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See a sample rate comparisonCPT 11643 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 F E E N L Mal Mrg 2 1 3, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter 2 1 To 3 0 Cm
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Integumentary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 11643 |
| Medicaid Fee Schedule | View Medicaid rates for 11643 |
National average reimbursement for CPT 11643 by major payers:
$332.71
$400.75
$411.24
$499.00
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CPT 11643
5 of 25 sample ratesHigher to lower in this preview
San Marcos Asc LLC
$1,554.00Published rateTyler Asc, Lp, Tyler Cardiac & Endovascular Surgery Center
$935.00Published rateMemorial Surgery Center, LLC
Memorial Surgery Center LLC
$934.00Published rateInland Northwest Surgery Center PLLC
$370.00Published rateMaryland Endoscopy Center LLC, Maryland Endoscopy Center
Maryland Endoscopy Center, LLC.
$240.00Published rate
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See a sample payer proposalCPT 11643 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 11643 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 11643 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 |
|---|---|---|
| 11642-CPT | Moderate | Exc F E E N L Mal Mrg 1 1 2, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter 1 1 To 2 0 Cm |
| 11643-CPT | Moderate | Exc F E E N L Mal Mrg 2 1 3, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter 2 1 To 3 0 Cm |
| 11644-CPT | Moderate | Exc F E E N L Mal Mrg 3 1 4, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter 3 1 To 4 0 Cm |
| 11646-CPT | Moderate | Exc F E E N L Mal Mrg 4 Cm, Excision Malignant Lesion Including Margins Face Ears Eyelids Nose Lips Excised Diameter Over 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 11643. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 11643 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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