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See a sample rate comparisonCPT 11620 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.
Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 0.5 Cm Or Less Excision Malignant Lesion Scalp Neck Hands Feet
| 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 11620 |
| Medicaid Fee Schedule | View Medicaid rates for 11620 |
National average reimbursement for CPT 11620 by major payers:
$224.46
$242.12
$245.84
$205.09
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CPT 11620
5 of 25 sample ratesHigher to lower in this preview
West Penn Allegheny Health System Inc., Allegheny General Hospital
Highmark Health
$5,285.75Published rateWillis Surgicenter, LLC
Willis Surgicenter LLC
$966.00Published rateNorth Texas Team Care Surgery Center LLC
$575.00Published rateWesley & Klippenstein, PC, Wesley Ophthalmic Plastic Surgery Center
Wesley & Klippenstein, P.C.
$330.00Published rateSeidenberg Protzko Surgery Center LLC, Mid Atlantic Surgery Pavilion
Seidenberg Protzko Surgery Center LLC
$159.00Published rate
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See a sample payer proposalCPT 11620 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11620 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 11620 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 |
|---|---|---|
| 11620-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 0.5 Cm Or Less Excision Malignant Lesion Scalp Neck Hands Feet |
| 11621-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 0.6 To 1.0 Cm Excision Malignant Lesion Scalp Neck Hands Feet |
| 11622-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 1.1 To 2.0 Cm Excision Malignant Lesion Scalp Neck Hands Feet |
| 11640-CPT | Moderate | Exc F E E N L Mal Mrg 0 5cm, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter 0 5 Cm Or Less |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11620 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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