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See a sample rate comparisonCPT 11623 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 2.1 To 3.0 Cm 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 11623 |
| Medicaid Fee Schedule | View Medicaid rates for 11623 |
National average reimbursement for CPT 11623 by major payers:
$341.84
$372.86
$382.07
$346.60
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CPT 11623
5 of 25 sample ratesHigher to lower in this preview
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis, Prevea Surgery Center
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
$2,394.00Published rateWest End Surgical, LLC, Oregon Surgical Institute
West End Surgical LLC
$935.00Published rateFoundation Surgery Affiliate Of Nacogdoches LLC, Nacogdoches Surgery Center
Foundation Surgery Affiliate Of Nacogdoches LLC
$734.00Published rateParkside Surgery Center, LLC
Parkside Surgery Center
$475.00Published rateArkansas Renal Group PA, Ouachita Procedure Center
Arkansas Renal Group PA
$301.00Published rate
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See a sample payer proposalCPT 11623 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11623 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 11623 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 |
|---|---|---|
| 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 |
| 11623-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 2.1 To 3.0 Cm Excision Malignant Lesion Scalp Neck Hands Feet |
| 11624-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter 3.1 To 4.0 Cm Excision Malignant Lesion Scalp Neck Hands Feet |
| 11626-CPT | Moderate | Excision Malignant Lesion Sc, Excision Malignant Lesion Scalp Neck Hands Feetgenitalia Lesion Diameter Over 4.0 Cm Excision Malignant Lesion Scalp Neck Hands Feet |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 11623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11623 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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