$679.98
11770 describes simple excision; 11771 is for pilonidal excision at the extensive level.
On this page
CMS RVU26D · Effective 2026-10-01
11770 Pilonidal excision Medicare reimbursement rates in Wyoming
Reports surgical removal of a simple pilonidal cyst or sinus in the sacrococcygeal cleft, rather than drainage or more extensive excision. Compare 11770 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 11770 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
$384.83
1 of 1 localities have a supported rate.
Payment area: Wyoming**
One mapped payment locality.
Facility setting
$175.74
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.
General surgery
About 11770: Simple pilonidal cyst excision
Reports surgical removal of a simple pilonidal cyst or sinus in the sacrococcygeal cleft, rather than drainage or more extensive excision.
A surgeon excises a simple pilonidal cyst or sinus in the cleft near the tailbone, removing the lesion and involved tissue or tract. The procedure is commonly performed in an outpatient operating room, though a suitable simple case may be treated in an office setting. The operative report should show that excision was performed and describe the disease and extent of the work.
Choose this code for the simple-excision level, not for drainage alone or a more extensive or complicated excision. Document the operative findings and the basis for the selected level. CMS assigns 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 multiple-procedure reduction. Bilateral adjustment is inappropriate. CMS does not pay an assistant at surgery for this code and does not permit co-surgeon or team-surgery billing.
CMS billing rules for 11770
- 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 RVU2.59 · 22%
- Practice expense (office) RVU8.48 · 73%
- Malpractice RVU0.61 · 5%
265
Medicare services in 2024 · #4089 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.
11770 compared with similar codes
Office rates for Wyoming, from the same CMS release.
$832.62
Choose 11772 when the pilonidal excision is complicated, rather than a simple excision reported with 11770.
$267.81
10080 represents simple incision and drainage of a pilonidal cyst. Use 11770 when the service is excision, not drainage.
$375.93
10081 represents complicated pilonidal cyst drainage; 11770 is for simple excision of the lesion.
Compare 11770 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
$384.83
Facility
$175.74
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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 11770 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
1,372
- Code
- 11770
- Physician work
- 2.59
- Practice expense
- 8.48
- Malpractice
- 0.61
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.59 | × 1.000 | 2.5900 |
| Practice expense | 8.48 | × 1.000 | 8.4800 |
| Malpractice | 0.61 | × 0.740 | 0.4514 |
| Total RVUs | 11.5214 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$384.83
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.59 | 1 |
| Practice expense | 8.48 | 1 |
| Malpractice | 0.61 | 0.74 |
(2.59 × 1 + 8.48 × 1 + 0.61 × 0.74) × $33.4009 = $384.83
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.59 | 1 |
| Practice expense | 2.22 | 1 |
| Malpractice | 0.61 | 0.74 |
(2.59 × 1 + 2.22 × 1 + 0.61 × 0.74) × $33.4009 = $175.74
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.
11770 billing questions
How does 11770 differ from 11771 or 11772?
Use 11770 for simple excision. The higher family codes describe more extensive or complicated excision; the operative findings and work performed should support the selected level.
Can 11770 be reported for draining a pilonidal abscess?
No. When the service is incision and drainage rather than excision, consider the pilonidal drainage codes 10080 or 10081, as appropriate to the procedure.
Are related postoperative visits separately billable?
Related postoperative visits during the 10-day global period are included in the procedure payment.
Can modifier 50 be used for pilonidal excision?
No. CMS identifies bilateral adjustment as inappropriate for this code and its anatomy.
Can an assistant or co-surgeon be billed with 11770?
CMS does not pay an assistant at surgery for this code and does not permit co-surgeon or team-surgery billing.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full, while other procedures 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.
1,36911760,,Repair of nail bed,A,,1.59,3.81,,1.33,,0.19,5.59,3.11,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37011762,,Reconstruction of nail bed,A,,2.87,5.60,,2.03,,0.34,8.81,5.24,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37111765,,Wedge excision skn nail fold,A,,1.19,3.60,,1.39,,0.09,4.88,2.67,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37211770,,Exc pilonidal cyst simple,A,,2.59,8.48,,2.22,,0.61,11.68,5.42,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37311771,,Exc pilonidal cyst xtnsv,A,,5.94,13.36,,5.86,,1.43,20.73,13.23,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,37411772,,Exc pilonidal cyst comp,A,,7.17,16.50,,8.30,,1.70,25.37,17.17,0,090,0.10,0.71,0.19,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1,3751180F,,Thromboemb risk assessed,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
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.,,,,,,