$189.39
Use 11600 for an excised diameter of 0.5 cm or less on the trunk or extremities. This code is for the scalp, neck, hands, feet, or genitalia.
On this page
CMS RVU26D · Effective 2026-10-01
11620 Skin excision Medicare reimbursement rates in Utah
Reports excision of a malignant skin lesion measuring no more than 0.5 cm with margins on the scalp, neck, hands, feet, or genitalia. Compare 11620 office and facility rates across CMS payment localities in Utah.
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 11620 in Utah?
Utah 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
$189.72
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$105.58
1 of 1 localities have a supported rate.
Payment area: Utah
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 11620: Malignant skin lesion excision, up to 0.5 cm
Reports excision of a malignant skin lesion measuring no more than 0.5 cm with margins on the scalp, neck, hands, feet, or genitalia.
This code covers surgical removal of a malignant skin lesion, including the surrounding margins, on the scalp, neck, hands, feet, or genitalia. Dermatologists, surgeons, and other qualified clinicians may perform the procedure in an office or facility. The code is selected by the excised diameter, which includes the lesion and the margins; it is not based on the lesion alone. For example, a small malignant lesion on the hand may qualify if the combined measurement is no more than 0.5 cm.
Document the site, malignant diagnosis, lesion and margin measurements, and resulting excised diameter. Simple closure is included; a separately performed intermediate or complex repair may be reported when supported. 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 others at 50%. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11620
- 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 RVU1.60 · 27%
- Practice expense (office) RVU4.14 · 70%
- Malpractice RVU0.21 · 4%
1.1K
Medicare services in 2024 · #2877 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.
11620 compared with similar codes
Office rates for Utah, from the same CMS release.
$218.49
Use 11621 for the same anatomic group when the excised diameter is 0.6 to 1.0 cm; this code is limited to 0.5 cm or less.
$193.25
Use 11640 for an excised diameter of 0.5 cm or less on the face, ears, eyelids, nose, or lips, rather than the sites covered here.
Compare 11620 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
Utah →
Office / nonfacility
$189.72
Facility
$105.58
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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 11620 in Utah.
PPRRVU2026_Oct_nonQPP.csv
1,347
- Code
- 11620
- Physician work
- 1.60
- Practice expense
- 4.14
- Malpractice
- 0.21
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.60 | × 1.000 | 1.6000 |
| Practice expense | 4.14 | × 0.940 | 3.8916 |
| Malpractice | 0.21 | × 0.898 | 0.1886 |
| Total RVUs | 5.6802 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$189.72
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.6 | 1 |
| Practice expense | 4.14 | 0.94 |
| Malpractice | 0.21 | 0.898 |
(1.6 × 1 + 4.14 × 0.94 + 0.21 × 0.898) × $33.4009 = $189.72
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.6 | 1 |
| Practice expense | 1.46 | 0.94 |
| Malpractice | 0.21 | 0.898 |
(1.6 × 1 + 1.46 × 0.94 + 0.21 × 0.898) × $33.4009 = $105.58
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.
11620 billing questions
How is the size for this code determined?
Use the greatest diameter of the lesion plus the margins removed, measured before excision. The combined excised diameter must be 0.5 cm or less.
When should 11621 be used instead?
Use 11621 for the same anatomic group when the excised diameter is 0.6 to 1.0 cm. The site and combined lesion-plus-margin measurement distinguish the codes.
Can the closure be billed separately?
Simple closure is included in the excision. A separately performed intermediate or complex repair may be reported when its documentation and code requirements are met.
Can modifier 50 be used for lesions on both hands?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Are postoperative visits included?
Related postoperative visits during the 10-day global period are included in the procedure.
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.
1,34411604,,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
1,34711620,,Exc h-f-nk-sp mal+marg 0.5/<,A,,1.60,4.14,,1.46,,0.21,5.95,3.27,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34811621,,Exc s/n/h/f/g mal+mrg 0.6-1,A,,2.03,4.57,,1.60,,0.24,6.84,3.87,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,34911622,,Exc s/n/h/f/g mal+mrg 1.1-2,A,,2.35,4.87,,1.70,,0.26,7.48,4.31,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35011623,,Exc s/n/h/f/g mal+mrg 2.1-3,A,,3.03,5.43,,1.91,,0.38,8.84,5.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985