$212.08
Both cover benign lesion excision on the trunk, arms, or legs. Choose 11404 when the lesion plus margins measures 3.1–4.0 cm; choose 11406 when it exceeds 4.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11406 Skin lesion excision Medicare reimbursement rates in Nebraska
Reports excision of a benign skin lesion on the trunk, arm, or leg when the lesion plus margins measures more than 4.0 cm. Compare 11406 office and facility rates across CMS payment localities in Nebraska.
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 11406 in Nebraska?
Nebraska 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
$305.15
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$207.43
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 11406: Benign lesion excision, trunk or extremity
Reports excision of a benign skin lesion on the trunk, arm, or leg when the lesion plus margins measures more than 4.0 cm.
This service removes a benign skin lesion from the trunk, arm, or leg, with a margin of surrounding tissue. The code is selected when the excised diameter—the lesion’s greatest diameter plus the margins—is greater than 4.0 cm. Dermatologists, surgeons, and other clinicians who perform skin procedures may report it in an office or facility setting. It is not the site-specific code for lesions on the scalp, neck, hands, feet, or face.
Document the lesion’s location, benign diagnosis, size, margins, and total excised diameter. Simple wound closure is included; a separately reportable repair may be appropriate when a more complex closure is performed. 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 other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and co-surgeons and team surgery are not permitted.
CMS billing rules for 11406
- 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 RVU3.43 · 34%
- Practice expense (office) RVU5.92 · 59%
- Malpractice RVU0.64 · 6%
15.3K
Medicare services in 2024 · #1248 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.
11406 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$312.45
This code is for the scalp, neck, hands, or feet site group when the excised diameter exceeds 4.0 cm. Use 11406 for the trunk, arms, or legs at that size.
$367.45
This code covers benign lesion excision over 4.0 cm on the face. Use 11406 for the trunk, arms, or legs.
Compare 11406 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
Nebraska →
Office / nonfacility
$305.15
Facility
$207.43
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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 11406 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
1,314
- Code
- 11406
- Physician work
- 3.43
- Practice expense
- 5.92
- Malpractice
- 0.64
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.43 | × 1.000 | 3.4300 |
| Practice expense | 5.92 | × 0.923 | 5.4642 |
| Malpractice | 0.64 | × 0.378 | 0.2419 |
| Total RVUs | 9.1361 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$305.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.43 | 1 |
| Practice expense | 5.92 | 0.923 |
| Malpractice | 0.64 | 0.378 |
(3.43 × 1 + 5.92 × 0.923 + 0.64 × 0.378) × $33.4009 = $305.15
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.43 | 1 |
| Practice expense | 2.75 | 0.923 |
| Malpractice | 0.64 | 0.378 |
(3.43 × 1 + 2.75 × 0.923 + 0.64 × 0.378) × $33.4009 = $207.43
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.
11406 billing questions
How is the size threshold determined?
Use the lesion’s greatest diameter plus the margins removed. Report this level when that total excised diameter is greater than 4.0 cm.
Which site codes should I compare?
Use this code for the trunk, arms, or legs. Lesions on the scalp, neck, hands, or feet follow a separate site series, as do lesions on the face.
Can I separately bill the closure?
Simple closure is included in the excision. A more complex repair may be separately reportable when supported by the procedure performed and documented.
Can I append modifier 50 for two sides?
No. CMS identifies bilateral adjustment as inapplicable to this code and modifier 50 as inappropriate.
Are assistant or co-surgeon services payable?
Medicare does not pay an assistant at surgery for this code. 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.
1,31111402,,Exc tr-ext b9+marg 1.1-2 cm,A,,1.41,3.53,,1.48,,0.18,5.12,3.07,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31211403,,Exc tr-ext b9+marg 2.1-3cm,A,,1.79,3.94,,2.02,,0.25,5.98,4.06,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31311404,,Exc tr-ext b9+marg 3.1-4 cm,A,,2.06,4.50,,2.13,,0.36,6.92,4.55,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31411406,,Exc tr-ext b9+marg >4.0 cm,A,,3.43,5.92,,2.75,,0.64,9.99,6.82,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31511420,,Exc h-f-nk-sp b9+marg 0.5/<,A,,1.00,2.63,,1.17,,0.11,3.74,2.28,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31611421,,Exc h-f-nk-sp b9+marg 0.6-1,A,,1.43,3.17,,1.36,,0.17,4.77,2.96,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,31711422,,Exc h-f-nk-sp b9+marg 1.1-2,A,,1.64,3.53,,1.87,,0.21,5.38,3.72,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068