excision at facial sites. Choose 11444 for an excised diameter of 3.1 to 4 cm; choose 11446 when it exceeds 4 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11446 Skin lesion excision Medicare reimbursement rates in Minnesota
Reports excision of a benign lesion on the face or related facial sites when the lesion and required margins together exceed 4 cm. Compare 11446 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 11446 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
$388.85
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$269.58
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 11446: Large benign facial lesion excision
Reports excision of a benign lesion on the face or related facial sites when the lesion and required margins together exceed 4 cm.
A clinician surgically removes a benign skin lesion from the face, ear, eyelid, nose, lip, or mucous membrane. Dermatologists, plastic surgeons, and other surgeons may perform the procedure in an office or operating-room setting. The code represents a large excision in these facial locations, not a shave or destruction technique.
Choose the size level using the widest diameter of the lesion plus the margins removed; the combined excised diameter must be greater than 4 cm. Document the site, benign diagnosis, lesion size, and margins so the measured excision size is clear. Simple closure is included; a separately documented intermediate or complex repair may be reported when its criteria are met. Related postoperative visits during the 10-day global period are included. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 11446
- 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 RVU4.68 · 39%
- Practice expense (office) RVU6.57 · 55%
- Malpractice RVU0.68 · 6%
1K
Medicare services in 2024 · #2955 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.
11446 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$330.35
Both represent benign excision over 4 cm, but 11426 applies to scalp, neck, hands, feet, or genitalia rather than facial sites.
$501.15
This is the corresponding large facial-site excision for a malignant lesion. Use 11446 for a benign lesion.
Compare 11446 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
$388.85
Facility
$269.58
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 11446 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
1,326
- Code
- 11446
- Physician work
- 4.68
- Practice expense
- 6.57
- Malpractice
- 0.68
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.68 | × 1.000 | 4.6800 |
| Practice expense | 6.57 | × 1.029 | 6.7605 |
| Malpractice | 0.68 | × 0.296 | 0.2013 |
| Total RVUs | 11.6418 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$388.85
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.68 | 1 |
| Practice expense | 6.57 | 1.029 |
| Malpractice | 0.68 | 0.296 |
(4.68 × 1 + 6.57 × 1.029 + 0.68 × 0.296) × $33.4009 = $388.85
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.68 | 1 |
| Practice expense | 3.1 | 1.029 |
| Malpractice | 0.68 | 0.296 |
(4.68 × 1 + 3.1 × 1.029 + 0.68 × 0.296) × $33.4009 = $269.58
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.
11446 billing questions
How is the size selected for this code?
Use the widest diameter of the lesion plus the margins removed, not the lesion measurement alone. The combined excised diameter must be greater than 4 cm.
When should 11444 be used instead?
Use 11444 for an excision on the same facial sites when the lesion plus margins measures 3.1 to 4 cm. A measurement over 4 cm supports 11446.
Is closure separately billable?
Simple closure is included in the excision. A distinct intermediate or complex repair may be reported separately when performed and supported by the repair documentation.
Can modifier 50 be appended for lesions on both sides?
No. The descriptor and anatomy make modifier 50 inappropriate for this code.
What postoperative care is included?
Related postoperative visits for 10 days are included in the global period. Document and evaluate separate services under the applicable reporting rules.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery reporting 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.
1,32311442,,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
1,32811451,,Exc skn hdrdnt ax complex,A,,4.32,11.87,,4.26,,1.00,17.19,9.58,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,32911462,,Exc skn hdrdnt ing smpl/ntrm,A,,2.93,9.89,,3.70,,0.64,13.46,7.27,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,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