$566.52
Both codes concern inguinal hidradenitis excision. Choose 11462 for simple or intermediate repair and 11463 for complex repair.
On this page
CMS RVU26D · Effective 2026-10-01
11462 Hidradenitis excision Medicare reimbursement rates in Wyoming
Excision of hidradenitis-affected skin and subcutaneous tissue in the inguinal region, closed with a simple or intermediate repair. Compare 11462 office and facility rates across CMS payment localities in Wyoming.
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 11462 in Wyoming?
Wyoming 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
$444.02
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$237.27
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 11462: Inguinal hidradenitis excision with simple or intermediate repair
Excision of hidradenitis-affected skin and subcutaneous tissue in the inguinal region, closed with a simple or intermediate repair.
This service removes hidradenitis-affected skin and underlying tissue from the groin, including involved areas in the inguinal folds. It is performed by a surgeon or dermatologic surgeon to treat chronic disease with recurrent nodules or sinus tracts. The excision may be done in an office or an outpatient surgical setting, depending on its extent and the planned closure.
Report this code for inguinal excision when the wound receives a simple or intermediate repair; complex repair is represented by 11463. Document the diagnosis, inguinal site, excision performed, and repair level. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 11462
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.93 · 22%
- Practice expense (office) RVU9.89 · 73%
- Malpractice RVU0.64 · 5%
271
Medicare services in 2024 · #4069 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.
11462 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$455.01
This code concerns hidradenitis excision in the axilla with simple or intermediate repair; 11462 is for the inguinal region.
$494.49
This code covers hidradenitis excision at specified perianal, perineal, pubic, or umbilical sites with simple or intermediate repair, rather than the inguinal region.
Compare 11462 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
Wyoming** →
Office / nonfacility
$444.02
Facility
$237.27
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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 11462 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,329
- Code
- 11462
- Physician work
- 2.93
- Practice expense
- 9.89
- Malpractice
- 0.64
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.000 | 2.9300 |
| Practice expense | 9.89 | × 1.000 | 9.8900 |
| Malpractice | 0.64 | × 0.740 | 0.4736 |
| Total RVUs | 13.2936 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$444.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 9.89 | 1 |
| Malpractice | 0.64 | 0.74 |
(2.93 × 1 + 9.89 × 1 + 0.64 × 0.74) × $33.4009 = $444.02
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1 |
| Practice expense | 3.7 | 1 |
| Malpractice | 0.64 | 0.74 |
(2.93 × 1 + 3.7 × 1 + 0.64 × 0.74) × $33.4009 = $237.27
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.
11462 billing questions
When should I choose 11462 rather than 11463?
Use 11462 for inguinal hidradenitis excision with simple or intermediate repair. Use 11463 when the inguinal wound requires complex repair.
Can the closure be billed separately?
The simple or intermediate repair is included in 11462. Do not report a separate repair code for that closure.
How is bilateral inguinal treatment reported?
CMS identifies this as a bilateral procedure: report modifier 50 when both sides are treated, with payment at 150%.
What documentation supports 11462?
Document hidradenitis, the inguinal location, the tissue excised, and whether the wound received a simple or intermediate repair.
How does the 90-day global period affect follow-up?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
When is an assistant at surgery payable?
CMS pays an assistant at surgery only when medical necessity is documented.
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.
1,32611446,,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
1,33111470,,Exc skn h/p/p/u smpl/ntrm,A,,3.65,10.57,,3.97,,0.79,15.01,8.41,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,33211471,,Exc skn h/p/p/u complex,A,,4.77,11.84,,4.24,,0.92,17.53,9.93,0,090,0.10,0.71,0.19,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,