$200.67
Both cover malignant lesions in the face, ear, eyelid, nose, or lip site group. Choose 11640 when the lesion plus margins falls in the smaller size category.
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CMS RVU26D · Effective 2026-10-01
11641 Malignant lesion excision Medicare reimbursement rates in Wyoming
Excision of a malignant lesion on the face, ear, eyelid, nose, or lip, selected when the lesion plus margins measures 0.6–1.0 cm. Compare 11641 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 11641 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
$234.89
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$132.35
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.
Skin excision
About 11641: Malignant lesion excision, face and related sites
Excision of a malignant lesion on the face, ear, eyelid, nose, or lip, selected when the lesion plus margins measures 0.6–1.0 cm.
This code covers surgical removal of a malignant skin lesion on the face, ear, eyelid, nose, or lip. Dermatologists, plastic surgeons, and other qualified physicians commonly perform the procedure in an office or outpatient setting. The size category is based on the lesion together with the margins removed, not the lesion alone. Simple closure is part of the excision service; a separately performed intermediate or complex repair may be reported when supported by the documentation.
Document the malignant lesion, exact site, and excised diameter including margins. The procedure has a 10-day global period, so related postoperative visits during that 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 50% reduction. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 11641
- 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 RVU2.12 · 30%
- Practice expense (office) RVU4.72 · 66%
- Malpractice RVU0.26 · 4%
14.9K
Medicare services in 2024 · #1256 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.
11641 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$264.27
This is the next larger size category for the same site group. Select between the codes using the documented excised diameter, including margins.
$225.04
This code applies to malignant-lesion excision on the trunk, extremities, or other specified sites, rather than the face, ear, eyelid, nose, or lip.
$226.38
This belongs to the malignant-lesion excision group for scalp, neck, hands, feet, or genitalia. Use 11641 for the face, ear, eyelid, nose, or lip site group.
Compare 11641 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
$234.89
Facility
$132.35
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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 11641 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,354
- Code
- 11641
- Physician work
- 2.12
- Practice expense
- 4.72
- Malpractice
- 0.26
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.12 | × 1.000 | 2.1200 |
| Practice expense | 4.72 | × 1.000 | 4.7200 |
| Malpractice | 0.26 | × 0.740 | 0.1924 |
| Total RVUs | 7.0324 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$234.89
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.12 | 1 |
| Practice expense | 4.72 | 1 |
| Malpractice | 0.26 | 0.74 |
(2.12 × 1 + 4.72 × 1 + 0.26 × 0.74) × $33.4009 = $234.89
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.12 | 1 |
| Practice expense | 1.65 | 1 |
| Malpractice | 0.26 | 0.74 |
(2.12 × 1 + 1.65 × 1 + 0.26 × 0.74) × $33.4009 = $132.35
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.
11641 billing questions
How is this code distinguished from 11640 or 11642?
Use 11641 for the face, ear, eyelid, nose, or lip when the lesion plus margins measures 0.6–1.0 cm. Code 11640 is for the smaller size category, while 11642 is for the next larger category.
Which size should be documented?
Document the excised diameter, including the lesion and the margins removed. Do not select the size category from the lesion diameter alone.
Can a repair be billed separately?
Simple closure is included in the excision service. A separately performed intermediate or complex repair may be reported when documented and supported.
Are postoperative visits separately payable during the global period?
Related postoperative visits during the 10-day global period are included in the procedure payment.
What applies 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 for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this procedure. 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.
1,35111624,,Exc s/n/h/f/g mal+mrg 3.1-4,A,,3.53,6.15,,2.07,,0.48,10.16,6.08,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35211626,,Exc s/n/h/f/g mal+mrg >4 cm,A,,4.49,7.30,,2.36,,0.76,12.55,7.61,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35311640,,Exc f/e/e/n/l mal+mrg 0.5cm<,A,,1.63,4.23,,1.49,,0.20,6.06,3.32,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35411641,,Exc f/e/e/n/l mal+mrg 0.6-1,A,,2.12,4.72,,1.65,,0.26,7.10,4.03,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35511642,,Exc f/e/e/n/l mal+mrg 1.1-2,A,,2.55,5.14,,1.78,,0.30,7.99,4.63,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35611643,,Exc f/e/e/n/l mal+mrg 2.1-3,A,,3.33,5.70,,2.03,,0.43,9.46,5.79,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,35711644,,Exc f/e/e/n/l mal+mrg 3.1-4,A,,4.23,6.94,,2.36,,0.59,11.76,7.18,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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.,,,,,,