$239.36
Use 11602 for the same trunk-or-limb site group when the excised diameter is 1.1–2 cm; use 11603 for 2.1–3 cm.
On this page
CMS RVU26D · Effective 2026-10-01
11603 Lesion excision Medicare reimbursement rates in Nevada
Excision of a malignant skin lesion on the trunk, arm, or leg, selected by the lesion’s diameter together with the margins removed. Compare 11603 office and facility rates across CMS payment localities in Nevada.
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 11603 in Nevada?
Nevada 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
$274.56
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$161.55
1 of 1 localities have a supported rate.
Payment area: Nevada**
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 surgery
About 11603: Malignant lesion excision, trunk or limb
Excision of a malignant skin lesion on the trunk, arm, or leg, selected by the lesion’s diameter together with the margins removed.
This service removes a malignant skin lesion from the trunk, an arm, or a leg, including the surrounding margins taken for complete excision. Dermatologists, surgeons, and other qualified practitioners commonly perform it in an office procedure room or an outpatient facility. The removed tissue is typically submitted for pathology. The code applies to an excised diameter of 2.1–3 cm; face, ear, eyelid, nose, lip, hand, foot, and genital sites belong to different anatomic code groups.
Select the size level using the lesion’s greatest clinical diameter plus the narrowest margins needed for excision, measured before removal. Document the site, lesion and margin measurements, malignant diagnosis or clinical basis for excision, and procedure performed. Simple closure is included; a separately documented intermediate or complex repair may be reportable. 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 others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 11603
- 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 RVU2.75 · 33%
- Practice expense (office) RVU5.19 · 63%
- Malpractice RVU0.33 · 4%
133.1K
Medicare services in 2024 · #482 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.
11603 compared with similar codes
Office rates for Nevada, from the same CMS release.
$308.93
Use 11604 for the same trunk-or-limb site group when the excised diameter is 3.1–4 cm, rather than 2.1–3 cm.
$293.33
The size level matches, but 11623 is for a different anatomic site group. Choose by the lesion’s location, not size alone.
$198.47
This is the comparable trunk-or-limb size level for a benign lesion. Use the malignant-lesion code when the diagnosis and circumstances support malignant excision.
Compare 11603 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
Nevada** →
Office / nonfacility
$274.56
Facility
$161.55
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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 11603 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
1,343
- Code
- 11603
- Physician work
- 2.75
- Practice expense
- 5.19
- Malpractice
- 0.33
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.75 | × 1.000 | 2.7500 |
| Practice expense | 5.19 | × 1.001 | 5.1952 |
| Malpractice | 0.33 | × 0.833 | 0.2749 |
| Total RVUs | 8.2201 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$274.56
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.75 | 1 |
| Practice expense | 5.19 | 1.001 |
| Malpractice | 0.33 | 0.833 |
(2.75 × 1 + 5.19 × 1.001 + 0.33 × 0.833) × $33.4009 = $274.56
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.75 | 1 |
| Practice expense | 1.81 | 1.001 |
| Malpractice | 0.33 | 0.833 |
(2.75 × 1 + 1.81 × 1.001 + 0.33 × 0.833) × $33.4009 = $161.55
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.
11603 billing questions
How is the 2.1–3 cm size determined?
Use the greatest clinical diameter of the lesion plus the narrowest margins needed for excision, measured before removal. Do not select the size from the closure length.
When should a different site code be used?
This code is for the trunk, arms, and legs. Lesions on sites such as the face, ear, eyelid, nose, lip, hand, foot, or genitalia use their own anatomic code group.
Is closure separately reported?
Simple closure is included in the excision. A separately documented intermediate or complex repair may be reported when its requirements are met.
Can modifier 50 be used for lesions on both sides?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
What postoperative care is included?
Related postoperative visits during the 10-day global period are included in the procedure.
How are multiple procedures in one session paid?
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.
1,34011600,,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
1,3461160F,,Rvw meds by rx/dr 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
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
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097