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See a sample rate comparisonCPT 11602 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 1 1 2 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 1 1 To 2 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11602 |
| Medicaid Fee Schedule | View Medicaid rates for 11602 |
National average reimbursement for CPT 11602 by major payers:
$263.98
$305.83
$317.70
$270.63
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CPT 11602
5 of 25 sample ratesHigher to lower in this preview
St Lukes Community Development Corporation, St Lukes Sugar Land Hospital
St Lukes Community Development Corporation-Sugar Land
$2,749.00Published rateAscension Seton, Ascension Seton Hays
Ascension Seton
$1,017.00Published rateOphthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight
Ophthalmic Outpatient Surgery Center Partners LLC
$434.00Published rateGreat River Orthopedic And Sports Medicine Center, Inc.
Great River Orthopedic And Sports Medicine Ctr, Inc.
$263.64Published rateTitus County Hospital District, Titus Regional Medical Center
$226.22Published rate
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See a sample payer proposalCPT 11602 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11602 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 11602 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 |
|---|---|---|
| 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 |
| 11604-CPT | Moderate | Exc Tr Ext Mal Marg 3 1 4 Cm, Excision Malignant Lesion Including Margins Trunk Arms Or Legs Excised Diameter 3 1 To 4 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 11602. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11602 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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