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See a sample rate comparisonCPT 11601 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Exc Tr Ext Mal Marg 0 6 1 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 0 6 To 1 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11601 |
| Medicaid Fee Schedule | View Medicaid rates for 11601 |
National average reimbursement for CPT 11601 by major payers:
$248.75
$282.97
$294.22
$248.37
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CPT 11601
5 of 25 sample ratesHigher to lower in this preview
Texas Health Surgery Center Preston Plaza, LLC, Texas Health Surgery Center Preston Plaza
$1,963.00Published rateTexan Ambulatory Surgery Center, Lp
$1,158.00Published rateNorthwest Orthopaedic Specialists, P.S., The Orthopaedic Surgery Center
Northwest Orthopaedic Specialists, P.S.
$556.00Published rateNorthwest Surgery Center, Inc.
Northwest Surgery Center Inc
$407.00Published rateRiverview Ambulatory Surgical Center, LLC
Riverview Ambulatory Surgical Ce
$291.00Published rate
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See a sample payer proposalCPT 11601 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11601 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 11601 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 11600-CPT | Moderate | Exc Tr Ext Mal Marg 0 5 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 0 5 Cm Or Less |
| 11601-CPT | Moderate | Exc Tr Ext Mal Marg 0 6 1 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 0 6 To 1 0 Cm |
| 11602-CPT | Moderate | Exc Tr Ext Mal Marg 1 1 2 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 1 1 To 2 0 Cm |
| 11603-CPT | Moderate | Exc Tr Ext Mal Marg 2 1 3 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 2 1 To 3 0 Cm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11601 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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