$553.70
Use 11451 for axillary hidradenitis excision with complex repair. This code applies when the closure is simple or intermediate.
On this page
CMS RVU26D · Effective 2026-10-01
11450 Hidradenitis excision Medicare reimbursement rates in Vermont
Reports excision of diseased skin and underlying tissue for axillary hidradenitis when the wound is closed with a simple or intermediate repair. Compare 11450 office and facility rates across CMS payment localities in Vermont.
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 11450 in Vermont?
Vermont 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
$446.06
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$241.71
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Dermatologic surgery
About 11450: Axillary hidradenitis excision with simple or intermediate repair
Reports excision of diseased skin and underlying tissue for axillary hidradenitis when the wound is closed with a simple or intermediate repair.
This service removes chronically affected skin and subcutaneous tissue in the axilla for hidradenitis, which can involve recurrent abscesses, draining openings, and sinus tracts. A surgeon, often a dermatologist, general surgeon, or plastic surgeon, may perform the excision in an office procedure room or operating room. The code distinguishes axillary disease treated with a simple or intermediate repair from axillary excision requiring complex repair.
Report the service for the axillary site and repair level documented in the operative note; lesion diameter is not the selection basis for this code. Document the involved area, diseased tissue removed, and closure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 50% reduction. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.
CMS billing rules for 11450
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care 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 procedure with modifier 50 is paid at 150%.
- 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 RVU3.14 · 23%
- Practice expense (office) RVU9.95 · 72%
- Malpractice RVU0.72 · 5%
229
Medicare services in 2024 · #4203 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.
11450 compared with similar codes
Office rates for Vermont, from the same CMS release.
$435.71
Use 11462 for hidradenitis excision at the inguinal site with simple or intermediate repair; 11450 is for the axilla.
$484.78
Use 11470 for hidradenitis excision at the perianal, perineal, or umbilical site with simple or intermediate repair; 11450 is for the axilla.
Compare 11450 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
Vermont →
Office / nonfacility
$446.06
Facility
$241.71
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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 11450 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
1,327
- Code
- 11450
- Physician work
- 3.14
- Practice expense
- 9.95
- Malpractice
- 0.72
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.14 | × 1.000 | 3.1400 |
| Practice expense | 9.95 | × 0.990 | 9.8505 |
| Malpractice | 0.72 | × 0.506 | 0.3643 |
| Total RVUs | 13.3548 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$446.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.14 | 1 |
| Practice expense | 9.95 | 0.99 |
| Malpractice | 0.72 | 0.506 |
(3.14 × 1 + 9.95 × 0.99 + 0.72 × 0.506) × $33.4009 = $446.06
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.14 | 1 |
| Practice expense | 3.77 | 0.99 |
| Malpractice | 0.72 | 0.506 |
(3.14 × 1 + 3.77 × 0.99 + 0.72 × 0.506) × $33.4009 = $241.71
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.
11450 billing questions
How is this code distinguished from 11451?
Both apply to axillary hidradenitis excision. Choose 11450 when the documented closure is simple or intermediate; 11451 is for complex repair.
Can the closure be billed separately?
The simple or intermediate repair is included in this excision service. The code selection accounts for that repair level.
Is lesion size used to select 11450?
No. This code is selected by the axillary site and simple or intermediate repair, not by a lesion-diameter range.
How should bilateral axillary excisions be reported?
Use modifier 50 for bilateral reporting. CMS pays the bilateral procedure at 150%.
What documentation supports reporting 11450?
The operative note should identify axillary hidradenitis, the diseased tissue excised, and the repair performed, supporting a simple or intermediate closure rather than a complex one.
Is related postoperative care separately included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
1,32411443,,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
1,33011463,,Exc skn hdrdnt ing complex,A,,4.32,11.99,,4.25,,0.88,17.19,9.45,0,090,0.10,0.71,0.19,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817